The UK has re-entered the top 10 of the Nanny State Index 2025, published today by the Institute of Economic Affairs (IEA) and the European Policy Information Centre (EPICENTER). Edited by Dr Christopher Snowdon, Head of Lifestyle Economics, it gives 29 European countries a score out of 100 according to how it regulates lifestyle choices.
The sixth edition of the Index reveals that the UK has made a significant leap in nanny state intervention, driven by high taxes, growing restrictions on food and drink advertising, and draconian anti-smoking policies. The UK now ranks 7th overall, making it one of the most heavy-handed regulators in Europe.
Various heavy-handed measures have pushed the UK toward the top end of the Nanny State Index, especially on food and tobacco:
Very high tobacco duty – the UK has the second highest taxes on cigarettes when adjusted for income
Tax on sugary drinks
Punitive alcohol duty – the UK has the fourth highest taxes on alcohol when adjusted for income
Indoor smoking ban – including in all pubs and restaurants, and inside vehicles with children
Plain packaging and a retail display ban for tobacco products
New restrictions on product placement for ‘less healthy’ foods
Minimum unit alcohol pricing (Scotland and Wales)
Britain is set to climb even higher when the next index is published in 2027, as new policies such as a ban on disposable e-cigarettes, a generational tobacco sales ban, a new tax on vapes and an unprecedented ban on “less healthy” food advertising, come into force.
Despite ever-increasing restrictions, the report finds that there is no correlation between stricter regulation and better health outcomes like life expectancy, lower smoking rates, or reduced alcohol consumption. A higher score on the Nanny State Index does not correlate with higher life expectancy.
The report is a stark reminder that nanny state policies are not only ineffective, but are often regressive, raising living costs, fuelling black markets, and disproportionately harming low-income households.
Christopher Snowdon, report author and Head of Lifestyle Economics at the Institute of Economic Affairs, said:
“The UK is sinking ever deeper into the quicksand of heavy-handed government paternalism. The idea that adults should be free to choose is fading away and there will be politicians who see the UK’s position on the Nanny State Index as a badge of pride rather than a mark of shame. As in other areas of the economy, high taxes and draconian regulation are impoverishing us all and benefiting nobody.”
