Stop Smoking Service

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Stop Smoking Service
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June MartinSmoking Cessation Tobacco Control
leadSouth Glos PCT0117 3302425june.martin_at_sglos
-pct.nhs.uk
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3 Prisons in the South Glos area

• HMP Leyhill
• HMP Eastwood Park
• HMP YOI Ashfield

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September 2003 Prison Health Care Staff from the
3 prisons were trained as Support to Stop
Advisors
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• February 2004 South Glos Acquitted Steering Group
  formed
• South Glos PCT and Prison Service joint smoking
  cessation policy written and implemented
• NRT monies from Department of Health
• Stop Smoking courses and 1-1 clinics run in all 3
  establishments
• More staff trained as Support To Stop advisors

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HMP YOI Ashfield
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The need to establish a smoking policy for
Ashfield had become increasingly pressing for a
number of reasons

• Staff wishing to work in a smoke free environment
• Advice from occupational health specialists
• Growing public awareness of the dangers of second
  hand smoke
• Current policy in other YOI establishments
• Encouraging a healthy lifestyle amongst young
  people
• Advice from local Primary Care Trust (PCT) with
  regards to smoking cessation support

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Smoke Free Policy implemented 31st January 2005

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Staff Smoking Procedures

• Smoking will not be permitted anywhere within the
  perimeter fence
• Smoking will not be permitted when escorting or
  supervising any Young Person
• Smoking will not be permitted in any external
  working areas

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• No member of staff or visitor to Ashfield will be
  permitted to bring smoking requisites into the
  establishment
• All smoking requisites, which includes tobacco,
  matches and lighters are contraband

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• Smoking will not be permitted for staff in any
  building in the establishment including Young
  Persons cells
• No Smoking signs will be displayed

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Young Person Smoking Procedure

• No smoking by any Young Person in any area at any
  time
• Smoking will not be permitted in the cells or
  healthcare centre
• Young Persons not permitted to purchase or carry
  tobacco or any other smoking requisites

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Supporting staff who want to quit
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What is essential?

• Smoke Free Champions
• Written policy and protocols
• Good Communication pathways
• Trained personnel

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Avon and Wiltshire Mental Health Partnership NHS
Trust (AWP)

• Smoke Free Environment Policy
• from the 1st June 2006 all trust buildings will
  be a smoke free environment

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Smoke Free AWP

• For staff, external contractors, members of the
  public, students or volunteers the smoke free
  environment policy will also include the grounds
  of buildings

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Work with AWP MH Trust

• Before reorganisation of PCTs Mental Health
  Trust covered 9 NHS Stop Smoking Services (now 6)
• Links with all local NHS Stop Smoking Services
  established
• Services represented on Smoke Free steering
  group(s)

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What we offered - training

• All the Stop Smoking Services worked together to
  develop the training and the manual.
• Standardised, mandatory Level 1 (brief
  intervention) training developed for all staff.
• Each PCT organised this with the AWP locality
  leads

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What we offered - training

• Level 2 Advisor Training
• This was coordinated trust wide to ensure that
  every trust area had at least one trained
  advisor. A two day training was run twice one in
  Avon and one in Wilts. Further training is
  planned at the end of October

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Mental Health vs Standard Training

• Additional work on NRT and medication
  interactions
• Discussion on procedures, protocols and their
  implementation
• Discussion on implications of smoke free policy

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Post training support

• Offer further training, network meetings and
  conferences to help advisors keep up to date
• Upgrade manual where appropriate
• Visit new advisors 6 weeks after training to
  offer help, advice and support.
• Audit service annually in all settings

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NRT and protocols

• Worked with trust pharmacy advisor to produce
  Nicotine Replacement Therapy Guidelines for
  In-patients
• Involved with decisions as to which items to
  provide
• Development of referral procedures for users on
  discharge.

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Is it working?