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Summary of Results

Health Topic:   Mental health and behavioural conditions
Guidance:   Smoking cessation services
Description:   The summary of the published public health guidance on Smoking cessation services. It links to the published guidance and key documents.

NICE implementation uptake reports

Implementation uptake report Assessment Published Date Coverage
NICE implementation uptake report: smoking cessation drugs Practice appears to be in line with guidance 2010 National

External literature

External literature Assessment Coverage

Care Quality Commission (2009) 'Closing the Gap: Tackling Cardiovascular disease and health inequalities by prescribing statins and stop smoking services

Description: The study found the rate of quit dates on entering stop smoking services was 6.7%; however, 18.4% of PCTs did not achieve this goal; the quit rate at four weeks was 52.1%; quit rates decrease with increasing deprivation and smoking prevalence. These rates are likely to decrease once adjustment for unique individuals is made.

Doubts about or mixed impact in practice National

McDermott, M.S. et al (2012) Self-reported practices, attitudes and levels of training of practitioners in the English NHS Stop Smoking Services. Addictive Behaviors. 37(4):498-506, 2012 Apr.

Description: The primary aim of this study was to investigate the self-reported practices, attitudes and levels of training of stop smoking practitioners (SSPs) working at English NHS Stop Smoking Services (SSSs). An online survey was conducted with 484 SSPs. Results show most (94%) SSPs offered one-to-one appointments to smokers, only 43% always used the abrupt quit model and 30% reported ever recommending particular medication. SSPs reported an average of 3.7 days training when starting work.

Doubts about or mixed impact in practice Local

Health and Social Care information Centre (2012) NHS Stop Smoking Services: England, April 2012 to June 2012 (Q1 - Quarterly report)

Description: This quarterly report presents provisional results from the monitoring of the NHS Stop Smoking Services in England during 1 April 2012 to 30 June 2012. Analyses of pharmacotherapy received showed 64% of the 176,945 people setting a quit date received Nicotine Replacement Therapy (NRT) only. A further 26% received varenicline only, 1% bupropion only, 2% both NRT and varenicline and <1% both NRT and bupropion. 4% did not receive any pharmacotherapy and treatment type was unknown for 3%.

Doubts about or mixed impact in practice National

Health and Social Care Information Centre (2013) NHS Stop Smoking Services: England, April 2012 to September 2012 (Q2 - Quarterly report)

Description: This quarterly report presents provisional results from the monitoring of the NHS Stop Smoking Services in England during 1 April 2012 to 30 September 2012. Analyses of pharmacotherapy received showed 64% of the 341,379 people setting a quit date received Nicotine Replacement Therapy (NRT) only. A further 26% received varenicline only, 1% bupropion only, 2% both NRT and varenicline and <1% both NRT and bupropion. 5% did not receive any pharmacotherapy and treatment type was unknown for 3%.

Doubts about or mixed impact in practice National

Smoking in England (2013) Latest trends on smoking in England from the Smoking Toolkit Study

Description: Results are presented from the monthly tracking of key performance indicators which measure smoking and smoking cessation in England. Data is collected during monthly household surveys of a new representative sample of 1800 respondents each month. The surveys have been running since November 2006 and have accumulated more than 130,000 respondents. The latest results found that in November 2012, 9% of all those who smoked in the past year, reported a GP triggered quit attempt that year.

Not graded National

Health and Social Care Information Centre (2013) General Pharmaceutical Services in England: 2002-03 to 2011-12

Description: This report presents information about services provided by community pharmacies in England in contract with PCTs to dispense NHS prescriptions between 2002-03 and 2011-12. Data shows the number of community pharmacies commissioned to provide local enhanced services for needle and syringe exchange increased from 1061 in 2005-06 to 2289 in 2011-12 and the number of community pharmacies commissioned to provide stop smoking services rose from 2522 in 2005-06 to 5620 in 2011-12.

Doubts about or mixed impact in practice National

Health and Social Care Information Centre (2013) NHS Stop Smoking Services: England, April 2012 to December 2012 (Q3 - Quarterly report)

Description: This quarterly report presents provisional results from the monitoring of the NHS Stop Smoking Services in England during 1 April 2012 to 31 December 2012. Analyses of pharmacotherapy received showed 64% of the 502,917 people setting a quit date received Nicotine Replacement Therapy (NRT) only. A further 26% received varenicline only, 1% bupropion only, 2% both NRT and varenicline and <1% both NRT and bupropion. 5% did not receive any pharmacotherapy and treatment type was unknown for 3%.

Doubts about or mixed impact in practice National

Health and Social Care Information Centre (2013) Statistics on Smoking: England, 2012

Description: This report presents information on smoking including prevalence, habits, attitudes, NHS costs and the effect on health drawn together from a variety of sources. It presents data on the number of prescription items used to help people in England stop smoking. In 2011/12, there were just over 2.5 million prescription items to help people stop smoking (down from 2.6 million in 2010/11). Of these, 1.5 million were for Nicotine Replacement Therapy, 957,000 for Varenicline and 30,000 for Bupropion.

Doubts about or mixed impact in practice National

Health and Social Care Information Centre (2013) Statistics on Smoking: England, 2013

Description: This report presents information on smoking including prevalence, habits, attitudes, NHS costs and the effect on health drawn together from a variety of sources. It presents data on the number of prescription items used to help people in England stop smoking. In 2012/13, there were just over 2.2 million prescription items to help people stop smoking (down from 2.5 million in 2011/12). Of these, 1.3 million were for Nicotine Replacement Therapy, 859,000 for Varenicline and 26,000 for Bupropion.

Doubts about or mixed impact in practice National

Szatkowski, L. et al (2011) A comparison of patient recall of smoking cessation advice with advice recorded in electronic medical records BMC Public Health 2011, 11:291

Description: From 2000-2009 the proportion of patients in The Health Improvement Network Database (THIN) with a record of cessation advice in their notes in the last 12 months was calculated. In 2004, 2005 and 2008, figures were compared to rates of patients recalling having received cessation advice. THIN data showed an increase of recorded advice from 1.2% of patients in 2000 to 10.9% in 2009. In 2005 & 2008 agreement between recorded and predicted recall was much less strong with recall rates being lower.

Doubts about or mixed impact in practice National

Health and Social Care Information Centre (2013) NHS Stop Smoking Services England: April 2013 to June 2013 (Q1 - Quarterly report)

Description: This quarterly report presents provisional results from the monitoring of the NHS Stop Smoking Services in England during 1 April 2013 to 30 June 2013. Analyses of pharmacotherapy received showed 64% of the 138,106 people setting a quit date received Nicotine Replacement Therapy (NRT) only. A further 26% received varenicline only, 1% bupropion only, 2% both NRT and varenicline and <1% both NRT and bupropion. 5% did not receive any pharmacotherapy and treatment type was unknown for 3%.

Doubts about or mixed impact in practice National

Harrison, R. et al (2012) Smoking Prevalence and Smoking Cessation Amongst Acute Medical Admissions Thorax 2012;67:A153-A154

Description: The purpose of this study was to identify smoking prevalence at the time of hospital admission and to evaluate provision of smoking cessation advice and nicotine replacement therapy (NRT) prescription. Data were collected on 185 patients at University Hospital Southampton NHS Foundation Trust. Of these 85% had their smoking status clearly documented. Only 30% of smokers were provided with cessation advice. 69.5% of smokers did not have NRT prescribed, but only 19.5% did not wish to receive NRT.

Doubts about or mixed impact in practice Local

Health and Social Care Information Centre (2013) Statistics on NHS Stop Smoking Services, England - April 2012 to March 2013

Description: This report presents results from the monitoring of NHS Stop Smoking Services in England during 2012/13 and supersedes results for Q1-3 previously published. Analysis of pharmacotherapy received showed 65% of the 667,203 people setting a quit data received Nicotine Replacement Therapy (NRT) only. A further 25% received Varenicline only, 1% Bupropion only, 2% both NRT and Varenicline and <0.1% both NRT and Bupropion. 5% did not receive any pharmacotherapy and treatment type was unknown for 3%.

Doubts about or mixed impact in practice National

Health and Social Care Information Centre (2013) General Pharmaceutical Services in England: 2003-04 to 2012-13

Description: This report presents information about services provided by community pharmacies in England in contract with PCTs to dispense NHS prescriptions between 2002-03 and 2012-13. Data shows the number of community pharmacies commissioned to provide local enhanced services for needle and syringe exchange increased from 1061 in 2005-06 to 2122 in 2012-13 (-0.4% from 2011-12) and the number of community pharmacies commissioned to provide stop smoking services rose from 2522 in 2005-06 to 5747 in 2012-13.

Doubts about or mixed impact in practice National

This page was last updated: 01 November 2013

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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.