Achieving smoke-free mental health services in Scotland: a consultation

1
Achieving smoke-free mental health services in
Scotland a consultation

• Kerry McKenzie
• Health Improvement Programme Manager
• (Tobacco)
• NHS Health Scotland

2
Achieving smoke-free mental health services in
Scotland a consultation 12 January 6 April 2009
3
Outline

• Background to developing the consultation
• The consultation questions
• The consultation process
• Encouraging responses from service users and
  staff

4
Background

• Smoke-free legislation 26 March 2006
• Commitment to review exemption in designated
  rooms in psychiatric hospitals and psychiatric
  units
• Mental Health and Tobacco Working Group
• Study commissioned by NHS Health Scotland
• New Scottish Government announced its plan to
  consult on how to achieve smoke-free services
• NHS Health Scotland, ASH Scotland and STCA tasked
  with developing the consultation

5
Reference Group

• Kerry McKenzie, NHS Health Scotland (chair)
• John Glen David Berry, Scottish Government
• John Sim, ASH Scotland
• Sheila McFadyen Tommy Harrison, STCA
• Geoff Earl, Royal College of Nursing
• Thomas Reid, The State Hospital
• Ruth Roberts, SAMH
• NB invitations extended to VOX, Mental Welfare
  Commission and the Royal College of Psychiatrists.

6
Role remit of reference group

• To develop the consultation questions
• To make recommendations on how to promote and
  encourage responses to the consultation

7
Consultation questions

• In order to achieve smoke-free mental health
  services in Scotland, how do you think we should
  proceed?
• Retain the status quo (leaving the current
  exemption)
• Produce detailed guidance material without the
  need to amend existing legislation
• Remove the existing exemption by amending the
  existing legislation
• Dont know

8
Consultation questions

• 2.a) How extensive do you think smoke-free mental
  health services should be ?
• Complete i.e. both buildings and grounds
• Partial i.e. buildings only
• Dont know

9
Consultation questions

• 2.b) If you think it should be complete, how
  should it be implemented ?
• In one step
• Phased over a long period of time
• Dont know

10
Consultation questions

• What type of support do you think is required to
  achieve smoke-free mental health services in
  Scotland ?
• e.g. stop smoking support, training.

11
Consultation questions

• 4. Please let us know about any other views that
  you have about smoke-free mental health services.
• (Including experiences and lessons learned from
  introduction of smoke-free policies whats
  worked, what hasnt worked)

12
The consultation process

• Consultation period 12 January 6 April 2009
• Consultation pack available from
• www.scotland.gov.uk/Consultations/Current
• Lee-Anne Smith, Scottish Government 0131 244 5660
• Other formats can be requested
• Responses welcome from individuals and
  organisations
• Responses can be posted or emailed
• Responses available to public 8 May 2009

13
Consultation pack

• Letter
• Response form
• Respondee information form
• Key facts on smoking and mental health
• Key facts on second-hand smoke
• Definitions
• Facilitators notes
• General points on facilitating

14
Encouraging responses

• Over 500 packs distributed
• Including PPFs, PFPIs, mental health service user
  groups, mental health vol. orgs, professional
  staff organisations, unions, mental health
  service facilities, NHS Boards, local authorities
• Promotion of consultation
• Symposium
• Including articles in newsletters and emails to
  networks.

15
Encouraging responses

• Reponses particularly sought from
• Service users with mental health problems
• Staff who work in psychiatric hospitals and
  psychiatric units
• Focus and emphasis on existing service user and
  staff groups actively engaging their members
• e.g. ACUMEN, HUG, VOX, Mental Health Fora, staff
  reps

16
Facilitators notes

• Developed to encourage discussion in a group,
  either formal or informal.
• Can be used in staff or service users groups
• Can be used with individuals
• Responses can be collated and submitted as a
  group response or as individual response.

17
Final words!

• Service user and staff involvement in the
  consultation process are crucial to future policy
  implementation
• Opportunity to inform Scottish Governments
  future action on protecting people from the
  harmful effects of second-hand smoke
• Soget involved, get a discussion going in your
  organisation or group and respond before 6 April!

18
Thank you

• Any questions or queries, please contact me
• Kerry McKenzie
• Health Improvement Programme Manager (Tobacco)
• 0141 354 2977
• kerry.mckenzie_at_health.scot.nhs.uk
• www.canstopsmoking.com