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Health Promotion International Advance Access originally published online on July 9, 2009
Health Promotion International 2009 24(3):262-268; doi:10.1093/heapro/dap023
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© The Author (2009). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

PERSPECTIVES

The evolution of a UK regional tobacco control office in its early years: social contexts and policy dynamics

Andrew Russell1,*, Serena Heckler2, Martin White3, Soumen Sengupta4, David Chappel5, David J. Hunter2, James Mason2, Eugene Milne6 and Susan Lewis2

1Medical Anthropology Research Group, Department of Anthropology, Durham University, Dawson Building, South Road, Durham DH1 3LE, UK 2 Durham University, Durham, UK 3 Institute of Health and Society, Newcastle University, Newcastle-upon-Tyne, UK 4 West Dunbartonshire Community Health Partnership, Dumbarton, UK 5 North East Public Health Observatory, Stockton-on-Tees, UK 6 North East Strategic Health Authority, Newcastle-upon-Tyne, UK

* Corresponding author. E-mail: a.j.russell{at}durham.ac.uk


  Abstract

The Smoke Free North East Office (SFNEO) is the first dedicated tobacco control office in the UK coordinating a regional tobacco control network, Smoke Free North East (SFNE). On the basis of ethnographic research conducted between 2006 and 2008, this article examines the context for SFNEO's emergence at this time and in this region of England, and the main policy and practice challenges it has faced in its early years. SFNE formed in a favourable political and cultural climate, although regional champions were crucial in setting it up. It has worked well in branding itself and in taking advantage of the opportunity to lobby in support of comprehensive smoke-free legislation, although the success of the legislation presents a risk that people will regard SFNE's work as finished. There is a need for independent sustainable funding, strong partnership working and the ‘bringing together’ of existing organizations under its leadership for an organization such as SFNE to succeed. SFNE offers a model that is transferable to other places as well as to other public health concerns such as alcohol, and has been taken up by public health planners and policy makers with alacrity. This indicates a general perception that SFNE plays an effective role in public health delivery.

Key words: tobacco control; public health practice; public policy; England


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