Quitting smoking in pregnancy and following childbirth
This commissioning guide provides support for the local implementation of NICE guidance through commissioning, and is a resource for people involved in commissioning health and social care services and public health programmes within the NHS and partner organisations in England.
All commissioners, including commissioners of children and families services, may find this guide useful to inform partnership working and joint planning.
This commissioning guide should be read together with the following NICE guidance:
- NICE public health guidance PH26. How to stop smoking in pregnancy and following childbirth.
Commissioners should note that the NICE public health guidance PH26 updates the recommendations on smoking in pregnancy in ‘Antenatal care: routine care for the healthy pregnant woman' (NICE clinical guideline CG62).
NICE public health guidance PH26 recommends the identification and routine referral of pregnant women who smoke to NHS Stop Smoking Services by midwives and others in the public, community and voluntary sectors. The recommendations will impact on the local commissioning of maternity services, and on resources and capacity within NHS Stop Smoking Services.
When planning quitting smoking in pregnancy services, commissioners may also wish to consider other factors affecting women before, during and after childbirth and refer to the following commissioning guides:
- Weight management before, during and after pregnancy
- Peer support programme for women who breastfeed
- Antenatal and postnatal mental health services.
NICE guidance provides evidence-based recommendations about clinically effective and cost-effective treatments and interventions to improve outcomes for local populations.
Making commissioning decisions based on NICE guidance and accredited information from NHS Evidence can help commissioners of services ensure they are using their resources effectively.
This commissioning guide highlights any recommendations that support cases for disinvestment or decommissioning of services by identifying treatments and interventions that do not add value. This enables commissioners to release resources or generate savings where appropriate.
Implementation of the guidance noted above is the responsibility of local commissioners and/or providers. Commissioners and providers are reminded that it is their responsibility to implement this guidance, in their local context, in light of their duties to avoid unlawful discrimination and to have regard to promoting equality of opportunity. Nothing in the guidance should be interpreted in a way which would be inconsistent with compliance with those duties.
The guide:
- makes the case for commissioning services for quitting smoking in pregnancy and following childbirth
- specifies service requirements
- helps you determine local service levels
- helps you ensure corporate and quality assurance.
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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
