HEALTH AND SOCIAL
SERVICES DEPARTMENT
TOBACCO CONTROL
STRATEGY 2015-2020
DRAFT FOR PUBLIC
CONSULTATION
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Draft Tobacco Control Strategy: Health and Social Services Board
Section A: EXECUTIVE SUMMARY
States Policy: Yes
Period covered
Political sponsors
Tobacco Control Strategy
2015 - 2020
Health and Social Services Department
Programme
Authors
The Head of Health Improvement and the Director of Public Health,
with the multi-agency Tobacco Control Strategy group.
Summary
This draft of a new Tobacco Control Strategy builds on and
reinforces the work of the previous Strategy. It aims to continue to
reduce prevalence of smoking, which is a principal cause of
premature death and preventable disease in the Bailiwick, and
third party exposure to second-hand smoke. It has been
developed through examination of evidence of the most effective
measures to reduce smoking, and engagement with partners and
the public, and the document is now offered for consultation.
Proposals under the new Strategy include, but are not limited to:
 Legislation to prevent smoking in cars carrying children, in
children’s playgrounds and in designated outside eating areas:
 Making it more difficult for children and young people to get
tobacco and continuing to raise awareness of the dangers.
 Introducing mandatory plain packaging (subject to legal advice):
 targeting and tailoring help to quit campaigns and support to
socio-economic and other groups where smoking rates are
highest and increasing numbers of brief interventions:
 Year on year increases in duty on cigarettes (RPI+10%) and
tobacco (RPI+15%):
Some data in the document will be refreshed following publication
of the Healthy Lifestyle Survey 2013, but we do not wish to delay
public and partner consultation on the proposed measures.
Implications
 States Policy
 Governance




Public and Media
Staff and Trade Unions
Staffing
£ revenue – current year
 £ revenue – full year effect
 Source of revenue
 £ capital
 Yes (following consultation
and HSSD Board review)
 None additional to current
work
 Yes
 Yes
 None additional to current
 None additional to current
budgets
 Proposes continuation of
current States Strategy
funding levels for 2015-21
 n/a
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Draft Tobacco Control Strategy: Health and Social Services Board
CONTENTS
PAGE
SECTION A
INTRODUCTION
*
EXECUTIVE SUMMARY
3
*
Diagram: States Strategic Plan
5
*
Programme Summary Overview
6
1
Purpose of this document
7
2
Developers of this document
8
3
Foreword from the Minister for Health and Social
Services and Board members of Health and Social
Services
9
SECTION B
STRATEGIC FRAMEWORK
4
Strategic Framework Overview
11
*
Diagram: Tobacco Control Strategy Framework
13
SECTION C
KEY PERFORMANCE INDICATORS
5
SECTION D
Key Performance Indicators
15
GOVERNANCE
6
Strategy Group Structure
20
7
Strategy Time-frames & Review Periods
20
LIST OF CONSULTEES
22
APPENDIX I
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Draft Tobacco Control Strategy: Health and Social Services Board
STATES STRATEGIC PLAN
The Tobacco Control Strategy is a delivery programme within the States Strategic Plan. The
framework of the States Strategic Plan is shown below at Figure 1.
Fiscal & Economic
We have a social
environment and
culture where there is
active and engaged
citizenship
Environmental
We have sustainable
long term finances and
programmes
Social
PURPOSE
To focus government and public services on protecting and improving quality of
life of Islanders, the Island’s economic future, and the Island’s environment,
unique cultural identity and rich heritage.
COMMUNITY OUTCOMES
To enable the States to decide what they want to achieve over the medium to longterm and how they will manage or influence the use of Island resources to pursue
those objectives.
AIMS
Figure 1:
We adapt to climate
change
We have a balanced,
internationally
competitive, high value
economy
We have a skilled,
sustainable and
competitive workforce
We have equality of
opportunity, social
inclusion and social
justice
As individuals we take
personal responsibility
and adopt healthy
lifestyles
We manage our carbon
footprint and reduce
energy consumption
Our countryside,
marine and wildlife are
protected and
preserved
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PROGRAMME SUMMARY OVERVIEW
Programme Name
Period covered
Programme
Authors
Political sponsors
Related Strategies /
Reviews
Tobacco Control Strategy
2015 - 2020
The Head of Health Improvement & Public Health Strategy, and
the Director of Public Health, with the multi-agency Tobacco
Control Strategy group.
Health and Social Services Department
 2020 Vision for Health and Social Services
 Health Improvement Strategic Framework (under
development in Health & Social Services)
 Mental Health & Wellbeing Strategy (Health & Social Services)
 Cancer and Respiratory Care and Maternity Care programmes
(Health and Social Services)
 Children & Young People’s Plan (Health & Social Services)
 Today’s Learners: Tomorrows World (Education)
 Drug and Alcohol Strategy (Home Department)
 Disability & Inclusion Strategy (Policy Council)
 Supported Living and Ageing Well (Policy Council)
 Primary Care Review (under development)
Review periods
 Ongoing monitoring of key performance indicators;
 Annual formal review of objectives and key performance
indicators;
 5yr review of strategic commitments.
Other relevant
other documents
that can be
accessed when
reading this
document
 Billet D’Etat III, 2008: Health and Social Service Department –
Guernsey Tobacco Control Strategy, p. 391 – 415
 Health Profiles for Guernsey & Alderney 2006-8 and 2010-12
 Tobacco Control Profile of Guernsey and Alderney
 Tobacco Control Strategy: Report of Public Engagement
exercises to date
 Research and evidence underpinning Tobacco Control
measures in the proposed Tobacco Control Strategy
 Tobacco Control Strategy - Action Plan and Monitoring
schedule
 110th and 112th Medical Officer of Health reports
All these are available at web-link addresses shown on page 22
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1.
1.1
PURPOSE OF THIS DOCUMENT
The purpose of this document is to invite comment on a proposed approach for
the continuation of a strategy to control the use of tobacco. This approach
includes commitment to Smoking Cessation support: initiatives to reduce third
party exposure to second-hand smoke: and initiatives to prevent uptake of
smoking in the Bailiwick of Guernsey for the years 2015-2020.
This consultation will run from July 10th to August 22nd 2014, when it will close to
allow analysis and consideration of responses.
The following are presented in this document and its associated Action Plan:
1.2
The Strategy’s Statement of Purpose, its Vision, the outcomes that
partner organisations hope to achieve together and the strategic
commitments that drive us all towards achieving these outcomes;
Identification of where the Tobacco Control Strategy sits within the States
Strategic Plan;
Identification of areas requiring appropriate attention and action in the
period 2015-2020, as based on existing evidence and professional
judgement;
Identification of what will be done, by whom and with whom;
Identification of where we wish to be within o the short-term (a 2yr period);
o the medium-term (a 5yr period); and
o the long-term (a 10yr period and beyond).
An indication of measures of progress.
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2.
DEVELOPERS OF THIS DOCUMENT
2.1
This document has been produced by the Head of Health Improvement & Public
Health Strategy and the Director of Public Health of the Health and Social
Services Department, with input from the Tobacco Control Strategy group and
key stakeholders, and advised by the Health and Social Services Board.
The following organisations and representatives have been involved in
development (in alphabetical order):

Chamber of Commerce;

Education Department;

Guernsey Border Agency;

Guernsey Police;

Guernsey Prison;

Home Department;

Health and Social Services Department;

Law Officers’ Chambers;

Medical Specialist Group;

Office of Environmental Health and Pollution Regulation;

Primary Care Medical Practices (Guernsey).
These organisations and individuals work in conjunction with key partners in
other areas including other States of Guernsey Departments and corporate
strategies such as the Education Strategy, the Transport Strategy, the Criminal
Justice Strategy, and also businesses and third-sector parties where
appropriate.
2.2
The production of this document, and the contribution of resources to support
the Strategy’s development and ongoing maintenance, is sponsored by the
States of Guernsey Health and Social Services Department.
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3.
3.1
3.2
3.3
3.4
3.5
FOREWORD FROM THE HEALTH AND SOCIAL
SERVICES DEPARTMENT BOARD
The Health and Social Services Department (HSSD) is mandated to advise the
States on matters relating to the mental, physical and social well being of the
people of Guernsey and Alderney. This mandate gives HSSD responsibility for:- Promoting, protecting and improving personal, environmental and public
health; and
- Preventing or diagnosing and treating illness, disease and disability.
Smoking remains a principal cause of early death and avoidable ill-health in
Islanders. The States of Guernsey has continued to support the development of
Bailiwick Tobacco Control strategy since 1997, and this is essential to improve
the health of the population. It makes an important contribution to:
meeting government objectives through coordinated service delivery:
encouraging individuals to take personal responsibility and adopt
healthy lifestyles: and
maintaining a healthy, competitive workforce.
In 2008 the States committed to a Tobacco Control Strategy to 2013 which has
been driven forward by HSSD with partners. It has achieved most of its
objectives for action over the five year period. The principal aim of the strategy
was to reduce the burden of death and ill-health that tobacco causes in the
islands of the Bailiwick.
Guernsey life expectancies at birth for men and women have improved by 4-5%
over the last 15-20 years and are now some of the highest in Europe. The rates
of deaths from bronchitis, emphysema and chronic obstructive pulmonary
disease appear to have declined locally between 2007-2009 and 2009-2011.
Smoking is the primary cause of preventable illness and premature death in
Guernsey, as in the UK. Targeted tobacco control initiatives can contribute to
reducing health inequalities, as research tells us that smokers are more likely to
be in less well-off groups.
Smoking-related illness results in absence from the workplace and from school,
reducing productivity in the workforce and affecting learning in children. The
societal cost of smoking-related disease and environmental impact in Guernsey
is estimated at £14.25 million a year in costs of healthcare, sickness and other
benefits, and States services such as cleaning up cigarette butts in the street.
Reduced expenditure on these side-effects of tobacco use could be used to
reduce the need for publicly generated income or to release funds to improve
services.
The Guernsey Young People’s Survey (2013) indicated that 32% of secondary
school pupils have a parent or carer who smokes. 30% of primary school pupils
surveyed have a parent or carer who smokes (a reduction from 33% in 2010).
The Young People’s Survey also indicated that 6% of boys and 8% of girls in
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Draft Tobacco Control Strategy: Health and Social Services Board
secondary schools smoke occasionally or regularly. Of those who smoke
‘regularly’, 67% would like to give up.
In the 2008 Healthy Lifestyle Survey, 16% of respondents reported themselves
as smokers and 60% of those smokers wanted to stop. They are more likely to
succeed if help is available.
3.6
3.7
Between 2010 and 2012 there were an estimated average 43 preventable
cancer deaths each year: 23 preventable cardiovascular deaths each year and
seven preventable deaths from respiratory disease each year in Guernsey and
Alderney. Smoking is the primary cause of these preventable deaths, therefore
these figures, among others, should be viewed as a baseline for onward
monitoring of the success of the Tobacco Control Strategy.
Partnership working with Clinicians, the Guernsey Border Agency, the Police,
other States departments, business and the voluntary sector has supported
achievement in tobacco control to date. This partnership is essential to future
success, as all have their part to play.
Deputy Mark Dorey, Minister for Health and Social Services.
Deputy Martin Storey, Deputy Minister: Deputy Barry Brehaut, Board
Member: Deputy Elis Bebb, Board Member: Deputy Al Brouard, Board
Member.
June 2014
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Section B: STRATEGIC FRAMEWORK
4.
4.1
STRATEGIC FRAMEWORK OVERVIEW
States
Strategic Plan
The Tobacco Control Strategy is a delivery programme
within the States Strategic Plan. Figure 1 on page 5
outlines the States Strategic Plan’s purpose and aims, and
also the social policy, financial and environmental
outcomes that it seeks to achieve. Figure 2 on page 13
outlines the framework of the Tobacco Control Strategy
and identifies the social policy and financial outcomes with
which it aligns.
4.2
Strategy
Purpose
The purpose of the Strategy is “to reduce the health, social
and financial harms associated with tobacco use in the
Bailiwick through action by government and public services
in conjunction with business and community partners” (see
Fig.2).
4.3
Strategy
Vision
The Strategy has been built to achieve our vision of
“Guernsey as a jurisdiction where smoke-free lifestyles are
the norm”
The long-term objective (10 yrs) is to achieve this vision.
(Smoke free lifestyles are considered to be ‘the norm’
when prevalence of adult smoking is reduced to 5% or
less.)
4.4
Outcomes
The outcomes are the benefits to individual residents and
the wider community in the Bailiwick, which result from
government, public policy, public service and individual
actions. These are:
A reduction in preventable mortality from cancer
and respiratory disease
A reduction in numbers of adults and children who
smoke
A reduction in the ready availability of cheap
cigarettes and tobacco
An increase in the number of smoke-free
environments
An increase in the number of people recorded by
Quitline as moving towards a smoke-free future
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4.5
Priority Areas
of Focus
The priority areas of focus are those areas where we will
concentrate our efforts. These areas have been chosen
through examination of relevant evidence, and through
professional and political judgement. They are:
Preventing uptake of smoking and encouraging
smokers to try to quit
Protecting adults and children from second-hand
smoke
Helping people who want to stop smoking to do so
successfully
In each area of focus we have set specific objectives as
shown in our Action Plan.
4.6
Strategic
Commitments
The strategic commitments enable and drive towards the
delivery of outcomes. These are:
RISK MANAGEMENT - Monitor and manage social
and economic risk factors in implementation of
strategic initiatives.
COMMUNICATION - Proactively engage with the
public so that the Strategy is reflective of and
responsive to the concerns of the community.
Maintain open and responsive communication
between strategic partners. Use appropriately
targeted effective messages to encourage smokers
to quit.
EQUALITY - Ensure equity of access to Quitline
services and respond to the needs of a diverse
community.
4.7
Objectives
Objectives are shown within an action plan which covers
the period 2015 - 2020 and includes short (2yrs) and
medium term objectives (5yrs). These contribute to the
achievement of outcomes. All objectives have an “end
milestone”, or an indication of how we will know the
objective has been achieved.
4.8
Key
Performance
Indicators
To define achievement of our aims and objectives, a
limited number of high level ‘key performance indicators’
are set against outcomes in order to give us broad
indications of achievement. Further detail about key
performance indicators is provided on pages 14-19.
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13
Figure 2:
COMMUNITY
OUTCOMES
To reduce the health, social and financial harms associated with tobacco use in the
Bailiwick through action by government and public services in conjunction with business
and community partners
KEY ENABLERS
STRATEGIC COMMITMENTS
PRIORITY AREAS
OF FOCUS
OUTCOMES
VISION
As individuals we take
personal responsibility and
adopt healthy lifestyles
STRATEGY
PURPOSE
Tobacco Control Strategy Framework
We have equality of
opportunity, social inclusion
and social justice
We have a skilled,
sustainable and
competitive workforce
Our vision is of Guernsey as a jurisdiction where smoke-free lifestyles are
the norm
A reduction in
numbers of adults and
children who smoke
A reduction in preventable
mortality from cancer and
respiratory disease
An increase in the number of
smoke-free environments
PROTECTING ADULTS
AND CHILDREN FROM
SECOND-HAND SMOKE
A reduction in the ready
availability of cheap
cigarettes and tobacco
An increase in the number of people recorded by
Quitline as moving towards a smoke-free future
PREVENTING UPTAKE OF
SMOKING AND ENCOURAGING
SMOKERS TO TRY TO QUIT
HELPING PEOPLE WHO
WANT TO STOP SMOKING
TO DO SO SUCCESSFULLY
RISK MANAGEMENT
Monitor and manage social and economic risk factors in implementation of strategic
initiatives.
COMMUNICATION
Proactively engage with the public so that the Strategy is reflective of and responsive to
the concerns of the community. Maintain open and responsive communication between
strategic partners. Use appropriately targeted effective messages to encourage smokers
to quit.
EQUALITY
Ensure equity of access to Quitline services and respond to the needs of a diverse
community
GOVERNANCE
Collective investment of expertise so as to ensure that the right organisations are
involved at the right time
EVIDENCE
Application of international and local evidence to support legislation, campaigns, and
decision-making and ensure cost-effective local practice.
Draft Tobacco Control Strategy: Health and Social Services Board
Section C: KEY PERFORMANCE INDICATORS
5.
KEY PERFORMANCE INDICATORS
5.1
It is important that strategy is monitored on an ongoing basis in order to assess
how we are performing against our desired outcomes. Key performance
indicators are therefore set against each outcome. We will formally review and
publish results of high level key performance indicators on an annual basis.
5.2
There may be times when there is little data to bench mark against and
therefore some data will only become meaningful when it has been collected
over a number of years.
5.3
We recognise that other HSSD and pan-States strategies for improving health
will have an effect on the achievement of the key performance indicators for
the first outcome of this strategy. Nevertheless, the evidence shows that
tobacco control remains the most effective way to reduce the burden of early
death (premature mortality) and preventable illness (morbidity).
5.4
The data gathered can give a broad indication of how successful our efforts are,
and help us to make evidence-based decisions on what to do so as to achieve
our targeted outcomes and, ultimately, our vision of “Guernsey as a jurisdiction
where smoke-free lifestyles are the norm”
5.5
Our objectives (what we propose to do) contribute to the achievement of our
outcomes. All objectives have an “end milestone”, or an indication of how we
will know the objective has been achieved. These objectives will be shown
within our action plan and will be monitored on a quarterly basis.
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Outcome 1
A reduction in preventable mortality from
cancer and respiratory disease
Data-source
Frequency of
measure
KPI
1.1
Life expectancy at birth for
people in Guernsey in 2020
exceeds or is equal to 79.7
years for men and 84.1
years for women
The Greffe and
HSSD Public
Health
Intelligence
Annual
KPI
1.2
Rates of premature* death
from cancer decline over a
ten year period from a
baseline of 94.9 per 100,000
in 2013**
HSSD Public
Health
Intelligence
Annual
KPI
1.3
Rates of premature death
from respiratory disease
decline over a ten year
period from a baseline of
15.1 per 100,000 in 2013
HSSD Public
Health
Intelligence
Annual
KPI
1.4
Rates of premature death
from cardiovascular disease
decline over a ten year
period from a baseline of
49.4 per 100,000 in 2013
HSSD Public
Health
Intelligence
Annual
Incidence rates of lung
cancer show reduction over
a ten year period from the
2007-2011 baseline of an
average of 60 per 100,000
population per year
HSSD Public
Health
Intelligence
Annual
KPI
1.5
* Premature death = < 75 years.
** All rates are calculated as age standardised (Age Standardised Rates = ASR).
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Outcome 2
A reduction in numbers of adults and children
who smoke
Data-source
Frequency of
measure
KPI
2.1
Prevalence of adult
smoking in Guernsey stands
at 10% or less as reported
in the Healthy Lifestyle
Survey by 2020
Guernsey and
Alderney Healthy
Lifestyle Survey
Five yearly
KPI
2.2
Prevalence of smoking in
‘occasional and regular’
smoking in secondary
school pupils stands at 5%
or less by 2020 as reported
in the Young People’s
Survey
Health-Related
Behaviour
Survey:
Education
Three yearly
KPI
2.3
Percentage of school pupils
reporting a parent who
smokes shows a reducing
trend by 2020 as reported
in the Young People’s
Survey
Health-Related
Behaviour
Survey:
Education
Three yearly
KPI
2.4
Prevalence of smoking in
lower socio-economic
groups reduces as reported
in the Healthy Lifestyle
Survey
Guernsey and
Alderney Healthy
Lifestyle Survey
Five yearly
KPI
2.5
Prevalence of smoking in
pregnant women (at date of
delivery) shows a reducing
trend over ten years
HSSD Maternity
services
Annual
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Draft Tobacco Control Strategy: Health and Social Services Board
Outcome 3
A reduction in the ready availability of
cigarettes and cheap tobacco
Data-source
Frequency of
measure
Price of cigarettes increases
through year on year
increases in duty
(RPI+10%)
Treasury and
Resources
Annual
KPI
3.2
Price differential between
cigarettes and tobacco
reduces through year on
year increases in tobacco
duty (RPI+15%)
Treasury and
Resources
Annual
KPI
3.3
Levels of cigarettes and
tobacco importation show a
reducing trend over ten
years
Guernsey Border
Agency
Annual
KPI
3.4
Options for reducing dutyfree allowances of cigarettes
and tobacco are explored in
conjunction with Jersey
Treasury and
Resources and
Guernsey Border
Agency
Annual
KPI
3.1
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Outcome 4
An increase in the number of smokefree
outdoor environments
Data-source
Frequency of
measure
Legislation prepared and
implemented to prevent
smoking in vehicles carrying
children
States Report and
Enabling law
Once at 2 year
review
Legislation prepared and
implemented to prevent
smoking in children’s
playgrounds and designated
outside eating areas
States Report and
Enabling law
Once at 2 year
review
KPI
4.3
Campaigns prepared and
delivered to raise
awareness of effects of
second-hand smoke in
grounds of States properties
Health Promotion
(HSSD)
Annual
KPI
4.4
Audit and plan for a phased
approach to introducing
smoke-free grounds in
States properties
Tobacco Control
Strategy Group
Once at 2 year
review
Guernsey becomes a
jurisdiction where smokefree lifestyles are the norm
(prevalence of adult
smoking is 5% or less)
Guernsey and
Alderney Healthy
Lifestyle Survey
2025
(long-term aim)
KPI
4.1
KPI
4.2
KPI
4.5
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Outcome 5
An increase in the number of people moving
through Quitline to a smoke-free future
Data-source
Frequency of
measure
KPI
5.1
Quitline records an average
of 450 four-week quits per
annum from 2014-2017
Quitline with
Health Promotion
HSSD
Annual
KPI
5.2
Audit equity of access to
Quitline services and
identify groups underrepresented in services
Quitline with
Health Promotion
HSSD
Annual
KPI
5.3
90% of offenders who
entered Guernsey Prison as
smokers are pro-actively
offered continuing Quitline
support on release from
2014 to 2017
Prison
HealthCare
service:
Quitline HSSD
Annual
The Health Trainer service
will work with a minimum
of 50 clients per year from
2014 to 2017 inclusive, to
support demonstrable
positive behaviour change,
including referrals to
Quitline and ongoing
support for quitters
Quitline with
Health Promotion
HSSD
Annual
KPI
5.4
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Section D: GOVERNANCE
6.
6.1
STRATEGY GROUP STRUCTURE
The Tobacco Control Strategy group is a multi-agency group, comprising
membership from:








Education Department;
Guernsey Border Agency;
Guernsey Police;
Guernsey Prison;
HSSD clinical staff;
Medical Specialist Group;
Office of Environmental Health and Pollution Regulation;
Primary Care.
Representatives from the Environment Department and Treasury and Resources
Department have also attended for specific items.
6.2
The Tobacco Control Strategy group reports to the Health Improvement
Programme Group. The Health Improvement Programme Group reports
through the Director of Public Health to the Health and Social Services Board
7.
STRATEGY TIME-FRAMES & REVIEW PERIODS
7.1
Our Action Plan is made up of a series of objectives that aim to be achieved
across short, medium and long term time frames.
7.2
Progress on actions will be reviewed by the Tobacco Control Strategy group on
an annual basis, and reported to the HSSD Board, and other Boards as relevant,
through the Director of Public Health.
The milestones will be refreshed in 2017 for the second phase of Strategy
delivery.
An interim public report on the success of this Strategy in achieving its
milestones will be produced by December 2017
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APPENDIX I: LIST OF CONSULTEES
The range of organisations, including those listed below will be circulated with this
document for consultation in summer 2014. Following analysis of consultation
response: the document will be finalised and presented to the States by Health and
Social Services.
Airport and Harbour Authorities
Chamber of Commerce and retailers
Channel Islands Tobacco Importers & Manufacturers Association (CITIMA)
Office of Environmental Health and Pollution Regulation
General Public and the Media
GP Practices
Guernsey Border Agency: Police and Prison
Health and Social Services Directors and Managers leading on associated Strategies
Health Improvement Programme group and Tobacco Control Strategy group
Health and Safety Executive
Institute of Directors
Law Officers of the Crown
Pharmacies and Dentists
Policy Council, States of Guernsey
Schools and Parent Teacher Associations, GTA University Centre and College of Further
Education
Sports Commission
States Departments
Trading Standards
Voluntary Sector and associated special interest groups
Youth Commission
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APPENDIX 2:
WEB-LINKS TO RELATED DOCUMENTS
Other relevant documents that can be accessed when reading this strategy are shown
here with web-links to take you to the documents
Consultation response form 2014
Web-link: http://www.gov.gg/healthandwellbeing
Billet D’Etat III, 2008: Health and Social Service Department – Guernsey Tobacco
Control Strategy, p. 391 – 415
Web-link: http://www.gov.gg/CHttpHandler.ashx?id=3851&p=0
Health Profiles for Guernsey & Alderney 2006-8 and 2010-12
Web-links: http://www.gov.gg/CHttpHandler.ashx?id=74886 and
http://www.gov.gg/CHttpHandler.ashx?id=87388&p=0
Tobacco Control Profile of Guernsey and Alderney
Web-link: http://www.gov.gg/healthandwellbeing
This document is in the process of being updated with new data from the Guernsey
Healthy Lifestyle Survey 2013 and will be posted as soon as possible.
Tobacco Control Strategy: Report of Public Engagement exercises to date
Web-link: http://www.gov.gg/healthandwellbeing
Research and evidence underpinning Tobacco Control measures in the proposed
Tobacco Control Strategy
Web-link: http://www.gov.gg/healthandwellbeing
Tobacco Control Strategy - Action Plan and Monitoring schedule
Web-link: http://www.gov.gg/healthandwellbeing
This document is undergoing final checks and will be posted as soon as possible.
110th and 112th Medical Officer of Health reports
Web-links: http://www.gov.gg/CHttpHandler.ashx?id=2955&p=0 and
http://www.gov.gg/CHttpHandler.ashx?id=4790&p=0
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