Review decision: 

The guidance has been placed on the static list.

This guidance is for all those involved in providing employees with help to stop smoking.

NICE recommends the following to help people stop smoking:

  • Brief interventions (including opportunistic advice, self-help materials and referral for more intensive support)
  • Individual behavioural counselling
  • Group behaviour therapy
  • Pharmacotherapies (for example, nicotine replacement therapy or bupropion)
  • Self-help materials
  • Telephone counselling and quitlines.

The recommendations include the following advice:

  • Employers should develop a smoking cessation policy, provide employees with information on local stop smoking support services, publicise the interventions above and allow staff time off to attend smoking cessation services.
  • Employees and their representatives should encourage employers to provide staff who smoke with advice, guidance and support on quitting.
  • Employees who want information, advice or support to stop smoking should contact a local service such as the NHS Stop Smoking Services.
  • Smoking cessation services should offer one or more of the recommended services listed above, delivered by trained staff and tailored to the person's needs. They should also offer employers support to help their employees quit. If demand exceeds the resources available, services should focus on small and medium-sized enterprises.

This guideline was previously called workplace interventions to promote smoking cessation.

Your responsibility

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.

Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.