Re-shaping stop smoking services in prisons following the introduction of the new Tariff Based Lifestyle Contract in the West Midlands
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Author(s)
Julia Moore, Sandy Bassi and Kate Waller
Presenter(s)
Julia Moore Stop Smoking Coordinator - Lead for Prisons, Time to Quit Stop Smoking Service, South Staffordshire PCT
Kate Waller Stop Smoking Support Worker, South Staffordshire PCT
Sandy Bassi Stop Smoking Support Worker, South Staffordshire PCT
Abstract
South Staffordshire PCT currently has 6 prisons within its boundaries, 5 of which are public sector and 1 of which is privately run. The current prison population is over 4000 and is set to increase by a further 1600 with the introduction of a new category B/C prison in 2012.
The 6 prisons span across a range of categories, including male and female, remand and long term sentences and open and closed establishments. This has required the service to tailor its service model to fit with the organisational needs of each prison.
Time to Quit has been delivering effective stop smoking services in these prisons for over 6 years and support approximately 700 prisoners a year, with quit rates averaging at 54%.
Since April 2010, Time to Quit has been operating under the new Tariff Based Lifestyle Contract as part of a pilot scheme which has been implemented in the West Midlands Region, resulting in a Payment by Results model. This, together with the rising expenditure on NRT has led to the service needing to adapt accordingly.
A direct supply NRT protocol is currently being rolled out enabling the service to take full control of all aspects of the service delivery. This has resulted in a reduction in DNAs, NRT wastage and has ensured that stock levels remain adequate to meet the demand.
