The NHS Smokefree Pledge

In January 2018 the Smokefree Action Coalition launched the NHS Smokefree Pledge. The Pledge is designed to be a clear and visible way for NHS organisations to show their commitment to helping smokers to quit and to providing smokefree environments which support them. The Pledge has been endorsed by the Public Health Minister Steve Brine MP,  and the Chief Executives of NHS England and Public Health England. It is an update to the NHS Statement of Support for Tobacco Control.

Steve Brine, Public Health Minister, said:  “While smoking rates are at an all-time low, it is still our country’s biggest preventable killer—so we are absolutely committed to helping people quit for life. The NHS Smokefree Pledge supports the bold ambitions set out in our new Tobacco Control Plan. It is fantastic to see the NHS making such a powerful statement to help us push for a smokefree generation.”

Photos from the launch event

Signing the NHS Smokefree Pledge

We encourage all NHS organisations to sign the NHS Smokefree Pledge. Signing the Pledge is simple and it is a visible commitment to a smokefree NHS. There is no formal process through which your organisation must go through. Simply commit to the actions listed in the Pledge, download and print a copy, and get it signed by the Chair, Chief Executive and medical director or clinical lead. Then display somewhere visible so that people can see your commitment to delivering a smokefree generation. A briefing note is available for you to download here – and don’t forget to let us know when you sign the Pledge so we can celebrate your commitment and provide supporting materials.

You can download a copy of the NHS Smokefree Pledge here. If you want to professionally print several copies for display across your organisation, you can download a version with printer marks and bleed, here.

Simon Stevens, Chief Executive of NHS England, said: “Most smokers want to quit and we’re seeing good progress on lower smoking rates. To build on this we’d now like to see NHS organisations across the country sign up to the NHS Smokefree Pledge.”

Publicising your commitment

Once you have signed the pledge, you can add our display buttons to your website to show all of your visitors the positive action you’ve taken. The buttons are free and are available in square and landscape formats. Email to request your buttons.

It’s also worth telling your local community about signing the NHS Smokefree Pledge. The public is supportive of efforts to reduce the harm caused by tobacco. To make this easy for you, you can download a template press release here. If you’re sharing your good news on Twitter, be sure to use the tag #NHSPledge.

Duncan Selbie, Chief Executive of Public Health England, said: “The NHS admits a patient every minute because of a smoking related disease and 1 in 4 beds are occupied by a smoker. Given that most smokers want to quit, this is an unparalleled opportunity for NHS staff to do all possible to help them quit.  NHS England has committed hospitals and mental health services to become truly smokefree by 2019 and I am delighted that the Smokefree Action Coalition has made it possible for each of them to publicly pledge their commitment to this.”

The NHS Smokefree Pledge

For reference, here is the text of the NHS Smokefree Pledge.

We acknowledge that:

• Smoking is the single greatest cause of premature death and disease in our communities;
• 1 in 4 patients in acute settings are smokers and that staff working for the NHS also smoke;
• Smoking places a significant additional burden on health and social care services and is impacting on the future sustainability of the NHS;
• Reducing smoking in our communities increases disposable household incomes and benefits the local economy;
• Reducing smoking amongst the most disadvantaged in our communities is the single most important means of reducing health inequalities;
• Smoking is an addiction largely taken up by children and young people, two thirds of smokers start before the age of 18;
• Smoking is an epidemic created and sustained by the tobacco industry, which promotes uptake of smoking to replace the 80,000 people its products kill in England every year; and

We welcome:

• The Government’s commitment to achieve a smokefree future and reduce smoking rates to less than 5 per cent;
• NICE public health guidance on tackling smoking particularly PH48, PH45 and PH26;
• Endorsement of this declaration by central government, Public Health England and others.

In support of a smokefree future we commit from this date …………………………to

• Treat tobacco dependency among patients and staff who smoke as set out in the Tobacco Control Plan for England;
• Ensure that smokers within the NHS have access to the medication they need to quit in line with NICE guidance on smoking in secondary care;
• Create environments that support quitting through implementing smokefree policies as recommended by NICE;
• Deliver consistent messages to smokers about harms from smoking and the opportunities to quit in line with NICE guidance on brief advice;
• Actively work with local authorities and other stakeholders to reduce smoking prevalence and health inequalities;
• Protect tobacco control work from the commercial and vested interests of the tobacco industry;
• Support Government action at national level;
• Join the Smokefree Action Coalition (SFAC).

The NHS Smokefree Pledge is endorsed by

Signatories so far

A number of NHS Trusts and CCGs have already signed the pledge. Why not join them?

Name of CCGDate signed
Newcastle Gateshead CCGJanuary 2018
Knowsley CCGFebruary 2018
Heywood Middleton and Rochdale CCGFebruary 2018
Somerset CCG
May 2018
Greater Preston CCG
Chorley and South Ribble CCG
May 2018
Bath and North East Somerset CCG
May 2018
West Lancashire CCG May 2018
Brent CCG
May 2018
Manchester Health and Care Commissioning
May 2018
Wirral Health and Care Commissioning May 2018
Vale of York CCGJune 2018
Lambeth CCGJuly 2018
West Leicestershire CCG
July 2018
Durham Dales, Easington and Sedgefield CCGJuly 2018
City and Hackney CCGSeptember 2018
City and Hackney GP Confederation
September 2018
North Durham CCG
November 2018
Salford CCG
November 2018
Tameside and Glossop CCG
November 2018
Sunderland CCGMarch 2019
Wakefield CCGApril 2019
West Kent CCGApril 2019
Name of TrustDate signed
Whittington Health NHS Trust January 2018
South London and the Maudsley NHS Foundation TrustJanuary 2018
Leicester Partnership NHS TrustJanuary 2018
Tees Esk and Wear Valleys NHS Foundation TrustJanuary 2018
Mid Yorkshire Hospitals NHS TrustJanuary 2018
Devon Partnership NHS TrustJanuary 2018
Notinghamshire Healthcare NHS Foundation TrustJanuary 2018
Mersey Care NHS Foundation TrustJanuary 2018
South Tees Hospital NHS Foundation TrustFebruary 2018
Northumbria Healthcare NHS Foundation TrustMarch 2018
North Tees and Hartlepool NHS Foundation TrustApril 2018
Kent and Medway NHS and Social Care Partnership Trust
May 2018
Berkshire Healthcare NHS Foundation Trust
May 2018
The Christie NHS Foundation Trust
May 2018
Cambridgeshire Community Services NHS Trust
May 2018
Cambridgeshire and Peterborough NHS Foundation Trust
May 2018
Northumberland, Tyne and Wear NHS Foundation Trust May 2018
Adler Hey Children's NHS Foundation Trust
June 2018
Liverpool Heart and Chest Hospital NHS Foundation June 2018
Countess of Chester Hospital NHS Foundation TrustJune 2018
Humber Teaching NHS Foundation TrustJune 2018
George Elliot Hospital NHS TrustJune 2018
Wye Valley NHS TrustJuly 2018
East Midlands Ambulance Service NHS Trust
July 2018
Royal Brompton and Harefield NHS Foundation Trust
July 2018
Lancashire Care NHS Foundation TrustJuly 2018
Claterbridge Cancer Centre NHS Foundation Trust
July 2018
Barnet Enfield and Haringey Mental Health Trust
July 2018
County Durham and Darlington NHS Foundation Trust
July 2018
Lincolnshire Partnership NHS Foundation Trust
July 2018
Hertfordshire Community NHS Trust
August 2018
Homerton University Hospital NHS Foundation Trust
September 2018
East London Foundation Trust September 2018
Great Western Hospitals NHS Foundation TrustSeptember 2018
Medway NHS Foundation TrustOctober 2018
North East Ambulance Service NHS Foundation Trust October 2018
Greater Manchester Mental Health NHS Foundation Trust
November 2018
Gloucestershire Hospitals NHS Foundation Trust
November 2018
Medway NHS Foundation Trust
November 2018
Hertfordshire Partnership University NHS Foundation Trust
November 2018
East Kent Hospitals University NHS Foundation Trust
November 2018
Tameside and Glossop Integrated Care NHS Foundation Trust
November 2018
Blackpool Teaching Hospitals NHS Foundation Trust
November 2018
Essex Partnership University NHS Foundation Trust
January 2019
Isle of Wight NHS TrustMarch 2019