Smoking cessation services (PH10) (partially updated by PH48)
Fast, easy summary view of NICE guidance on 'smoking'
Specific, concise statements that act as markers of high-quality, cost-effective patient care
Smoking cessation services in primary care, pharmacies, local authorities and workplaces, particularly for manual working groups, pregnant women and hard to reach communities
This guidance has been partially updated by PH48 Smoking cessation - acute, maternity and mental health services
Some of the recommendations in this guidance have been replaced by:
- Tobacco: harm-reduction approaches to smoking (NICE public health guidance 45)
- Smoking cessation in secondary care: acute, maternity and mental health services (NICE public health guidance 48).
For recommendations on the use of smokeless tobacco see Smokeless tobacco cessation - South Asian communities (NICE public health guidance 39).
See the guidance for more information.
This guidance is for NHS and other professionals who have a direct or indirect responsibility for services that help people to stop smoking. It may also be of interest to members of the public who wish to quit.
The guidance advises the NHS, local authorities and their partners on the range of services that should be available for everyone who smokes or uses tobacco in any form. In particular, this includes pregnant women, those aged under 20, manual workers and people who are on a low income or income support.
It also gives advice on the training and education that managers and staff in stop smoking services need.
Recommended treatments that have been proven to be effective, either separately or combined, include:
- brief interventions by a GP and other practitioners working in a GP practice or the community (including advice, self-help materials and referral for more intensive support)
- individual behavioural counselling
- group behaviour therapy
- pharmacotherapies (for example, nicotine replacement therapy (NRT),varenicline or bupropion)
- self-help materials
- telephone counselling and quitlines
- mass-media campaigns to get the stop-smoking message across – using a combination of, for example, TV, radio and newspaper advertising.
This guidance supersedes TA39 Smoking cessation - bupropion and nicotine replacement therapy. It crossreferences and is consistent with PH1 Brief interventions and referral for smoking cessation in primary care and other settings, PH5 Workplace health promotion: how to help employees to stop smoking and TA123 Varenicline for smoking cessation.
- Smoking cessation services: smoking cessation in pregnancy algorithm
- PH10 Smoking cessation services: guidance (web format)
This guidance has been incorporated into the following NICE Pathways, along with other related guidance and products.
Visit the NICE Pathway: smoking
This page was last updated: 27 November 2013
Implementation tools and resources
- Audit support
- Costing report
- Costing template
- Implementation advice
- Slide set
- Tobacco control return on investment tool for local government
- Smoking cessation services: commissioning guide
- Smoking cessation: online educational tool
See this guidance in practice
The summary of the key recommendations in the guidance written for patients, carers and those with little medical knowledge and may be used in local patient information leaflets.
Quick Reference Guide
The quick reference guide presents recommendations for health professionals
The published NICE clinical guidance, contains the recommendations for health professionals and NHS bodies.
The published full clinical guidance for specialists with background, evidence, recommendations and methods used.