First thing I want to say is that neither this presentation, nor CRUK’s endgame report will tell you what the UK’s endgame strategy should be What it will do is try to initiate a discussion about what endgame thinking is (and what it is not), and hopefully help you think about how you can use it.
It’s in two parts An overview of endgame thinking – that includes a brief look at some of the innovative policy levers that have been discussed in the endgame dialogue And an overview of the Cancer Research UK endgame report and the recommendations it makes for pursuing endgame thinking in the UK
3. So what are these types of policies that might be possible as prevalence gets lower and smoking becomes an increasingly minority issue – i.e. When there’s fewer pieces on the board. Modfiying the Product Banning the manufacturing innovations and additives that have been introduced to make cigarettes easier to inhale and taste better Incentivising the use of “cleaner” nicotine products like e-cigarettes – perhaps even eventually banning combustibles? Restricting Tobacco Users Restricting sales by year of birth so that future generations can never purchase cigarettes (part of Singapore’s strategy) Introducing a smokers licence or prescription Retail regulation Reducing the number of retail outlets Controlling tobacco industry pricing and profits to eliminate the pricing strategies that allow companies to absorb tax rises and keep “ultra-low price” products on the market. Massive tax increases to drive up the prices in short, sharp shocks. Market Regulated market model with a tobacco products agency as the regulator and sole purchaser from importers and manufacturers Setting a “sinking lid” on the volume of tobacco that can be imported and sold.
4. Reinvigorating debate EndGame thinking has generated a whole new rich theme in academic papers –for example recently the Tobacco control journal produced an entire edition dedicated to the theme.
It has also been the theme of conferences – it’s not lost on the organisers that this is something new and attractive that might reinvigorate interest and sell tickets And international end game conference in New Delhi addressed by Margaret Chan ASH Scotland’s 40th anniversary conference theme “tobacco free generation” Fresh North East’s “making smoking history” conference Even had a session on it at the NCRI that attracted a good number for a non-clinical session
And the WHO EURO Ashgabat conference on noncommunicable diseases – a ministerial level WHO Europe meeting had a whole discussion around creating a Tobacco Free Europe by 2040 as one of only three key themes
Endgame thinking - Alison Cox
BELFAST, 6TH JUNE 2014
DUBLIN, 9TH JUNE 2014
TOBACCO CONTROL LEAD, CANCER RESEARCH UK
“If you want to build a ship, don’t drum up the men to gather wood,
divide the work, and give orders. Instead, teach them to yearn for the
vast and endless sea.” - Antoine de Saint-Exupery
Thursday, June 19, 20142