Part of the debate – in the Senedd at 5:26 pm on 19 September 2017.
Thank you very much. I thank you very much for your welcome for the plan, but also for those important questions as well. You began by talking about how shocking it is that so many people are still smoking and the impact that has on families. In my statement, I said that smoking kills over 5,000 individuals every year. So, that’s 5,000 families impacted terribly by smoking. It is the main cause of preventable death and, of course, that keeps driving us forward to reach our targets. Actually, one of the facts that drives me forward on this particularly is that it really is an issue of health inequalities as well, because we know that people in poorer communities are much more likely to smoke, and, as a result, are much more likely to have those poor health impacts as a result of it. So, it really is an equalities and a social justice issue as well. So, this really does drive us forward in pursuit of those targets.
You asked about the 16 per cent target. I will put my neck on the line and say that, yes, I think we will be able to achieve that target with the help of the various new actions set out in our plan, and also with the help of our public health Bill—or public health Act now—which was passed recently by this Assembly. It is a challenging target; there’s absolutely no doubt about that. But, equally, I think that there is the drive to get there. You asked about future targets, and, of course, our ultimate ambition is for a smoke-free Wales. It will be something that I will be asking the tobacco control delivery board to look at setting new targets when we look to review things in 2020, when this plan comes to an end. So, I would certainly want to have continuous targets to take us to our smoke-free place where we want to be.
You’re absolutely right to say that we need to redouble our efforts within the NHS in terms of the support that’s offered through the NHS to people to quit smoking. There are some really important actions within this particular delivery plan, one of which, actually, is improvement against those cessation services by the design and development of an integrated ‘stop smoking’ service. Now, we’ve started that with our new brand, and the new service that I described that has been launched, Help Me Quit. But actually, there’s a lot more that we need to be doing there. One of the things we’re doing will be strengthening the referral pathway for maternity services to include referrals for all women who smoke to cessation services—who are pregnant—and also strengthening referral pathways to include referral to smoking cessation services for all smokers who are either preoperative patients, because we know the impact that that will have on the likelihood of a positive outcome after surgery, people with lung disease, and also people who have mental health conditions as well. So, that’s a specific action here. There are also actions in here for primary health care clusters in terms of defining how many referrals they will need to make in order to see a year-on-year reduction in smoking as well. So, we know primary care has a very important part to play in this. And actions for pharmacy as well. So, we’ll be looking to ensure that all pharmacists are able to offer smoking cessation services as part of their training pre-registration. So, this would be a new development as well. And, again, we’ll be looking to enhance the role that dentists play in terms of offering smoking cessation services as well. So, lots of work in development and lots of new approaches within the NHS as well.
You referred specifically to the fact that social media is fantastic in terms of getting the message out, but not everybody is able to access social media. So, as part of our Help Me Quit campaign we did have some television advertising and also some billboards as well. Going on a visit to stand by a billboard was one of the strangest things I’ve done as a Minister, but that’s where we launched the campaign because we felt it was important to have a very, very public and visible presence in communities as well.
We will be consulting with mental health service users, staff and stakeholders on the removal of the exemption in spring 2018 for those smoke-free places within mental health units. And I’m really keen that we have the views of people who have experience of stays in mental health units for that. Those are the people who more than anyone else I need to be listening to in these circumstances as well.
Lastly, and I did refer to it briefly, but you did mention support for pregnant women. The results from our smoking in pregnancy pilot, models for access to maternal smoking cessation support, which rather conveniently can be shortened to MAMSS, has shown that pregnant women are more likely to engage with smoking cessation services when using support that is embedded within those maternity services. And it’s also important to know that children are 70 per cent more likely to smoke if their mother smokes and actually three times more likely to smoke if both parents smoke as well. So, these are the kind of short interventions that healthcare professionals, both midwives and healthcare workers, can be having with families through the work that they are doing as part of the Healthy Child Wales and 10 Steps to a Healthy Weight schemes as well.