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Determining local service levels for a smoking cessation service for people having elective surgery

Benchmarks for a standard population

Available data suggest that the standard benchmark rate of referrals of people having elective surgery to a smoking cessation service is estimated to be 50% of people aged 15 years and older who smoke and are waiting for surgery, or 0.5% per year of people aged 15 years and older (500 per 100,000 population 15 years and older). Approximately 80% of the population in England is aged 15 years and older.

For an average primary care trust population of 300,000 (with 240,000 people aged 15 years and older) the average number of people who smoke and having elective surgery requiring a referral to a smoking cessation service would be 1200 per year (0.5% of the population aged 15 years and older).

For an average general practice list size of 10,000 (with around 8000 people aged 15 years and older), the average number of people who smoke and are having elective surgery requiring a referral to a smoking cessation service would be 40 per year (0.5% of the population aged 15 years and older).

Of all those who set a quit date, half are expected to be smoke free at 4 weeks. This will contribute to the 4-week quit indicator described in the Department of Health's Stop Smoking Services: service and monitoring guidance.

Examine the assumptions used in estimating these figures.

Smoking cessation is likely to fall under the Department of Health's programme budgeting category 221X (healthy individuals).

Use the smoking cessation services for people having elective surgery commissioning and benchmarking tool to determine the level of service that might be needed locally and to calculate the cost of commissioning the service using the indicative benchmark and/or your own local data.

To estimate local service levels you will need to input three parameters into the commissioning and benchmarking tool. These are the smoking prevalence, the ex-smoking prevalence, and the average proportion of smoking-related diseases that are caused by smoking. Click to view all three estimates for your primary care organisation (PCO). Please see the assumptions section for a detailed explanation of how these estimates have been derived.

Further information

Sources of further information to help you in assessing local health needs and reducing health inequalities include:

This page was last updated: 02 March 2012

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.