Data and Cost Calculators
ASH Ready Reckoner (Updated November 2023)
Find out the financial cost to society of smoking in local authorities, combined authorities, regions, and England. Also find estimates for wards and constituencies. Costs are in the categories of productivity, social care, healthcare and fire.
The cost total for England is £49.2 billion, which is much larger than in previous versions. This is largely because we have added the following costs:
- Reduced Gross Value Added (GVA) due to expenditure on tobacco: This is the increased value in the economy of people switching their spending from tobacco to other products. Tobacco creates few jobs in the UK and there are very small profit margins for retailers (though large profit margins for manufacturers) so it has very little benefit to local economies compared to when people buy other goods and services.
- Cost of informal care by family and friends: This is what it would cost to provide this care if it was not being delivered by unpaid carers.
- Cost of unmet care needs: This is what it would cost to provide this care if needs were fully met.
Also reported, but not included in the spend total, are green book QALY value of life lost due to smoking, annual spending on tobacco and the tobacco tax income from VAT and excise duty. The estimates for fire costs have recently been updated. So the fire cost and total cost in the Ready Reckoner are very slightly different from the CBPF guide and APPG report.
ASH ICB Ready Reckoner (Updated November 2023)
Find out the financial cost to society of smoking in ICBs and England. Costs are in the categories of productivity, social care, healthcare and fire.
The cost total for England is £49.2 billion, which is much larger than in previous versions. This is largely because we have added the following costs:
- Reduced Gross Value Added (GVA) due to expenditure on tobacco: This is the increased value in the economy of people switching their spending from tobacco to other products. Tobacco creates few jobs in the UK and there are very small profit margins for retailers (though large profit margins for manufacturers) so it has very little benefit to local economies compared to when people buy other goods and services.
- Cost of informal care by family and friends: This is what it would cost to provide this care if it was not being delivered by unpaid carers.
- Cost of unmet care needs: This is what it would cost to provide this care if needs were fully met.
Also reported, but not included in the spend total, are green book QALY value of life lost due to smoking, annual spending on tobacco and the tobacco tax income from VAT and excise duty. The estimates for fire costs have recently been updated. So the fire cost and total cost in the Ready Reckoner are very slightly different from the CBPF guide and APPG report.
ASH Economic and health inequalities dashboard (Updated November 2023)
See the smoking-related inequalities in health and wealth in local authorities, combined authorities, regions and England.
Tobacco Dependence Treatment Service ROI Calculator
A return-on-investment tool which uses the Ottawa model for Smoking Cessation to estimate the impact of fully implementing Tobacco Dependency Treatment Services (TDTS) on indicators including hospital readmissions, A&E presentations, financial savings, new bed spaces and lives saved. This data can be broken down by Foundation Trust, ICB and NHS region.
ASH ICS Briefings
Data on prevalence, impact and cost of smoking on ICS footprints; demonstrating how reducing smoking prevalence helps achieve NHS inequalities targets.
Smoking and poverty
Analysis of the impact of tobacco dependency on household finances and poverty based on national datasets.
Smoking, employability, and earnings
Analysis of the impact of smoking on employment and earnings in terms of lost income.
Smoking and social care
Analysis of local authority spend on social care due to smoking and estimate of unmet need.
External resources
OHID Local tobacco control profiles: data on key indicators and trends for your local area. Updated regularly.
Smoking Toolkit Study: UCL monthly tracking of key indicators in smoking, quitting and e-cigarettes for England.