WHSCT Smokefree. Mary Campbell

Transcription

1 WHSCT Smokefree Mary Campbell

2 DHSSPS NI Smokefree policy: Implementation in secondary care Dr Albert Mc Neill Consultant Cardiologist & Clinical Lead Co-Chair Smoke Free Committee WHSCT

3 The size of the problem: 2300 deaths /year The population of Broughshane! 5 jumbo jet crashes!

4 Effects of second hand smoke 4000 chemicals Arsenic/benzene/formaldehyde/ammonia 60% carcinogenic More in sidestream than mainstream 85% room smoke is sidestream

5 Health risks to passive smokers Lung cancer: increased risk 20-30% Heart disease: increased risk 25% 30 min passive smoking reduces coronary blood flow Stroke: increased risk 82% in men, 66% women Asthma: acute exaccerbations Pregnancy complications: low birth weight

6 Why go Smokefree? Vision as lead clinician and co-chair of smoke-free committee Improve public health (Ten Year Tobacco Plan, 2012) Smokefree environment cleaner, better, image we care about your health... Salient part of a Health Promoting Organisation Provide a better health outcome for patients by treating nicotine addiction as a care issue Also makes sense financially total NI hospital costs of treating smoking related disease is approx 119m per annum (RCP,2010)

7 Patient Survey How do you feel about the WHSCT becoming smoke-free earlier this year (2014) Positive Neutral Negative Out of 271 responses Makes the effort Worth it!

8 Current Smokefree Policy Ministerial announcement March 2015 March 2016: all DHSSPS grounds are smokefree this means that smoking is prohibited in all areas of the Trust, including all buildings, doorways, entrances, grounds, internal roads, cars and car parks

9 Patient and public reaction: 2 sides Media coverage Belfast Telegraph Saturday 9 th April: Belfast Trust criticised for incomplete enforcement Social media Patients rights

10 Senior Leadership Importance of having Senior clinician input Senior Corporate Team commitment Buy in from all staff, esp nursing staff Need and Importance of high level management and communications support All committed to the one Vision

11 Challenges Breachers: deliberate vs ignorant Recent emotional upset Terminally ill How to support smokers rather than berate them Mental health

12 Mental Health Joint report Royal Colleges of Physicians and Psychiatrists 2013 There is a moral duty to address this problem in the future, and to prioritise the rights of people with mental disorders to the same protection and health interventions as the general population

13 Practical help Assess smoking habits at admission Inform about policy before/on admission Support: smoking cessation counselling and NRT Remind Signage and literature

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15 Smoke Free Implementation Dr Maura O Neill Head of Health Improvement, Performance & Service Improvement Co-Chair Smoke Free Committee

16 Lisnagelvin school

17 Northern Ireland Implementation Preparation for Smokefree Communications, Awareness & and Training Lessons learned and Implementation Innovation, Energy and Staying Power! 2 years on for WHSCT

18 Preparing the Groundwork Vision starting 5 years prior to going smoke-free CMT / SMT / Trust Board discussion PHA Funding Smokefree Toolkit and Action Plan Branding Public / Staff Engagement / Trade Unions Media Conscious Creativity and Innovation

19 Engagement Communications Internal External Identify Spokespeople different backgrounds Prepare relevant materials Expect the unexpected Positive stories make it real

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21 Staff Awareness & Training Brief Intervention Programme Training for night and day staff Liaise with ward managers NRT product selection protocol - Core Pathways Electronic Referral

22 Compliance & Management Identify smoking hot spots Part of leadership walk about Develop a process to deal with compliance of the policy - HR / Workforce Monitor uptake of smoking cessation services Audit of smoking at hospital entrances

23 Keeping the momentum going All HSC Trusts smoke-free from March 2016 Staff confidence to enforcement of the policy Consistency across HSC Sites National support Public awareness Funding, capacity and time to effectively implement smokefree Importance of high level management support and communication support

24 Summary Many challenges ahead cultural change Tobacco kills - and it kills those with mental illness / disadvantaged people disproportionately and earlier. Making Life Better, Public Health Strategy De-normalisation of Tobacco across the Island

25 Finally We focus not on policing the changes but encouraging a cultural shift, so it becomes unthinkable that anyone - staff, patients or visitors would smoke on a HSC site Aiming for 100% of what is achievable

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