In the UK National Health Service, Staffers Benefit From Subsidized Vapes

    Vaping is perceived differently across the pond. Instead of portraying it as a trap to lure kids to a nicotine-dependent life and pave the way to smoking, British public health authorities see what vaping can be. It was Public Health England (PHE) that commissioned the critical 2015 review that found vaping to be about 95 percent safer than smoking, adding impetus to tobacco harm reduction efforts worldwide.

    Last year, I reported on the UK National Health Service’s presentation of e-cigarettes as a measure to curtail smoking among at-risk people—including, for example, during pregnancy. Public-private partnerships have seen vape shops opening up inside several NHS facilities, as resources for patients and staff to better understand the products and potentially make the switch from smoking.

    Preliminary reports now suggest encouraging outcomes. VPZ, an e-cigarette retailer in the UK, told Filter that there has been a significant rise in uptake for its health facility-based operations.

    The company began working with University Hospital Lewisham in southeast London, providing vaping starter kits to patients in a mental health ward with high rates of nicotine dependence. This pilot program was a first for the whole country. Under the approach, patients were given vaping products as part of a broader rehabilitation plan. It was found that patients whose health and well-being improved through stopping smoking also saw other aspects of their mental health improve.

    VPZ has now instituted support schemes for NHS staffers and practitioners, and is eyeing more.

    In recent months, the company piloted a subsidized product scheme for NHS employees. According to VPZ Director Doug Mutter, this has seen record uptake in the past few weeks—he told Filter that 1,100 NHS staffers and providers used the discount scheme in the past month.

    “We can certainly see that more NHS staff are beginning their quit journey.”

    As healthcare workers worldwide are placed under extraordinary pressure, and the wider population struggles with the loneliness of isolation, there’s concern that for many, these stresses will result in increased smoking. According to a survey conducted in the first half of May, an estimated 2.2 million people in the UK are smoking more than usual in current circumstances. At the same time, however, another 1.9 million smokers are believed to have cut down.

    “The COVID-19 pandemic has brought significant focus on lung health and the wider public is more educated on respiratory conditions,” Mutter said. “This has led to an increase in smokers looking to make the switch.”

    “We can certainly see that more NHS staff are beginning their quit journey,” he continued, “but we probably will not know how many have managed to fully quit smoking until later in the year. As with all smokers, how long it takes to completely quit will vary hugely.”

    An emerging hypothesis—arising from observation of the disproportionately low numbers of smokers identified to have COVID-19 in countries like the United States and Franceposits that nicotine use may be a protective factor for the coronavirus. At the same time, those smokers who are hospitalized may experience faster progression of the disease. In this context, tobacco harm reduction products could be taking on a whole new significance.

    “It has been good to see health organizations promote vaping.”

    Doctors at the NHS hospital Royal Glamorgan, in South Wales, have noticed a similar trend of lower smoking rates among their coronavirus patients. While the evidence is still investigational, a team of doctors there is calling on health regulators to consider nicotine patches as a potential treatment option for coronavirus patients.

    For all the favorable comparisons to be made with the US vaping landscape, the UK scene is not all positive, making the promising signs from VPZ’s projects all the more welcome.

    “We have seen stop-smoking services in the UK hammered with budget cuts in recent years, and with stores closed, most smokers will not have been able to access the help needed to aid them in quitting,” Mutter said. “It has been good to see health organizations promote vaping.”


    Photo via Wikimedia Commons/

    • Michael is a journalist and researcher. His work has been supported by the Knowledge-Action-Change Tobacco Harm Reduction Scholarship program; the independently administered scholarship is supported by a grant from the Foundation for a Smoke-Free World. Michael is also the journalist-in-residence and visiting research fellow in tobacco and drug harm reduction policy at the American Consumer Institute, Center for Citizen Research. He conducts consumer-oriented and behavior research on the impacts of public health regulations on people who use drugs, especially nicotine. His work has appeared in the Wall Street Journal, the Hill and the South China Morning Post. He lives in Colorado.

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