10 Years of NHS Stop Smoking Services

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• 10 Years of NHS Stop Smoking Services
• What have we learnt?
• Martyn Willmore
• Performance Improvement Delivery Manager
• Fresh Smoke Free North East

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North East Stop Smoking Services

• North East Services have a enviable record
  nationally
• Consistently topping the national table for
  number of quitters per population size
• Consistently attracting a higher number of
  smokers into our NHS Services than other regions

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Number of quitters in NENHS SSS since 1999
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North East quitters comparedto national average
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of smokers accessing NHS SSS in 2008/09

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Developments

• Introduction of NRT on prescription in 2001
• New products have been introduced to the market
• 1998 - Sublingual Tablets
• 1999 Lozenges
• 2000 Bupropion
• 2006 Varenicline
• Growing expansion of services into new settings
  and with new advisors
• We have a large workforce of skilled and
  experienced professionals

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Differing Models

• We have learnt that there is no magic wand
  solution, and that one size does not fit all
• There is significant variation in the service
  models adopted across our 12 PCTs
• Drop-in sessions versus one-to-one support
• Combination of Specialist, Pharmacist and other
  Primary Care settings
• Prescribing protocols

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Differing Models

• However, there is also significant variation in
  the outcomes achieved by Services
• We need to understand local differences, but also
  acknowledge that there is a strong evidence base
  for best practice
• All NICE-approved medication to be available
  first line
• Use of combination therapies
• Availability of Group Support where appropriate
• Encourage the wider NHS to promote the LSSS
• Increase the number of settings for support

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Summary

• We know that using NHS Stop Smoking Services
  quadruples the chances of smokers quitting
  successfully
• The North East has a record of success to be
  proud of, but must keep adapting in order to
  prosper
• 175,000 people have reason to be grateful to the
  services for helping them quit
• Conservative estimate of 27,000 lives saved
  across the North East over the last decade