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POLICY TITLE NHS Fife Smoking

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					                                    NHS Fife Smoking Policy

DOCUMENT CONTROL                                             POLICY NO
Policy Manual/System
Author                                                       Version No               DRAFT (3)
Reviewer                                                     Implementation Date
Status                                                       Next Review Date
Signed By
Responsible Director                                         Last Review Date

1.       FUNCTION

1.1      Smoking causes the premature deaths of 13,000 people in Scotland every year. It is
         the single largest preventable cause of ill health and mortality. „Second-hand' smoke
         or passive smoking (sometimes referred to as Environmental Tobacco Smoke or
         ETS) is a significant health risk to non-smokers: up to 1000 lifelong non-smokers die
         in Scotland each year because of exposure to second-hand smoke. Passive smoking
         is calculated to cause:-

            nearly 1 in 10 of all deaths due to stroke
            nearly 1 in 20 of all deaths due to asthma
            more than 1 in 30 of all deaths due to heart disease
            more than 1 in 25 of all lung cancers
1.2      Along with asbestos, radon, benzene and arsenic the USA Environmental Protection
         Agency has classified tobacco smoke as a Class A carcinogen. The World Health
         Organisation has also classified environmental tobacco smoke as a human
         carcinogen.

1.3      NHS Fife has a duty to comply with the Smoking, Health and Social Care (Scotland)
         Act 2005, which comes into force on 26 March 2006.1 With certain exceptions this will
         make smoking in “wholly or substantially enclosed” public places illegal. This includes
         any light or heavy goods vehicles owned by NHS Fife. From 26 March 2006 it will be
         an offence to smoke or knowingly to permit smoking in such premises. NHS will be
         required by law to display no smoking signage of a specified size and wording in all
         its premises affected by the legislation.

2.       LOCATION

2.1      This policy applies to:-

            all NHS staff in Fife;
            all patients, including out-patients, day-patients, in-patients and long-stay patients;
            all other people, including visitors, contractors, students, voluntary staff and
             anyone whose work, study or personal circumstances brings them onto NHS
             premises in Fife.



NHS Fife is committed to the provision of a service that is fair, accessible and meets the needs
of all individuals
Policy No.:             Review Date:                                                Page 1 of 5
3.     RESPONSIBILITY

3.1    Managers and staff are responsible for making sure that:
          individual staff know, understand and comply with this policy;

          contractors or non-NHS staff know, understand and comply with this policy;

          application of the policy is monitored in their own area.

3.2    Staff are personally responsible for complying with this policy and also for making
       sure that patients and visitors are aware of and comply with the policy.

4.     OPERATIONAL SYSTEM

4.1    This policy is designed to:

          improve the health of the population of Fife by providing a smoke-free
           environment for all, while offering support to those who smoke and would like to
           stop;

          prevent patients, visitors and staff from being exposed to tobacco smoke against
           their will;

          promote healthy living and non-smoking as the norm.

4.2    Apart from specific exceptions for patients (see paragraph 4.9) smoking is not
       permitted at any time for staff, patients, visitors, contractors or the general public:
          within NHS Fife premises or residences;

          in the vicinity of entrances to NHS buildings;

          on its grounds;

          in any vehicle on health service grounds.
4.3    Information for patients and staff is made available from NHS Fife on how to give up
       smoking and where to get further help and support.

4.4    NHS Fife will ask patients, their carers or relatives not to smoke when NHS Fife staff
       visit them at home during the course of their duties and ideally for an hour before the
       scheduled time of any visit.

4.5    A risk assessment should be undertaken before visiting in the case of staff who have
       a pre-existing condition such as asthma, chronic obstructive pulmonary disease
       (COPD) or cardiovascular disease made worse by exposure to tobacco smoke, or
       who face additional risks, for example because of being pregnant.

4.6    The only two exceptions to this policy are those so defined in the Smoking, Health
       and Social Care (Scotland) Act 2005, which comes into force from 26 March 2006.
       Smoking among patients only is permitted in this policy in adult hospices, and
       designated rooms in psychiatric hospitals and psychiatric units.



NHS Fife is committed to the provision of a service that is fair, accessible and meets the needs
of all individuals
Policy No.:           Review Date:                                              Page 2 of 5
4.7    For these purposes “psychiatric hospital” means a hospital the whole or main purpose
       of which is to treat persons with a mental disorder within the meaning of Section 328
       of the 2003 Mental Health Act. “Psychiatric Unit” means a hospital unit used as per
       above. “Hospital unit” means any part of a hospital which is treated as a separate
       unit.

4.8    “Adult hospice” means an establishment the whole or main purpose of which is to
       provide palliative care exclusively for adults residents there who are suffering from a
       progressive disease in its final stages.

4.9    A designated room means a room which:

       (a) has been designated by the person having the management or control of the no
           smoking premises in question as being a room in which smoking is permitted;

       (b) has a ceiling and, except for doors and windows, is completely enclosed on all
           sides by solid floor-to-ceiling walls;

       (c) has a ventilation system that does not ventilate into any other part of the no
           smoking premises in question (except any other designated rooms); and

       (d) is clearly marked as a room in which smoking is permitted.

4.10   Staff should include an assessment of each patient‟s smoking status on admission
       and take account of the possible need to deal with nicotine withdrawal symptoms in
       developing care plans. NHS Fife will endeavour to offer appropriate advice and
       support on how to stop smoking to those patients who wish to quit.

4.11   Staff should endeavour to dissuade patients who wish to leave NHS premises and
       grounds to smoke from doing so. Those patients who still decide to leave NHS
       premises and grounds to smoke must be advised by staff that they do this at their
       own risk and this should be recorded in patient notes.

4.12   Staff should remind visitors and patients who smoke in NHS premises or grounds of
       the policy and should ask them not to smoke. In doing so staff must ensure that they
       do not put their personal safety at risk.

4.13   This Smoking Policy is part of each staff member's employment documentation and
       prospective staff must be informed of the Policy at recruitment stage. The Policy will
       be confirmed to successful candidates along with their letter of appointment.

5.     STAFF

5.1    Staff are not permitted to smoke at any time whilst they are on duty.

5.2    Smoking is not permitted in NHS vehicles at any time.

5.3    NHS Staff who work in other organisations must comply with the smoking policies of
       those organisations.




NHS Fife is committed to the provision of a service that is fair, accessible and meets the needs
of all individuals
Policy No.:           Review Date:                                              Page 3 of 5
6.     RISK MANAGEMENT

6.1    NHS Fife is responsible for:
              maintaining a safe and healthy working environment;

              protecting the health of patients and staff, and not subjecting them to
               hazardous environments and materials; and

              ensuring that staff understand their responsibilities to take reasonable
               care of the health and safety of others.

6.2    NHS Fife has a duty to comply with the Smoking, Health and Social Care
       (Scotland) Act 2005 from 26 March 2006, which prohibits smoking in enclosed
       public places. Failure to comply with this legislation could expose NHS Fife to
       the risk of prosecution should smoking take place in those NHS premises
       subject to this legislation.

6.3    NHS Fife, as an exemplar employer, also has a responsibility to set a good
       example in health promotion and to work towards national targets set to
       reduce smoking and the incidence of diseases caused by tobacco smoke.
       NHS Fife, as a health promoting organisation, also has a responsibility to
       promote healthy living and non-smoking as the norm.

6.4    Failure to implement this policy would place NHS Fife at risk of claims from
       employees relating to occupationally acquired smoking-related conditions.
       This would lead to loss of reputation as an exemplar employer and as a health
       promoting organisation, and possible financial consequences should any
       action be successful.

7.     RELATED DOCUMENTS

       ASH Scotland. Re-audit of Tobacco Policies in the NHS in Scotland. Executive
       Summary. Edinburgh: ASH Scotland, 2005.

       The Smoking, Health and Social Care (Scotland) Act 2005.

       www.clearingtheairscotland.com

       www.ashscotland.org.uk

       www.epa.gov

       http://www.who.int/en/




NHS Fife is committed to the provision of a service that is fair, accessible and meets the needs
of all individuals
Policy No.:           Review Date:                                              Page 4 of 5
8.      REFERENCES

1.      The Scottish Executive. The prohibition of smoking in certain premises
        (Scotland) regulations 2006. Edinburgh: The Scottish Executive, 2005.

        Available from: http://www.clearingtheairscotland.com/faqs/index.html




Please confirm that the following issues have been considered:
                                  Yes         Not Applicable     Comments
Fair for All/Diversity Impact     

Public Involvement                

Health & Safety                   




NHS Fife is committed to the provision of a service that is fair, accessible and meets the needs
of all individuals
Policy No.:               Review Date:                                          Page 5 of 5

				
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