Smoking and vaping

Healthwatch Blackpool partnered with Public Health Blackpool and NHS Smokefree Blackpool Tobacco Addiction Treatment Service (BTATs) to understand the reasons behind the rising rates of smoking and vaping in Blackpool. Insights were gathered from adults, children and young people who smoke or vape, including recent starters, those who had relapsed, and the wider community. The aim was to understand the behaviours of people who smoke or vape, as well assessing the effectiveness of the NHS Smokefree Blackpool Tobacco Addiction Treatment Service.  They undertook a survey and focus groups.  Altogether they spoke to 1,146 people.

Most adults had never smoked or had successfully quit, though some continued due to stress, mental health, or family influence. Vaping was often used as a longterm alternative, but many worried about dependence and felt it was as harmful as smoking. The NHS Smokefree Blackpool Tobacco Addiction Treatment Service was valued, with many participants sharing positive feedback, though some suggested more tailored support, particularly for mental health, weight management, and vaping cessation. Among young people, few had smoked, but vaping was more common, often linked to stress or peer influence. Many individuals disliked smoking and wanted better education and support to reduce harm.

Overall, smoking rates appear lower, but stress, mental health, and cultural factors continue to drive both smoking and vaping. Vaping has helped some adults quit cigarettes, however it is a growing habit among children and young people. Priorities include stronger education in schools and communities, targeted campaigns, and tailored services that address both smoking and vaping alongside mental health needs. Additional measures include strengthening smoke-free policies in public spaces, enforcing restrictions to reduce youth tobacco use, and tackling environmental harms such as cigarette litter. A joined-up approach bringing together education, awareness, the NHS Smokefree Blackpool Tobacco Addiction Treatment Service, and community action could help address the challenges highlighted in this report and support Blackpool in moving toward a healthier, smoke-free future.