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Department of Health - FAQ

Summary

A break down of frequently asked questions regarding General Advice, Locations, Exemptions, Vehicles, Enforcement, Signage and Guidance regarding smoke-free regulations.

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GENERAL

Q1: The pub trade needs time to prepare – why has it taken so long for the regulations to come out?


A: The Government wanted to wait for the Health Bill to complete its passage through the House of Lords before releasing the regulations. This was to be sure that the Health Bill was in a close-to-final form before draft regulations were made available.

Q2: Ireland went smoke-free indoors in 2004, Scotland this year – why is it taking England and Wales until 2007?


A: Delivering smoke-free environments required the passing of legislation—this is a lengthy process. However, the Health Bill has now almost completed its passage through Parliament. Health ministers have committed to implementing smoke-free legislation in summer next year, so we have time to consult stakeholders on the details of regulations, and to provide everyone with enough time to prepare before the law comes into place.

Q3: Is smoke-free legislation not an infringement on personal choice? Too much interference from the nanny state?


A: The vast majority of people support restrictions on smoking in workplaces and other public places – including 66% of people supporting restrictions on smoking in pubs.

It must be remembered that 7 out of 10 people choose not to smoke. The Government wants to take account of the choice of the majority of people who want to have clean smoke-free air.
In countries where similar legislation has been introduced, support for legislation has grown after implementation – even amongst smokers.

Q4: The regulations make provision for the Government to extend smoke-free legislation to bus shelters etc. Is this a step towards banning smoking altogether?


A: The Government believes that people should have the choice to smoke, but believes it is also right that people are both made aware of the major health risks of smoking and also provided with support to quit.

Importantly, we believe that at the same time, it is right that others should be protected from exposure to hazardous secondhand tobacco smoke. This is what we are achieving through this legislation, where smoking will be eliminated in virtually every enclosed public place and workplace in this country.

Although smoke-free legislation does include provision to make non-enclosed places smoke-free, the Government has no intention to use those powers at present. That means that smoking will still be permitted outside of buildings and in other non-enclosed places.

Q5: Why couldn’t we just have ventilated smoking rooms?

A: Evidence shows that ventilation does not provide a solution to eliminating the health risks associated with secondhand smoke. We know that 85 per cent of secondhand smoke actually consists of invisible and odourless gases.

Research has shown that to remove the risks of secondhand smoke, an enclosed premises would need wind tunnel-like rates of ventilation. Imagine what that would be like at the local pub!

We also know that ventilation systems are expensive—many businesses simply couldn’t afford to fit the systems even if they were effective.

Q6: Will this mean the death of the British pub?

A: There is considerable international evidence from countries that have introduced legislation for smoke-free public places and workplaces that the impact on the hospitality industry is not detrimental.

Analysis and international experience shows that going smoke-free can actually be beneficial to the hospitality industry. We must remember that almost 80 per cent of England’s population do not smoke, and this represents a very large market.

There is much evidence about the benefits to hospitality of smoke-free legislation, but after the first year of being smoke-free, New York City saw that:

- Business tax receipts in restaurants and bars go up by 8.7 per cent,
- Employment in restaurants and bars has increased by 10,600 jobs,
- New Yorkers overwhelmingly supported the law, and tests showed that the air quality in  bars and restaurants improved dramatically.

There is also comparable evidence of the benefits of smoke-free legislation for the hospitality industries in other countries including Ireland, and similar evidence is emerging in Scotland since their smoke-free legislation was implemented in March this year.

Importantly, smoke-free legislation will be good for the health of hospitality workers and patrons. The British Institute of Innkeeping’s magazine recently said that:

“…we are talking about banning the use of a carcinogenic substance which in enclosed spaces kills or damages the health of passive smokers—that means licensees and bar staff and customers. This is a scientific fact, and we should bear this in mind along with the economic arguments”

Q7: What support is available for people deciding to quit as a result of the smoke-free legislation?

A: The NHS provides a wide range of excellent and easily accessible smoking cessation services including; local NHS Stop Smoking Services, The Together Programme, the NHS Smoking Helpline on 0800 022 4 332 or via the link below:

Also there is Nicotine Replacement Therapy (NRT) available on prescription.

Q8: Is secondhand smoke really that harmful?

In reviewing the evidence of the health risks from secondhand smoke, the Government’s independent Scientific Committee on Tobacco and Health concluded that exposure to secondhand smoke was a cause of a range of medical conditions, including:

  • lung cancer,
  • heart disease,
  • asthma attacks,
  • childhood respiratory disease,
  • sudden infant death syndrome, and
  • reduced lung function.

In 2005, research published in the British Medical Journal estimated that over 600 deaths each year in the UK are due to exposure to secondhand smoke in the workplace.

The World Health Organisation has classified tobacco smoke as a known human carcinogen. The US Environmental Protection Agency classified secondhand smoke as a “class A” human carcinogen—along with asbestos, arsenic, benzene and radon gas.

Q9: What evidence is there that secondhand smoke is a health risk?


The evidence base that secondhand smoke harms health is substantial, and has been reviewed extensively, both in this country by the Government’s independent Scientific Committee on Tobacco and Health, and overseas.

The World Health Organisation’s International Agency for Research on Cancer’s report “Tobacco Smoke and Involuntary Smoking” published in 2004 reviewed the evidence of the health risks associated with smoking and secondhand smoke—that report is over 1,400 pages long.

The US Surgeon General published a 700 page report in June this year that examined a great deal of evidence and found that even brief secondhand smoke exposure can cause immediate harm. The report says the only way to protect non-smokers from the dangerous chemicals in secondhand smoke is to eliminate smoking indoors and that exposure of adults to secondhand smoke has immediate adverse effects on the cardiovascular system and causes coronary heart disease and lung cancer.

The Surgeon General said on the publication of the report that:

“The scientific evidence is now indisputable: secondhand smoke is not a mere annoyance. It is a serious health hazard that can lead to disease and premature death”.

Q10: Has the introduction of smoke-free legislation been successful in other countries?

Across the world, as the evidence of the risks associated with secondhand smoke exposure has accumulated, action has been taken to reduce people’s exposure to secondhand smoke.
Ireland (2004), Norway (2004), Scotland (2005), New Zealand (2004), various Canadian territories and Singapore are examples of countries which have introduced comprehensive smoke-free legislation.

In America, California has had a state-wide smoke-free public places since 1998 and New York City passed smoke-free legislation in 2003. In total, over nine US states have smoke-free legislation that required completely smoke-free restaurants and bars.

This legislation has proved to be effective in protecting people from the health risks of secondhand smoke. The Journal of the American Medical Association documented a significant improvement in respiratory health among bartenders after the passage of the Californian smoke-free workplace legislation.

According to the British Medical Journal, the US state of Montana saw a 40 per cent drop in hospital admissions for heart attacks during a 6 month period of smoke-free workplaces.
The smoke-free provisions of this Bill are consistent with what many other Governments are doing to protect people from the harmful effects of secondhand smoke. Smoke-free legislation is proving to be not only very effective in protecting health, but is also very popular.

LOCATIONS

Q11: Will my home be required to be smoke-free?

No. The draft regulations in the consultation document state very clearly that the Government has no intention to make private residential spaces smoke-free.

Q12: I work from home – will it be required to be smoke-free then?


It depends. Any part of a private dwelling that is used solely as a place of work may be required to be smoke-free if it is used by more than one person who does not live there, or if members of the public can actually come into that part of the dwelling in the course of work. The situation is set out in much more detail in the consultation.

Q13: Does this legislation cover sports stadiums? I don’t want to sit (in a covered stand) next to a smoker when I have paid £800 for a season ticket!

A: The Bill allows regulations to be made that designate additional smoke-free places which are not covered by Clause 2 where people are at risk of being exposed to significant quantities of secondhand smoke. This might include sports stadia or other non-enclosed places, but it is a decision for the future, and only after the Government consults the public.

Q14: I don’t like breathing smoke outdoors either – why does this legislation apply to indoors only?


A: The Health Bill will require enclosed or substantially enclosed public places and workplaces to be smoke-free. The Health Bill includes powers for other places to be required to be smoke-free, but the Government has no plans to make anywhere smoke-free at the present time.

Q15: Won’t this fill the streets with cigarette butts?


A: We are working closely with the businesses and our colleagues in local government and in DEFRA to consider the issues of litter in outdoor areas. Nevertheless, international experience has been that this matter can be managed effectively.

Q16: Won’t sending drinkers outside lead to noise problems?

A: Pubs and bars will not be obliged to provide outdoor areas for smoking. If they do want to open one, they will need to obtain necessary planning permissions. We would not expect that neighbours should have to put up with high noise levels from drinkers now, or once smoke-free legislation has come into force.

Q17: Is this just about smoking in pubs?

A: No. All enclosed workplaces and public places, including restaurants, pubs, schools, public transport and membership clubs will be required to be completely smoke-free once the legislation is implemented in the Summer of next year. There will be limited exemptions from smoke-free legislation, mainly for premises that act as an individual’s dwelling, or are clearly a private space. These exemptions are set out in the consultation.

Q18: My office is not smoke-free when the smokers stand outside and all their smoke blows back in through my window. Why can’t they be made to smoke away from the building?

A: The provisions made under the Health Bill only pertain to enclosed and substantially enclosed workplaces and public places. Employers and business owners will need to consider issues as they arise and seek the most appropriate action.

EXEMPTIONS

Q19: Why are adult care homes exempt?

A: The Choosing Health White Paper made a commitment that special arrangements would be needed for certain workplaces when considering legislation. These workplaces were places such as hospices, prisons, and long-stay residential care establishments, which are also places of residence. We can see good reason for treating these workplaces differently to recognise the human rights of those people that call such places home.

Q20: Why are the people who work in places where smoking will be allowed to take place not protected from secondhand smoke?

A: [see answer 19]

The consultation sets out requirements for rooms in premises where people can smoke, which will protect against drift of secondhand smoke into other areas of the premises. This includes the requirement for closing doors to the room.

Q21: Am I going to be guaranteed a smoke-free hotel room? What is to stop the hotelier letting the room as smoking one day and smoke-free the next?

A: While smoke-free legislation will not guarantee that people will get a smoke-free hotel room, the regulations require that hotel proprietors must designate in writing which rooms are not smoke-free and ensure that hotel rooms for smoking are clearly signed.

As the popularity of non-smoking hotels rooms is high, we are sure that people will not have too much trouble finding smoke-free hotel accommodation.

Q22: I am a health visitor, can I insist the client stop smoking when I visit them at home?

A: The proposed regulations will not require that, but home visitors can always ask a resident not to smoke during home visits.

Q23: Won’t the 50% rule on defining “substantially enclosed” lead to confusion?

A: All enclosed and substantially enclosed public places and workplaces will be required to be smoke-free.

It is our intention that the regulations make clear what is meant by an “enclosed” and “substantially enclosed” premises, and what is not. We are proposing following the definitions that are within Scotland’s smoke-free legislation, so we can create a consistency in this respect, which should help business.

Not only are we making clear in regulations what we mean by enclosed and substantially enclosed, but we will also make it clear in guidance that we will publish once regulations have been formally laid.

VEHICLES

Q24: I am a mini cab driver, can I smoke in my own vehicle if I don’t have any passengers?

A: No. Under the regulations, all vehicles used for public transport will be required to be smoke-free at all times. This means that a member of the public will know that whenever they use public transport of whatever type, it will be free from hazardous secondhand smoke.

Q25: Will the regulations include all company vehicles?

A: Where a vehicle is used as a workplace by more than one person, regardless of whether they are in the vehicle at the same time, it will be required to be smoke-free at all times. This protects shift and other workers who use the same vehicle from the health risks associated with secondhand smoke.

Smoking will, however, be permitted in vehicles that are for the sole use of the driver and are not used as a workplace by anyone else, either as a driver or passenger.

Q26: Can I smoke in my privately owned vehicle?

A: We are not proposing that smoke-free legislation extends to privately owned vehicles.

Q27: Can you smoke on train platforms?

A: This would depend on whether the platform was substantially enclosed or not.

Q28: How will I know whether or not they are substantially enclosed?

A: Those with responsibility for the train station will be expected to ensure that appropriate signage is in place, so travellers can be sure where they can and cannot smoke.

Q29: I share a company vehicle with one other person. We are both smokers and want to smoke in that vehicle. Why shouldn’t we?

A: This legislation has been developed to protect both smokers and non-smokers from secondhand smoke.

ENFORCEMENT

Q30: Fines are very well, but if the publican of my local persistently fails to provide a smoke-free environment, shouldn’t they lose their licence?


A: There is no provision in smoke-free legislation for offences to result in a review of a pub’s licence. We believe the penalties described in the regulations are a sufficient deterrent, and we expect that pubs and other hospitality venues will want to comply with the legislation to make their premises a better and more healthy place to visit and work.

Q31: Who’s going to enforce all of this – the smoke police?


A: Within regulations, we propose that enforcement will be a matter for local authorities, who will appoint their enforcement officers. In England, we envisage that this would likely be local environmental health officers, but local authorities may wish to appoint other officers, including for example, trading standards or local enforcement officers.
Nevertheless, we know from the experience of other countries that smoke-free legislation is largely self-enforcing.

Q32: Who do I call if I see someone smoking – is there going to be an 0800 number?


A: Yes. Further details will be made public in due course.

Q33: I am a landlord of a busy pub, what do I do if I cannot get someone to stop smoking on my premises? Who do I call – the police?

A: In such situations, management should follow their standard procedures as they would in other situations where a customer was behaving in an unacceptable and unco-operative manner.

Q34: Why are only local authorities expected to enforce this legislation? Why not the Health & Safety Executive, the Police and Community Safety Wardens? Surely the more people who are authorised, the greater the deterrent?

A: To ensure consistency of enforcement across England. Local authorities are also responsible for enforcement in Scotland which we understand is working well.

Q35: When will we know when the proposed new legislation will be implemented?

A: The Government has said that smoke-free legislation will come into force in Summer next year, and will make an announcement about a actual implementation date in the near future.

Q36: How soon after the new legislation has been implemented will the enforcers be inspecting workplaces for non-compliance?

A: Enforcement officers will be working closely with businesses in the lead up to implementation in order to build understanding of the requirements of the legislation and will be on-duty to ensure compliance is maintained once the legislation comes into force next Summer.

Q37: What funding will local authorities receive to make this work, and when will it arrive?

A: As set out in the Choosing Health White Paper in 2004, the Government is committed to provide adequate funding for local authorities to undertake this work, in line with the New Burdens Doctrine. The funding will arrive in due course.

SIGNAGE

Q38: Will there be requirement for signage in smoke-free areas?

A: Yes. All premises and vehicles that are required to be smoke-free will have to display signs as set out in the consultation.

Q39: Whose name will go onto the no-smoking signage?

A: The regulations do not require signs to carry anyone’s name. However, organisations may choose to do this should they wish to. People who want to make a complaint about smoking in a smoke-free place should speak to the manager of the premises.

Q40: Who will be responsible for providing signs for company vehicles?

A: Anyone with management responsibilities for the vehicle will be required to ensure signage that meets requirements is displayed.

Q41: Where will the signage be available from and when will it be available?

A: The Department of Health will make signage available on request and via a website in the lead up to the law coming into place. However, the onus will be on individuals with management responsibility for smoke-free premises or vehicles to ensure that signage that meets requirements is in place.

Q42: Will the signage be the same as the signage in Scotland?

A: Through consultation with stakeholders, we have developed signage requirements that are appropriate for England.

Q43: Will trains and trucks that travel between England and Scotland need two sets of signage?

A: Scotland’s pre-existing signage requirements will meet the signage proposals set out in the consultation.

GUIDANCE

Q44: When will we get guidance on the new law?

A: After the regulations have been approved by Parliament.

Q45: Will there be guidance available on the web to assist workplaces implement the proposed changes?

A: Yes and we intend to ensure resources are available in many forms and advice is easily accessible to assist businesses to prepare for smoke-free legislation.

Q46: Will there be clear guidance on the provision of smoking shelters?

A: As long as smoking shelters are not enclosed or substantially enclosed, they should be lawful. We will define “enclosed” and “substantially enclosed” in the proposed regulations and once finalised, in guidance that will be given to businesses.




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Smoke Free
Detailed information about the free NHS support services, and videos from real quitters talking about what worked for them.
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Team:
Food & Safety
Telephone:
01473 825890
Minicom/textphone:
01473 825878
Fax:
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Last updated on: 19 August 2011 | Date of next review: 19 August 2012

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