Following advice from the Joint Committee on Vaccination and Immunisation (JCVI), Public Health Scotland (PHS) will work with Scottish Government and colleagues across NHS Boards to make plans for the introduction of a varicella (chickenpox) vaccination as part of the routine childhood schedule.
JCVI’s recommendation is to offer a two-dose programme offering vaccination at 12 and 18 months of age, using the combined MMRV (measles, mumps, rubella and varicella) vaccine.
Varicella vaccines have been seen to dramatically decrease the number of cases of chickenpox seen in childhood when used in other countries.
Dr Claire Cameron, Consultant in Health Protection at PHS said: “Chickenpox is a highly contagious infectious disease.
“While most cases of chickenpox in children are relatively mild, many children are unwell for several days and have to miss school or nursery as a result. In some cases, chickenpox can be more severe and can lead to hospitalisations from serious secondary infections or other complications.
“The offer of the varicella vaccine is a welcome new addition to the routine childhood schedule and, as well as reducing the number of cases, will prevent more severe cases of chickenpox.”
Public Health Minister Jenni Minto said: “The Scottish Government welcomes the Joint Committee on Vaccination and Immunisation’s recommendation to introduce a chickenpox vaccine to the childhood immunisation programme.
“Immunisation is one of the most effective ways of preventing illness from infectious disease.
“We will work with Public Health Scotland, NHS Boards in Scotland, as well as colleagues across the UK, to consider this recommendation in more detail.”
More information on the current childhood immunisation schedule is available on NHS Inform.
New Reform Scotland research on orthopaedic waiting lists and times
BMA Chair says workforce “running on empty”
Reform Scotland announces major debate on improvements needed to NHS ahead of 2048 centenary
Reform Scotland today releases research that reveals sharply rising waiting lists and times for orthopaedic procedures in Scotland’s hospitals. Freedom of Information requests to health boards obtained comparable figures on waiting lists and times in orthopaedics, and the specific data for hip operations.
The paper also marks the launch of a major Reform Scotland research programme that will explore the changes required if the struggling NHS is to reach its 2048 centenary in better health.
Dr Iain Kennedy, chair of BMA Scotland, said: “It is a system bursting at the seams, with a workforce running on empty – there are not enough of us to give our patients the time and care they need and deserve.
“The time for platitudes has long passed – we need action, and we need it now.”
The full paper – NHS 2048: Future-proofing Scotland’s health and social care – can be read here. It reveals that:
11 health boards have seen at least a doubling in the wait time for a hip operation from point of decision. This includes an increase from 163 days to 386 in Greater Glasgow & Clyde, and an increase from 114 days to 360 in Lothian.
The waiting list for a hip operation has more than tripled since 2019 in Ayrshire & Arran, Dumfries & Galloway, Fife, Grampian, Lothian and Tayside
Well over 10,000 people are on the waiting list for a hip operation, up from just over 3,000 in 2019.
While the increase in waiting times is deeply worrying, waiting times data only covers the point from when a decision to treat was made. As a result, patients will in reality be waiting far longer. There is further data on orthopaedic operations in general, showing around 45,000 on a waiting list.
Reform Scotland, a non-partisan think tank, is calling for an open, constructive and mature conversation about improving the NHS in time for its centenary, and has been joined in that call by Dr Iain Kennedy.
Dr Iain Kennedy said: “The figures in this report from Reform Scotland are shocking, yet not surprising. BMA Scotland has been warning for some time that the NHS in Scotland simply cannot deliver what is expected of it under its current limitation.
“It is a system bursting at the seams, with a workforce running on empty – there are not enough of us to give our patients the time and care they need and deserve.
“The time for platitudes has long passed – we need action, and we need it now. We are in a year-round crisis with our NHS and workforce planning is abysmal.
“The Scottish Government must move forward with their commitment to have a cross-party national conversation on the future of our health service – an open and honest discussion that also involves the profession and the public.
“Enough is enough, we cannot continue on this path if we want to futureproof our NHS for generations to come.”
Jacqui McMillan, a consultant surgeon in the West of Scotland, said: “Reform Scotland’s report is a stark warning of how bad things have become.
“As an orthopaedic surgeon I am working as hard as ever, and yet my waiting list seems to be growing longer. Seeing my patients in pain and knowing how long they are likely going to have to wait for their operation breaks my heart.
“Having to tell patients they could be waiting for more than a year for an operation they need in order to get through a day without pain is really difficult.”
Chris Deerin, Director of Reform Scotland, said: “We need a mature, constructive debate to identify and build consensus around specific measures that will help our health and care services in both the short and long term.
“The electorate can cope with this discussion. They know that the health service is ill – they live with the consequences every day. Are the politicians up to it, though? Can they set aside petty party differences and work together to save this vital public service?
“If we are to maintain a taxpayer-funded, free-at-the-point-of-need system up to the NHS’s centenary in 2048, reform is required in order to make the best use of the resources we have.
“Reform Scotland will provide a platform for that discussion to take place.”
New payment system to expand services comes into force
NHS dental teams will receive increased fees under a new payment structure from today (1 November) to help them to provide a comprehensive range of NHS care and treatment.
Examinations will continue to be free for all patients, with pregnant and new mothers, those claiming certain benefits, and the under 26s remaining exempt from treatment charges – around a quarter of all adult NHS dental patients.
A new awareness campaign called Brush Up will help people know where to get information and help to meet the costs.
For dentists, the new fee structure will streamline payments, cut bureaucracy and give them greater authority over the treatments offered.
In line with guidance from the National Institute for Health and Care Excellence (NICE), dentists will now also be able to advise patients on how often they need check ups based on their oral health, rather than everyone being seen every six months.
Public Health Minister Jenni Minto said: “Our aim with this payment reform is to incentivise dentists to remain in the NHS, provide long term sustainability to the sector, and improve access for patients.
“Replacing the existing fees with a new improved set will allow dentists to provide a full range of NHS care and treatment, while those unable to pay will continue to get help.
“All patients will continue to receive free NHS dental examinations and I want to reassure those who are exempt from NHS dental charges – including children and young people under 26, and those on certain benefits – they will continue to receive free care and treatment. People on a low income are also eligible for support, details of which can be found on NHS Inform.”
You may have heard about changes to NHS dental care in Scotland.
What isn’t changing is that you can still get a comprehensive range of treatments through the NHS. And for some people, it could be completely free.
Supporting the Brush Up campaign, Chair of the General Dental Council, Lord Toby Harris, said: “It’s important that everyone knows what to expect from dental healthcare. Dental professionals across the UK understand that patients’ interests must come first.
“They also know that this principle is woven through their professional standards. Everyone should have confidence that the whole dental team will continue to prioritise patients’ interests.”
Access to potentially life-saving naloxone kits, which reverse the effects of an opioid overdose, is being expanded to community pharmacies across Scotland.
All community pharmacies will now hold at least two naloxone kits – either a nasal spray or injectable.
The Emergency Access Naloxone Scheme, which is backed by £300,000 of Scottish Government funding, began yesterday (Monday).
Drugs and Alcohol Policy Minister Elena Whitham said: “Through our National Mission to reduce drug deaths and harms, we have invested more than £3 million in widening access to Naloxone, including through our emergency services.
“Police Scotland recently completed a force-wide rollout to 12,500 officers who have used the kits more than 300 times and, according to the most recent statistics, 70% of those who are at risk of opioid overdose are being provided with a lifesaving kit.
“However, we want to do even more. This new nationwide service is a welcome addition to existing services. It provides a substantial increase life-saving emergency access and I’m grateful to all those in community pharmacies who are supporting our £250 million National Mission to reduce drug deaths.
“We’ll also continue to focus on getting more people into the form of treatment and support they need, expand access to residential rehabilitation and drive the rollout of life-saving Medication Assisted Treatment (MAT) Standards where we are making significant progress.”
Community Pharmacy Scotland incoming CEO Matt Barclay said: “CPS is pleased to have community pharmacy participating in delivering this key role to support a reduction in drug deaths across Scotland.
“It once again sees community pharmacy at the heart of the community, delivering care for the citizens of Scotland.”
A new mission announced by the Prime Minister will accelerate the use of AI in life sciences to tackle the biggest health challenges of our generation
Missed opportunity, say civil society organisations
A new mission announced by the Prime Minister will accelerate the use of AI in life sciences to tackle the biggest health challenges of our generation.
In a speech on Thursday, the Prime Minister announced that a £100 million in new government investment will be targeted towards areas where rapid deployment of AI has the greatest potential to create transformational breakthroughs in treatments for previously incurable diseases.
The AI Life Sciences Accelerator Mission will capitalise on the UK’s unique strengths in secure health data and cutting-edge AI.
The Life Sciences Vision encompasses 8 critical healthcare missions that government, industry, the NHS, academia and medical research charities will work together on at speed to solve – from cancer treatment to tackling dementia.
The £100 million will help drive forward this work by exploring how AI could address these conditions, which have some of the highest mortality and morbidity.
For example, AI could further the development of novel precision treatments for dementia. This new government funding for AI will help us harness the UK’s world-class health data to quickly identify those at risk of dementia and related conditions, ensure that the right patients are taking part in the right trials at the right time to develop new treatments effectively, and give us better data on how well new therapies work.
By using the power of AI to support the growing pipeline of new dementia therapies, we will ensure the best and most promising treatments are selected to go forwards, and that patients receive the right treatments that work best for them.
AI driven technologies are showing remarkable promise in being able to diagnose, and potentially treat, mental ill health. For example, leading companies are already using conversational AI that supports people with mental health challenges and guides them through proactive prevention routines, escalating cases to human therapists when needed – all of which reduces the strain on NHS waiting lists.
This funding will help us to invest in parts of the UK where the clinical needs are greatest to test and trial new technologies within the next 18 months. Over the next 5 years, we will transform mental health research through developing world-class data infrastructure to improve the lives of those living with mental health conditions.
Prime Minister Rishi Sunaksaid: “AI can help us solve some of the greatest social challenges of our time. AI could help find novel dementia treatments or develop vaccines for cancer.
“That’s why today we’re investing a further £100 million to accelerate the use of AI on the most transformational breakthroughs in treatments for previously incurable diseases.”
Secretary of State for Science, Innovation and Technology Michelle Donelansaid: “This £100 million Mission will bring the UK’s unique strengths in secure health data and cutting-edge AI to bear on some of the most pressing health challenges facing the society.
“Safe, responsible AI will change the game for what it’s possible to do in healthcare, closing the gap between the discovery and application of innovative new therapies, diagnostic tools, and ways of working that will give clinicians more time with their patients.”
Health and Social Care Secretary Steve Barclaysaid: “Cutting-edge technology such as AI is the key to both improving patient care and supporting staff to do their jobs and we are seeing positive impacts across the NHS.
“This new accelerator fund will help us build on our efforts to harness the latest technology to unlock progress and drive economic growth.
“This is on top of the progress we have already made on AI deployment in the NHS, with AI tools now live in over 90% of stroke networks in England – halving the time for stroke victims to get the treatment in some cases, helping to cut waiting times.”
Building on the success of partnerships already using AI in areas like identifying eye diseases, industry, academia and clinicians will be brought together to drive forward novel AI research into earlier diagnosis and faster drug discovery.
The government will invite proposals bringing together academia, industry and clinicians to develop innovative solutions.
This funding will target opportunities to deploy AI in clinical settings and improve health outcomes across a range of conditions. It will also look to fund novel AI research which has the potential to create general purpose applications across a range of health challenges – freeing up clinicians to spend more time with their patients.
This supports work the government is already doing across key disease areas. Using AI to tackle dementia, for example, builds on our commitment to double dementia research funding by 2024, reaching a total of £160 million a year.
The Dame Barbara Windsor Dementia Mission is at the heart of this, enabling us to accelerate dementia research and give patients the access to the exciting new wave of medicines being developed.
Artificial Intelligence behind three times more daily tasks than we think
Most people believe they only use AI once a day when in fact it’s three times more
One in two of us (51%) feel nervous about the future of AI, with over a third concerned about privacy (36%) and that it will lead to mass unemployment (39%)
However, nearly half of people recognise its potential for manufacturing (46%), over a third see its role in improving healthcare (38%) and medical diagnosis (32%), and a quarter of people think it can help in tackling climate change (24%)
As the AI Safety Summit nears, over a third (36%) think the government needs to introduce more regulation as AI develops
The surge in Artificial Intelligence (AI) has left a third of us fearing the unknown, yet we have three times as many daily interactions with AI than most people realise, new research from the Institution of Engineering and Technology (IET) reveals.
On average, the UK public recognises AI plays a role in something we do at least once a day – whether that be in curating a personalised playlist, mapping out the quickest route from A to B, or simply to help write an email.
However, hidden touch points can be found in search engines (69%), social media (66%), and streaming services (51%), which all discretely use AI, as well as tools such as Google translate (31%) and autocorrect and grammar checkers (29%).
Despite its everyday use, over half of us (51%) admit nervousness about a future with AI – with nearly a third of people feeling anxious about what it could do in the future (31%). Over a third are concerned about privacy (36%) and feeling it will lead to mass unemployment (39%).
Those surveyed who felt nervous, do so because of not knowing who controls AI (42%) and not being able to tell what is real or true with AI generated fakes (40%). They also expressed concerns that AI will become autonomous and out of control (38%). And that it will surpass human intelligence (31%).
But people do recognise and welcome the role it will play in revolutionising key sectors, such as manufacturing (46%) and healthcare (39%) and specifically medical diagnosis (32%), as well as tackling issues such as climate change (24%).
Dr. Gopichand Katragadda, IET President and a globally recognised AI authority, said: “Artificial Intelligence holds the potential to drive innovation and enhance productivity across diverse sectors like construction, energy, healthcare, and manufacturing. Yet, it is imperative that we continually evolve ethical frameworks surrounding Data and AI applications to ensure their safe and responsible development and utilisation.
“It is natural for individuals to have concerns about AI, particularly given its recent proliferation in technical discussions and media coverage. However, it’s important to recognise that AI has a longstanding presence and already forms the foundation of many daily activities, such as facial recognition on social media, navigation on maps, and personalised entertainment recommendations.”
As the UK AI Safety Summit nears (1-2 November) – which will see global leaders gather to discuss the risks associated with AI and how they can be mitigated through coordinated action – the research reveals 36% of Brits think the government need to do more to regulate and manage AI development, with 30% of those who feel nervous about AI, feeling that Government regulations cannot keep pace with AI’s evolution.
Those surveyed also shared their concerns on the lack of information around AI and lack of skills and confidence to use the technology, with over a quarter of people saying they wished there was more information about how it works and how to use it (29%).
Gopi added: “What we need to see now is the UK government establishing firm rules on which data can and cannot be used to train AI systems – and ensure this is unbiased.
“This is necessary to ensure AI is used safely and to help prevent incidents from occurring – and it is fundamental to maintaining public trust, which underpins the economic and social benefits AI can bring.”
The research for the IET was carried out online by Opinion Matters from 16 October – 18 October 2023 amongst a panel resulting in 2,008 nationally representative consumers responding from across the UK.
AI Summit dominated by Big Tech and a “missed opportunity” say civil society organisations
More than 100 UK and international organisations, experts and campaigners sign open letter to Rishi Sunak
Groups warn that the “communities and workers most affected by AI have been marginalised by the Summit.”
“Closed door event” is dominated by Big Tech and overly focused on speculative risks instead of AI threats “in the here and now”- PM told
Signatories to letter include leading human rights organisations, trade union bodies, tech orgs, leading academics and experts on AI
More than 100 civil society organisations from across the UK and world have branded the government’s AI Summit as “a missed opportunity”.
In an open letter to Prime Minister Rishi Sunak the groups warn that the “communities and workers most affected by AI have been marginalised by the Summit” while a select few corporations seek to shape the rules.
The letter has been coordinated by the TUC, Connected by Data and Open Rights Group and is released ahead of the official AI Summit at Bletchley Park on 1 and 2 November. Signatories to the letter include:
Major and international trade union confederations – such as the TUC, AFL-CIO, European Trade Union Confederation, UNI Global, International Trade Union Confederation representing tens of millions of workers worldwide
International and UK human rights orgs – such as Amnesty International, Liberty, Article 19, Privacy International, Access Now
Domestic and international civil society organisations – such as Connected by Data, Open Rights Group, 5 Rights, Consumers International.
Tech community voices – such as Mozilla, AI Now Institute and individuals associated to the AI Council, Alan Turing Institute & British Computing Society
Leading international academics, experts, members of the House of Lords
Highlighting the exclusion of civil society from the Summit, the letter says: “Your ‘Global Summit on AI Safety’ seeks to tackle the transformational risks and benefits of AI, acknowledging that AI “will fundamentally alter the way we live, work, and relate to one another.
“Yet the communities and workers most affected by AI have been marginalised by the Summit. The involvement of civil society organisations that bring a diversity of expertise and perspectives has been selective and limited.
“This is a missed opportunity.”
Highlighting the Summit’s lack of focus on immediate threats of AI and dominance of Big Tech, the letter says: “As it stands, the Summit is a closed door event, overly focused on speculation about the remote ‘existential risks’ of ‘frontier’ AI systems – systems built by the very same corporations who now seek to shape the rules.
“For many millions of people in the UK and across the world, the risks and harms of AI are not distant – they are felt in the here and now.
“This is about being fired from your job by algorithm, or unfairly profiled for a loan based on your identity or postcode.
“People are being subject to authoritarian biometric surveillance, or to discredited predictive policing.
“Small businesses and artists are being squeezed out, and innovation smothered as a handful of big tech companies capture even more power and influence.
“To make AI truly safe we must tackle these and many other issues of huge individual and societal significance. Successfully doing so will lay the foundations for managing future risks.”
Calling for a more inclusive approach to managing the risks of AI, the letter concludes: “For the Summit itself and the work that has to follow, a wide range of expertise and the voices of communities most exposed to AI harms must have a powerful say and equal seat at the table. The inclusion of these voices will ensure that the public and policy makers get the full picture.
“In this way we can work towards ensuring the future of AI is as safe and beneficial as possible for communities in the UK and across the world.”
Senior Campaigns and Policy Officer for Connected by Data Adam Cantwell-Corn said: “AI must be shaped in the interests of the wider public. This means ensuring that a range of expertise, perspectives and communities have an equal seat at the table. The Summit demonstrates a failure to do this.
“The open letter is a powerful, diverse and international challenge to the unacceptable domination of AI policy by narrow interests.
“Beyond the Summit, AI policy making needs a re-think – domestically and internationally – to steer these transformative technologies in a democratic and socially useful direction.”
TUC Assistant General Secretary Kate Bell said: “It is hugely disappointing that unions and wider civil society have been denied proper representation at this Summit.AI is already making life-changing decisions – like how we work, how we’re hired and who gets fired.
“But working people have yet to be given a seat at the table.
“This event was an opportunity to bring together a wide range of voices to discuss how we deal with immediate threats and make sure AI benefits all.
“It shouldn’t just be tech bros and politicians who get to shape the future of AI.”
Open Rights Group Policy Manager for Data Rights and Privacy Abby Burke said: “The government has bungled what could have been an opportunity for real global AI leadership due to the Summit’s limited scope and invitees.
“The agenda’s focus on future, apocalyptic risks belies the fact that government bodies and institutions in the UK are already deploying AI and automated decision-making in ways that are exposing citizens to error and bias on a massive scale.
“It’s extremely concerning that the government has excluded those who are experiencing harms and other critical expert and activist voices from its Summit, allowing businesses who create and profit from AI systems to set the UK’s agenda.”
Deidre Brock MP has challenged the Prime Minister on the UK Government’s repeated denial of justice to those affected by the Infected Blood scandal.
The Infected Blood Inquiry is investigating the tragic deaths of more than 3,000 people across the UK who died as a result of being given contaminated blood in the 1970s and 1980s.
While the publication of the inquiry’s final report has been delayed from November to March next year, Sir Brian Langstaff, the independent chair of the inquiry, has already published his recommendations on compensation for victims of the scandal. However, the Cabinet Office this week confirmed that it would not respond to the inquiry until after the final report.
At Prime Minister’s Questions yesterday, Deidre Brock MP asked on behalf of affected constituents, why the UK Government continues to kick this issue into the long grass, while excluding many of the families, estates and carers of deceased victims from full interim compensation.
The Edinburgh North & Leith MP said: “The inquiry’s final report has been delayed, but the Government cannot use that as an excuse to postpone its response yet again.
“We know this Government can pre-emptively award victim compensation when it wants to, such as in the on-going Post Office Horizon IT Inquiry.
“Why then does the Government not show similar compassion to the survivors, family members and carers of contaminated blood scandal victims?
“The woeful statement from the Cabinet Office, and the Prime Minister’s non-response to my specific question, will simply compound the trauma, yet again, for victims and their families.
“Survivors and carers deserve proper compensation for their dreadful and distressing ordeal and I will continue to hold the UK Government to account for its shameful inaction.”
£50 million to build Scottish Ambulance Service capacity
A £50 million funding boost for Scottish Ambulance Service (SAS) recruitment and up to £12 million to expand Hospital at Home are among measures to support the health and care system this winter.
The Scottish Government and COSLA’s joint Winter Plan, published today, identifies new funding for SAS to support work already underway to recruit a further 317 frontline staff to help increase capacity to emergency response. It will also see 18 additional clinicians working in the call centre hub who, through additional triage, can offer patients alternative treatment routes in cases which are not time-critical, reducing the number of hospital admissions.
The expansion of Hospital at Home, which enables people to be treated at home rather than on a ward, is intended to deliver at least 380 additional beds this winter – significantly increasing the total service capacity.
The Scottish Government has been working closely with COSLA, Health and Social Care Partnerships, and NHS Boards on a number of further measures to ensure they are prepared for the winter period. This includes a Delayed Discharge Action Plan and improvements to the reporting of data to better identify specific areas for further support or escalation.
Health Secretary Michael Matheson said: “Our highly skilled and committed workforce are the cornerstone of our response every winter, both in health and social care. I am extremely grateful for their continued hard work and dedication in the face of sustained pressure. As we approach the Winter period their efforts will be vital in ensuring we deliver high quality care for the public.
“We are in no doubt that this winter will be extremely challenging for our health and social care system. Our Winter plan builds on the lessons we have learned from previous years and preparations have been on-going since spring. Our whole system approach is based on ensuring people can access the care that is right for them – at the right time and in the right place.
“Our additional investment of up to £12 million to expand the Hospital at Home service will allow people, especially elderly patients, patients with respiratory conditions and children, to receive treatments in the comfort of their own home and will crucially help reduce pressure on our A&E departments this winter.
“As a result our significant investment of over £15 million, an additional 1,000 nurses, midwives and Allied Health Professional from overseas have joined NHS Scotland in the last two years to bolster our existing workforce this winter.
“Our £50 million funding boost for the Scottish Ambulance Service will also help tackle increased demand and support on-going recruitment to drive up capacity for emergency response. This investment will also help reduce the need for people to go to hospital which is a key part of our approach this winter.”
Cllr Paul Kelly, COSLA’s Health and Social Care Spokesperson said: “As key partners in ensuring people and communities are safe and cared for over the winter period, and indeed throughout the year, local authorities have a vital role in enabling people to continue to safely access the care and support they need when they need it.
“We expect the winter to be a very challenging period across the whole health and social care system at a time when the system is already experiencing significant demand pressures and challenges with recruitment and retention.
“That is why COSLA have worked closely with Scottish Government in producing this plan, recognising the importance of the integration of health and social care, and the clear leadership role of Local Government in doing everything we can to maximise capacity across health, social care, and social work, and ensure people get safe and timely access to services during peak winter pressures.”
The Scottish Ambulance Service has welcomed the announcement of £50 million funding by Michael Matheson, Cabinet Secretary for NHS Recovery, Health and Social Care.
Michael Dickson OBE, Chief Executive of the Scottish Ambulance Service said: “This funding will allow us to invest in frontline staff, ambulances, vehicles and our 999 call centre operations. We know that winter will be challenging but the Service, and our committed staff, are working hard to meet those challenges.
“We have a whole range of initiatives which will come into place over winter to help us meet the increased demands on our services, including work to ensure we provide the quickest possible response to our most critically ill patients and we continue to support, where appropriate, less seriously ill patients to be managed at home or in the community, avoiding unnecessary A&E visits.
“Our patients and our staff are our most important priorities, and this investment will ensure we can continue to deliver the very best to our patients whilst supporting our staff who play such a critical role in their care.”
YMCA Edinburgh, in partnership with Bethany Christian Trust and Harbour, are organising two opportunities to share your experiences of the Covid-19 pandemic is part of the Lets Be Heard programme.
We are trying to reach as many people in Leith as possible so the voices and stories of Leiths pandemic experiences are heard.
Our sessions will be on the 24th of October at 1 p.m and 6p.m at the Harbour offices.
The events are open to anyone over 16 who live, work or volunteer in Leith and were here during lockdown.
UK Government to introduce ‘historic’ new law to protect future generations of young people from the harms of smoking
Government to introduce historic new law to protect future generations of young people from the harms of smoking.
Smoking is the UK’s biggest preventable killer – causing around 1 in 4 cancer deaths and 64,000 in England alone – costing the economy and wider society £17 billion each year.
Move would be the most significant public health intervention in a generation, saving tens of thousands of lives and saving the NHS billions of pounds.
Further crackdown on youth vaping will see government consult on restricting disposable vapes and regulating flavours and packaging to reduce their appeal to children.
The Westminster government is set to introduce a new law to stop children who turn 14 this year or younger from ever legally being sold cigarettes in England, in a bid to create the first ‘smokefree generation’.
Proposed new legislation will make it an offence for anyone born on or after 1 January 2009 to be sold tobacco products – effectively raising the smoking age by a year each year until it applies to the whole population. This has the potential to phase out smoking in young people almost completely as early as 2040.
Smoking is highly addictive, with 4 in 5 smokers starting before the age of 20 and remaining addicted for the rest of their lives. By stopping young people from ever starting to smoke, the government will protect an entire generation of young people from the harms of smoking as they grow older.
Smoking is the UK’s biggest preventable killer – causing around 1 in 4 cancer deaths and leading to 64,000 deaths per year in England. It puts huge pressure on the NHS, with almost one hospital admission every minute attributable to smoking and up to 75,000 GP appointments each month taken up by smoking-related illness.
It is also one of the biggest drivers of health inequalities across the country – deaths from smoking are more than two times higher in the most deprived local authorities, where more people smoke, compared to the most affluent. Smoking rates in pregnancy also vary hugely, with as many as 20% of pregnant women smoking in some parts of the country – increasing the chance of stillbirth by almost 50%.
Smoking also costs the economy £17 billion a year, through smoking related lost earnings, unemployment, early deaths and costs to the NHS.
These changes amount to one of the most significant public health interventions by the government in a generation. If the government does not act, the independent review published in 2022 estimated that nearly half a million people will die from smoking by 2030.
More broadly it is expected to mean up to 1.7 million fewer people smoke by 2075 – saving tens of thousands of lives, saving the health and care system billions of pounds and boosting the economy by up to £85 billion by 2075. It would also avoid up to 115,000 cases of strokes, heart disease, lung cancer and other lung diseases.
Smoking will not be criminalised, and our phased approach means anyone who can legally buy cigarettes now will not be prevented from doing so in future.
Prime Minister Rishi Sunak said: “No parent ever wants their child to start smoking. It is a deadly habit – killing tens of thousands of people and costing our NHS billions each year, while also being hugely detrimental to our productivity as a country.
“I want to build a better and brighter future for our children, so that’s why I want to stamp out smoking for good. These changes will mean our kids will never be able to buy a cigarette, preventing them getting hooked and protecting their health both now and in the future.”
Professor Chris Whitty, Chief Medical Officer, said: Smoking damages many lives. It causes stillbirths, asthma in children, heart disease, stroke and dementia in addition to causing most lung cancer and increasing risk of many other cancers.
“Becoming addicted to cigarettes in early life is one of the worst things that can happen for future health. Preventing people becoming addicted to smoking, and helping those who smoke to quit are two of the most important measures we can take to improve health.”
Health and Social Care Secretary Steve Barclay said: “Smoking kills, places a huge burden on the NHS and costs the economy billions every year.
“Through this landmark step we will protect our children, grandchildren and the health service from the dangers of smoking long into the future.
“And while vaping is an effective tool for adults quitting smoking, we are determined to tackle the concerning surge in children vaping, driven by marketing and flavouring which appears to specifically target young people.”
The government has also announced a further major crackdown on youth vaping, by announcing an intention to consult on plans to reduce the appeal and availability of vapes to children.
Vaping is rightly used by adults as a tool to quit smoking, but the health advice is clear – if you don’t smoke, don’t vape and children should never vape. It is already illegal for children to vape but in a worrying trend, youth vaping has tripled in the last three years, and more children now vape than smoke.
To ensure we get the balance right between protecting our children and supporting adult smokers to quit the government will bring forward a consultation.
The consultation will look at:
Restricting the flavours and descriptions of vapes so that vape flavours are no longer targeted at children – we want to ensure this is done in a way that continues to support adult smokers to switch.
Regulating point of sale displays in retail outlets so that vapes are kept out of sight from children and away from products that appeal to them, such as sweets.
Regulating vape packaging and product presentation, ensuring that neither the device nor its packaging is targeted to children.
Restricting the sale of disposable vapes, which are clearly linked to the rise in vaping in children. These products are not only attractive to children but also incredibly harmful to the environment.
We will also close loopholes in the law which allow children to get free samples and buy non-nicotine vapes.
Enforcement activity will also be strengthened, with an investment of £30 million to support agencies such as local trading standards, HMRC and Border Force to take action to stop underage sales and tackle the import of illicit tobacco and vaping products at the border.
Professor Sir Stephen Powis, NHS National Medical Director, said: “Smoking is the single biggest cause of preventable death and costs the NHS billions of pounds each year. Almost every minute of every day someone is admitted to hospital because of smoking.
“This is a momentous public health intervention and we welcome the government’s bold and ambitious action which will lead to longer and healthier lives. A smokefree generation will relieve an enormous burden on our NHS.
“Stop smoking services help hundreds of thousands of people every year quit for good. With double the funding – now £140 million – even more people will be able to access this free service to kick the habit once and for all.”
Cancer Research UK’s Chief Executive, Michelle Mitchell OBE, said: “Raising the age of sale on tobacco products is a critical step on the road to creating the first ever smokefree generation.
“The Prime Minister deserves great credit for putting the health of its citizens ahead of the interests of the tobacco lobby. Investing more in stop smoking services is essential for the nation.
“Smoking places huge pressure on the NHS and the economy – with over 500,000 hospital admissions every year in England attributable to smoking.
“We will support the UK Government to quickly implement legislation to raise the age of sale, alongside their investment of more money in stop smoking services.”
Professor Sir Nilesh Samani, Medical Director of the British Heart Foundation, said: “Smoking is a major risk factor for cardiovascular diseases, such as heart attacks and strokes, needlessly taking many lives prematurely.
“We welcome this important initiative from the Prime Minister to limit its damage to the health and well-being of our nation.”
Deborah Arnott, Chief Executive of Action on Smoking and Health, said: “The Prime Minister has today announced an unprecedented set of measures to protect the next generation and hasten the day when smoking is obsolete.
“Children are four times as likely to start smoking if they grow up with smokers, and once they do it’s highly addictive and difficult to quit.
“The twin track approach of raising the age of sale and tougher enforcement to stop young people starting, matched by substantial additional funding to motivate addicted smokers to quit and provide them with the support they need to succeed, will help get us on track to a smokefree future.
“We look forward to the day when smoking is no longer responsible for avoidable ill health and perinatal mortality in babies and young children, nor the leading cause of premature death in adults.”
The government will also continue to drive forward its agenda to support current smokers to quit for good, by:
More than doubling the current funding for stop smoking services, investing an additional £70 million a year to expand locally delivered and cost-effective services. This will support around 360,000 people to quit smoking;
Providing an additional £5 million this year and then £15 million a year thereafter to fund national tobacco marketing campaigns to explain the changes, the benefits of quitting and support available;
Rolling out a new national ‘swap to stop’ scheme – supporting 1 million smokers to swap cigarettes for vapes – the first national scheme of its kind in the world.
It comes on top of previous interventions such as the introduction of plain packaging on tobacco products, raising the age of sale from 16 to 18 and banning smoking in public places – all of which have had a significant impact on smoking rates.
In particular, raising the age of sale reduced the prevalence of smoking among 16/17-year-olds by 30%.
Overall, the number of people who smoke has reduced by two thirds since 1974, when smoking was at its peak.
Dr Camilla Kingdon, President of the Royal College of Paediatrics and Child Health, said: As a children’s doctor, I am in no doubt that both smoking and vaping are terrible for the health of babies, children and young people.
“The prime minister’s announcement is hugely welcome.”
Dr Jeanette Dickson, Chair of the Academy of Medical Royal Colleges, said: “The Chair of the Academy of Medical Royal Colleges welcomes the Prime Minister’s bold announcement to effectively end smoking in the UK.
“The damage done by smoking affects everyone, from unborn babies through to our oldest family members. The best way to prevent these harms is to reduce and ultimately bring an end to smoking in the UK.”
Professor Kamila Hawthorne MBE, GP, said: “As a GP of 35 years’ standing, I have seen the terrible irreversible damage that smoking does to health.
“It is much easier to never have started smoking, than trying to stop once a habit has formed. Opportunities to smoke must not be available to children, and anything that prevents a smoking habit is worth supporting.”
Tim Mitchell, President of the Royal College of Surgeons of England, said: “Smoking is a major cause of cancer and many other conditions that require surgery, as well as affecting recovery after an operation.
“By reducing the number of people who smoke, these measures will save lives and reduce the need for surgery.”
Dr Sarah Clarke, President of the Royal College of Physicians and Consultant Cardiologist at Royal Papworth Hospital Cambridge, said: I welcome all measures to reduce uptake of smoking and make it obsolete once and for all.
“Investment in Public Health messaging and cessation services will all contribute to this. I see too many lives ruined by smoking.”
Health is a devolved issue and the Scottish Government has yet to announce it’s response to Westminster’s initiative.
Single use vapes could be banned in Scotland, as part of plans to protect public health and the environment.
The Programme for Government outlined a commitment to take action to reduce vaping among non-smokers and young people and to tackle the environmental impact of single-use vapes, including consulting on a proposal to ban their sale and other appropriate measures.
Research suggests that almost one in five (18%) of adolescents have tried vapes. Zero Waste Scotland estimates that up to 26 million disposable vapes were consumed and thrown away in Scotland in the last year, with 10 per cent being littered and more than half disposed of incorrectly.
With millions of vapes littered every year, there is a significant and increasing cost to local authorities through litter clear up and waste management.
Following a request of Scottish Ministers, the Circular Economy Minister and Public Health Minister will meet with counterparts in the UK Government, Welsh Government and Northern Ireland Executive to discuss the findings of recent research and potential policy responses.
In addition, action to help ensure that children, young people and non-smokers do not use these devices will also be set out in this year’s refreshed Tobacco Action Plan, which will set out our road map to 2034.
After publishing his first Programme for Government, First Minister Humza Yousaf said: “Disposable vapes are a threat to both public health and the environment.
“We know that the bright colours and sweet flavours catch the eye of children and young people in particular. The World Health Organisation has said there is evidence to suggest that young people who have never smoked but use e-cigarettes, double their chance of starting to smoke tobacco cigarettes in later life.
“Last year we consulted on restrictions on the advertising and promotion of vaping products. Any action we seek to take will build on the regulations already in place to restrict the marketing, promotion and sale of vaping products to under 18s and the findings will be used to inform the refreshed Tobacco Action Plan.
“On the environment, the evidence is undeniable – from litter on our streets, to the risk of fires in waste facilities, there are issues which demand action.
“We will be working constructively with retailers and other stakeholders to come up with solutions. While we will be asking for views on a ban, we are also keen to explore other interventions that could have a more immediate impact.
“Of course, this is not just an issue for Scotland – these problems are being experienced all over the UK and we will soon be holding discussions on potential solutions.”
Public Health Scotland (PHS) welcomes the Scottish Government’s commitment to consult on plans to ban the sale of single use e-cigarettes (also known as vapes), following today’s Programme for Government announcement.
PHS wants to see ambition and clear action around measures that will improve human health and protect the environment. A ban on disposable vapes is one example of a measure that can benefit both people and planet.
PHS is working with the Scottish Government, academics and the third sector to better understand and address this important issue.
Dr Garth Reid, Consultant in Public Health at PHS, said: “The rise in youth vaping in Scotland is deeply concerning. E-cigarettes contain nicotine which is addictive and the long-term negative impacts of vaping are not yet clear. They can be a gateway to smoking and are not products for children.
“PHS welcomes a ban on the sale of disposable e-cigarettes as part of a comprehensive approach to tackling youth vaping and wider efforts to improve population health.”
ASH Scotland is welcoming today’s Programme for Government announcement by the First Minister, Humza Yousaf MSP, that a consultation on banning the sale of disposable e-cigarettes will be carried out by the Scottish Government.
Sheila Duffy, Chief Executive of ASH Scotland said: “We have been alarmed for some time about the upsurge of children across Scotland using disposable e-cigarettes so welcome the Scottish Government’s commitment to consulting on proposals that include an outright ban on the health harming recreational vaping products.
“Young people who use e-cigarettes are three times more likely to start smoking cigarettes and only a ban would ensure the availability of single-use health-harming products that have become so popular with children are off the market as soon as possible.
“France is currently in the process of banning disposable e-cigarettes and their law could be enacted before the end of this year. Several other European countries are considering bans too so Scotland has a great opportunity to re-establish itself as a leading public health nation by prohibiting the sale or use of these products in 2024.
“Throughout the consultation period we expect the Scottish Government to ensure that interference by the tobacco industry and its vested interests, including retailers, to influence policy development is not permitted, as part of the good global health governance for which Scotland is known internationally.
“Under the World Health Organisation Framework Convention on Tobacco Control (FCTC) Article 5.3, WHO describes tobacco industry interests as ‘fundamentally and irreconcilably opposed’ to the aims of public health and, through their long record of denial and deceit, tobacco companies have shown they cannot be trusted to tell the truth about their own health harming products, and have sought to disrupt or delay health regulations designed to reduce use of tobacco and related products such as electronic nicotine and non-nicotine devices.
“By implementing a ban on the sale of disposable e-cigarettes, Scotland can start to address the exponential rise in young people vaping which is being driven by these products, safeguard public health and mitigate the environmental impacts.”
