I agree wholeheartedly with the need for evidence based solutions, especially when you think about the sheer cost; Where is the evidence to say that giving responsibility to local authorities will work?
Thanks David - a thoughtful response - my twopenn'orth on the tobacco control plan - shame that there is not a specific inequalities dimension to the 3 'ambitions' that are set out - they all seem to relate to the population as a whole. Maybe I have missed a bit of detail here? Approximately 20% of the actions are about implementing or continuing with Labour Government policy - which is not a bad thing - much of this was championed by PH leaders. There is a strong focus on the role of local areas - local authorities in particular - with words being used like 'encourage' and 'support' I suppose the question will be materially what do these words mean - particularly given the cuts to key local authority services such as trading standards. There are a range of tentative actions such as 'review' and 'research' which seems partly a desire to check out the impact of new territory such as the internet and also to test confidence in initiatives such as smokefree legislation. The most confident sections seem to relate to national marketing and guidance production - and the final 2 chapters on information/intelligence and protecting tobacco control from vested interests have no key actions - maybe the author(s) got tired or the minister was less keen on this - draw your own conclusions. Final comments - feels like a rather conservative and tentative document - largely describing what is - did not get a feeling for a new relationship with citizens or the voluntary sector - where is the Big Society here? - similarly there was minimal mention of primary care and its contribution - maybe this is because the current service delivery models are more or less fine?