Smoking cessation in secondary care: acute, maternity and mental health services

NICE guidelines [PH48] Published date:

Next review date: November 2016

This guidance partially updates and replaces NICE public health guidance 10 (published in February 2008).

Stopping smoking at any time has considerable health benefits and for people using secondary care services, there are additional advantages including shorter hospital stays and fewer complications. Secondary care providers have a duty of care to protect the health of, and promote healthy behaviour among, people who use, or work in, their services

This guidance aims to support smoking cessation, temporary abstinence from smoking and smokefree policies in all secondary care settings. It recommends:

  • Strong leadership and management to ensure premises remain smokefree.
  • All hospitals have an on-site stop smoking service.
  • Identifying people who smoke, offering advice and support to stop.
  • Providing intensive behavioural support and pharmacotherapy as an integral component of secondary care.
  • Integrating stop smoking support in secondary care with support provided by community-based services.
  • Ensuring staff are trained to support people to stop smoking while using secondary care services.
  • Supporting staff to stop smoking or to abstain while at work.
  • Ensuring there are no designated smoking areas or staff-facilitated smoking breaks for anyone using secondary care services.

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