This report presents a range of information on smoking which is drawn together from a variety of sources. The report aims to present a broad picture of health issues relating to smoking in England and covers topics such as smoking prevalence, habits, behaviours and attitudes among adults and school children, smoking-related ill health and mortality and smoking-related costs.

In England in 2022, 21 percent of men and 15 percent of women aged between 25 and 34 years were current smokers, this is the highest share of male and female smokers across the age groups. Across all age groups men either had a higher or equal share of smokers compared to females. Situation north of the border In Scotland, the highest share of regular smokers is found in the age group between 45 to 64 years at 13 percent, followed by those aged between 16 and 44 years at 12 percent. In 2020, 11 percent of men and eight percent of women overall in Scotland were current smokers. Dangers of smoking  Over 1.9 million admissions to NHS hospitals in England in the financial year 2019/20 were caused by smoking. The number of admissions as a result of smoking has been creeping upwards since 2000. Consequently, the number of admissions due to cancers caused by smoking in England has increased since the year 2000, reaching almost 381 thousand in 2019/20. 

The local tobacco control profiles data update for March 2021 has been published by Public Health England (PHE).

These profiles have been designed to help local government and health services to assess the effect of tobacco use on their local populations. The data are presented in an interactive tool that allows users to view them in a user-friendly format.

This update contains:

• smoking prevalence calculated from the GP Patient Survey including in adults with a long-term mental health condition
• smoking prevalence calculated from the Quality and Outcomes Framework
• smoking prevalence in adults (18+) admitted to treatment for substance misuse (NDTMS)
• emergency hospital admissions for COPD
• five indicators in the smoking quitters domain

The short statistical summary slideset can now be found in the local tobacco control profiles tool in the https://fingertips.phe.org.uk/profile/tobacco-control/supporting-information/presentations" class="govuk-link">our reports and presentations section of the ‘further information’ page.

See the attached ‘data to be included’ document for full details of what’s in this update.

View previous local tobacco control profiles updates.

In England in 2022, 60 percent of men and 68 percent of women said they never regularly smoked cigarettes, while 26 percent of men and 21 percent of women mentioned they used to smoke cigarettes regularly. Smokers broken down by age Across all age groups in England, males have a higher or equal share of smokers compared to females. In 2020, 22 percent of men and 15 percent of women aged between 25 and 34 years were current smokers, this is the highest share of male and female smokers across the age groups. While 11 percent of men aged between 16 and 24 years are classed as current smokers. Dangers of smoking   Almost two million admissions to NHS hospitals in England in the financial year 2019/20 were caused by smoking. The number of admissions as a result of smoking has been creeping upwards since 2000. Consequently, the number of admissions due to cancers caused by smoking in England has increased since the year 2000, reaching around 382 thousand in 2019/20. 

This report presents statistics on women’s smoking status at time of delivery, at Sub Integrated Care Board (Sub-ICB), Integrated Care Board (ICB), regional and national levels. This release includes provisional data for quarter 3 of 2024-25 using data from the Smoking at Time of Delivery data collection which is submitted by commissioners (presented as SATOD v1). Alongside this and for the third time, comparative data using the Maternity Services Dataset (MSDS) is also presented using data submitted by Trusts (presented as SATOD v2) as a time series from quarter 1 of 2022-23 to quarter 3 of 2024-25. This is available for the same geographical breakdowns and includes an additional breakdown for Local Authorities. This will be repeated for subsequent quarters in 2024-25 to see how the estimates from both data sources align with a view to retiring the Smoking at Time of Delivery data collection at the end of this financial year. Until then, SATOD v1 remains the primary data source for this publication. In 2024, a proposal for the data source for this publication to be changed to the Maternity Services Dataset was included in a wider consultation: Health and social care statistical outputs published by DHSC (including OHID), NHSBSA, UKHSA, ONS and NHS England. A link to this is in the Related Links below. If you would still like to feedback your views on the SATOD data collection retirement and replacement with MSDS, then please contact us on: england.maternityanalysis@nhs.net

In the period 2023/24, 7.6 percent of pregnant women in England smoked at the time of delivery. The share of pregnant women smoking has decreased since 2006 when almost sixteen percent of pregnant women did so. Smoking during pregnancy can lead to many birth complications, so it is advised that the expecting mother quits smoking for the health of the baby. Situation north of the borderAs in England, Scotland’s share of pregnant women smoking has been declining, although the prevalence remains higher than those in England. In 2022, 12 percent of pregnant women in Scotland smoked during pregnancy, in the year 2000 this share was at almost 29 percent. Younger mothers more likely to smokeIn both England and Scotland, the prevalence of pregnant smokers increases down the age groups. In England, 28 percent of mothers under 20 smoked while pregnant in 2021/22. While in Scotland in the same year, 27.6 percent of teenage mothers smoked when pregnant.

This data shows the percentage of adults (age 18 and over) who are current smokers.

Smoking is the single biggest cause of preventable death and illnesses, and big inequalities exist between and within communities. Smoking is a major risk factor for many diseases, such as lung cancer, chronic obstructive pulmonary disease (COPD, bronchitis and emphysema) and heart disease. It is also associated with cancers in other organs.

Smoking is a modifiable lifestyle risk factor. Preventing people from starting smoking is important in reducing the health harms and inequalities.

This data is based on the Office for National Statistics (ONS) Annual Population Survey (APS). The percentage of adults is not age-standardised. In this dataset particularly at district level there may be inherent statistical uncertainty in some data values. Thus as with many other datasets, this data should be used together with other data and resources to obtain a fuller picture.

Data source: Public Health England, Public Health Outcomes Framework (PHOF) indicator 92443 (Number 15). This data is updated annually.

Number of Deaths Attributable to Smoking per 100,000 population by borough.

Rates of self reported four-week smoking quitters. Smoking quit rates per 100,000 available from the HNA.

- These quarterly reports present provisional results from the monitoring of the NHS Stop Smoking Services (NHS SSS) in England. This report includes information on the number of people setting a quit date and the number who successfully quit at the 4 week follow-up. Data for London presented with England comparator. PCT level data available from NHS.

Numbers of adults smoking by borough.

- Population who currently smoke, are ex-smokers, or never smoked by borough. This includes cigarette, cigar or pipe smokers. Data by age is also provided for London with a UK comparator.

Relevant links: http://www.hscic.gov.uk/Article/1685

http://www.apho.org.uk/default.aspx?QN=HP_DATATABLES

Health profiles for all LA areas presenting a range of indicators and a snapshot of the overall health of the local population. The Department of Health was previously responsible for the publication of Local Health Profiles.

Source agency: Public Health England

Designation: Official Statistics not designated as National Statistics

Language: English

Alternative title: Local Health Profiles

This data originates from the Public Health Outcomes tool currently presents data for available indicators for upper tier local authority levels, collated by Public Health England (PHE).

The data currently published here are the baselines for the Public Health Outcomes Framework, together with more recent data where these are available. The baseline period is 2010 or equivalent, unless these data are unavailable or not deemed to be of sufficient quality. The first data were published in this tool as an official statistics release in November 2012. Future official statistics updates will be published as part of a quarterly update cycle in August, November, February and May.

The definition, rationale, source information, and methodology for each indicator can be found within the spreadsheet.

Data included in the spreadsheet:

0.1i - Healthy life expectancy at birth
0.1ii - Life Expectancy at birth
0.1ii - Life Expectancy at 65
0.2i - Slope index of inequality in life expectancy at birth based on national deprivation deciles within England
0.2ii - Number of upper tier local authorities for which the local slope index of inequality in life expectancy (as defined in 0.2iii) has decreased
0.2iii - Slope index of inequality in life expectancy at birth within English local authorities, based on local deprivation deciles within each area
0.2iv - Gap in life expectancy at birth between each local authority and England as a whole
0.2v - Slope index of inequality in healthy life expectancy at birth based on national deprivation deciles within England
1.01i - Children in poverty (all dependent children under 20)
1.01ii - Children in poverty (under 16s)
1.02i - School Readiness: The percentage of children achieving a good level of development at the end of reception
1.02i - School Readiness: The percentage of children with free school meal status achieving a good level of development at the end of reception
1.02ii - School Readiness: The percentage of Year 1 pupils achieving the expected level in the phonics screening check
1.02ii - School Readiness: The percentage of Year 1 pupils with free school meal status achieving the expected level in the phonics screening check
1.03 - Pupil absence
1.04 - First time entrants to the youth justice system
1.05 - 16-18 year olds not in education employment or training
1.06i - Adults with a learning disability who live in stable and appropriate accommodation
1.06ii - % of adults in contact with secondary mental health services who live in stable and appropriate accommodation
1.07 - People in prison who have a mental illness or a significant mental illness
1.08i - Gap in the employment rate between those with a long-term health condition and the overall employment rate
1.08ii - Gap in the employment rate between those with a learning disability and the overall employment rate
1.08iii - Gap in the employment rate for those in contact with secondary mental health services and the overall employment rate
1.09i - Sickness absence - The percentage of employees who had at least one day off in the previous week
1.09ii - Sickness absence - The percent of working days lost due to sickness absence
1.10 - Killed and seriously injured (KSI) casualties on England's roads
1.11 - Domestic Abuse
1.12i - Violent crime (including sexual violence) - hospital admissions for violence
1.12ii - Violent crime (including sexual violence) - violence offences per 1,000 population
1.12iii- Violent crime (including sexual violence) - Rate of sexual offences per 1,000 population
1.13i - Re-offending levels - percentage of offenders who re-offend
1.13ii - Re-offending levels - average number of re-offences per offender
1.14i - The rate of complaints about noise
1.14ii - The percentage of the population exposed to road, rail and air transport noise of 65dB(A) or more, during the daytime
1.14iii - The percentage of the population exposed to road, rail and air transport noise of 55 dB(A) or more during the night-time
1.15i - Statutory homelessness - homelessness acceptances
1.15ii - Statutory homelessness - households in temporary accommodation
1.16 - Utilisation of outdoor space for exercise/health reasons
1.17 - Fuel Poverty
1.18i - Social Isolation: % of adult social care users who have as much social contact as they would like
1.18ii - Social Isolation: % of adult carers who have as much social contact as they would like
1.19i - Older people's perception of community safety - safe in local area during the day
1.19ii - Older people's perception of community safety - safe in local area after dark
1.19iii - Older people's perception of community safety - safe in own home at night
2.01 - Low birth weight of term babies
2.02i - Breastfeeding - Breastfeeding initiation
2.02ii - Breastfeeding - Breastfeeding prevalence at 6-8 weeks after birth
2.03 - Smoking status at time of delivery
2.04 - Under 18 conceptions
2.04 - Under 18 conceptions: conceptions in those aged under 16
2.06i - Excess weight in 4-5 and 10-11 year olds - 4-5 year olds
2.06ii - Excess weight in 4-5 and 10-11 year olds - 10-11 year olds
2.07i - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0-14 years)
2.07i - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0-4 years)
2.07ii - Hospital admissions caused by unintentional and deliberate injuries in young people (aged 15-24)
2.08 - Emotional well-being of looked after children
2.12 - Excess Weight in Adults
2.13i - Percentage of physically active and inactive adults - active adults
2.13ii - Percentage of active and inactive adults - inactive adults
2.14 - Smoking Prevalence
2.14 - Smoking prevalence - routine & manual
2.15i - Successful completion of drug treatment - opiate users
2.15ii - Successful completion of drug treatment - non-opiate users
2.17 - Recorded diabetes
2.18 - Alcohol related admissions to hospital
2.19 - Cancer diagnosed at early stage (Experimental Statistics)
2.20i - Cancer screening coverage - breast cancer
2.20ii - Cancer screening coverage - cervical cancer
2.21vii - Access to non-cancer screening programmes - diabetic retinopathy
2.22iii - Cumulative % of the eligible population aged 40-74 offered an NHS Health Check
2.22iv - Cumulative % of the eligible population aged 40-74 offered an NHS Health Check who received an NHS Health Check
2.22v - Cumulative % of the eligible population aged 40-74 who received an NHS Health check
2.23i - Self-reported well-being - people with a low satisfaction score
2.23ii - Self-reported well-being - people with a low worthwhile score
2.23iii - Self-reported well-being - people with a low happiness score
2.23iv - Self-reported well-being - people with a high anxiety score
2.24i - Injuries due to falls in people aged 65 and over (Persons)
2.24i - Injuries due to falls in people aged 65 and over (males/females)
2.24ii - Injuries due to falls in people aged 65 and over - aged 65-79
2.24iii - Injuries due to falls in people aged 65 and over - aged 80+
3.01 - Fraction of mortality attributable to particulate air pollution
3.02i - Chlamydia screening detection rate (15-24 year olds) - Old NCSP data
3.02ii - Chlamydia screening detection rate (15-24 year olds) - CTAD
3.03i - Population vaccination coverage - Hepatitis B (1 year old)
3.03i - Population vaccination coverage - Hepatitis B (2 years old)
3.03iii - Population vaccination coverage - Dtap / IPV / Hib (1 year old)
3.03iii - Population vaccination coverage - Dtap / IPV / Hib (2 years old)
3.03iv - Population vaccination coverage - MenC
3.03v - Population vaccination coverage - PCV
3.03vi - Population vaccination coverage - Hib / MenC booster (2 years old)
3.03vi - Population vaccination coverage - Hib / Men C booster (5 years)
3.03vii - Population vaccination coverage - PCV booster
3.03viii - Population vaccination coverage - MMR for one dose (2 years old)
3.03ix - Population vaccination coverage - MMR for one dose (5 years old)
3.03x - Population vaccination coverage - MMR for two doses (5 years old)
3.03xii - Population vaccination coverage - HPV
3.03xiii - Population vaccination coverage - PPV
3.03xiv - Population vaccination coverage - Flu (aged 65+)
3.03xv - Population vaccination coverage - Flu (at risk individuals)
3.04 - People presenting with HIV at a late stage of infection
3.05i - Treatment completion for TB
3.05ii - Incidence of TB
3.06 - NHS organisations with a board approved sustainable development management plan
4.01 - Infant mortality
4.02 - Tooth decay in children aged 5
4.03 - Mortality rate from causes considered preventable
4.04i - Under 75 mortality rate from all cardiovascular diseases
4.04ii - Under 75 mortality rate from cardiovascular diseases considered preventable
4.05i - Under 75 mortality rate from cancer
4.05ii - Under 75 mortality rate from cancer considered preventable
4.06i - Under 75 mortality rate from liver disease
4.06ii - Under 75 mortality rate from liver disease considered preventable
4.07i - Under 75 mortality rate from respiratory disease
4.07ii - Under 75 mortality rate from respiratory disease considered preventable
4.08 - Mortality from communicable diseases
4.09 - Excess under 75 mortality rate in adults with serious mental illness
4.10 - Suicide rate
4.11 - Emergency readmissions within 30 days of discharge from hospital
4.12i - Preventable sight loss - age related macular degeneration (AMD)
4.12ii - Preventable sight loss - glaucoma
4.12iii - Preventable sight loss - diabetic eye disease
4.12iv - Preventable sight loss - sight loss certifications
4.14i - Hip fractures in

In 1989, the Health Education Authority (HEA) launched its Teenage Smoking Campaign, which aimed to discourage young people from taking up smoking and to encourage existing smokers to stop. The HEA commissioned eight tracking surveys of children's attitudes to smoking between 1989 and 1994 to evaluate their campaign. In 1996, the Department of Health launched a new campaign - Respect. The Respect campaign seeks to address the reasons why young people start to smoke and to destabilise the fashionable perceptions of smoking. It seeks to make non-smoking part of a positive lifestyle which is relevant for both smokers and non-smokers. The 1996 Teenage Smoking Attitudes (TSA) survey, the first in a series of three annual surveys, was designed to help evaluate the campaign and look more generally at children's attitudes and beliefs about smoking and their knowledge of health issues. Two further surveys were carried out in 1997 and 1998.
Since 1982, the Social Survey Division of ONS has also carried out a biennial series of surveys of smoking among secondary school children for the Department of Health (the 'Smoking, Drinking and Drug Use Among Young Teenagers' series (formerly 'Smoking Among Secondary Schoolchildren', held at the Archive under GN:33263). Since these surveys and the Teenage Smoking Attitudes surveys target the same population of 11-15 year olds in England, the HEA and the Department of Health decided to investigate whether it was possible to make the two surveys complementary to each other. Further to these investigations, the same sampling design was then used on both surveys, and they contained a group of the same core questions. The two surveys, however, have maintained different focuses. The Department of Health surveys remain the official source of smoking prevalence data for 11-15 year olds, whereas the emphasis of the HEA surveys was on finding out what people believe about smoking, their attitudes to smoking and their awareness of health education issues.
The 1996 Teenage Smoking Attitudes (TSA) survey was the first of three annual surveys. It was designed to help evaluate the Respect campaign and look more generally at children's attitudes and beliefs about smoking and their knowledge of health issues.

In 2000/01 there were approximately 1.28 million adults admitted to hospital in England due to an illness caused by smoking. By 2019/20 the number of hospital admissions as a result of smoking had increased to approximately 1.99 million, the largest number during the provided time period.

Smoking prevalence across age groups in England

In England in 2018, 27 percent of men and 22 percent of women aged between 25 and 34 years were current smokers. This is the highest share of male smokers across the age groups, while the age group of 45 to 54 years had the second largest proportion of female smokers at 18 percent.

Situation north of the border

In Scotland, the highest share of regular smokers is found in the age group 25 to 44 years at approximately 22 percent, followed by those aged between 45 and 54 years at 21 percent. In 2019, 19 percent of men and 16 percent of women overall in Scotland were current smokers. 

The data provided here comes grouped by the indicator domain: Hospital admissions for Drug Use, Obesity and Smoking to 2022/23. Note: Obesity admissions for 2022/23 include measures where OPCS codes have been aligned with the National Obesity Audit. Note: There has been a methodology change for hospital admissions attributable to smoking and we have used this methodology to back date the time series within this publication. Note: Alcohol data is available from OHID (please see link below). Prescriptions covering Alcohol, Obesity and Smoking to 2022/23. Affordability and expenditure covering Alcohol and Smoking to 2023. Unchanged in this release but to be updated during 2024: Deaths covering Smoking only to 2019.

Smoking, Drinking and Drugs Use among Young People in England is an annual survey carried out in participating schools across England to provide information on pupils' smoking, drinking and drug use behaviours. The survey focuses on different behaviours in different years, alternating between smoking and drinking one year, to drug use the next.

Source agency: Health and Social Care Information Centre

Designation: National Statistics

Language: English

Alternative title: Smoking, drinking and drug use among young people in England

This report presents the latest results and trends from the women's smoking status at time of delivery (SATOD) data collection in England.

The results provide a measure of the prevalence of smoking among pregnant women at Commissioning Region, Area Team and Clinical Commissioning Group level. This supplements the national information available from the Infant Feeding Survey (IFS).

Smoking during pregnancy can cause serious pregnancy-related health problems. These include complications during labour and an increased risk of miscarriage, premature birth, low birth-weight and sudden unexpected death in infancy.

Reports in the series prior to 2011-12 quarter 3 are available from the Department of Health website (see below).

Deaths attributable to smoking per 100,000 population Publisher: Association of Public Health Observatories (APHO) Geographies: Local Authority District (LAD), County/Unitary Authority, Government Office Region (GOR), National Geographic coverage: England Time coverage: 2005-2007 Type of data: Administrative data

This indicator relates to clients receiving support through the NHS Stop Smoking Services. A client is counted as a self-reported 4-week quitter if they have been assessed 4 weeks after the designated quit date and declares that he/she has not smoked even a single puff on a cigarette in the past two weeks.

Source: Department of Health (DoH)

Publisher: DCLG Floor Targets Interactive

Geographies: Local Authority District (LAD), County/Unitary Authority, Government Office Region (GOR), National

Geographic coverage: England

Time coverage: 2003/04 to 2009/10

Type of data: Administrative data

As of 2023, 16 percent of 16 to 24 year olds surveyed in Scotland reported they were currently smoking cigarettes regularly. Nearly a third of over 75 year olds said they used to smoke cigarettes, but no longer do so.