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Smoking: harm reduction [PH45]

Measuring the use of this guidance

Recommendation: 6

Supplying licensed nicotine-containing products Who should take action? Stop smoking advisers. GPs and other healthcare professionals with prescribing rights. Practitioners named by patient group directives. Prison health service staff. Custody officers, police force medical examiners and related healthcare professionals. What action should they take? Offer all types of licensed nicotine-containing products to people who smoke, as part of a harm-reduction strategy (either singly or in combination). Take into account their preference and level of dependence. As an example, patches could be offered with gum or lozenges. Offer licensed nicotine-containing products, as necessary, to help prevent a relapse among people who have stopped smoking or reduced the amount they smoke. (This includes people who have stopped smoking in one step or by cutting down prior to stopping.)

What was measured: Proportion of patients that smoke who were offered licensed nicotine replacement therapy (NRT) to help them abstain from smoking whilst inpatients.
Data collection end: May 2016
4%
Area covered: UK
Source: British Thoracic Society. Smoking cessation audit report.


Recommendation: 12

Education and training for practitioners Who should take action? Health Education England and local education and training boards. Royal medical and nursing colleges and other professional bodies. Organisations providing training on the harm caused by smoking, such as the National Centre for Smoking Cessation and Training. Commissioners, providers and managers of stop smoking services. What action should they take? Include the principles and practice of tobacco harm reduction, as outlined in this guidance, within all relevant curricula. Ensure service specifications and service-level agreements state that staff are trained to National Centre for Smoking Cessation and Training stage 2 assessment level (or the equivalent). Staff should also undertake continuing professional development on a regular basis.

What was measured: Proportion of institutions that offered smoking cessation training to frontline staff.
Data collection end: May 2016
44%
Area covered: UK
Source: British Thoracic Society. Smoking cessation audit report.



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