THE BRITISH THORACIC SOCIETY 17 DOUGHTY STREET LONDON WC1N 2PL TELEPHONE FAX WEBSITE

Size: px
Start display at page:

Download "THE BRITISH THORACIC SOCIETY 17 DOUGHTY STREET LONDON WC1N 2PL TELEPHONE FAX WEBSITE"

Transcription

1 THE BRITISH THORACIC SOCIETY 17 DOUGHTY STREET LONDON WC1N 2PL TELEPHONE FAX WEBSITE DESIGNED AND PRODUCED BY TEL

2

3 LIST OF CONTENTS PAGE NUMBER Summary 2 Introduction 3 Key Features of a Smoking Cessation Service for hospital patients 3-7 Reference 7 Example 1 Bexley Smokers Support Service 8 Example 2 Royal Victoria Hospital, Newcastle upon Tyne 9-10 Results from the 2003 survey 11 Table 1 Summary of Results 12 Survey Letter (Appendix A) 13 Full Results of Survey (Appendix B) Acknowledgments 17

4 SUMMARY Stopping smoking is a very important feature of the treatment of hospital patients with smoking-related diseases and it is thus appropriate that a smoking cessation service is provided to in-patients and out-patients at the hospital, the place where their diagnoses are made and treatments instituted. The hospital smoking cessation service should have close links with the community cessation service. Patients should be able to cross easily between hospital and community services. Every hospital should employ or have access to the services of a smoking cessation counsellor. Such a counsellor could come from various disciplines but it is vital that he/she has the interpersonal skills suitable for providing this service. Within the hospital there should be a dedicated room for the counsellor, as well as secretarial/clerical and IT support, with office space. Referral arrangements should be well-publicised in the hospital and should be flexible. The programme should provide advice and support intensively at first, with flexible and less frequent sessions thereafter for six months or, preferably, a year. Non-smoking claims should be validated at least at one and six months, using expired air carbon monoxide (CO) or other objective test. Successful cessation should be measured as continuous, validated abstinence for at least six months. Sessions can be one-to-one or as a group, depending on patients preferences, the counsellors aptitudes and local circumstances. Hospitals should offer nicotine replacement therapy (NRT) and bupropion (Zyban). The counsellor and/or consultant with responsibility for the service should agree with the hospital pharmacy an efficient way of providing NRT and Zyban conveniently to patients. The results of the programme should be recorded on the national databases which exist/are planned for the community smoking cessation services. A forum for counsellors to meet, share experience and optimise practice should be encouraged. Such a forum should be open to counsellors from hospitals and the community. 2

5 INTRODUCTION Up to seventy per cent of hospital patients who smoke say that they would like to stop smoking (Burke and McAlpine, 2003, personal communication), much the same proportion as among smokers in the community. Over the last few years the long- realised importance of smoking cessation in treatment and in improving prognosis among hospital patients has been translated into provision of a service for the patients of some hospitals. It is entirely appropriate to provide such services in hospitals, places where so many patients with smoking-related diseases congregate and these services should have close links with the community cessation services. In March 2002 the National Institute of Clinical Excellence (NICE) issued guidance on the use of nicotine replacement therapy (NRT) and bupropion (Zyban) for smoking cessation, stressing that they should be used in conjunction with advice and support. In February 2003 the British Thoracic Society (BTS) surveyed the 260 UK District General/Teaching Hospitals which have chest physicians by means of a questionnaire sent to a chest physician at each of these hospitals. The response rate was 91%. Some hospitals provided more comprehensive services than others and the BTS consultants at these hospitals were asked to provide full descriptions of their services. The responses from both consultants and smoking cessation counsellors proved most helpful in drawing up these recommendations, which are thus based on a range of models used in the UK. KEY FEATURES OF A SMOKING CESSATION SERVICE FOR HOSPITAL PATIENTS The smoking status of all patients should be recorded in their notes.the smokers should be made aware of the potential harm from smoking and be informed that the hospital offers help in smoking cessation. Patients in hospital or attending out-patient clinics expect to receive treatment from the hospital for their conditions. Stopping smoking is an important feature of the treatment of many conditions, for some the most important. Offering a smoking cessation service to the patient at the same place as diagnosis is made and other treatment provided is both opportune and natural, especially when there is evidence for the efficacy of such a service. Personnel and facilities required Smoking Cessation Counsellor Ideally, all hospital staff should be trained to ask patients whether they smoke or not, and to assess broadly whether the person is interested in help and support to stop. However, it is vital that there should be a specific post(s) in each hospital designated to smoking cessation counselling.the counsellor should have a link to a named consultant in the hospital/trust. Theoretically, any member of staff who has received appropriate training in smoking cessation can provide the service but it is very important that the appointee has the personal qualities that are suitable for providing this particular service ie. good interpersonal skills and capable of empathic relationships with patients. 3 Training for smoking cessation counselling can vary but in general a one/two day course will usually be sufficient. Such courses should teach evidence-based methods. The success rate of

6 the service depends on the ability of the counsellor to develop a relationship with the patient and to provide appropriate support and encouragement tailored to that individual. The smoking cessation counsellor should have time to provide some training in brief interventions which other members of staff can opportunistically apply to patients. On-going training/support for counsellors is necessary. A forum for counsellors to meet, to share ideas and experience, to standardise and optimise practice should be encouraged. Any forum of this kind should be open to those working in hospital settings and also their colleagues in the community. Workload and funding The size and catchment area of the hospital as well as the co-operation of the staff will determine the workload but as a general rule a 600-bedded hospital is likely to generate referrals per annum. Funding for the posts(s) of counsellor should form part of the regular annual budget of the hospital. Secretarial support / IT support The counsellor must have access to dedicated secretarial/clerical support. In addition, they must also have access to relevant communication facilities (telephone, answerphone, fax and ) and IT support. Accommodation A dedicated room within the hospital is necessary for the counselling sessions. In addition, the counsellor will need to have access to an office, or space within an office for administration. Structure of the Programme a) Referral arrangements All patients and staff who wish to stop smoking should be referred and/or encouraged to selfrefer. It is vital that the service operates with very open and flexible referral pathways. All medical and para-medical staff involved in the care of in-patients or out-patients, including those running pre-admission clinics, patients themselves and the family and friends of patients should be able to refer to the service. For this model to be viable the service needs to be publicised around the hospital by posters and leaflets that contain information about smoking and contact details of the smoking cessation programme (see Appendix 1-Leaflet from Bexley Hospital). The counsellor and/or consultant should regularly inform and remind staff of the existence and value of the service to patients, staff and their families. Parents of paediatric patients should have access to the service. There needs to be some degree of selection of patients into the service. Research supports the recommendation that only those patients who really want to stop smoking should be referred to the programme. Further selection may take place at the initial appointment with the counsellor. Experience has shown that those patients who fail to attend the initial appointment fail because either they never really wanted to stop smoking or they changed their mind about trying to stop. 4

7 It is important that the hospital smoking cessation service should have close links with the community cessation service, particularly in rural areas where it may be much more logical for people to be referred to the community service for help. Close communications with primary care, and keeping GPs informed about their patients smoking cessation attempts, are important. Hospitals and community services should share common assessments, documentation and management protocols to ensure that the patient perceives that they are receiving consistent care. It is the case that some community-based counsellors are running sessions in the hospital and in this scenario sharing of record-keeping and information should be possible. b) Nature and content of the programme A flexible approach and the opportunity to tailor appointments to the needs of the individual is ideal. However, there are some key features that should be incorporated into an adaptable model. Initial contact/appointment (40 minutes) This should be for approximately 40 minutes to enable the counsellor to take full details of the patient s smoking history, motivation levels and support network, and to explain the details of the programme on offer. Ideally, this should be a one-to-one session. Some programmes stress setting a quit day. This seems a reasonable way to go about helping focus motivation to stop, but it is also important to bear in mind that encouraging patients to stop with immediate effect can yield similar results. However, an agreed timescale is useful, and whether this is a planned date or an immediate cessation is up to the counsellor and patient to agree. If a quit date is chosen this should be within a week of this first session. If the patient is being seen in a pre-admission clinic the operation date can provide a useful framework to encourage and motivate the individual and any prompts like this should be explored. Patients should be encouraged to stop suddenly, and not to gradually scale down their smoking because the former is more likely to result in successful, sustained quitting. 0-1 month (minimum of 2, but ideally 4, 20 minute appointments) In-patients should be seen at least once during their stay in hospital and, on discharge, should know when and where to come for further sessions. Out-patients should be seen weekly for the first month, as this is a crucial period for success. If weekly is not possible then no more than a fortnight should lapse between the counsellor and patient meeting. At 1 month cessation should be validated, as set out in the Health Development Agency s recommendations to Primary Care Trusts ( using expired air carbon monoxide (CO) measurement or other reliable objective test. The venue for these appointments should, where possible, be flexible, e.g. patients may prefer to come to the hospital, go to a community clinic, be seen at home, etc. Evening appointments may also be more useful to patients. Where resources permit, as many options should be given to the patients as possible. Some services report Did not attend rates of up to 40%, and therefore anything that can be done to reduce these rates has to be explored. If patients fail to turn up to appointments during the first month it is recommended that they be contacted once by telephone and encouraged to attend. 5

8 Some offer just one to one sessions, others favour group sessions (8-10 participants). This is really a decision for the individual counsellors to make and is largely dependent on their training and background. It would be ideal if both formats could be available in order to allow for patients preferences. If the patients are still smoking after 1 month it is unlikely they will succeed at this attempt but an individual approach to further management may be taken at this point, depending on the patient s motivation and wishes. 1-3 months (10-20 minute appointments) The next two months can be flexible. Ideally, patients will be seen again monthly face-to-face during this time, with the minimum requirement being one or more telephone calls during the time. If patients are seen at 3 months non-smoking claims should be verified by expired air CO or other test. It is important that the clinic operates an open-door policy which allows patients to make contact as and when they need support. 3-6 months Again those who still have not smoked are the main focus of attention. Further support can be planned, for example monthly telephone calls months At 6 months patients should be seen and cessation should be validated using expired air CO or other test. Once someone has stopped for 6 months the indications are that they will be successful, as few patients will start again having got to this point. Ideally, cessation should be validated again at 12 months at a final encounter. Support / advice offered While the amount of information a patient will want and the amount of support they require will vary from individual to individual it is important that all patients receive key facts about smoking, effects on health and lifestyle and ideas as to how they can help themselves (see Appendix 2 - booklet from the Royal Victoria Infirmary, Newcastle-upon-Tyne). There are a number of approaches that can be employed, e.g. one-to-one sessions, group sessions, buddy systems, etc. However the evidence for the relative success of each approach is sparse. It is more important to offer a range of services to suit patients preferences and for counsellors to be working in environments that suit their skills and enables them to provide the best possible support to patients. Good communication between the hospital counsellors and counsellors/groups running in the community is vital. It is not necessarily useful for the hospital to run group sessions, but if an individual patient feels he/she would benefit it is important for the counsellor to be able to recommend whom to contact. Pharmacological Aides Most patients will request pharmacological aides of some sort. Research suggests that these can be of benefit for the first 2 months, however their value beyond this time is questionable. All hospitals should offer NRT and ideally all forms should be available. NRT should be offered for up to 3 months and this must be explained to the patient at the outset. Zyban is also an effective aide and should be available for use in the service. 6

9 The counsellor, and/or consultant with responsibility for the service, should agree with the hospital pharmacy an efficient way of providing NRT and Zyban. c) Recording and reporting of the results of the programme The results of the programme must be recorded and a standard UK database should be developed*.the most important outcome measure is the number of patients who claim not to be smoking at 1 month and at 6 months (ideally also at12 months) and who state that they have not smoked between these appointments and whose claims at those time points are validated by expired air CO. In addition, records (computerised and/or manual) should be kept of the overall number referred, the number who do not complete the programme, the various diagnoses, age, sex and pharmacological aides used. These data may help refine the service in relation to resources and demand. * In England an NHS Stop Smoking Database already exists ( In Scotland and Wales there are plans for such databases in 2004 which will provide for recording beyond one month, the present limit of the English database. In N.Ireland data are recorded at one and 12 months. REFERENCE: "National Institute for Clinical Excellence (NICE). Guidance on the use of nicotine replacement therapy (NRT) and bupropion for smoking cessation. Technology appraisal guidance, No. 39. London: NICE, March

10 RECOMMENDATIONS FOR HOSPITAL-BASED SMOKING CESSATION SERVICES EXAMPLE 1 BEXLEY SMOKERS SUPPORT SERVICE WORKING FOR H E A LT H I E R LEAFLET LUNGS 8

11 EXAMPLE 2 ROYAL VICTORIA HOSPITAL LEAFLET 9

12 EXAMPLE 2 ROYAL VICTORIA HOSPITAL LEAFLET 10

13 RESULTS FROM THE 2003 SURVEY Background / Rationale ADDENDUM The British Thoracic Society s Tobacco Committee has undertaken research in the past to assess the provision of smoking cessation services in secondary care. This first survey was completed in In January 2003, the decision was taken to reassess the services both to gain an understanding of the current position and also to compare the data with the previous study. In addition, the key features of a model smoking cessation service have been derived from further information provided by a sample of centres. Research Base In early February 2003, 260 structured surveys (Appendix A) were sent to consultant chest physicians at UK DGHs/Teaching Hospitals, one consultant at each being the recipient. No contact was made with the consultants prior to the questionnaire being sent. The questionnaire asked for details of hospital-based services.this questionnaire differed from the previous questionnaire sent in 2001, in that those without a hospital-based service were asked whether they had access to a community-based service. In early March a follow-up letter was sent to those who had not replied, and two weeks later telephone calls were made to those who had yet to respond. 236 questionnaires were completed and returned by the beginning of April, giving an incredible response rate of 91%. The response rate was such that data were received from all hospitals across Anglia, Oxford, Wessex, Scotland East and Wales. As part of the analysis, those services who appeared to offer what was felt to be a "Gold Standard" service were highlighted. The criteria for the "Gold Standard" were: offering further support by means of follow-up sessions beyond the initial appointment; validating cessation by an objective measure; recording sustained abstinence >= 6 months The overall results are shown overleaf in Table 1. (The full results, including the regional analyses are shown at Appendix B). 11

14 Table 1 Summary of Full Results from 2003 Number of surveys sent 260 Overall Response 236 Response rate 90.8% Number of Gold Standard services 59 Yes No Is there a smoking cessation counsellor in your hospital? If yes: Are there further support or follow-up sessions? Is cessation validated by an objective measure?* Is outcome recorded as sustained abstinence for: <6 months months months >=6 months Not recorded 34 If you do not have such a service, is there one in the community? ** If yes, do you refer your patients * 6 did not respond to this question about objective measurement of smoking cessation ** 4 did not know if a community services exists, and one did not respond to this question From the data it is clear that: 53% (125 of the 236) of respondents have a hospital-based smoking cessation service 85% of those with no hospital service have access to a smoking cessation service based in the community (95 of the 111) 93%of the smoking cessation services offered further support or follow-up sessions (116 of the 125) 11 hospitals have no access to any service, either in the hospital or the community; an additional 5 have no hospital service and are unsure whether there is a community service. The main findings from 2001 were: 261 surveys sent out with 225 returned (86% response rate) 104 hospitals (46%) had a smoking cessation service, 115 (51%) had no such service 87% of those with a hospital service offered more than just one session to the patients (90 of the 104) Following the initial questionnaire, those offering an apparently "Gold Standard" service were contacted and asked to provide more details about the specifics of their service. 32 replies were received. The replies were analysed and the key features of the services have been highlighted and used as a basis for the recommendations. 12

15 SURVEY LETTER SENT FEBRUARY 2003 APPENDIX A 31st January 2003 Dear. Following our survey two years ago (86% response rate), showing that 1 in 3 had a smoking cessation service, the Tobacco Committee is interested to establish how many hospitals / chest clinics in the UK now have such a service. As before, we hope to use this information to help those who do not have counsellors to acquire them, if they so wish. If you are willing, please tick the appropriate boxes and return this letter in the enclosed envelope or fax it back to the British Thoracic Society ( ). Yours sincerely, I A Campbell, Chairman K E Lewis, SpR Member From: Hospital:. 1. Is there a smoking cessation counsellor /officer/nurse in your hospital? Yes i If Yes, Following initial contact, are there further support or follow-up sessions? Yes No No ii Is cessation validated by an objective measurement? Yes No iii Is outcome recorded as sustained abstinence for: <6 months? 6 months? 12 months? Not recorded 2. If you do not have such a service in your hospital is there one in the community? Yes No Don t Know If Yes, do you refer your patients? Yes No 13

16 SMOKING CESSATION SURVEY 03 Summary of Results by Region Question 1 APPENDIX B By region: No. of responses Q 1 Q 1i Q 1ii Q 1iii < >6 >=6 months months months months months months months months Yes No Yes No Yes No NR Yes No Yes No Yes No Yes No NR Anglia Mersey Northern North West Oxford South West Thames NE Thames NW Thames SE Thames SW Trent Wessex West Midlands Yorkshire Northern Ireland Scotland East Scotland West Wales

17 SMOKING CESSATION SURVEY 03 Summary of Results by Region Question 2 APPENDIX B Region Q2 Q2i Yes No NR DK Yes No NR Gold Anglia Mersey Northern North West Oxford South West Thames NE Thames NW Thames SE Thames SW Trent Wessex West Midlands Yorkshire Northern Ireland Scotland East Scotland West Wales PERCENTAGE RESPONSE RATE BY REGION Summary of Results by Region Question 2 15

18 WHERE SMOKING CESSATION COUNSELLORS IN SECONDARY CARE WERE/ARE APPENDIX B KNOWN SMOKING CESSATION COUNSELLORS IN SECONDARY CARE PER CAPITA IN THE REGIONS 16

19 ACKNOWLEDGMENTS The Tobacco Committee of the British Thoracic Society is grateful to the English Department of Health for funding the survey and the report. The Committee thanks the chest physicians and smoking cessation counsellors who co-operated with the survey, some of whom also devoted further time and effort in helping to compile and refine the report. We are grateful to Louise Preston for co-ordinating the survey and collating the results. 17

20

REGIONAL PHARMACY SPECIALIST SMOKING CESSATION SERVICE FEBRUARY A Pharmacist s Guide

REGIONAL PHARMACY SPECIALIST SMOKING CESSATION SERVICE FEBRUARY A Pharmacist s Guide REGIONAL PHARMACY SPECIALIST SMOKING CESSATION SERVICE FEBRUARY 2009 A Pharmacist s Guide Aims of the Service The overall aim of the service is to deliver a pharmacy based, one stop specialist smoking

More information

Service Specification & Contract Intermediate Stop Smoking Service & Voucher fulfilment - Pharmacy Newcastle

Service Specification & Contract Intermediate Stop Smoking Service & Voucher fulfilment - Pharmacy Newcastle Service Specification & Contract Intermediate Stop Smoking Service & Voucher fulfilment - Pharmacy Newcastle Contents 1. Agreement period 2. Scope 3. Targets 4. Service outline 5. Support for clients using

More information

Appendix C. Aneurin Bevan Health Board. Smoke Free Environment Policy

Appendix C. Aneurin Bevan Health Board. Smoke Free Environment Policy Appendix C Aneurin Bevan Health Board Smoke Free Environment Policy Content 1. Policy statement 2. Introduction 3. Smoking restrictions within the Health Board 4. Responsibilities 5. Staff working in patients

More information

Locally Enhanced Service for Stopping Smoking

Locally Enhanced Service for Stopping Smoking NHS Devon Locally Enhanced Service for Stopping Smoking This Local Enhanced Service (LES) Specification details the agreement between Devon PCT (the commissioner) and community pharmacies (the service

More information

Item Number: 6 NHS VALE OF YORK CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING. Meeting Date: 7 November Report Author: Report Sponsor:

Item Number: 6 NHS VALE OF YORK CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING. Meeting Date: 7 November Report Author: Report Sponsor: Item Number: 6 NHS VALE OF YORK CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING Meeting Date: 7 November 2013 Report Sponsor: Dr Emma Broughton Clinical Lead for Primary Care Programme Report Author:

More information

Examples of what to say when intervening with smoking clients. Do you smoke cigarettes or tobacco at all, or have you ever smoked regularly?

Examples of what to say when intervening with smoking clients. Do you smoke cigarettes or tobacco at all, or have you ever smoked regularly? Manual of Smoking Cessation Andy McEwen, Peter Hajek, Hayden McRobbie & Robert West 2006 by McEwen, Hajek, McRobbie and West Appendix 5 Examples of what to say when intervening with smoking clients Below

More information

OLDER PEOPLE SMOKING CESSATION PROGRAMME

OLDER PEOPLE SMOKING CESSATION PROGRAMME OLDER PEOPLE SMOKING CESSATION PROGRAMME Final Project Report Lightburn Elderly Association Project Karen Gray Cambuslang Clinic 5 Johnson Drive Cambuslang G72 8JR Tel: 0141 643 3526 July 2007 This project

More information

Provision of Stop Smoking Support in Pharmacy

Provision of Stop Smoking Support in Pharmacy Public Health Agreement for the Provision of Stop Smoking Support in Pharmacy 1 st April 2017 to 31 st March 2018 BETWEEN Surrey County Council AND Pharmacy 1. Introduction 2. Aims 3. Service Outline 4.

More information

APPENDIX 26: RESULTS OF SURVEY OF ANTENATAL AND POSTNATAL MENTAL HEALTH PRIMARY CARE SERVICES IN ENGLAND AND WALES

APPENDIX 26: RESULTS OF SURVEY OF ANTENATAL AND POSTNATAL MENTAL HEALTH PRIMARY CARE SERVICES IN ENGLAND AND WALES APPENDIX 26: RESULTS OF SURVEY OF ANTENATAL AND POSTNATAL MENTAL HEALTH PRIMARY CARE SERVICES IN ENGLAND AND WALES Background In order to inform the guideline development process, the guideline development

More information

Hospital Caterers Association

Hospital Caterers Association Hospital Caterers Association www.hospitalcaterers.org Patron Application Pack 1 Contents What is the Hospital Caterers Association? 3 Branches of The Association 4 Why become a Patron 5 How to join 6

More information

Hospital Caterers Association

Hospital Caterers Association Hospital Caterers Association www.hospitalcaterers.org Patron Application Pack 1 Contents What is the Hospital Caterers Association? 3 Branches of The Association 4 Why become a Patron 5 How to join 6

More information

Nicotine Management and Smoke Free

Nicotine Management and Smoke Free Nicotine Management and Smoke Free From 31 May 2016 Information for Service Users Why are we smoke free? l Tobacco smoking is the largest cause of early deaths and preventable illnesses in England. l One

More information

Smoking cessation interventions and services

Smoking cessation interventions and services National Institute for Health and Care Excellence Guideline version (Final) Smoking cessation interventions and services [E] Evidence reviews for advice NICE guideline NG92 Evidence reviews FINAL These

More information

The Society has considered the proposals contained in the consultation document and makes the following principal comments:

The Society has considered the proposals contained in the consultation document and makes the following principal comments: Tobacco Consultation Department of Health Room 712 Wellington House 133-135 Waterloo Road London SE1 8UG Mark Nelson Chair of the Practice Committee Pharmaceutical Society of Northern Ireland 73 University

More information

The 2010 Wirral Smokers Panel Survey: Smoking Prevalence, Intentions to Quit and Attitudes to Your Reason Your Way Campaign

The 2010 Wirral Smokers Panel Survey: Smoking Prevalence, Intentions to Quit and Attitudes to Your Reason Your Way Campaign : Smoking Prevalence, Intentions to Quit and Attitudes to Your Reason Your Way Campaign 1 st Panel Control Survey A report for Wirral NHS June 2010 Eric Gowling Icarus Limited Acknowledgements Icarus Limited

More information

Cost-effectiveness of brief intervention and referral for smoking cessation

Cost-effectiveness of brief intervention and referral for smoking cessation Cost-effectiveness of brief intervention and referral for smoking cessation Revised Draft 20 th January 2006. Steve Parrott Christine Godfrey Paul Kind Centre for Health Economics on behalf of PHRC 1 Contents

More information

GP prescribing of nicotine replacement and bupropion. to aid smoking cessation in England and Wales

GP prescribing of nicotine replacement and bupropion. to aid smoking cessation in England and Wales GP prescribing of nicotine replacement and bupropion to aid smoking cessation in England and Wales Number of pages: 15 Number of words: 2,271 Andy M c Ewen, MSc, RMN (Senior Research Nurse) 1, Robert West,

More information

Step Out Smoke Free Homes Educational Resource Toolkit. For use with Years 5 and 6

Step Out Smoke Free Homes Educational Resource Toolkit. For use with Years 5 and 6 Step Out Smoke Free Homes Educational Resource Toolkit For use with Years 5 and 6 Produced by Southampton Public Health in partnership with Hampshire Public Health May 2015 Step Out Smoke Free Homes Toolkit

More information

Statistics on Smoking Cessation Services in Northern Ireland: 2014/15

Statistics on Smoking Cessation Services in Northern Ireland: 2014/15 Statistics on Smoking Cessation Services in Northern Ireland: 2014/15 Statistical Bulletin Published October 2015 Statistics on Smoking Cessation Services in Northern Ireland: 2014/15 Author: Mervyn Wilson

More information

Patient Group Direction for the Supply of Varenicline (Champix ) by Authorised Community Pharmacists

Patient Group Direction for the Supply of Varenicline (Champix ) by Authorised Community Pharmacists Patient Group Direction for the Supply of Varenicline (Champix ) This Patient Group Direction (PGD) is a specific written instruction for the supply of varenicline to groups of patients who may not be

More information

Patient Survey Report Spring 2013

Patient Survey Report Spring 2013 Patient Survey Report Spring 2013 We invited the original group of Patients from last year s PPG to become part of a Virtual Forum once again this year and also sent text messages to all out patients inviting

More information

PROTECTING COMMUNITY STAFF FROM EXPOSURE TO SECONDHAND SMOKE

PROTECTING COMMUNITY STAFF FROM EXPOSURE TO SECONDHAND SMOKE BREATHING SPACE YOUR HOME-OUR WORKPLACE PROTECTING COMMUNITY STAFF FROM EXPOSURE TO SECONDHAND SMOKE GUIDANCE DOCUMENT HEALTH EQUALITIES GROUP CONTENTS Introduction... 3 Secondhand smoke... 3 Protecting

More information

Survey of networks and arrangements for HIV clinical care

Survey of networks and arrangements for HIV clinical care 1 of 6 20/08/2007 16:40 Survey of networks and arrangements for HIV clinical care Please ensure that you have read the [add link] invitation letter [/add link] before completing this survey. When you have

More information

CASY Counselling Services for Schools

CASY Counselling Services for Schools CASY Counselling Services for Schools Registered Charity Number 1092938 A Company Limited by Guarantee in England and Wales. Registered number 4310724 16 London Rd, Newark, Nottinghamshire NG24 1TW T:

More information

PATIENT GROUP DIRECTIONS FOR SUPPLY OF VARENICLINE (CHAMPIX ) BY AUTHORISED COMMUNITY PHARMACISTS WORKING IN TAYSIDE

PATIENT GROUP DIRECTIONS FOR SUPPLY OF VARENICLINE (CHAMPIX ) BY AUTHORISED COMMUNITY PHARMACISTS WORKING IN TAYSIDE PATIENT GROUP DIRECTIONS FOR SUPPLY OF VARENICLINE (CHAMPIX ) BY AUTHORISED COMMUNITY PHARMACISTS WORKING IN TAYSIDE GENERAL POLICY 2 PATIENT GROUP DIRECTIONS FOR SUPPLY OF VARENICLINE 4 STANDING ORDER

More information

PATIENT GROUP DIRECTION

PATIENT GROUP DIRECTION PATIENT GROUP DIRECTION FOR THE SUPPLY OF VARENICLINE (CHAMPIX ) TO ADULTS OVER 18 YEARS OF AGE BY COMMUNITY PHARMACISTS UNDER THE PUBLIC HEALTH SERVICE - SMOKING CESSSATION SERVICE IN NHS HIGHLAND THE

More information

Patient information leaflet. A study of low dose theophylline in Chronic Obstructive Pulmonary Disease (COPD)

Patient information leaflet. A study of low dose theophylline in Chronic Obstructive Pulmonary Disease (COPD) Patient information leaflet A study of low dose theophylline in Chronic Obstructive Pulmonary Disease (COPD) Theophylline With Inhaled CorticoSteroids (TWICS) study. We would like to invite you to take

More information

Health Promotion Service Project Overview

Health Promotion Service Project Overview Health Promotion Service Project Overview TITLE NATIONAL TARGETS (e.g. To reduce the under 18 conception rate by 50% by 2010 ) Cornwall & Isles of Scilly Stop Smoking Service Reduce smoking prevalence

More information

Life After Prostate Cancer Diagnosis Research Study

Life After Prostate Cancer Diagnosis Research Study Life After Prostate Cancer Diagnosis Research Study If you are looking at this information sheet this means you have read the covering letter and therefore have had a diagnosis of prostate cancer. If you

More information

AVELEY MEDICAL CENTRE & THE BLUEBELL SURGERY

AVELEY MEDICAL CENTRE & THE BLUEBELL SURGERY AVELEY MEDICAL CENTRE & THE BLUEBELL SURGERY Drs Leighton, Ahrin, Beroiz, Munro, Saluja, Ruiz-Gutierrez and George Aveley Medical Centre, 22 High Street, Aveley, Essex, RM15 4AD The Bluebell Surgery, Darenth

More information

The Stolen Years Mental Health and Smoking Action Report 22 April Emily James, Policy and Campaigns Officer

The Stolen Years Mental Health and Smoking Action Report 22 April Emily James, Policy and Campaigns Officer The Stolen Years Mental Health and Smoking Action Report 22 April 2016 Emily James, Policy and Campaigns Officer Emily.James@ash.org.uk Where we are now? Overview The Stolen Years: Mental Health and Action

More information

A new model for prescribing varenicline

A new model for prescribing varenicline Pharmacist Independent Prescribers in partnership with A new model for prescribing varenicline Dear Stop Smoking Advisor You will be aware of the stop smoking drug varenicline that goes under the brand

More information

Quit with Us. Service Evaluation. August 2016

Quit with Us. Service Evaluation. August 2016 Quit with Us Service Evaluation August 2016 Contents 1. Executive Summary... 1 2. Introduction... 1 3. Background... 1 4. Data Collection Methods... 1 5. Results... 1 6. Preferred smoking quit methods...

More information

Attitudes of core medical trainees towards Rehabilitation Medicine as a specialty: results from a questionnaire survey

Attitudes of core medical trainees towards Rehabilitation Medicine as a specialty: results from a questionnaire survey Attitudes of core medical trainees towards Rehabilitation Medicine as a specialty: results from a questionnaire survey Rebekah Davidson, Frankie Anderson Corresponding author: Rebekah Davidson, Centre

More information

Compare your care. How asthma care in England matches up to standards R E S P I R AT O R Y S O C I E T Y U K

Compare your care. How asthma care in England matches up to standards R E S P I R AT O R Y S O C I E T Y U K Compare your care How asthma care in England matches up to standards PRIMARY CARE R E S P I R AT O R Y S O C I E T Y U K Asthma matters Around 4.5 million people in England that s 1 in 11 are being treated

More information

Are you looking after someone?

Are you looking after someone? Are you looking after someone? PARK Essential information for carers Carers Week is an annual campaign to celebrate and recognise the 6.5 million people in the UK who care (unpaid) for family or friends

More information

Brighton and Hove Pharmacy Enhanced Service (PLES 02)

Brighton and Hove Pharmacy Enhanced Service (PLES 02) Brighton and Hove Pharmacy Enhanced Service (PLES 02) Smoking Cessation Service (2007/08) This enhanced service is aimed at clients who are non-complex cases and would like to be supported and be managed

More information

BEREAVED BY SUICIDE SUPPORT CONSULTATION QUESTIONNAIRE

BEREAVED BY SUICIDE SUPPORT CONSULTATION QUESTIONNAIRE BEREAVED BY SUICIDE SUPPORT CONSULTATION QUESTIONNAIRE The Public Health Agency has lead responsibility for the implementation of the Protect Life Strategy and is currently rolling out a 3 year procurement

More information

North Tyneside West Community Mental Health Team Patient Information Leaflet

North Tyneside West Community Mental Health Team Patient Information Leaflet North Tyneside West Community Mental Health Team Patient Information Leaflet Shining a light on the future 2 Introduction This leaflet provides information that you may find useful during your time with

More information

Nicotine Management Policy

Nicotine Management Policy Nicotine Management Policy Document level: Trustwide (TW) Code: CP28 Issue number: 6 Lead executive Authors details Type of document Target audience Document purpose Director of Nursing Therapies Patient

More information

abcdefghijklmnopqrstu

abcdefghijklmnopqrstu Chief Medical Officer Directorate Chief Medical Officer and Secretariat Division abcdefghijklmnopqrstu T: 0131-244 2399 F: 0131-244 2989 E: sandra.falconer@scotland.gsi.gov.uk NHS Board Medical and Nursing

More information

Suspected CANcer (SCAN) Pathway Information for patients

Suspected CANcer (SCAN) Pathway Information for patients Suspected CANcer (SCAN) Pathway Information for patients page 2 Your GP has advised you may benefit from investigation via the SCAN pathway. The SCAN pathway is part of a national programme called ACE

More information

The British Cardiovascular Society 2014 Workforce Survey. A report to the BCS October 2014

The British Cardiovascular Society 2014 Workforce Survey. A report to the BCS October 2014 The British Cardiovascular Society 2014 Workforce Survey A report to the BCS October 2014 Kevin Fox VP Clinical Standards, Andrew Wragg (Survey Clinical Lead), Gemma Cooper (BCS Office Lead for the Survey)

More information

What is Quitline Iowa?

What is Quitline Iowa? CONTENTS: What is Quitline Iowa? 0 A telephone counseling helpline for tobacco-use cessation. Free to all residents of the state of Iowa Open Monday-Thursday 7:00am 12:00am / Friday 7:00am 9:00pm / Saturday

More information

NRT Voucher redemption scheme service specification

NRT Voucher redemption scheme service specification NRT Voucher redemption scheme service specification Updated March 2016 Review date March 2018 Page 1 of 7 1. Introduction The NRT voucher scheme is for NHS Fife stop smoking advisors who have been deemed

More information

Centre for Specialist Psychological Treatments of Anxiety and Related Problems

Centre for Specialist Psychological Treatments of Anxiety and Related Problems Centre for Specialist Psychological Treatments of Anxiety and Related Problems Information for people interested in accessing treatment at the Centre and those who already have a referral Welcome Welcome

More information

Sample Managed Care Organization Survey Questions to Assess Smoking Prevalence and Available Cessation Benefits

Sample Managed Care Organization Survey Questions to Assess Smoking Prevalence and Available Cessation Benefits Technical Assistance Tool October 2017 Sample Managed Care Organization Survey Questions to Assess Smoking Prevalence and Available Cessation Benefits C ross-agency Medicaid-Public Health teams interested

More information

Carer organisations Case Study: Explaining and evaluating their contribution

Carer organisations Case Study: Explaining and evaluating their contribution Carer organisations Case Study: Explaining and evaluating their contribution creativity, collaboration and continuous improvement Page 2 Introduction Background In the Stitch in Time? programme we identify

More information

Flu season. Making the most of online appointments. August 2018

Flu season. Making the most of online appointments. August 2018 Flu season Making the most of online appointments August 2018 Dear colleagues, Over the last four years GP Online Services have been implemented by practices across England. Over 14 million patients -

More information

private patients centre stop smoking clinic Royal Brompton Hospital London

private patients centre stop smoking clinic Royal Brompton Hospital London private patients centre stop smoking clinic Royal Brompton Hospital London Royal Brompton and Harefield Contents 3 Smoking kills 4 There are many benefits of giving up 5 It is never too late to stop 7

More information

Manual of Smoking Cessation

Manual of Smoking Cessation Manual of Smoking Cessation A guide for counsellors and practitioners Andy McEwen Peter Hajek Hayden McRobbie Robert West Manual of Smoking Cessation Manual of Smoking Cessation A guide for counsellors

More information

The Provision of Stop Smoking Services delivered by Yorkshire Smokefree Sheffield 1 October

The Provision of Stop Smoking Services delivered by Yorkshire Smokefree Sheffield 1 October October 2017 Sheffield Pharmacy Briefing The Provision of Stop Smoking Services delivered by Yorkshire Smokefree Sheffield 1 October 2017 2020. I would like to inform you that South West Yorkshire NHS

More information

Enter & View WDP Havering Drug and alcohol dependency services 11 October 2016

Enter & View WDP Havering Drug and alcohol dependency services 11 October 2016 Enter & View WDP Havering Drug and alcohol dependency services 11 October 2016 Healthwatch Havering is the operating name of Havering Healthwatch Limited A company limited by guarantee Registered in England

More information

From the Deputy Chief Medical Officer / Chief Dental Officer Dr Anne Kilgallen / Simon Reid. Circular HSC (SQSD) (NICE NG30) 37/16

From the Deputy Chief Medical Officer / Chief Dental Officer Dr Anne Kilgallen / Simon Reid. Circular HSC (SQSD) (NICE NG30) 37/16 From the Deputy Chief Medical Officer / Chief Dental Officer Dr Anne Kilgallen / Simon Reid Circular HSC (SQSD) (NICE NG30) 37/16 Subject: NICE Public Health Guideline NG30 - Oral health promotion: general

More information

Smoking cessation services

Smoking cessation services Issue date: February 2008 Quick reference guide Smoking cessation services This quick reference guide presents the recommendations made in Smoking cessation services in primary care, pharmacies, local

More information

6. PATIENT RECRUITMENT

6. PATIENT RECRUITMENT 6. PATIENT RECRUITMENT 6.1 Suitable patient criteria Not all patients will benefit from a DAFNE course. At this stage we do not have evidence to help us decide who would and who would not benefit from

More information

Census of consultant physicians in the UK Executive summary. Dr Harriet Gordon, director, Medical Workforce Unit

Census of consultant physicians in the UK Executive summary. Dr Harriet Gordon, director, Medical Workforce Unit Census of consultant physicians in the UK 2013 14 Executive summary Dr Harriet Gordon, director, Medical Workforce Unit Introduction The census of consultant physicians is an annual project that has been

More information

Number of records submitted: 14,750 Number of participants: Part 1 = 146 hospitals (120 trusts); Part 2 = 140 hospitals (119 trusts)

Number of records submitted: 14,750 Number of participants: Part 1 = 146 hospitals (120 trusts); Part 2 = 140 hospitals (119 trusts) British Thoracic Society Smoking Cessation Audit Report Smoking cessation policy and practice in NHS hospitals National Audit Period: 1 April 31 May 2016 Dr Sanjay Agrawal and Dr Zaheer Mangera Number

More information

Help for Pregnant Women to Quit Smoking and Stay Quit

Help for Pregnant Women to Quit Smoking and Stay Quit BABY & ME Tobacco Free Hendricks County Health Department 355 S. Washington St. #211 Danville, IN 46122 Phone: (317) 745-9222 Fax: (317) 745-9383 Help for Pregnant Women to Quit Smoking and Stay Quit UPDATED

More information

PATIENT GROUP DIRECTIONS FOR SUPPLY OF VARENICLINE (CHAMPIX ) BY AUTHORISED COMMUNITY PHARMACISTS WORKING IN NHS LANARKSHIRE

PATIENT GROUP DIRECTIONS FOR SUPPLY OF VARENICLINE (CHAMPIX ) BY AUTHORISED COMMUNITY PHARMACISTS WORKING IN NHS LANARKSHIRE PATIENT GROUP DIRECTIONS FOR SUPPLY OF VARENICLINE (CHAMPIX ) BY AUTHORISED COMMUNITY PHARMACISTS WORKING IN NHS LANARKSHIRE (Approved May 2014 - Review Date May 2016) GENERAL POLICY PATIENT GROUP DIRECTION

More information

A Guide for Welfare Officers and Support Workers

A Guide for Welfare Officers and Support Workers A Guide for Welfare Officers and Support Workers The Aged Veterans Counselling service provides free counselling to any UK veteran born before 1 st January 1950. We also support carers and relatives of

More information

South Tyneside Exercise Referral and Weight Management Programme

South Tyneside Exercise Referral and Weight Management Programme South Tyneside Exercise Referral and Weight Management Programme Referral Guidance Document 2011/2012 1 2 South Tyneside Exercise Referral and Community Weight Management Programme Introduction An Exercise

More information

How do we engage better with smokers in our most deprived areas?

How do we engage better with smokers in our most deprived areas? How do we engage better with smokers in our most deprived areas? Rebecca Campbell Health Improvement Lead (Tobacco) Why did we do this research? What did we do? What did we find? So what? Policy Context

More information

National NHS patient survey programme Survey of people who use community mental health services 2014

National NHS patient survey programme Survey of people who use community mental health services 2014 National NHS patient survey programme Survey of people who use community mental health services The Care Quality Commission The Care Quality Commission (CQC) is the independent regulator of health and

More information

SOLIHULL BEREAVEMENT COUNSELLING SERVICE (SBCS)

SOLIHULL BEREAVEMENT COUNSELLING SERVICE (SBCS) SOLIHULL BEREAVEMENT COUNSELLING SERVICE (SBCS) REVIEW AND DEVELOPMENT PLAN 2013 2016 1 EXECUTIVE SUMMARY Solihull Bereavement Counselling Service (SBCS) is a charity which provides specialist bereavement

More information

A practical guide to living with and after cancer. Planning your care and support. Front cover

A practical guide to living with and after cancer. Planning your care and support. Front cover A practical guide to living with and after cancer Planning your care and support Front cover 1 Holistic Needs Assessment About this leaflet Being diagnosed with cancer can affect many areas of your life.

More information

SMOKING OUTSIDE HOSPITALS: AN OPPORTUNITY TO COMMENT ON PROPOSALS

SMOKING OUTSIDE HOSPITALS: AN OPPORTUNITY TO COMMENT ON PROPOSALS Population Health Directorate Health Improvement Division T: 0131-244 1707 E: elaine.mitchell@gov.scot Monday, 28 November, 2016 Dear Chief Executive, SMOKING OUTSIDE HOSPITALS: AN OPPORTUNITY TO COMMENT

More information

Tobacco dependence: Implications for service provision

Tobacco dependence: Implications for service provision Tobacco dependence: Implications for service provision Andy McEwen, PhD University College London & National Centre for Smoking Cessation and Training (NCSCT) Tuesday 29th January 2013 Cardiff Conflict

More information

HIV and Life: Getting the Right balance

HIV and Life: Getting the Right balance HIV and Life: Getting the Right balance Information about support for people with HIV Introduction Living with a lifelong condition like HIV can be difficult. At times, people can feel overwhelmed when

More information

Dr Caitlin Notley. Preventing Return to Smoking Postpartum: PReS Study

Dr Caitlin Notley. Preventing Return to Smoking Postpartum: PReS Study Dr Caitlin Notley Preventing Return to Smoking Postpartum: PReS Study DEVELOPMENT OF AN EVIDENCE BASED COMPLEX INTERVENTION FOR MAINTAINING POSITIVE BEHAVIOUR CHANGE c.notley@uea.ac.uk @AddictionUEA https://www.uea.ac.uk/medicine/research/addiction

More information

Brief interventions delivered in GP surgeries to improve quit rates

Brief interventions delivered in GP surgeries to improve quit rates Brief interventions delivered in GP surgeries to improve quit rates Matrix Insight, in collaboration with Imperial College London, Kings College London and Bazian Ltd, were commissioned by Health England

More information

Dear Colleague. 29 August 2017 COMMUNITY PHARMACY PUBLIC HEALTH SERVICE SMOKING CESSATION SERVICE REVISED SERVICE SPECIFICATION. Summary.

Dear Colleague. 29 August 2017 COMMUNITY PHARMACY PUBLIC HEALTH SERVICE SMOKING CESSATION SERVICE REVISED SERVICE SPECIFICATION. Summary. NHS Circular: PCA (P)(2017) 7 Chief Medical Officer Directorate Pharmacy and Medicines Division Dear Colleague COMMUNITY PHARMACY PUBLIC HEALTH SERVICE SMOKING CESSATION SERVICE REVISED SERVICE SPECIFICATION

More information

Achieve. Salford Young People s Service. Salford Recovery

Achieve. Salford Young People s Service. Salford Recovery Achieve Salford Young People s Service Achieve Salford Recovery Services Achieve SAlford recovery ServiceS Achieve Salford Recovery Services brings together people from a range of organisations, backgrounds

More information

Preventing ill health -

Preventing ill health - Preventing ill health - tobacco and alcohol screening Striving for excellence Screening When you attended hospital for assessment and treatment you may also receive routine tobacco and alcohol screening

More information

Regional Gender Identity Service at Brackenburn Clinic Frequently Asked Questions

Regional Gender Identity Service at Brackenburn Clinic Frequently Asked Questions Regional Gender Identity Service at Brackenburn Clinic Frequently Asked Questions Does the clinic expect me to dress or act in a certain way e.g. if I identify as female will it help with the process of

More information

NHS Grampian Tobacco Policy 2016

NHS Grampian Tobacco Policy 2016 NHS Grampian Tobacco Policy 2016 Co-ordinator: Tobacco Policy Review Group Reviewer: GAPF Policies Subgroup Approver: Grampian Area Partnership Forum (GAPF) Revised 2016 Review date: 2017 Uncontrolled

More information

Best practice for brief tobacco cessation interventions. Hayden McRobbie The Dragon Institute for Innovation

Best practice for brief tobacco cessation interventions. Hayden McRobbie The Dragon Institute for Innovation Best practice for brief tobacco cessation interventions Hayden McRobbie The Dragon Institute for Innovation Disclosures I am Professor of Public Health Interventions at Queen Mary University of London

More information

Staying steady. Health & wellbeing. Improving your strength and balance. AgeUKIG14

Staying steady. Health & wellbeing. Improving your strength and balance. AgeUKIG14 Staying steady Improving your strength and balance Health & wellbeing AgeUKIG14 Age UK is the new force combining Age Concern and Help the Aged. With almost 120 years of combined history to draw on, we

More information

Looking Forward. A free counselling service and peer support programme for older people (aged 60 plus) affected by sight loss

Looking Forward. A free counselling service and peer support programme for older people (aged 60 plus) affected by sight loss Looking Forward A free counselling service and peer support programme for older people (aged 60 plus) affected by sight loss RNIB Northern Ireland Looking Forward Project Contents Let s talk about it 3

More information

This paper contains analysis of the results of these processes and sets out the programme of future development.

This paper contains analysis of the results of these processes and sets out the programme of future development. Fitness to Practise Committee, 14 February 2013 HCPC witness support programme Executive summary and recommendations Introduction This paper outlines the approach taken by HCPC in relation to witness management

More information

Reducing smoking in pregnancy: learning from the babyclear approach

Reducing smoking in pregnancy: learning from the babyclear approach Reducing smoking in pregnancy: learning from the babyclear approach Ruth Bell Institute of Health & Society, Newcastle University Smoking in pregnancy Maternal smoking is major cause of avoidable mortality

More information

Strong bones after 50 Fracture liaison services explained A guide for patients, carers and families

Strong bones after 50 Fracture liaison services explained A guide for patients, carers and families Strong bones after 50 Fracture liaison services explained A guide for patients, carers and families What the NHS should provide for people over 50 who have broken a bone after falling from standing height

More information

Mood & Risk Screening After Stroke: Developing a Shared Strategy

Mood & Risk Screening After Stroke: Developing a Shared Strategy Mood & Risk Screening After Stroke: Developing a Shared Strategy Timing Venue: Liberty Stadium Swansea 14:05 to 15:05 Presentations 15:05 to 15:35 Exercises AIMS Delegates will: appreciate the frequency

More information

EVALUATION OF AN INTERRELATED TIERED INTERVENTION TO REDUCE HAZARDOUS AND HARMFUL DRINKING

EVALUATION OF AN INTERRELATED TIERED INTERVENTION TO REDUCE HAZARDOUS AND HARMFUL DRINKING EVALUATION OF AN INTERRELATED TIERED INTERVENTION TO REDUCE HAZARDOUS AND HARMFUL DRINKING Ciara Close, Research Fellow, Centre for Public Health, QUB ALCOHOL MISUSE Alcohol misuse means drinking excessively

More information

CAMHS. Your guide to Child and Adolescent Mental Health Services

CAMHS. Your guide to Child and Adolescent Mental Health Services CAMHS Your guide to Child and Adolescent Mental Health Services The support I received from CAHMS was invaluable and I do not know where I would be now without it. I now study Health and Social Care and

More information

Diabetes is a lifelong, chronic. Survey on the quality of diabetes care in prison settings across the UK. Keith Booles

Diabetes is a lifelong, chronic. Survey on the quality of diabetes care in prison settings across the UK. Keith Booles Survey on the quality of diabetes care in prison settings across the UK Article points 1. The Royal College of Nursing Diabetes Forum conducted an audit of prisons within the UK to determine the level

More information

Service User Information Leaflet

Service User Information Leaflet Service User Information Leaflet North Tyneside Recovery Partnership (NTRP) The North Tyneside Recovery Partnership (NTRP) is a dedicated service for anyone in North Tyneside experiencing problems with

More information

Brief Advice Training for Smoking

Brief Advice Training for Smoking Brief Advice Training for Smoking What Is Very Brief Advice Brief advice is advice for any smoker designed to be used opportunistically in less than 30 seconds and it works! What is Involved with Very

More information

ADHD clinic for adults Feedback on services for attention deficit hyperactivity disorder

ADHD clinic for adults Feedback on services for attention deficit hyperactivity disorder ADHD clinic for adults Feedback on services for attention deficit hyperactivity disorder Healthwatch Islington Healthwatch Islington is an independent organisation led by volunteers from the local community.

More information

Smoking and heart. and circulatory diseases. to reduce your risk of heart

Smoking and heart. and circulatory diseases. to reduce your risk of heart Smoking and heart and circulatory diseases This leaflet is for people at increased risk of heart and circulatory diseases because they smoke. The chemicals in cigarettes and other smoking products kill

More information

Let s Talk About Weight: A step-by-step guide to brief interventions with adults for health and care professionals

Let s Talk About Weight: A step-by-step guide to brief interventions with adults for health and care professionals : A step-by-step guide to brief interventions with adults for health and care professionals About Public Health England Public Health England exists to protect and improve the nation s health and wellbeing,

More information

Drumchapel Supported Youth Housing Project Housing Support Service Units 25 & 26 KCEDG Commercial Centre Ladyloan Place Drumchapel Glasgow G15 8LB

Drumchapel Supported Youth Housing Project Housing Support Service Units 25 & 26 KCEDG Commercial Centre Ladyloan Place Drumchapel Glasgow G15 8LB Drumchapel Supported Youth Housing Project Housing Support Service Units 25 & 26 KCEDG Commercial Centre Ladyloan Place Drumchapel Glasgow G15 8LB Telephone: 0141 944 7869 Inspected by: Julia Bowditch

More information

Sis for. smoking and pregnancy. Don t give up giving up. textphone

Sis for. smoking and pregnancy. Don t give up giving up.  textphone Don t give up giving up. For friendly, practical advice on giving up smoking and where you can find help close to home, call the NHS Pregnancy Smoking Helpline 0800 169 9 169 textphone 0800 169 0 171 Sis

More information

16 June Dear Colleague PUBLIC HEALTH SERVICES (PHS) - SMOKING CESSATION SERVICE REVISED SERVICE SPECIFICATION. Summary

16 June Dear Colleague PUBLIC HEALTH SERVICES (PHS) - SMOKING CESSATION SERVICE REVISED SERVICE SPECIFICATION. Summary Finance, ehealth & Pharmaceuticals Directorate Pharmacy and Medicines Division Dear Colleague PUBLIC HEALTH SERVICES (PHS) - SMOKING CESSATION SERVICE REVISED SERVICE SPECIFICATION Summary 1. This Circular

More information

To: all bowel screening centre directors and programme managers. Dear colleague

To: all bowel screening centre directors and programme managers. Dear colleague Professor Julietta Patnick CBE Director JP/LC 11 January 2013 To: all bowel screening centre directors and programme managers Fulwood House Old Fulwood Road Sheffield S10 3TH Tel: 0114 271 1060 Fax: 0114

More information

Northwick Park Mental Health Centre Smoking Cessation Report October Plan. Act. Study. Introduction

Northwick Park Mental Health Centre Smoking Cessation Report October Plan. Act. Study. Introduction Northwick Park Mental Health Centre Smoking Cessation Report October 2017 Act Plan Study Do Introduction 1 In 2013 the National Institute for Health and Care Excellence recommended that health organisations

More information

Local Stop Smoking Services: service delivery and monitoring guidance 2011/12 Key point summary

Local Stop Smoking Services: service delivery and monitoring guidance 2011/12 Key point summary Local Stop Smoking Services: service delivery and monitoring guidance 2011/12 Key point summary www.dh.gov.uk/en/publicationsandstatistics/publications/publicationspolicyndguidance/dh_125389 Overview This

More information

Royal London Hospital for Integrated Medicine. Autogenic Training

Royal London Hospital for Integrated Medicine. Autogenic Training Royal London Hospital for Integrated Medicine Autogenic Training 1 If you would like this document in another language or format or require the services of an interpreter please contact Patient Services

More information

Essentia Health East Improves Treatment of Tobacco Dependence

Essentia Health East Improves Treatment of Tobacco Dependence Essentia Health East Improves Treatment of Tobacco Dependence Between October 2010 and June 2012, ClearWay Minnesota SM provided Essentia Health East s Duluth Heart and Vascular Center with funding and

More information