Shared learning database

 
Organisation:
NHS Trafford
Published date:
January 2011

The development of a strategy and action plan to tackle tobacco related issues in the Trafford Borough by working in partnership with a range of local and regional organisations including trading standards, youth service, children centres, fire service, housing trusts, school nurses, community groups and other allied professionals.

Guidance the shared learning relates to:
Does the example relate to a general implementation of all NICE guidance?
Yes
Does the example relate to a specific implementation of a specific piece of NICE guidance?
No

Example

Aims and objectives

The development of a strategy and action plan to tackle tobacco related issues in the Trafford Borough by working in partnership with a range of local and regional organisations including trading standards, youth service, children centres, fire service, housing trusts, school nurses, community groups and other allied professionals. 1) To stop people taking up smoking in the first instance - children become aware of cigarettes at a very early age, with three out of four to five year olds being aware of cigarettes whether or not their parents smoke. 16% of 14-17 year olds in Trafford claim to smoke and around 15% of fifteen year olds continue to become regular smokers. Children who experiment with smoking can quickly become addicted to the nicotine in tobacco and may show signs of addiction within four weeks of starting to smoke. 2) To provide accessible services to help people quit smoking - approximately 70% of people who smoke express a desire to quit. Smoking remains the largest preventable cause of death in the UK and a significant contributor to the gap in life expectancy between the richest and poorest. In Trafford 19% of the population smoke but within specific communities this rate is much higher. 3) To protect families and communities from tobacco related harm - in June 2006 a US Surgeon general report concluded there is no risk-free exposure to environmental tobacco smoke. A non-smoker living with a smoker has a significantly increased risk of lung cancer by approximately 24% for women and 37% for men and an overall increased risk of heart disease when living with a smoker. The illicit tobacco market targets the young, vulnerable and those living in poor and disadvantaged communities and is linked to organised crime.

Reasons for implementing your project

In 2010 Trafford was the only borough in the North West without a comprehensive tobacco control strategy and action plan. A Health Improvement Practitioner was employed to develop a strategy in partnership with relevant local organisations, NICE guidance and national guidelines to address the tobacco prevalence rates within the borough, particularly within the most disadvantaged communities.

How did you implement the project

The main barrier was to generate interest from relevant organisations and for them to commit time and energy into the tobacco control partnership, strategy and action plan. To overcome these barriers it was important to speak to the relevant people within organisations and departments. Initially, leading members from organisations with an interest in tobacco control were contacted and a face to face meeting arranged. At the meeting tobacco control was discussed and their contribution established in line with the aims of the strategy. Following these face to face meetings an invitation to join the initial tobacco control partnership meeting was sent out. Future meetings would take place every three months and the partnership would seek to invite new members

Key findings

In Dec 2010 three tobacco control partnership meetings had taken place, chaired by the advanced health improvement practitioner. Attendance ranged from seven to twelve attendees with representation from school nurses, housing trusts, trading standards, children's centres, youth service, fire service and the stop smoking service. Training sessions on quitting smoking, cannabis use, niche tobacco, second hand smoke and illicit tobacco were offered by members of the partnership and these were taken up by housing trusts, children centres, fire service and school nurses. Brief intervention training runs monthly and intermediate intervention every other month. Evaluation of training sessions has proved to be positive with participants going on to recommend training to their colleagues. Progress against the action plan is monitored quarterly with regular updates being presented at public health meetings which are held monthly. A young persons' subgroup of the main partnership has now been established to facilitate collaborative working between these professionals. The aim of the tobacco control partnership is to tackle tobacco prevalence rates and in December 2010 the stop smoking service had an increase of 30 quitters to the figure in December 2009. Trading standards work has resulted in an increase of test vending machine sales being challenged from none in 2008 to four out of eight in 2010.

Key learning points

A partnership approach to tobacco control should be encouraged and it is important to ensure that there is a lead to push the agenda forward. Initial contact with an organisation is important and it is recommended that this be with a person who can influence decisions, as this is important when encouraging participation and contribution. A partnership approach facilitates and enables collaborative working, which in the area of tobacco control is vital to tackle the huge burden on society caused by tobacco use.

Contact details

Name:
Kerry Briggs
Job:
Advanced Health Improvement Practitioner
Organisation:
NHS Trafford
Email:
kerry.briggs@nhs.net

Sector:
Is the example industry-sponsored in any way?
No