ASH Briefing for HM Treasury: setting out ideas on how to improve NHS performance management targets for smoking cessation
Smoking Cessation Services
In England and Wales the NHS provides dedicated Stop Smoking Services, which offer counselling and support to smokers wanting to quit. People attending these services are encouraged to use pharmacological aids to increase their chances of successfully quitting. .The Services provide group sessions or individual counselling, depending on the local circumstances and client's preferences.
The Department of Health’s Priorities and Planning Framework (PPF) 2003-2006 included targets on smoking reduction for the NHS: The 2004 Spending Review now requires the Department of Health to reduce the underlying determinants of ill health and health inequalities by reducing smoking rates to 21% or less by 2010, with a reduction in prevalence among routine and manual groups to 26% or less.
ASH Briefing for HM Treasury: setting out ideas on how to improve NHS performance management targets for smoking cessation
Briefing by Professor Robert West for the Healthcare Commission on Stop Smoking Service Quality and Delivery Indicators and Targets
As the BMA and NHS Confederation negotiate a new contract for general practice, this submission looks at where smoking cessation activity in general practice could fit in the new flexible contract structure. This is a submission to the BMA general practitioners committee and the NHS.
Memo to Department of Health Services Network on the NHS Smoking Helpline outlining improvements made to the service.
Conference report from ASH Wales event in March 2002 looking at promoting smoking cessation for hospital in-patients. The purpose of the conference was to provide an opportunity for the experience gained in the establishment of existing hospital based cessation programmes to be shared among a wider group. Key note speakers included Dr Linda Hyder Ferry from California, Dr Agneta Hjalmarson of the University of Gothenburg and Dr Ian Campbell from Llandough Hospital in Cardiff
Department of Health response to the report on the evaluation on the first year of the NHS Smoking Cessation Programme - Leading the Way: Smoking Cessation Services in Health Action Zones.
The questionnaire used for the national survey of Smoking Cessation Services.
Survey of the smoking cessation services formed under the Smoking Kills White paper undertaken by independent academics for the Department of Health. The results show good performance in difficult circumstances and suggest directions for further enhancement of the services.
An update and supplement to the Health Education Authority smoking cessation guidelines published in the journal Thorax. Includes new evidence, advice on Bupropion (Zyban) and recommendations on health professional roles based on experience of the first year's operation of UK smoking cessation services.
Letter to the health minister Lord Hunt, outlines the case for some sort of government initiative to stabilise and secure the smoking cessation services.
The conclusion highlights that based on the reported performance of the NHS specialist smoking cessation services from 2000-2001 suggests they are highly cost effective – a cost of less than £800 per life-year saved.
Excellent summary of the arguments for retaining and developing the specialist smoking cessation services introduced in the UK through the National Health Service since 1999. The idea is to convince new primary care trusts (PCTs) to support these services, and to remind the government how valuable its own investment has been - and why it should be protected.
Press release by Labour that sets out their plan's for tackling cancer and heart disease targets with £1 billion earmarked funding to 2004. The press release and proposal includes smoking cessation services.
As part of the Labour Party's 2001 election manifesto this is their costed proposals on how to fight cancer and heart disease.
Guidance to smoking cessation services on the monitoring requirements of the Department of Health
Press Release by Department of Health: The analysis shows great cost-effectiveness of smoking cessation service less than £800 per year of life saved
This is a Department of Health position statement and consultation document details how performance will be monitored. The concept of 'traffic lights' as indicators of performance status is developed and explained
Department of Health press release showing number of quitters, uptake of pharmaceuticals, expenditure levels etc. Around 126,800 people set a quit date through the smoking cessation services. At the 4 week follow-up around 61,500 had successfully quit (based on self-report), 48% of those setting a quit date
This is the report on 24th August 2000 of an expert seminar in the field of smoking cessation held at the Health Development Agency (from 2005 called the National Institute of Clinical Excellence), and subsequent discussion. The aim of the seminar and paper is to answer the question: "Given the changes concerning smoking cessation announced recently in the NHS National Plan, how should the various agencies involved - health authorities (particularly through their HIMPs & HAZs), PCGs/PCTs, general practice (GPs and other staff), specialist and intermediate services, pharmacies and other health professions - work together to deliver optimum cost effective smoking cessation services?"
Guidance produced by ASH Scotland and the Health Education Board for Scotland. The guidelines have been adapted from the English guidelines published in Thorax. They are written in a user friendly style and are intended to give advice on how the National Health Service in Scotland can encourage and help people to stop smoking. They are intended for use by the primary care team, other health professionals, managers, commissioners of health services and others
An evaluation of smoking cessation services in Health Action Zones. The report highlights the different ways in which Health Action Zones are developing smoking cessation services to reflect local needs and circumstances.
Health Service Circular about 'Patient Group Directions'
This document was prepared in anticipation of the Government's modernisation review of the NHS announced after the March 2000 Budget, and decisions on the availability of smoking cessation pharmaceuticals on reimbursable NHS prescription. The report lays out the economic, operational and health case for greater primary care involvement in smoking cessation, including the prescribing of smoking cessation pharmaceuticals.
Guidance by the Health Development Agency (from 2005 called the National Institute of Clinical Excellence) on the prevention of heart disease
This circular sets out the role of the services, the broad expectations and funding arrangements.
Report by the Department of Health - Modernising Health and Social Services: National priorities guidance, including smoking cessation policy from 2000 to 2003.
The Health Education Authority's guidelines on the economics and implementation of smoking cessation services published in the journal Thorax part 2.
The Health Education Authority's guidelines on the economics and implementation of smoking cessation services published in the journal Thorax, part 1.
Smoking Kills Government White Paper on tobacco. This chapter which makes the initial commitment to smoking cessation
The development of smoking cessation services is a priority for each Health Authority. Up to £60m of new money will be available over three years from April 1999 for Health Authorities to develop new NHS smoking cessation services.
An article in the BMJ examining the roles of the National Institute for Clinical Excellence (NICE) and its approval of health technologies. 1 December 2001.
The Guideline contains a series of 'lifestyle recommendations' to complement managing the care and treatment of people with chronic heart failure. Along with exercise and diet, patients are to be strongly advised not to smoke and referrals to smoking cessation services should be considered. July 2003
British Medical Journal editorial explaining the case for the smoking cessation services and showing that in the transition to the new NHS arrangements for primary care, the services could be carelessly (or deliberately lost). Authors : Martin Raw, Ann McNeil, Judith Watt, David Raw Published By : British Medical Journal Published : 17/11/2001
Provides help on putting a smokefree policy in NHS buildings into practice. The aim of this policy, set out in the Choosing Health Government White Paper, is to protect and improve the health of staff, patients, visitors and remove the dangers of second-and smoke.
This guidance set the main priorities for Health Authorities. It allocates money (£407 million) for tackling cancer in 2002/3, and within this programme it establishes a target of 100,000 quitters (at 4 weeks) for smoking cessation services. This is the form of the funding commitment to smoking cessation services. 6 Dec 2001
Information for people with heart failure, their carers and the public. Produced by the National Institute of Clinical Excellence (NICE) . July 2003
Independent NHS Special Health Authority that collects analyses and distributes national statistics on health and social care. Contains the latest quarterly figures for English Stop Smoking Services.
The charity PharmacyHealthLink has produced a guidance document to support the use of Patient Group Directions (PGDs) to supply smoking cessation products on the NHS at a local level. Patient Group Directions are designed to widen access to prescription medicines by enabling non-physician health care professionals to supply them. Updated May 2005
Department of Health released plan for modernisation and reform of the NHS - following the 2002 Budget. The government re-affirmed commitment to smoking cessation services: Chapter 2: Improving health services 2.4 New national service frameworks covering other groups of patients will be introduced during this period. There will be a greater focus on prevention and inequalities as with, for example, extended smoking cessation services and extra help to reduce rates of teenage pregnancy. 18 April 2002.
A series of articles reviewing the effectiveness of the treatment services. Published as a supplement to the journal Addiction.
Health Development Agency (from 2005 called the National Institute of Clinical Excellence) overview of NHS smoking policies. 6 Jan 2000
NICE guidance – Smoking cessation services in primary care, pharmacies, local authorities and workplaces, particularly for manual working groups, pregnant women and hard to reach communities. This guidance aims to ensure that stop smoking services are as effective as possible.
This white paper sets out the government's ambitions for the future of the NHS. Above all it stresses the importance of achieving a health service which is responsive to the needs and wishes of individual patients. The paper explores the characteristics of this ideal service and identifies five key strategic objectives for the development of the NHS. Some of the challenges which managers and health professionals might face in bringing about the NHS of the future are discussed. Jan 1996.
Recommendations for Primary Care Trusts. Guidance by the Health Development Agency (from 2005 called the National Institute of Clinical Excellence) on how Primary Care Trusts and smoking cessation services should set about meeting the Department of Health's targets for smoking cessation - 800,000 quitters over three years 2003-2007
An excellent guide to tackling the smoking in the prison population. This resource is designed to be a reference guide for setting up new stop smoking services in a prison setting. It is targeted at both NHS smoking cessation services and Prisons. 1 March 2003









