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HELPING SMOKERS QUIT AND MEETING TARGETS

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HELPING SMOKERS QUIT AND MEETING TARGETS Powered By Docstoc
					HELPING SMOKERS QUIT AND
  MEETING LAA TARGETS
             Kate Gegg
          Service Manager
   Gloucestershire Smoking Advice
              Service
     Background to the Service

 Established 2000 following “Smoking Kills “ 1998
 Gloucestershire's local NHS Stop Smoking
  Service
 Part of Gloucestershire PCT / Public Health
  provider arm
 Role to develop and deliver tobacco control
  /smoking cessation services countywide
 Experience of meeting targets !
  Motivating Smokers to Give up
 70% smokers want to give
  up BUT only
  3-5 % want to give up
  today
 Services need to be
  provided with ease of
  access for smokers
 Need effective tobacco
  control policies/strategies
  to ensure throughput
 Need to be tailor made to
  the needs of the
  community
                LAA Targets
 Local Delivery Plan 2954 quitters 2007-2008
               LAA Stretch Targets :-
  Smokers with severe and enduring mental health
                       problems
               24 quitters 2007-2008
         Smokers within HMP Gloucester
               42 quitters 2007-2008
   Smokers within top two centiles of deprivation
                    1591 quitters
                Data Collection
 Every smoker who sets a quit date is monitored throughout
  that quit attempt
 Seen up to and beyond 12 weeks but target is for 4 week
  quitters.
 Registered as quitter, non quitter, or lost to follow up
 Figures submitted to SHA, PCT quarterly basis
 Always a quarter behind as based on quarter smoker sets
  a quit date
 Example:- Quarter 2 if Quit date 30th September then 4
  week follow up not until at least first week November
  therefore DoH date returns for Q2 is 24th November

Smoking Cessation for Smokers with
Severe and Enduring Mental Health
            Problems
          Higherprevalence of smoking among
         people who have severe and enduring
         mental health problems
          80% people with schizophrenia smoke
          Smoke more than generic population
          Need increased support
          Need to work with staff at GPT to
         encourage them to raise the issue about
         smoking with all their patients
    Service Development to Meet LAA
                 Target
 Working with GPT to finalise smoking policy
 Will include services to support staff and patients
 NRT funding from GPCT
 Ongoing Training continuing for key staff both in
  brief intervention and intermediate support
 Capturing data from Primary Care on smokers on
  the mental health register
 ACHIEVEMENT TO DATE :- 9 set a quit date and
  5 quit
Smoking Cessation in Areas of
        Deprivation
         2005 Evaluation of the service
         showed that targeting smokers from
         areas of deprivation who were setting a
         quit date
         Quitting at much lower level than
         smokers from areas of less deprivation
          Local picture replicated the national
         figure
          Smokers from these areas need
         much higher level of support to help
         them quit
      Service Development for these
                 areas
 Training for wide range of staff who work in these areas to ensure
  signposting

 Provision of services within communities i.e Tescos, Pub, Workplace ,
  Neighbourhood Projects

 Ease of access to medication through Voucher Scheme

 Pharmacy Scheme in areas of deprivation

 Social Marketing through Dr Fosters

 Regular post code analysis
 ACHIEVEMENT TO DATE :- 239 quitters against target of 1591
Smoking Cessation Gloucester
          Prison

         GSAS working with Prison staff in
         Health Care Unit to deliver
         weekly clinic
         1 Prison Nurse trained to work
         alongside service specialist
         NRT funded from GPCT and
         issued under Patient group
         Direction
Challenges Working within Prison

 Reliant on support of Prison Nurse to escort
  prisoners
 Lock down!
 Mobility of prisoners during treatment
 Floods / Evacuation
 Culture
          Achievments to date

 Weekly clinic to be extended ( last week 16
  prisoners seen at weekly session)
 ACHIEVEMENT TO DATE Q1 and Q2:-17
  prisoners set a quit date
              7 quit ( that we know of !)
 Ongoing work as at 4th December /Quarter 3
              Prisoners seen 40 since 1st October
                   9 Transferred or released
                         8 declined help
                  19 quitting and 4 quit to date
                  LDP Target
 This is the generic target for the Service set by the
  DoH
 GSAS always met targets from 2000 but following
  re-organisation failed to meet target 2006-2007
 Following re-structure and increased PCT
  investment
 ACHIEVEMENT TO DATE:-
 Quarter 1 Target 711 quitters achieved 537
 Quarter 2 Target 652 quitters achieved 653
             Now met 40% annual target
          Service Development
   Increase capacity and investment
   Young People Steering Group
   New medication Champix
   Regular Media Campaigns
   Extended training programmes
   StopB4theOp Policy
             Contact Details
 "It's the constant and determined effort that
  breaks down resistance, sweeps away all
  obstacles."
   -Claude M. Bristol
                    Kate Gegg
                  08454 220040
             Kate.gegg@glos.nhs.uk

				
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