Local stop smoking services were established in England in 1999 and then rolled out nationally in 2000 as part of the Government’s commitment to help smokers to quit.
These services have been phenomenally successful and over the past quarter-century, Stop Smoking Services have supported over 10 million quit attempts, with more than 5 million people achieving a successful 4-week quit.
Stop smoking services in the are increasingly integrating new technologies to enhance support and improve quit rates. Across the country we have seen a move away from the traditional model of specialist services with dedicated advisors running closed groups or drop-in sessions in a range of settings, technology plays a significant role in supporting stop smoking services, offering accessible and convenient tools for smokers seeking to quit. Mobile apps, online support platforms, and AI-powered tools provide support, encouragement, and personalised guidance, making quitting more achievable.
The success of Stop Smoking Services lies in its evidence-based approach. Smokers who use these services are up to three times more likely to quit successfully compared to those who try to quit unaided. This has contributed to a steady decline in smoking rates, with adult smoking prevalence in England falling from around 26 per cent in 2000 to under 13 per cent in 2024.
Stop smoking services are crucial for pregnant women, offering support and resources to quit smoking and minimise associated risks. Services provide tailored support, including behavioural therapy and, in some cases, nicotine replacement therapy (NRT), to help women achieve a smoke-free pregnancy. 6.1 per cent of pregnant women were known to be smokers at the time of delivery in 2024-25. This is a decrease from 14 per cent in 2007-2008.
The growth of e-cigarettes has been well documented and has played a huge role. E-cigarettes are the most commonly used aid in quit attempts, with over 40 per cent of all quit attempts in the past year involving e-cigarette substantially higher than any other aid to cessation.
To support the government’s commitment to create a smoke-free generation, alongside the Tobacco and Vapes Bill, the government is investing an additional £70 million in 2025 to 2026 to support local authority led stop smoking services. The recent Spending Review reaffirmed the commitment to invest at least £80 million annually in tobacco cessation programs and enforcement over the next SR period.
As we look to the future, the 25th anniversary is not just a time for reflection but also a call to action. Our collective ambition to become smoke-free by 2030—defined as smoking rates below 5 per cent—will require a reinvigorated approach.
The Stop Smoking Services commissioned by councils have saved countless lives, prevented disease, and reduced NHS and social care costs. it’s clear that continued support and innovation are essential to achieving a smoke-free future.
