Development of a ten-year tobacco control strategy using outcome-focussed planning within NHS Ayrshire and Arran

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Development of a ten-year tobacco control
strategy using outcome-focussed planning within
NHS Ayrshire and Arran

• Elaine Young
• Senior Manager
• Public Health

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What I am going to talk about.

• Why strategies are important
• What relevance strategies have to practitioners
• How we approached writing our strategy
• Lessons learned from writing our strategy

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Why strategies are important
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Why strategies are important

• A journey of a thousand miles begins with a
• single step
• 
  Lao Tzu

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Why strategies are important

• By not acting, we are killing people.
• Nicola Roxon, Minister for Health
• in Australia, who championed plain
• packaging

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What relevance strategieshave to practitioners

• Variety of posters and presentations here today
  from Ayrshire and Arran, but why are we working
  on these areas?
• Prison using Varenicline
• Hospital respiratory opt out project
• Hospital into community follow up
• Veterinary practices second hand smoke

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What relevance strategieshave to practitioners
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because - they are part of our strategy -
practitioners objectives flow from this
strategy- we can clearly show budgetary spending
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How we approached writing our strategy

• Our director had a vision.

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How we approached writing our strategy

• .about using outcome focussed planning i.e.
  looking at
• long term, intermediate and short
• term outcomes for tobacco control
• how these connect to the national outcomes
• the local actions required to meet these outcomes
  along with appropriate performance measures

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How we approached writing our strategy

• Step 1 We formed a Tobacco Leadership group
  with members from Public Health and Policy,
  Planning and Performance Department
• Step 2 We developed a project plan and Volume 2
  fact file describing epidemiology, current
  services, local issues where are we now in
  relation to tobacco control

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How we approached writing our strategy

• Step 3 We held an initial stakeholder event

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How we approached writing our strategy

• Outcomes triangle
• Logic models
• Multiple results chains

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How we approached writing our strategy

• We discussed how we might wish to change these
  national logic models to reflect our local
  situation
• We then spent some time in workshops collating
  activities/actions which we thought would result
  in these locally agreed short term outcomes

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How we approached writing our strategy

• Step 4 Brought together a multi-disciplinary
  strategy development task and finish group who
  used the information from the stakeholder event
  to develop our draft strategy and action plan
  over a period of 3 meetings

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How we approached writing our strategy

• Step 5 We engaged widely with community
  planning partners and the public on our draft
  strategy and action plans and amended the
  documents accordingly

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How we approached writing our strategy

• Step 6 We took the draft strategy and action
  plan through our management structures to the NHS
  Board requesting that it was endorsed for a
  period of formal consultation
• Digital Story My smoke free family

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How we approached writing our strategy

• Step 7 We consulted on the draft strategy and
  action plans in a more targeted way, using focus
  groups etc
• Step 8 We took the consultation report and
  amended strategy back to the NHS Board in Feb 12
  and it was endorsed for implementation

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How we approached writing our strategy

• Next steps
• Multi-agency Tobacco Strategy Implementation
  Group
• Actions and monitoring via covalent performance
  management system
• Working with North, South and East CHPs
• Leadership group continues, working with Health
  Scotland

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How we approached writing our strategy

• Next steps
• Poster at Public Health Conference
• Presentation at national Smoking Cessation
  Conference
• Benchmarking against National Strategy and
  altering our action plan if required

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Lessons learned from writing our strategy

• It takes longer than you think
• The tendency is to be over ambitious
• Engagement and consultation are vital to
  producing a document which is owned by partners
  and the public
• The process has been useful in raising the
  profile of smoking and smoking related issues
• We have created a template for the development of
  other strategies

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Contact details

• elaine.young_at_nhs.net
• 01292 885914