Copyright GASP European Union Delegation National Health Forum Chisinau, Moldova, November Tobacco Control

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Copyright GASP www.gasp.org.uk European Union Delegation National Health Forum Chisinau, Moldova, 25-26 November 2013 - Tobacco Control

Building compliance for smokefree legislation what have we learnt in UK?

What do we mean by compliance?

Compliance in 1 st Month 97.4% Base: all respondent local authorities and port health authorities (356)

77%

England: Key Government Messages In a nutshell: Smokefree protects health and is positive for business

Sarah Thornton - and her smoke spray People do not feel like they have been out unless they go home smelling of stale cigarettes

Smoking Vicar

In 20 Minutes: 8 Learning Points

Learning Point 1 Use the evidence to justify your legislation

There is plenty of evidence

Scientific Committee on Tobacco and Health

Learning Point 2 There is no safe level of exposure

No safe level of exposure

Learning Point 3 Define smoking?

What is smoking? Smoking refers to smoking tobacco or anything which contains tobacco or smoking any other substance Includes being in possession of lit tobacco or anything lit which contains tobacco, or being in possession of any other lit substance in a form in which it can be smoked This includes smoking cigarettes, cigars, herbal cigarettes and pipes (including waterpipes)

What is smoking? Smoking refers to smoking tobacco or anything which contains tobacco or smoking any other substance Includes being in possession of lit tobacco or anything lit which contains tobacco, or being in possession of any other lit substance in a form in which it can be smoked This includes smoking cigarettes, cigars, herbal cigarettes and pipes (including waterpipes)

What is smoking? Smoking refers to smoking tobacco or anything which contains tobacco or smoking any other substance Includes being in possession of lit tobacco or anything lit which contains tobacco, or being in possession of any other lit substance in a form in which it can be smoked This includes smoking cigarettes, cigars, herbal cigarettes and pipes (including waterpipes)

Learning Point 4 Define where smoking is prohibited - not where people can smoke

Smokefree buildings Smokefree legislation applies to: all places of work used by more than one person, and places open to the public which are enclosed or substantially enclosed

If 50% or more of the walls are present then it is substantially enclosed and it is not legal to smoke in it

Smokefree vehicles If used by the public - public transport: bus, coach, train, taxi, minicab If used for work - commercial vehicles: lorry, van, tractor, etc

Learning Point 5 It is not a ban on smoking

Not a ban!

Support smokefree law (by smoking status) 100 91 92 92 80 60 72 75 80 40 20 0 45 23 30 2007(a) 2008 2010 All Never Smo ked Smoke Daily

Good for my health (by sm oking status) 100 80 60 40 20 0 88 73 39 90 76 38 90 79 46 91 81 50 All Never Smoked Smoke Daily 2007(b) 2008 2009 2010

Good for the health of most w orkers (by sm oking status) 100 80 60 40 95 84 57 95 86 60 95 89 68 96 89 70 All 20 0 Never Smo ked Smoke Daily 2007(b) 2008 2009 2010

Learning Point 6 Signs work, so use them

The international no-smoking symbol

Which of these two words are you not able to understand?

In a prominent position at every entrance

Learning Point 7 Keep exemptions to a minimum - The fewer the better

Pilots planned for smokefree adult prisons and mental health facilities

Winnie Langley - 100 yrs old Smoked for 93 years but I never inhaled.

Learning Point 8 Support businesses in complying with the smokefree law

What do we mean by compliance Draw attention to No Smoking signs and inform that smoking is an offence Advise also offence to permit smoking State purpose of smoke-free policy to protect health of staff If smoking continues refuse service and ask to leave If abusive or violent call police Keep records

Offence Fixed Penalty Notice Offences and penalties (if paid in 29 days) Fixed Penalty Notice (if paid in 15 days) Court awarded fine Smoking in a smoke-free place (any smoker) Failure to display no smoking signs (occupier or manager) Failing to prevent smoking in a smoke-free place (manager or person in control) 50 30 Up to 200 (level 1 on standard scale) 200 150 Up to 1000 (level 3 on standard scale) N/A N/A Up to 2500 (level 4 on standard scale)

Co-production of Compliance: Regulated, Regulators, Citizens Person in control of regulated premises Advice Inspection Enforcement Compliance Engagement Empowerment Environment Regulatory officers Compliance phone line Employees & public

London Smog 1952

Pub trade attitudes - England

Trade attitudes - Ireland

We are pleased that MPs have ensured a level playing field for all, with no exemption for private members clubs. their thousands of employees are subject to the same health and safety at work regulations as pub industry staff.

Caroline Flint This is one of the most significant pieces of public health legislation of the last 50 years. It will create the single biggest improvement in public health for a generation. Caroline Flint, Minister of State for Public Health

Liam Donaldson A large footprint in the history of public health Liam Donaldson Chief Medical Officer, Department of Health

Albania