Experts’ views on how to design a tobacco control fund in the UK

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, Miss 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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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
3048231Inequalities in healthAlastair LeylandMedical Research Council (MRC)MC_UU_00022/2HW - MRC/CSO Social and Public Health Sciences Unit
727671Informing Healthy Public PolicyPeter CraigMedical Research Council (MRC)MC_UU_12017/15HW - MRC/CSO Social and Public Health Sciences Unit
727671Informing Healthy Public PolicyPeter CraigOffice of the Chief Scientific Adviser (CSO)SPHSU15HW - MRC/CSO Social and Public Health Sciences Unit
3048231Inequalities in healthAlastair LeylandOffice of the Chief Scientific Adviser (CSO)SPHSU17HW - MRC/CSO Social and Public Health Sciences Unit
309944Young people's engagement with e-cigarettes and their marketing: a mixed methods, engaged project to co-produce recommendations for policyShona HiltonCancer Research UK (CRUK)PPRCTAGPJT\100003HW - MRC/CSO Social and Public Health Sciences Unit