Hilton, S. , Smith, M. J. , Buckton, C. H. and Patterson, C. (2022) Experts’ views on how to design a tobacco control fund in the UK. BMJ Open, 12(11), e066224. (doi: 10.1136/bmjopen-2022-066224) (PMID:36442897) (PMCID:PMC9710323)
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Abstract
Objective: To explore expert views on the potential value, and approaches to establishing and administering a tobacco control fund in the UK. Design: Semistructured interviews and follow-up discussion groups. Subjects: Twenty-four UK and international experts on tobacco control regulation, public health, economics or law from the academic, public, private and third sector. Methods: Participants considered the relative merit of (1) general excise tax on retail tobacco sales; (2) ring-fenced hypothecation of excise taxes on retail tobacco sales; and (3) a direct levy on tobacco manufacturers. Preliminary synthesis of interview findings was deliberated on in two follow-up discussion groups to identify key considerations for policy design. Result: Most experts agreed that a ring-fenced tobacco control fund would be a valuable method of raising predictable and reliable funds from tobacco producers either using either companies’ sales volume or market share as a way to establish the proportion they should pay. Experts predominantly recommended that a fund in the UK should be administered by a government body with devolved nation input and with an independent advisory group. They typically indicated that funding should be allocated yearly with a distribution at local, regional and national levels to support smoking prevention and cessation rather than treatment activities with priority given to measures that tackle smoking-related inequalities. Conclusion: There was overwhelming agreement by experts on the need to establish a tobacco control fund to help meet the proposed government tobacco-free targets to reduce adult smoking prevalence to 5% by 2030 (England) and 2034 (Scotland).
| Item Type: | Articles |
|---|---|
| Status: | Published |
| Refereed: | Yes |
| Glasgow Author(s) Enlighten ID: | Buckton, Christina and Hilton, Professor Shona and Patterson, Dr Chris and Smith, Dr Marissa |
| Authors: | Hilton, S., Smith, M. J., Buckton, C. H., and Patterson, C. |
| College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU |
| Journal Name: | BMJ Open |
| Publisher: | BMJ Publishing Group |
| ISSN: | 2044-6055 |
| ISSN (Online): | 2044-6055 |
| Published Online: | 28 November 2022 |
| Copyright Holders: | Copyright © 2022 The Authors |
| First Published: | First published in BMJ Open 12(11): e066224 |
| Publisher Policy: | Reproduced under a Creative Commons License |
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