The Continuing Quest for a Smokefree NHS

Transcription

1 The Continuing Quest for a Smokefree NHS Scottish Smoking Cessation Conference 2016 Kay Samson: Tobacco Co-ordinator Fiona Lockett: Tobacco Prevention Officer

2 Aim and Objectives Aim: To assess and measure the public s awareness of and attitudes towards NHS Fife Smokefree hospitals. Specific objectives were to: Establish the public s current awareness and attitude on smoking on hospital grounds Establish the public s understanding of what is a Smokefree NHS Assess the public s attitudes and opinions of a Smokefree NHS in Fife Measure any changes in the public s awareness of or attitudes towards a Smokefree NHS in Fife since

3 Sample St Andrews Community Hospital 18% 16% Victoria Hospital 31% Patients Visitors 33% 48% 51% 52% 49% Queen Margaret 33% 34% Adamson Hospital 18% 17% Base (All): 2014:423; 2016:456 3

4 Smoking Behaviour 39% 47% 2% 91% smoke tobacco/cigarettes every day Typically smoke up to 20 a day E-Cigarette smokers smoking more regularly than 2014 No. smoked per day Frequency of smoking e-cigs More than Less than 10 2% 2% 4% 3% 9% 8% % 35% 49% 53% 6% Both Every day Most days 2 or 3 times a week Less often 3% 8% 16% 10% 28% 33% 49% 54% Base (all): 2014:423; 2016:456 Base (smokers of electronic cigarettes): 2014:50; 2016:37 4

5 Attitudes towards smoking (tobacco and E-cigarettes) I am not currently trying to stop smoking 50% 49% I have cut down on my smoking or I am receiving stop smoking support (such as NHS stop smoking service, pharmacy or GP) as I am trying to give it up 21% 27% I am currently considering giving up smoking but have not yet made any positive steps to stop 24% 29% Q6 Which of these statements best describes your current attitudes towards your own smoking? Base (all smokers): 2014:202; 2016:214 5

6 Smoked in NHS grounds/buildings in last year Total Sample St Andrews Community Hospital 20% 44% 65% 20% Yes Adamson Hospital Yes % 42% Queen Margaret 47% 73% Victoria Hospital 56% 83% Base (all smokers): 2014:202; 2016:214 Victoria:64; Queen Margaret:77; Adamson:38; St Andrews:35 6

7 Reasons why smoked on NHS grounds I needed/wanted to smoke 39% Adamson Hospital Queen Margaret There was nowhere else to smoke 35% It helps to de-stress/relax me Couldn't leave the hospital grounds 16% 15% I needed/wanted to 53% Didn t realise I couldn t 27% There was nowhere else 53% I needed to 47% It can't be enforced/no-one there to stop me Didn't realise I couldn't 15% 13% Victoria Hospital St Andrews Community Hospital Didn't want to have to leave the hospital grounds 9% There was an ashtray Other, specify 7% 13% Almost even split across top 5 reasons Other reasons it was too far to walk off grounds Q13 Why have you smoked in these areas? Base (all who smoked on hospital grounds): 2016:94 7

8 Where is smoking prohibited at this hospital? (Spontaneous) Anywhere on hospital grounds, including car parks, paths and outside spaces 43% 66% In buildings 63% 74% In close vicinity of buildings, e.g. in doorways / entrances 52% 58% Unsure 4% 8% Base (All): 2014:423; 2016:456 8

9 Awareness of smoking restrictions (Spontaneous) I ve seen signs around the hospital A member of staff informed me here at the hospital A friend or family member told me In information I was provided before coming to the hospital I was given written information/leaflet at the hospital Other I am not aware of the smoking restrictions Unsure 3% 5% 11% 3% 3% 3% 2% 2% 11% 3% 11% 18% 5% 11% 72% 65% Adamson Hospital Victoria Hospital Queen Margaret I ve seen signs 80% I ve seen signs 81% I ve seen signs 72% Friend/Family 20% St Andrews Community Hospital Other news, radio, TV 25% Info before coming 9% Base (All): 2014:423; 2016:456 9

10 Awareness of NHS Fife smokefree policy across hospitals Victoria Hospital Queen Margaret 44% 66% 75% Adamson Hospital 28% Yes, fully aware Yes, fully aware % St Andrews Community Hospital 38% 58% 73% Base (All): St Andrews: 80; Adamson: 81; Queen Margaret: 152; Victoria:

11 Elements of smokefree NHS Fife not aware of No smoking in the hospital car parks No smoking in grounds of hospitals Ban applying to e-cigarettes Ban applying to visitors Ban applying across all NHS Fife Ban applying to patients No smoking close to buildings Ban applying to staff No smoking in buildings 14% 11% 28% 28% 29% 27% 31% 27% 27% 27% 29% 24% 43% 41% 52% 59% 73% 70% Other 1% Base (all not fully aware): 2014: 245; 2016:

12 Awareness of NHS Scotland s smokefree policy 2016 Total Sample Victoria Hospital 17% 60% Queen Margaret 23% 57% Adamson Hospital 9% 55% Yes, definitely Yes, definitely * St Andrews Community Hospital 16% 63% 24% 74% Base (All): 2014:423; 2016:456 Victoria:143; Queen Margaret:152; Adamson:81; St Andrews:80 12

13 Attitude towards NHS Fife smokefree policy 58% 63% 89% Good idea 53% Good idea 3% Poor idea 36% Poor idea Total Total % 9% 10% 10% 8% 10% 9% 5% Very good idea Quite a good idea Quite a poor idea Very poor idea Unsure Base (All): 2014:423; 2016:456 13

14 Concerns about the policy People are still smoking on the grounds Its causing people to go outside to the main road It is not enforced rigorously enough Patients will have to sneak out of the grounds in their bed clothes People will disobey the rules 14

15 Summary Positive steps have been made (from 2014) in terms of raising the awareness and profile of the smoke-free policy: Awareness of the NHS Fife smoke-free policy has increased Awareness that it has been implemented across Scotland has increased An understanding that the policy includes anywhere on hospitals grounds has improved Awareness of the signs informing about the policy has increased Proportion of smokers admitting to smoking on NHS Fife grounds has decreased Proportion that stated they had concerns over the policy has decreased

16 Advertising and Promotion

17 Concerns However, still concerns over: A reasonable proportion of smokers still smoking on NHS Fife grounds 83% of those who have smoked recall seeing the signs but still smoked anyway what will make a difference? How it can be enforced and smokers starting to be sneaky about it to avoid being caught Smokers thinking it is ok to smoke in their cars as they are in their own private space