This report presents newly published information on smoking including: Smoking-related hospital admissions from NHS Digital's Hospital Episode Statistics (HES). Smoking-related deaths from Office for National Statistics (ONS) mortality statistics. Prescription items used to help people stop smoking from prescribing data held by NHS Prescription Services. Affordability of tobacco and expenditure on tobacco using ONS economic data. Two new years of data have been provided for hospital admissions (2018/19 and 2019/20) and deaths (2018 and 2019) and one year of data for prescribing (2018/19) and affordability and expenditure (2019). The report also provides links to information on smoking by adults and children drawn together from a variety of sources. Key facts cover the latest year of data available: Hospital admissions: 2019/20 Deaths: 2019 Prescriptions: 2019/20

This statistic displays the number of cigarettes smoked in the last week by school children in England, United Kingdom in 2023. In this year, 27 percent of occasional smokers and 23 percent of regular smokers aged between 11 years and 15 years smoked between one and six cigarettes over the last week.

This statistic displays the share of children who have tried smoking in England, in 2023, by gender and age. In this year, six percent of boys and three percent of girls aged 11 years old had tried smoking.

Update: On 11/07/2016 historical data in excel table 1.2 was updated to reflect revisions made to the source data by ONS. The chart which uses these data on slide 23 has not been updated as the revisions have a minimal effect on the trends in the data series. This statistical 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. The topics covered include: Part 1: Smoking patterns in adults Part 2: Smoking patterns in children Part 3: Availability and affordability of tobacco Part 4: Behaviour and attitudes to smoking Part 5: Smoking-related costs, ill health and mortality Each part provides an overview of the key findings on these topics, as well as providing links to sources of further information and relevant documents. This report contains data and information previously published by the Health and Social Care Information Centre (HSCIC), Department of Health, the Office for National Statistics and Her Majesty's Revenue and Customs. The report also includes new analyses carried out by the Health and Social Care Information Centre.

Objectives: This study aimed to estimate the long-term trends of deaths attributable smoking in China, Japan, the United Kingdom (UK) and the United States (US).Methods: Using 2000–2019 death data from Global Burden of Disease (GBD) 2019, we estimated age-period-cohort effects on smoking attributable mortality, and decomposed of differences in smoking-attributable deaths in 1990 and 2019 into demographic factors.Results: From 1990 to 2019, smoking-attributable deaths increased in China, which was due to population growth and demographic aging. From 1990 to 2019, both age-standardized smoking attributable mortality rates trended downward across countries. Among four countries, age rate ratios (RRs) for smoking-attributable mortality increased with age, while period and cohort RRs decreased with year.Conclusion: The age-standardized mortality rates, period effects and cohort effects of smoking attributable mortality in China, Japan, UK, and US have been declining in both sexes from 1990 to 2019, which suggests that smoke-free policies, help to quit tobacco use, improved health education, more accessible healthcare service, and increased taxes have been effective. Additionally, increased smoking attributable deaths in elderly should got more attention.

The local tobacco control profiles (LTCP data update for July 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 attributable mortality (new method)
• smoking attributable deaths from heart disease (new method)
• smoking attributable deaths from stroke (new method)
• smoking attributable deaths from cancer (new method)
• smoking attributable hospital admissions (new method)

The short statistical summary slideset can now be found in the LTCP 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.

View previous LTCP updates.

This dataset contains three smoking related indicators.

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.

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

Deaths attributable to smoking, directly age-sex standardised rate for persons aged 35 years +. Causes of death considered to be related to smoking are: various cancers, cardiovascular and respiratory diseases, and diseases of the digestive system.

Numbers of adults smoking by borough

Prevalence of smoking among persons aged 18 years and over.
- 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

The consultation on the Lifestyles compendia reports has now closed. Please see the related link at the bottom of this page for more information. This statistical 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. This report contains data and information previously published by the Health and Social Care Information Centre (HSCIC), Department of Health, the Office for National Statistics and Her Majesty's Revenue and Customs. The report also includes new analyses carried out by the Health and Social Care Information Centre.

In the year to March 2015, White 15 year olds were nearly four times more likely to be smokers than Black 15 year olds.

Deaths related to cannabis use in England and Wales amounted to 32 in 2023. This was the highest annual amount in the past 30 years. The number of cannabis-related deaths was lowest in 2011,at seven deaths, and since 2014 the annual number of fatalities has remained above twenty. Use of cannabisAccording to a survey, over 30 percent of the English and Welsh public admitted they had consumed cannabis as of 2023. Prevalence of cannabis use in the previous twelve months, however, was at just under eight percent. Generally, cannabis was not regarded to be as dangerous as other illegal or even legal drugs by the public. Over a third of surveyed British individuals considered cannabis to be not harmful, compared to only four percent who thought tobacco is not harmful. Caught green handedIn the period 2022/23, cannabis was by far the most common drug seized by the police and border force in England and Wales. Cannabis was seized over 140 thousand times, with the next highest number of seizures involving cocaine at 19 thousand. Although, the majority of the British public support a policy change regarding the legal status of cannabis. As of 2024, 56 percent of surveyed Brits believed cannabis and other soft drugs should be legalized or decriminalized.

Note 28/06/11: A number of errors have been identified in Tables 4.4 and 4.5 (Pages 87 and 88) of Statistics on Smoking: England, 2010. These errors also affect the corresponding tables in the accompanying Excel workbook as well as the commentary in a number of sections of the pdf report. Please see the errata note for further information and corrected figures. The NHS IC apologises for any inconvenience this may have caused. Note 18/09/10: Please note: an amended version of this report was made available on 8 September 2010 to correctly include the National Statistics logo on the front cover. No other changes were actioned. Note 18/08/10: As a result of detailed validations carried out during production of the Statistics on Smoking: England, 2010 report a number of minor issues were identified in the previous edition of the report Statistics on Smoking: England, 2009. These issues concern tables 4.4 - 4.8 in the 2009 report which present information on smoking related hospital admissions and deaths. The equivalent tables in the 2010 report, 4.3 - 4.7, include detailed footnotes which explain the issues and provide correct figures for the 2009 report where possible. The issue that concerns the International Classification of Diseases (ICD-10) diagnosis code for hip fracture also affects previous editions of the report; please refer to the main Smoking webpage for detail. Summary: This statistical 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 habits, behaviours and attitudes among adults (aged 16 and over) and school children (aged 11 to 15), smoking-related ill health and mortality, affordability of tobacco and smoking-related costs. This report combines data from different sources in a user-friendly format. It contains data and information previously published by the NHS Information Centre, Department of Health, the Office for National Statistics and Her Majesty's Revenue and Customs. The report also includes new analyses carried out by the NHS Information Centre.

Age-standardised rate of mortality from oral cancer (ICD-10 codes C00-C14) in persons of all ages and sexes per 100,000 population.RationaleOver the last decade in the UK (between 2003-2005 and 2012-2014), oral cancer mortality rates have increased by 20% for males and 19% for females1Five year survival rates are 56%. Most oral cancers are triggered by tobacco and alcohol, which together account for 75% of cases2. Cigarette smoking is associated with an increased risk of the more common forms of oral cancer. The risk among cigarette smokers is estimated to be 10 times that for non-smokers. More intense use of tobacco increases the risk, while ceasing to smoke for 10 years or more reduces it to almost the same as that of non-smokers3. Oral cancer mortality rates can be used in conjunction with registration data to inform service planning as well as comparing survival rates across areas of England to assess the impact of public health prevention policies such as smoking cessation.References:(1) Cancer Research Campaign. Cancer Statistics: Oral – UK. London: CRC, 2000.(2) Blot WJ, McLaughlin JK, Winn DM et al. Smoking and drinking in relation to oral and pharyngeal cancer. Cancer Res 1988; 48: 3282-7. (3) La Vecchia C, Tavani A, Franceschi S et al. Epidemiology and prevention of oral cancer. Oral Oncology 1997; 33: 302-12.Definition of numeratorAll cancer mortality for lip, oral cavity and pharynx (ICD-10 C00-C14) in the respective calendar years aggregated into quinary age bands (0-4, 5-9,…, 85-89, 90+). This does not include secondary cancers or recurrences. Data are reported according to the calendar year in which the cancer was diagnosed.Counts of deaths for years up to and including 2019 have been adjusted where needed to take account of the MUSE ICD-10 coding change introduced in 2020. Detailed guidance on the MUSE implementation is available at: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/articles/causeofdeathcodinginmortalitystatisticssoftwarechanges/january2020Counts of deaths for years up to and including 2013 have been double adjusted by applying comparability ratios from both the IRIS coding change and the MUSE coding change where needed to take account of both the MUSE ICD-10 coding change and the IRIS ICD-10 coding change introduced in 2014. The detailed guidance on the IRIS implementation is available at: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/impactoftheimplementationofirissoftwareforicd10causeofdeathcodingonmortalitystatisticsenglandandwales/2014-08-08Counts of deaths for years up to and including 2010 have been triple adjusted by applying comparability ratios from the 2011 coding change, the IRIS coding change and the MUSE coding change where needed to take account of the MUSE ICD-10 coding change, the IRIS ICD-10 coding change and the ICD-10 coding change introduced in 2011. The detailed guidance on the 2011 implementation is available at https://webarchive.nationalarchives.gov.uk/ukgwa/20160108084125/http://www.ons.gov.uk/ons/guide-method/classifications/international-standard-classifications/icd-10-for-mortality/comparability-ratios/index.htmlDefinition of denominatorPopulation-years (aggregated populations for the three years) for people of all ages, aggregated into quinary age bands (0-4, 5-9, …, 85-89, 90+)

Median age at death and person-years (number of deaths) by smoking status and year of birth, in 21,658 women and 8,284 men from the Guangzhou Biobank Cohort Study in 2003–2008 and followed up until January 2016.

🇬🇧 영국 English This dataset contains three smoking related indicators. 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. Number of Deaths Attributable to Smoking per 100,000 population by borough Deaths attributable to smoking, directly age-sex standardised rate for persons aged 35 years +. Causes of death considered to be related to smoking are: various cancers, cardiovascular and respiratory diseases, and diseases of the digestive system. Numbers of adults smoking by borough Prevalence of smoking among persons aged 18 years and over. - 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

Deaths related to smoking for Greater London. Deaths are expressed as the rate per 100,000 for the period 2005 to 2007. data sourced from the Guardian (http://www.guardian.co.uk/world-government-data/search?q=uk+smoking+in+2007&facet_year=2010) and data.gov.uk (http://data.london.gov.uk/datastore/package/deaths-smoking#). Boundary data is from OS Open Data which has been tweaked and augmented to have the ONS codes to join the two datasets (done in ArcGIS). GIS vector data. This dataset was first accessioned in the EDINA ShareGeo Open repository on 2012-06-27 and migrated to Edinburgh DataShare on 2017-02-21.

Directly age-standardised registration rate for oral cancer (ICD-10 C00-C14), in persons of all ages, per 100,000 2013 European Standard PopulationRationaleTobacco is a known risk factor for oral cancers (1). In England, 65% of hospital admissions (2014–15) for oral cancer and 64 % of deaths (2014) due to oral cancer were attributed to smoking (2). Oral cancer registration is therefore a direct measure of smoking-related harm. Given the high proportion of these registrations that are due to smoking, a reduction in the prevalence of smoking would reduce the incidence of oral cancer.Towards a Smokefree Generation: A Tobacco Control Plan for England states that tobacco use remains one of our most significant public health challenges and that smoking is the single biggest cause of inequalities in death rates between the richest and poorest in our communities (3).In January 2012 the Public Health Outcomes Framework was published, then updated in 2016. Smoking and smoking related death plays a key role in two of the four domains: Health Improvement and Preventing premature mortality (4).References:(1) GBD 2013 Risk Factors Collaborators. Global, regional and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risk factors in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet 2015; 386:10010 2287–2323. (2) Statistics on smoking, England 2016, May 2016; http://content.digital.nhs.uk/catalogue/PUB20781 (3) Towards a Smokefree Generation: A Tobacco Control Plan for England, July 2017 https://www.gov.uk/government/publications/towards-a-smoke-free-generation-tobacco-control-plan-for-england (4) Public Health Outcomes Framework 2016 to 2019, August 2016; https://www.gov.uk/government/publications/public-health-outcomes-framework-2016-to-2019 Definition of numeratorCancer registrations for oral cancer (ICD-10, C00-C14) in the calendar years 2007-09 to 2017-2019. The National Cancer Registration and Analysis Service collects data relating to each new diagnosis of cancer that occurs in England. This does not include secondary cancers. Data are reported according to the calendar year in which the cancer was diagnosed.Definition of denominatorPopulation-years (ONS mid-year population estimates aggregated for the respective years) for people of all ages, aggregated into quinary age bands (0-4, 5-9,…, 85-89, 90+).CaveatsReviews of the quality of UK cancer registry data 1, 2 have concluded that registrations are largely complete, accurate and reliable. The data on cancer registration ‘quality indicators’ (mortality to incidence ratios, zero survival cases and unspecified site) demonstrate that although there is some variability, overall ascertainment and reliability is good. However cancer registrations are continuously being updated, so the number of registrations for each year may not be complete, as there is a small but steady stream of late registrations, some of which only come to light through death certification.1. Huggett C (1995). Review of the Quality and Comparability of Data held by Regional Cancer Registries. Bristol: Bristol Cancer Epidemiology Unit incorporating the South West Cancer Registry. 2. Seddon DJ, Williams EMI (1997). Data quality in population based cancer registration. British Journal of Cancer 76: 667-674.The data presented here replace versions previously published. Population data and the European Standard Population have been revised. ONS have provided an explanation of the change in standard population (available at http://www.ons.gov.uk/ons/guide-method/user-guidance/health-and-life-events/revised-european-standard-population-2013--2013-esp-/index.html )