Progress in reducing smoking rates, concern at freeze in funding for cessation services

06 May 2010

Marlyn Glen said today there had been progress in recent years in NHS Tayside to reduce rates of smoking through a combination of "NHS intervention and Scottish Executive legislation ".

She was responding to answers in Parliamentary questions that she had tabled

Ms. Glen said,

" Smoking is one of the greatest hazards to public health with 1 in 4 deaths associated with it.

"Labour’s introduction of the smoking ban in early 2006 was a decisive step in dealing with the ill-effects of passive smoking in public places."

In both that year and the next , 2007, the numbers admitted to hospital for acute coronary syndrome ( unstable angina and heart attack ) fell in NHS Tayside by over 250 compared with 2005.

The numbers who smoke in Tayside continue to fall.

In 2007-08 35 per cent of men and 23 per cent of women in Tayside now smoke.

However, Ms. Glen expressed concern that the future success of NHS smoking cessation services had been "poorly served" by the SNP Government’s failure to increase in real terms spending on smoking cessation services in Tayside over the latest three years.

"This freeze and real term cut in spending could well affect the quality of the support services just when more support is needed to reduce levels of smoking still further."

 

Answers to questions asked by Marlyn Glen

SCOTTISH PARLIAMENT

WRITTEN ANSWER

4 May 2010

Index Heading: Health and Wellbeing

Marlyn Glen : To ask the Scottish Executive how many admissions there have been for acute coronary syndrome in NHS Tayside in each year since 2005.

(S3W-33337)

Ms Nicola Sturgeon :

The information requested is provided in the following table. The rise in the number of admissions for acute coronary syndrome since 2008 is thought to be accounted for by the introduction of more sensitive diagnostic tests, using biomarkers such as troponin.

Table: Number of admissions for acute coronary syndrome1 in NHS Tayside for the years ending 31 March

2005

2006

2007

2008

2009

1,495

1,273

1,221

1,516

1,606

 

 

Source: ISD Scotland, SMR01

1: Acute coronary syndrome includes unstable angina and myocardial infarction.

 

Marlyn Glen (North East Scotland) (Lab): To ask the Scottish Executive what the percentage of (a) female and (b) male smokers has been in NHS Tayside in each year since 2004.(S3W-33339)

Ms Shona Robison :

The answer is shown in the following table.

Table 1. Male and female smoking prevalence, aged 16+ in NHS Tayside, from
2003-04 to 2007-08.

Year

Males

Females

2003-04

26.2

25.2

2005-06

25.2

26.8

2007-08

25.5

23.3

Source: Scottish Household Survey. Two year averages were used for the breakdown of smoking prevalence in males and females because of small numbers.

 

Marlyn Glen : To ask the Scottish Executive how much has been allocated to NHS Tayside for smoking cessation services in each year since 2006-07, also expressed in real terms.

Answered by Shona Robison : The Government will spend £33 million this spending review period on NHS smoking cessation services in comparison to £27 million spent over the previous spending review period.

In addition to its share of funding available from NHS boards'' general allocations " around £162,000 per annum " the following table provides information on the specific allocations made to NHS Tayside for smoking cessation services and related tobacco control activity in each year from 2006-07 to 2010-11, also expressed in real terms at 2006-07 prices.

Decisions will be made shortly about the increased allocations which will be made to NHS boards over the next three years from the additional £3 million per annum which has been earmarked under Spending Review 2007 for tobacco control activity.

Year

Allocation £s

Allocation in Real Terms at 2006-07 Prices £s

2006-07

790, 000

790,000

2007-08

949,000

919,000

2008-09

949,000

892,000

2009-10

949,000

868,000

2010-11

949,000

845,000

 

Marlyn Glen (North East Scotland) (Lab): To ask the Scottish Executive how many attempts to quit have been made with smoking cessation services in NHS Tayside in each year since 2005 and what percentage remained successful 12 months later.(S3W-33338)

Ms Shona Robison :

Information on quit attempts made via NHS smoking cessation services is available from the agreed national minimum dataset for cessation services. The national smoking cessation database (the primary data collection mechanism) was established in July 2005. Calendar year 2006 is the first year for which national cessation monitoring data are published.

National monitoring is based on clients who set a ‘quit date‘/make a quit attempt with a cessation service. This will not include persons referred to services or who make initial contact with a service, but who do not go on to set a quit date.

Table 1 shows the number of quit attempts made with smoking cessation services in NHS Tayside and the percentage of these recorded as a ‘successful’ outcome at
12 months after the ‘quit date’. Data for 2009 are not yet published.

Year

Total quit attempts

% Successful’ at 12 months after quit date

2006

2,071

11%

2007

2,960

11%

2008

3,028

9%

Source: Information Services Division (ISD) Scotland. Figures are based on total quit attempts, rather than total number of clients with a quit attempt and could include repeat quit attempts by the same client.

The data shown are based on self-reported ‘not smoked, or smoked no more than five cigarettes, since one month follow-up’. The remainder of the quit attempts, those not recorded as ‘successful’ at 12 months after quit date, will include both ‘known smokers’ and cases ‘lost to follow-up/smoking status unknown’. In Tayside in 2008, for example, the cumulative percentage of cases ‘lost to follow-up/smoking status unknown’ at 12 months after ‘quit date’ was 60%, with 31% of cases ‘known smokers’ and 9% ‘known quits’.


 

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