The commissioning and benchmarking tool
Use the quitting smoking in pregnancy commissioning and benchmarking tool to determine the level of service that might be needed locally and to calculate the cost of commissioning the service, as described below.
Identify indicative local service requirements
The indicative benchmark based on the national average for the number of pregnant women who smoke at first maternity booking and are referred to an NHS Stop Smoking Service is 0.27% or approximately 270 per 100,000 population per year.
Currently, 14% of pregnant women set a quit date and receive stop smoking support with an NHS Stop Smoking Service. An increase in the number of referrals of pregnant women who smoke to NHS Stop Smoking Services is likely to have an impact on the number of women that successfully quit. However, commissioners may find that the increase in the number of women who successfully quit is not proportional to the increased number of referrals. You can amend the percentage of pregnant women you expect to set a quit date and receive stop smoking support in the commissioning and benchmarking tool.
The commissioning and benchmarking tool helps you to assess local service requirements using the indicative benchmark as a starting point. With knowledge of your local population and its demographics, you can amend the benchmark to better reflect your local circumstances. For example, if your population is significantly younger or older than the average population, or has an ethnic composition different from the national average, or has a significantly higher or lower rate of smoking in pregnancy, you may need to provide services for relatively fewer or more people.
Review current commissioned activity
You may already commission services for quitting smoking in pregnancy for your population. The tool provides tables that you can populate to help you calculate your current commissioned activity and costs.
Identify future change in capacity required
Using the indicative benchmark provided, or your own local benchmark, you can use the commissioning and benchmarking tool to compare the activity that you might need to commission against your current commissioned activity. This will help you to identify the future change in capacity required. Depending on your assessment, your future provision may need to be increased or decreased.
Model future commissioning intentions and associated costs
You can use the commissioning and benchmarking tool to calculate the capacity and resources needed to move towards the benchmark level, and to model the required changes over a period of 4 years.
Use the tool to calculate the level and cost of activity you intend to commission and to consider the settings in which the services for quitting smoking in pregnancy may be provided, comparing the costs of commissioning the service across the various settings. The tool is pre-populated with data on the potential recurrent and non-recurrent cost elements that may need to be considered in future service planning, which can be reviewed and amended to better reflect your local circumstances.
Commissioning decisions should consider both the clinical and economic viability of the service, and take into account the views of local people. Commissioning plans should also take into account the costs of monitoring the quality of the services commissioned.
This page was last updated: 02 March 2012
- Quitting smoking in pregnancy and following childbirth
- Commissioning services for quitting smoking in pregnancy and following childbirth
- Specifying services for quitting smoking in pregnancy and following childbirth
- Determining local service levels for quitting smoking in pregnancy and following childbirth
- Assumptions used in estimating a population benchmark
- The commissioning and benchmarking tool
- Ensuring corporate and quality assurance