Current practices of commissioners and managers of NHS Stop Smoking Services in England
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Author(s)
Dr. Mairtin McDermott, Dr. Leonie Brose and Dr. Andy McEwen
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| Presenter(s) |
Dr Mairtin McDermott Research Associate, NHS Centre for Smoking Cessation and Training (NCSCT) |
Abstract Background
There is significant variation in quit rates across NHS Stop Smoking Services (SSS) which may be due to differences in practice. The aim of the current study was to provide a ‘snap shot’ of current practices of commissioners and managers of SSS across England.
Methods
Two online surveys were conducted. All commissioners and managers of SSS in England for whom we had contact details were invited to participate. Basic descriptive statistics were used to analyse participants’ categorical responses. Respondents’ free-text responses were analysed using a content analysis approach.
Results
50 commissioners and 54 managers completed the survey. Responses from both groups indicated divergence from evidence-based practice. In spite of evidence suggesting the superiority of certain forms of treatment, a sizeable minority of commissioners (30%) failed to specify the types of treatments to be delivered by providers. Contrary to guidelines 22% of commissioners and 29% of managers indicated that all NICE-approved medications were not available as first-line treatments. Managers also indicated that the most efficacious treatment mode (group-based) was amongst the least available.
Conclusions
Commissioners and managers need to refer more to the evidence-base and ensure that available services are based on guidance and the most up to date evidence.
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Source of funding: The NCSCT is funded by the Department of Health
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Declaration of interest: None
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