Open consultation

Implementing inserts in cigarette and hand rolling tobacco packaging

Published 25 November 2025

Introduction

The case for change

People deserve to live in a fairer UK where everyone lives well for longer. Addressing the main causes of ill-health and tackling persistent inequalities in health will help us create a healthier country.

The governments of all 4 nations have set out ambitious plans to create a smoke-free UK and shift the dial from sickness to prevention. We are committed to creating a smoke-free UK and protecting future generations from the harms of tobacco and risks of nicotine addiction. This includes ambitious plans to:

• reduce smoking prevalence and support people to stop smoking
• improve the long-term health outcomes associated with smoking, including reducing deaths from cancer, cardiovascular disease and stroke
• stop young people vaping

These ambitions are outlined in:

• the 10 Year Health Plan for England
• Scotland’s Population Health Framework and Tobacco and vaping framework: roadmap to 2034
• the Tobacco control strategy for Wales and delivery plan
• the Ten year tobacco control strategy for Northern Ireland

Together, these strategies share a common goal: to secure a healthier future for the next generation.

The impacts of tobacco

Smoking remains a significant public health concern. While adult smoking prevalence continues to decrease across the UK, the Office for National Statistics’ Adult smoking habits in the UK: 2024 reported that 5.3 million people aged 18 years or over were current smokers. This was 10.6% of adults across the UK, and:

• 10.4% in England
• 12% in Scotland
• 11.4% in Wales
• 10.5% in Northern Ireland

Tobacco is a uniquely harmful product, and smoking is the single most entirely preventable cause of ill health, disability and death in the UK. It is responsible for around 80,000 deaths a year, including around:

• 64,000 deaths per year in England (as reported by the Department of Health and Social Care in Smoking profiles)
• 8,900 deaths per year in Scotland (as reported by the Scottish Public Health Observatory in Tobacco use: smoking attributable deaths)
• 3,800 deaths per year in Wales as reported in analysis by Public Health Wales)
• 2,100 deaths per year in Northern Ireland (as reported by the Department of Health in Northern Ireland in Health inequalities statistics)

Up to two-thirds of deaths in current smokers can be attributed to smoking (Banks and others, 2015) and smoking causes harm throughout people’s lives, not only for the smoker but for people around them. It is a major risk factor for poor maternal and infant outcomes, significantly increasing the chance of stillbirth and asthma in children (Marufu and others, 2015; He and others, 2020).

Smoking also causes around 1 in 4 of all cancer deaths in England (NHS England, 2023), and the NHS page on lung cancer reports that smoking is responsible for the majority of lung cancer cases. It is also a major cause of premature heart disease, stroke and heart failure and increases the risk of dementia (Livingston and others, 2020). Smokers lose an average of 10 years of life expectancy, or around 1 year for every 4 smoking years (Royal College of Physicians, 2018).

As a result, smoking puts significant pressure on the NHS. In England, for example, almost every minute of every day someone is admitted to hospital because of smoking (NHS England, 2023). Analysis by Cancer Research UK has shown that up to 75,000 GP appointments could be attributed to smoking each month, which is equivalent to over 100 appointments every hour.

Smoking also causes socioeconomic and geographic inequality in health outcomes. A total of 230,000 households in the UK live in smoking-induced poverty and the children of smokers are 3 times as likely to start to smoke, perpetuating the cycle of disadvantage (Nyakutsikwa and others, 2022; Turner-Warwick, 1992). Three-quarters of smokers wish they had never started smoking but are unable to quit due to the addictive nature of tobacco.

Current packaging requirements

The UK is a global leader in tobacco control and our legislation is one of the most comprehensive in the world, as confirmed by the Tobacco Control Scale. The tobacco packaging regulations already in place are:

• The Standardised Packaging of Tobacco Products Regulations 2015 (SPOT)
• The Tobacco and Related Products Regulations 2016 (TRPR)

Under SPOT, both cigarettes and hand rolling tobacco are already subject to strict regulations, including standardised packaging (for example specified packet shape, material and colour), minimum amounts within packs and appearance requirements.

Under TRPR, all unit packs and container packs of tobacco products must have a combined health warning (consisting of a text warning and coloured photograph) on the packaging.

Pack inserts

Pack inserts are positive quit-themed messages and advice inside tobacco packets to help smokers to quit. They could help complement the existing regulations on tobacco packaging, such as standardised packaging and health warnings on the outside of packaging.

Pack inserts were first introduced in Canada in 2001, and were also introduced in Australia in 2025. Studies suggest that tobacco pack inserts can increase the likelihood of smokers making a quit attempt, by providing motivational stop smoking messages and information on the benefits of quitting (Thrasher and others, 2015).

We estimate that there would be around 30,000 successful quits over the first 2 years if pack inserts were introduced for cigarettes and hand rolling tobacco in the UK. For more information, see the ‘draft impact assessment’ in our previous consultation Mandating quit information messages inside tobacco packs.

Previous consultation on pack inserts

The Department of Health and Social Care (DHSC) led the previous UK-wide consultation, which ran from 14 August to 10 October 2023. The responses to the consultation showed support for the proposal, with respondents sharing that pack inserts would encourage smokers to quit and that secondhand smoke exposure would be reduced because of the reduced number of smokers.

In our response to the 2023 consultation, we said that we would look to mandate pack inserts in tobacco products on a UK-wide basis in 2 phases.

For the first phase, we committed to mandate pack inserts in cigarette and hand rolling tobacco packaging as these products are already subject to strict tobacco packaging requirements in the UK under SPOT and TRPR.

For the second phase, we will look to extend the legislation on pack inserts to cover all tobacco products, tobacco-related devices, cigarette papers and herbal smoking products. We ran a call for evidence on Standardised packaging for all tobacco products between 5 November 2024 and 28 January 2025, and we’ll publish our analysis of the information received in due course.

Design research

As part of this first phase, we’ve worked with a design agency to examine the current packaging on the market for cigarettes and hand rolling tobacco and consider practical options for introducing pack inserts. The agency surveyed and interviewed tobacco manufacturers about:

• the different types of cigarette and hand rolling tobacco products currently sold in the UK
• the prevalence of each pack format
• how the packs are produced
• the practicalities of various options for implementing pack inserts

We have also continued to examine the evidence available internationally, particularly in Canada and Australia. Drawing on this, the design agency has developed detailed proposals on how to implement the pack inserts.

The design agency contacted 18 manufacturers of cigarettes and/or hand rolling tobacco products as part of the market research. Of the 13 manufacturers that acknowledged receipt, one declined to be involved. Questionnaires were sent to the 12 remaining manufacturers. These questionnaires included questions on:

• current cost breakdowns
• print specifications
• possible changes required
• timings
• associated costs

Six manufacturers completed questionnaires and had video calls to discuss the results. Samples of packaging types were also sent to the agency.

Territorial extent

Health policy is a devolved matter in Scotland, Wales and Northern Ireland, so there are different regulatory regimes across the UK. The UK government and devolved governments will work together to ensure as far as possible that recommendations and actions are adopted in a consistent manner across the UK to ensure regulatory alignment.

The UK government is running this consultation on behalf of all 4 nations.

Tobacco industry declaration

The UK is a party to the World Health Organization Framework Convention on Tobacco Control and so has an obligation to protect the development of public health policy from the vested interests of the tobacco industry. To help us meet this obligation, we ask all respondents to disclose whether they have any direct or indirect links to, or receive funding from, the tobacco industry.

Consultation overview

What we’re asking about

This consultation seeks to gather views on the detailed proposals on how to implement pack inserts inside the packaging of cigarettes and hand rolling tobacco. It asks questions about the:

• placement of pack inserts in packaging
• shape and size of pack inserts
• material to use for pack inserts
• messaging and imagery on pack inserts
• equal use of messaging
• access to pack inserts messaging
• implementation timelines

Who we want to hear from

We are interested in hearing from individuals and organisations with relevant experience, such as manufacturers of cigarettes and hand rolling tobacco packaging, and public health experts.

Placement of pack inserts in packaging

Cigarette and rolling tobacco packaging in the UK

There are different types of cigarette packaging available on the UK market, including:

• flip-top (a card box with a resealable flip lid)
• soft shell (a soft material with an outer sleeve)
• shoulder hinged boxes (a card box with a hinge opening like a clam shell style)

Most cigarette packaging on the UK market is a flip-top design.

There are also different types of hand rolling tobacco packaging available on the UK market, including:

• wrap-around pouches (soft plastic folded or wrapped, and sealed)
• cylinders (a card tube with plastic lid)
• standing pouches (a soft plastic bag with a flat base and sealed at the top)

Most hand rolling tobacco packaging on the UK market is a wrap-around pouch design.

Previous proposals for pack inserts and packaging

In our response to the consultation ‘Mandating quit information messages inside tobacco packs’, we said that we intended to incorporate pack inserts into the internal packaging of these products:

• for hand rolling tobacco, we said we intended to incorporate inserts on the inner flap
• for cigarettes, we said we intended to change to a slide and shell pack design (a box with an outer sleeve and an inner sliding compartment) in line with Canada

However, the further research we have undertaken reflects that the above proposal on cigarettes would require a move away from the most common types of cigarette packaging currently available in the UK. So, we have decided not to pursue this approach at this stage.

Proposals for placement of inserts in flip-top cigarette packaging

For flip-top cigarette packaging, we propose that loose inserts are placed between the cigarette bundle, outside of the foil wrap, and the inner frame of the packet as shown in figure 1. The inserts should be easily removable and not attached to the rest of the packaging in any way.

Based on our research, we know that it is possible for manufacturers to incorporate loose inserts into existing flip-top packs. Evidence shows that this format can be effective since the inserts can be retained (for example, in pockets or purses) and would remain visible after being removed (for example, around the house) (Moodie and others, 2023).

Our research found that existing production lines could be adapted with new machine tooling to add an insert after the cigarettes are bundled. Manufacturers would need to test:

• adaptions to the inner frame
• gluing options
• for quality control

Figure 1: placement of a loose insert in flip-top cigarette packaging

Figure 1 shows an example of how a pack insert could be placed inside flip-top cigarette packaging. It shows the insert (in green) outside the pack, then shows it when it’s been inserted into the pack between the cigarette bundle and the inner frame of the packet.

Proposals for placement of inserts in soft pack cigarette packaging

For soft pack cigarette packaging, we propose that the insert is folded lengthwise twice and added in the side of the package. Part of the back of the insert would have the text health warning on it, as shown in figure 2.

Figure 2: placement of a loose insert in soft pack cigarette packaging

Figure 2 shows an example of how a pack insert could be placed inside soft pack cigarette packaging. It shows the insert in one side of the pack, then what it looks like when it’s taken out of the pack and unfolded.

Proposals for placement of inserts in shoulder hinged cigarette packaging

For shoulder hinged cigarette packaging, we propose that the inserts are placed inside the pack, on top of the bundled cigarettes, as shown in figure 3.

There is no precedent for incorporating pack inserts into these pack types because they do not exist in Canada or Australia. However, it may be a practical way for manufacturers to implement pack inserts into these packaging types, while ensuring that the inserts are visible.

Figure 3: placement of a loose insert in shoulder hinged cigarette packaging

Figure 3 shows an example of how a pack insert could be placed inside shoulder hinged cigarette packaging. It shows the packaging closed, then shows it open, with a green insert laid on top of the bundled cigarettes in the pack.

Proposals for placement of messaging in wrap-around hand rolling tobacco packaging

For wrap-around hand rolling tobacco packaging, we propose that the quit messaging is printed on the inner surface of the flap, as shown in figure 4. The messaging must be positioned below the upper text health warning, as the text health warning is positioned at the top edge of the pack when the pack is fully opened. The quit messaging must be visible and not covered by packaging seals.

This is different to Australia, where loose inserts are added to the tobacco or glued onto the pouch, but is the same approach as some wrap-around packaging used in Canada. Based on our research, we think that this is practical for manufacturers to implement, as the quit messaging can be printed at the same time as the existing text health warning messages.

Our research found that existing machinery could be adapted by changing the artwork. Manufacturers would need to test this to avoid colour showing through to the outside of the pack. During our research, we heard from manufactures that said they could only print 2 colours, so we have designed the quit messaging with this in mind.

Figure 4: placement of printed messaging on wrap-around hand rolling tobacco packaging

Figure 4 shows an example of placing printed messaging on wrap-around hand rolling tobacco packaging, with a pink rectangle indicating the placement of the messaging in the middle of the packaging, between the 2 text health warnings.

Proposals for placement of inserts in cylinders and standing pouches for hand rolling tobacco packaging

For hand rolling tobacco packaged in cylinders and standing pouches, we propose that the inserts are placed inside the packs with the tobacco, as set out in figures 5 and 6.

Based on our research, we think this proposal is a practical way for manufacturers to implement inserts into these pack types. Our research found that changes to the production line would be needed to add an insert to the packaging. Manufacturers would need to test this.

Figure 5: placement of a loose insert in cylinder hand rolling tobacco packaging

Figure 5 shows an example of placing pack inserts in cylinder hand rolling tobacco packaging. It shows a closed cylinder with a health warning on the lid, and a cylinder open with an insert (in green) going inside.

Figure 6: placement of a loose insert in standing pouch hand rolling tobacco packaging

Figure 6 shows an example of placing pack inserts in a standing tobacco pouch. It shows 3 views of the pack, which are a:

• side view with the pack closed
• view of the bottom of the pack showing a text health warning
• side view with the pack opened and an insert (in green) going inside

Shape and size of pack inserts

Packaging shapes and sizes in the UK

Due to the wide range of packaging shapes and sizes currently available on the UK market, one size of messaging would not work across all cigarette and hand rolling tobacco packs.

From our research we know there are a range of cigarette sizes, ranging from 69 millimetres (mm) to 99mm long sticks.

The pack dimensions also vary, ranging from:

• 48mm to 85mm in width
• 50mm to 103mm in height

There are also variables in the design of the packaging, as corners of the packaging can be bevelled (cut or printed with a sloped edge), rounded or squared. So, different insert sizes are necessary for implementation.

The messaging must be smaller than the outer packaging, so that it can either fit inside the pack and be easily removed, or printed to fit onto the existing packaging. At the same time, the inserts must be as large as practically possible to ensure that the messaging is prominent.

Proposals for the shape and size of inserts in flip-top and shoulder hinged cigarette packaging

For flip-top and shoulder hinged cigarette packaging, we propose that the inserts are sized based on the pack’s outer dimensions, which vary widely, but reduced by 8mm in both width and height.

Our research suggested this would allow for the inserts to be as large as possible, while also fitting within packs and being easily removable.

Proposals for the shape and size of inserts in soft pack cigarette packaging

For soft pack cigarette packaging, we propose that the inserts must measure 48mm wide by 95mm high, and when folded, 16mm wide and 95mm high.

Our research suggested this would allow for the inserts to be as large as possible, while also fitting within packs and being easily removable.

Proposals for the shape and size of messaging in wrap-around hand rolling tobacco packaging

For hand rolling tobacco wrap-around pouch packs, we propose the quit messaging must measure 115mm wide by 63mm high.

This has been chosen based on the design agency’s research, which established that these dimensions cover the range of different wrap-around packaging sizes. For example, from our research we know that pack dimensions vary, ranging from:

• 135mm to 154mm in width
• 75mm to 80mm in height (when the pack is closed)

The volume of product can also vary, ranging from 30 grams (g) to 50g.

Proposals for the shape and size of inserts in cylinders and standing pouches for hand rolling tobacco packaging

For hand rolling tobacco packaged in cylinders and standing pouches, we propose that the inserts must measure 55mm wide by 80mm high.

Our research found that these dimensions would be appropriate for the varying sizes of other hand rolling tobacco packaging, which can range in volume from 50g to 200g.

Proposals for the size and shape of all inserts and quit messaging

For all inserts, both loose and printed, we propose that they are rectangular in shape. This would mean that the messaging on the insert is not distorted or cut off.

We also propose that the inserts and quit messaging must not be bevel shaped or embellished in any way. This is because these features can impact the size of the quit-themed messaging, and we want to ensure that it takes up the full space available.

Material to use for pack inserts

Proposals for the material of loose inserts

We propose that loose inserts must be recyclable and coated with a clear, protective matt finish. The clear coating must not prevent the insert from being recycled. Requirements on recyclability and coating are the same as the requirements in Australia and the coating makes the insert more durable.

While evidence has shown that implementing inserts will not create a substantial amount of additional litter (Gascoyne and others, 2025), we want to ensure that where possible we can minimise any negative effect on the environment.

Proposals for the paperweight of inserts in flip-top and shoulder hinged cigarette packaging

For flip-top and shoulder hinged cigarette packaging, we propose that the inserts must be printed on 180 grams per square metre (gsm) paper.

Our research found that this would mean the insert is rigid enough to be easily removed from the pack and retained, or placed back in if necessary. We think this would be a suitable weight to minimise bending or folding.

Proposals for the paperweight of inserts in soft pack cigarette packaging

For soft pack cigarette packaging, we propose that the inserts must be printed on 80gsm paper, to allow for the folding required.

Proposals for the material of wrap-around hand rolling tobacco packaging

For wrap-around hand rolling tobacco packaging, we propose that quit messaging must be printed directly onto the packaging and the pouch must be coated with the same protective finish that is currently used. This will not require any additional material and can avoid any negative effect on the environment.

Proposals for the paperweight of inserts in cylinders and standing pouches for hand rolling tobacco packaging

For hand rolling tobacco packaged in cylinders and standing pouches, we propose that the inserts must be printed on 200gsm paper.

To maintain their shape and prevent damage, our research found that these inserts should be more rigid and robust than those used in the cigarette packaging. This is because they may be subject to more pressure from the product itself once packed.

Messaging and imagery on pack inserts

Research on messaging and imagery

We commissioned the University of Stirling to research the messaging and imagery on pack inserts (Moodie and others, 2023). This involved working with experts and holding focus groups to test 8 themes of messaging that are similar to the themes found on pack inserts in Canada and Australia. These were:

• mental health
• physical health
• conception and pregnancy
• financial benefits
• stop-smoking aids
• quitting in older age
• perseverance
• cravings

Their research found that participants viewed the use of motivational and supportive messaging positively. Participants also felt that different themes could be helpful for quitting.

Since that research, we have worked with the design agency to refine the messaging for final use and create 8 messages for both cigarette and hand rolling tobacco packaging.

Proposals for messaging on the front of loose inserts

We propose the following messaging for the front of loose inserts in cigarette packs and cylinders and standing pouches for hand rolling tobacco packaging (see figure 7). To ensure that the inserts are easy to read, we propose that these must be printed in portrait orientation.

Figure 7: messaging for the front of loose inserts

Figure 7 shows the proposed front of 8 example pack inserts. They feature a range of colours, pictures, written information and advice on quitting smoking. Each insert is based on a positive theme for why people should quit smoking, including that:

• quitting can benefit your health
• quitting can improve your mental health
• quitting will save you money
• quitting is healthier for you and your baby
• it’s never too late to quit
• controlling cravings can help you quit
• being persistent can help you stop smoking
• stop smoking aids can help you quit

Proposals for messaging on the back of loose inserts

We propose that the loose inserts are printed on both sides, with messaging printed on the back, again in portrait orientation, as shown in figure 8.

This messaging has a QR code and web address that take users to the NHS Better Health UK quit smoking services page where they will be directed to stop smoking services and other support in each of the UK 4 nations.

It also includes the logos for:

• NHS (in England)
• NHS Scotland
• NHS Wales (GIG Cymru)
• Health and Social Care (Northern Ireland)

Figure 8: messaging for the back of loose inserts

Figure 8 is an example of the proposed back of loose pack inserts. It features a QR code, website link and healthcare logos as described above. For soft pack cigarette packaging, part of the back of the insert would also have the text health warning on it.

Proposals for messaging on the printed quit messaging for wrap-around hand rolling tobacco packaging

We propose the following quit messaging in wrap-around hand rolling tobacco packaging (see figures 9 and 10). This is the same messaging as shown on the loose inserts in figure 7. Since this messaging will only have one side, it includes the QR code and web address, as well as the healthcare logos of each of the 4 UK nations. To ensure that the inserts are easy to read, we propose that these must be printed in a landscape orientation.

Figure 9: messaging for printed quit messaging for wrap-around hand rolling tobacco packaging (4 examples)

Figure 10: messaging for printed quit messaging for wrap-around hand rolling tobacco packaging (4 examples)

Figures 9 and 10 show the 8 examples of the proposed printed quit messaging for wrap-around hand rolling tobacco packaging.

These messages are the same as the messages on the front of the loose inserts, as shown and described in figure 7. However, they also include the QR code, web address and healthcare logos, as described above in figure 8, that are on the back of the loose inserts.

Proposals for inks of loose inserts and printed quit messaging

For both loose inserts and printed quit messaging, we are considering whether the inserts can be printed in either CMYK (cyan, magenta, yellow, and black (key)) or spot colours (pre-mixed Pantone inks), depending on the type of insert.

Our research found that some manufacturers have limitations on the colours they can print, so the option for CMYK or spot colours would ensure the messaging can be printed as intended.

Further proposals

Equal use of messaging

We propose that across cigarette and hand rolling tobacco packaging, the different insert messages should appear in, or on, equal numbers of retail packages, including different brand families, brands, packaging sizes and types. This will ensure that users are exposed to as many of the insert messages as possible.

Evidence shows that rotating messaging can increase users’ perception of the messaging (Du and others, 2025). This is similar to the approach taken for pack inserts equal use in Canada and Australia, and also combined health warnings in the UK.

Access to pack inserts messaging

We propose that manufacturers will access the pack insert messaging though an online platform called DH eXchange. Manufacturers currently access the combined health warnings through this platform.

Implementation timelines

We propose that manufacturers have a maximum of 12 months after the regulations are made to implement the requirements in legislation. This would include a period to allow manufacturers to sell their existing stock, to minimise waste.

Our research found that inserts could be implemented in between 2 and 24 months. A 12-month implementation timeline is the same as the time manufacturers were given to implement inserts in Australia.

How to respond

Please respond using the online survey.

Do not provide personal data when responding to free-text survey questions. Any personal data included will be removed before analysis of these responses, so will not be considered in the consultation outcome.

The consultation is open for 8 weeks and will close at 11:59pm on 20 January 2026. If you respond after this date, your response will not be considered.

If you have any queries on this consultation, contact tobaccocontrol@dhsc.gov.uk. Do not send your consultation answers or any personal information to this email address.

Next steps

We will use the responses we receive to inform the drafting of the statutory instrument that will mandate pack inserts in cigarette and hand rolling tobacco packaging.

We are currently updating our final impact assessment, which will be informed by the outcome of this technical consultation. The previous impact assessment on this policy was published in the consultation ‘Mandating quit information messages inside tobacco packs’.

Consultation questions

About you

In what capacity are you responding to this survey?

• An individual sharing my personal views and experiences
• An individual sharing my professional views
• On behalf of an organisation

Do you have any direct or indirect links to, or receive funding from, the tobacco industry?

• Yes
• No

Questions for individuals sharing their personal or professional views

Where do you live in the UK?

• England
• Scotland
• Wales
• Northern Ireland
• I live outside the UK

Questions for individuals sharing their professional views

What sector do you work in? (Optional)

• Public sector
• Private sector
• Not for profit
• Other, please specify

What is the main area of focus of your work? (Optional)

• Academic
• Advocacy
• Armed forces
• Construction
• Education
• Emergency services
• Finance
• Healthcare
• Hospitality
• Housing
• Insurance
• Justice system
• Legal
• Local government
• National government
• Retail
• Social care
• Sport
• Transport
• Wholesale retail
• Other, please specify

Questions for people responding on behalf of an organisation

What is the name of your organisation? (Optional)

Where does your organisation operate or provide services? Select all that apply. (Optional)

• England
• Wales
• Scotland
• Northern Ireland
• The whole of the UK
• Outside the UK

What type of organisation are you responding on behalf of? (Optional)

• Business
• Not for profit
• Academic institution
• Public sector body
• Other, please specify

What is the main area of focus of your organisation’s work? (Optional)

• Academic
• Advocacy
• Armed forces
• Construction
• Education
• Emergency services
• Finance
• Healthcare
• Hospitality
• Housing
• Insurance
• Justice system
• Legal
• Local government
• National government
• Retail
• Social care
• Sport
• Transport
• Wholesale retail
• Other, please specify

Placement of pack inserts in packaging

We have included a short summary and the images for all the proposals in the survey. The full proposals, including images, are in the relevant sections above.

Cigarette packaging

For flip-top cigarette packaging, we propose that loose inserts are placed between the cigarette bundle and the inner frame of the packet. The inserts should be easily removable and not attached to the rest of the packaging in any way.

Do you agree or disagree with the proposed placement of inserts for flip-top cigarette packaging? (Optional)

• Agree
• Disagree
• Don’t know

For soft pack cigarette packaging, we propose that quit messaging is folded lengthwise twice and added in the side of the package.

Do you agree or disagree with the proposed placement of inserts for soft pack cigarette packaging? (Optional)

• Agree
• Disagree
• Don’t know

For shoulder hinged cigarette packaging, we propose that the inserts are placed inside the pack, on top of the bundled cigarettes.

Do you agree or disagree with the proposed placement of inserts for shoulder hinged cigarette packaging? (Optional)

• Agree
• Disagree
• Don’t know

If you have any comments on the proposed placement of inserts for cigarette packaging, please include them here. (Optional, maximum 500 words)

Hand rolling tobacco packaging

For wrap-around hand rolling tobacco packaging, we propose that instead of a pack insert, the same quit messaging is printed on the inner surface of the flap. The messaging must be positioned below the text health warning as the text health warning is positioned at the top edge of the pack when the pack is fully opened. The quit messaging must be visible, and not covered by packaging seals.

Do you agree or disagree with the proposed placement of messaging for wrap-around hand rolling tobacco packaging? (Optional)

• Agree
• Disagree
• Don’t know

If you have any comments on the proposed placement of messaging for wrap-around hand rolling tobacco packaging, please include them here. (Optional, maximum 500 words)

For hand rolling tobacco packaged in cylinders and standing pouches, we propose that the inserts are placed inside the packs with the tobacco.

Do you agree or disagree with the proposed placement of inserts for cylinder and standing pouch packaging of hand rolling tobacco? (Optional)

• Agree
• Disagree
• Don’t know

If you have any comments on the proposed placement of inserts for cylinder and standing pouch packaging of hand rolling tobacco, please include them here. (Optional, maximum 500 words)

Shape and size of pack inserts

Cigarette packaging

For flip-top and shoulder hinged cigarette packaging, we propose that the inserts are sized based on the pack’s outer dimensions, but reduced by 8mm in both width and height. 

Do you agree or disagree with the proposed sizing of inserts for flip-top and shoulder hinged cigarette packaging? (Optional)

• Agree
• Disagree
• Don’t know

For soft pack cigarette packaging, we propose that the inserts must measure 48mm wide by 95mm high, and when folded, 16mm wide and 95mm high.

Do you agree or disagree with the proposed sizing of inserts for soft pack cigarette packaging? (Optional)

• Agree
• Disagree
• Don’t know

If you have any comments on the proposed sizing of inserts for cigarette packaging, please include them here. (Optional, maximum 500 words)

Hand rolling tobacco packaging

For wrap-around hand rolling tobacco packaging, we propose the printed quit messaging must measure 115mm wide by 63mm high. 

Do you agree or disagree with the proposed sizing of messaging for wrap-around hand rolling tobacco packaging? (Optional)

• Agree
• Disagree
• Don’t know

If you have any comments on the proposed sizing of messaging for wrap-around hand rolling tobacco packaging, please include them here. (Optional, maximum 500 words)

For hand rolling tobacco packaged in cylinders and standing pouches, we propose that the inserts must measure 55mm wide by 80mm high.

Do you agree or disagree with the proposed sizing of inserts for cylinder and standing pouch packaging of hand rolling tobacco? (Optional)

• Agree
• Disagree
• Don’t know

If you have any comments on the proposed sizing of inserts for cylinder and standing pouch packaging of hand rolling tobacco, please include them here. (Optional, maximum 500 words)

Shape of loose inserts and printed messaging

We propose that loose inserts and printed messaging are rectangular in shape. They must not be bevel shaped or embellished in any way.

Do you agree or disagree with the proposed shape of the inserts? (Optional)

• Agree
• Disagree
• Don’t know

If you have any comments on the proposed shape of inserts, please include them here. (Optional, maximum 500 words)

Material to use for pack inserts

Cigarette packaging

For all cigarette packaging, we propose that loose inserts must be recyclable and coated with a clear, protective matt finish. The clear coating must not prevent the insert from being recycled. 

Do you agree or disagree with the proposed material of inserts for cigarette packaging? (Optional)

• Agree
• Disagree
• Don’t know

For flip-top and shoulder hinged cigarette packaging, we propose that the inserts must be printed on 180gsm paper.

Do you agree or disagree with the proposed paperweight of inserts for flip-top and shoulder hinged cigarette packaging? (Optional)

• Agree
• Disagree
• Don’t know

For soft pack cigarette packaging, we propose that the inserts must be printed on 80gsm paper, to allow for the folding required.

Do you agree or disagree with the proposed paperweight of inserts for soft pack cigarette packaging? (Optional)

• Agree
• Disagree
• Don’t know

If you have any comments on the proposed material and paperweight of inserts for cigarette packaging, please include them here. (Optional, maximum 500 words)

Hand rolling tobacco packaging

For wrap-around hand rolling tobacco packaging, we propose that quit messaging must be printed directly onto the packaging and the pouch must be coated with the same protective finish that is currently used.

Do you agree or disagree with the proposed material of messaging for wrap-around hand rolling tobacco packaging? (Optional)

• Agree
• Disagree
• Don’t know

If you have any comments on the proposed material of messaging for wrap-around hand rolling tobacco packaging, please include them here. (Optional, maximum 500 words)

For hand rolling tobacco packaged in cylinders and standing pouches, we propose that loose inserts must be recyclable and coated with a clear, protective matt finish. The clear coating must not prevent the insert from being recycled. We propose that the inserts must be printed on 200gsm paper.

Do you agree or disagree with the proposed material and paperweight of inserts for cylinder and standing pouch packaging of hand rolling tobacco? (Optional)

• Agree
• Disagree
• Don’t know

If you have any comments on the proposed material and paperweight of inserts for cylinder and standing pouch packaging of hand rolling tobacco, please include them here. (Optional, maximum 500 words)

Messaging and imagery on pack inserts

Loose pack inserts

The proposed messaging and imagery of loose pack inserts applies to:

• all cigarette packaging
• cylinder hand rolling tobacco packaging
• standing pouch hand rolling tobacco packaging

We propose that the loose inserts are printed on both sides, with quit messaging on one side. On the other side, we propose that the loose inserts have a QR code and web address to a smoking cessation website, as well as the 4 nation healthcare logos. For soft pack cigarette packaging, part of the back of the insert would also have the text health warning on it.

Do you agree or disagree with the proposed messaging and imagery that would be included on loose inserts? (Optional)

• Agree
• Disagree
• Don’t know

We propose that the loose inserts are printed in portrait orientation.

Do you agree or disagree with the proposed printing orientation of loose inserts? (Optional)

• Agree
• Disagree
• Don’t know

If you have any comments on the proposed messaging or printing orientation of loose inserts, please include them here. (Optional, maximum 500 words)

Wrap-around hand rolling tobacco packaging

We propose that the printed messaging on wrap-around hand rolling tobacco packaging includes:

• quit messaging
• a QR code and web address to a smoking cessation website
• the 4 nation healthcare logos

This is the same messaging as shown on the loose inserts.

Do you agree or disagree with the proposed printed messaging for wrap-around hand rolling tobacco packaging? (Optional)

• Agree
• Disagree
• Don’t know

We propose that the messaging printed on wrap-around hand rolling tobacco packaging must be printed in landscape orientation.

Do you agree or disagree with the proposed printing orientation of printed messaging for wrap-around hand rolling tobacco packaging? (Optional)

• Agree
• Disagree
• Don’t know

If you have any comments on the proposed messaging or printing orientation of messaging for wrap-around hand rolling tobacco packaging, please include them here. (Optional, maximum 500 words)

If you have any comments on the consideration of inks for loose inserts and printed messaging, please include them here. (Optional, maximum 500 words)

Equal use of messaging

We propose that across all cigarette and hand rolling tobacco packaging, the different insert messages should appear in, or on, equal numbers of retail packages. This applies to different brand families, brands and packaging sizes and types.

Do you agree or disagree with the proposed equal use of messaging? (Optional)

• Agree
• Disagree
• Don’t know

If you have any comments on the proposed equal use of the messaging, please include them here. (Optional, maximum 500 words)

Access to pack inserts messaging

We propose that manufacturers will access the pack insert messaging though an online platform called DH eXchange. Manufacturers currently access the combined health warnings through this platform.

Do you agree or disagree with the proposed method of providing manufacturers with access to the messaging? (Optional)

• Agree
• Disagree
• Don’t know

If you have any comments on the proposed method of providing manufacturers with access to the messaging, please include them here. (Optional, maximum 500 words)

Implementation timelines

We propose that manufacturers have a maximum of 12 months after the regulations are made to implement the requirements in legislation.

Do you agree or disagree with the proposed implementation timelines? (Optional)

• Agree
• Disagree
• Don’t know

If you have any comments on the proposed implementation timelines, please include them here. (Optional, maximum 500 words)

Any other comments

If there are any cigarette or hand rolling tobacco packaging types we haven’t included in this consultation, please include them here. (Optional, maximum 500 words)

If you have any further comments on the proposals in this consultation, please include them here. (Optional, maximum 500 words)

Please attach any other information to support your submission. (File upload)

References

Banks E and others. Tobacco smoking and all-cause mortality in a large Australian cohort study: findings from a mature epidemic with current low smoking prevalence. BMC Medicine 2015: volume 13, article 38.

Du K and Wang G. The effect of specific and rotating health warnings on smoking risk perception and quitting intentions: evidence from China. Tobacco Induced Diseases 2025: volume 23.

Gascoyne C, Li R, Scollo M, Wakefield MA and Brennan E. Tobacco packaging littering behaviours among Australian adults who smoke: findings from cross-sectional and observational studies to inform the implementation of cigarette pack inserts. Tobacco Control 2025: volume 34, issue 4, pages 490 to 495.

He Z and others. The association between secondhand smoke and childhood asthma: a systematic review and meta-analysis. Pediatric Pulmonology 2020: volume 55, issue 10, pages 2,518 to 2,531.

Livingston and others. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. The Lancet 2020: volume 396, issue 10248, pages 413 to 446.

Marufu T, Ahankari A, Coleman T and Lewis S. Maternal smoking and the risk of still birth: systematic review and meta-analysis. BMC Public Health 2015: volume 15, article 239.

Moodie C, Cook M, Sharp C, Hussein N, Best C, Turner S, Angus K, Brose J, Alexandrou G and Ford A. Testing the optimal design of health-promoting pack inserts and dissuasive cigarettes. National Institute for Health and Care Research (NIHR) Public Health Policy Research Unit, 2023.

NHS England. Smoking, drinking and drug use among young people in England, 2023.

Nyakutsikwa B, Britton J and Langley T. The effect of tobacco and alcohol consumption on poverty in the United Kingdom. Addiction 2021: volume 16, issue 1, pages 150 to 158.

Royal College of Physicians. Hiding in plain sight: treating tobacco dependency in the NHS, 2018.

Thrasher JF, Osman A, Abad-Vivero EN, Hammond D, Bansal-Travers M, Cummings KM, Hardin JW and Moodie C. Use of cigarette package inserts to supplement pictorial health warnings: an evaluation of the Canadian policy. Nicotine & Tobacco Research 2015: volume 17, issue 7, pages 870 to 875.

Turner-Warwick M. Smoking and the young: a report of a working party of the Royal College of Physicians. Tobacco Control 1992: volume 1, number 3, pages 231 to 235.

Privacy notice

Data controller

DHSC is the data controller.

What personal data we collect

When you respond to the consultation online, we will collect information on:

• whether you are responding as an individual member of the public or on behalf of an organisation
• where you live in the UK
• your IP address, which is collected automatically if you respond to the consultation

We also ask for some personal information, which we will collect if you choose to respond. This includes:

• what sector you work in
• what the main focus of your work is
• the name of your organisation and where your organisation operates (if you are responding on behalf of an organisation)
• your email address

Please do not include any other personal information in your responses to free-text questions in the survey.

How we use your data

We collect your information as part of the consultation process:

• for statistical purposes, for example to understand where the responses are coming from
• so that DHSC can contact you for further information about your response, if you have given DHSC your email address
• to reduce the likelihood of individuals being able to submit multiple responses

Who we may share your data with

Responses may be seen by:

• DHSC officials running the technical consultation
• officials from the UK devolved governments and other government departments
• DHSC’s third-party supplier (SocialOptic), which is responsible for running and hosting the online survey

Legal basis for processing personal data

Under article 6 of the UK General Data Protection Regulation, the lawful bases we rely on for processing this personal data is that the processing is necessary to perform a task in the public interest or for our official functions and the task or function has a clear basis in law.

Data processors and other recipients of personal data

This consultation is hosted via an online platform owned by SocialOptic, who are a contracted supplier of DHSC. SocialOptic will delete any personal data in line with the retention and disposal periods outlined in this privacy notice, or earlier if instructed to do so by DHSC.

International data transfers and storage locations

Storage of data by DHSC is provided by secure computing infrastructure on servers located in the European Economic Area. DHSC platforms are subject to extensive security protections and encryption measures.

Storage of data by SocialOptic is provided via secure servers located in the UK.

Retention and disposal policy

We will hold your personal information for up to one year after the consultation closes. Anonymised information will be kept indefinitely.

We will ask SocialOptic to securely delete the information held on their system one year after the consultation closes.

How we keep your data secure

DHSC uses a range of technical, organisational and administrative security measures to protect any information we hold in our records from:

• loss
• misuse
• unauthorised access
• disclosure
• alteration
• destruction

We have written procedures and policies that are regularly audited and reviewed at a senior level.

SocialOptic is Cyber Essentials certified. This is a government backed scheme that helps organisations protect themselves against the most common cyber attacks.

Your rights as a data subject

By law, data subjects have a number of rights, and this processing does not take away or reduce these rights under the EU General Data Protection Regulation (2016/679) and the UK Data Protection Act 2018 applies.

You have a right to:

• get copies of information about you
• get information about you corrected if you think it is inaccurate
• limit how information about you is used, for example if you think it is inaccurate
• object to the information about you being used
• get information about you deleted

Some of these are not absolute rights, and continued use of your information may be necessary. We will let you know if this is the case.

Comments or complaints

If you are unhappy or want to complain about how your personal data is used as part of this programme should contact data_protection@dhsc.gov.uk in the first instance or write to:

Data Protection Officer
1st Floor North
39 Victoria Street
London
SW1H 0EU

If you are still not satisfied, you can complain to the Information Commissioner’s Office.

Their postal address is:

Information Commissioner’s Office
Wycliffe House
Water Lane
Wilmslow
Cheshire
SK9 5AF

Automated decision making or profiling

No decision will be made about anyone solely based on automated decision making (where a decision is taken about them using an electronic system without human involvement) which has a significant impact on them.

Changes to this policy

We keep this privacy notice under regular review, and we will update it if necessary. All updated versions will be marked by a change note on the consultation page.