Implementation of Smokefree Legislation

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Implementation of Smokefree Legislation

• Hilary Wareing
• Co-Director
• Tobacco Control Collaborating Centre

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Concerns?
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Key elements for success

• Appoint lead person at senior level
• Form an implementation group
• Develop and approve a clear policy
• Discuss and consult with staff, service users ...

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Key elements for success (cont/d ...)

• Provide information for staff, service users and
  visitors
• Undertake/commission staff briefings and training
• Provide stop smoking support for service users
  and staff

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Key elements for success (cont/d ...)

• Supply prescribing guidance for NRT, Varenicline
  Tartrate (Champix), Zyban (Bupropion
  hydrochloride) (Patient Group Directions)
• Ensure signage is correct
• Mechanisms for monitoring and evaluating

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What have we learned and what needs to be done?

• Understanding by staff and patients of why and
  when smokefree
• Letters
• Briefings
• Newsletters
• Signage
• Leaflets
• Posters
• Advice cards
• Induction training
• Baseline for staff and users
• How many smoke?
• How many are thinking about stopping?

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What have we learned and what needs to be done?

• Pharmacology
• NRT supply
• Clerking protocols
• Cessation
• Brief intervention training
• Cessation training
• NRT protocol
• Policy
• Comprehensive
• Clear
• Brief
• Include cessation support

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What have we learned and what needs to be done?

• Ownership
• Board level
• Named individual at senior level
• Best practice guidance
• Secure units
• Night time
• Staffing issues
• Implementation plan
• Timeframe (one year)
• Responsibility
• Resources
• Costings
• Monitoring/evaluation

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• What can we do to help?

For NHS and independent mental health service
providers the TCCC will offer
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• Tobacco Control Collaborating Centre
• 13 Old Square
• Warwick
• CV34 4RA
• Tel [phone]
• Fax [phone]
• Email tcc_at_tobaccocontrolcentre.org.uk