Professor Robert West Professor of Health Psychology and Director of Tobacco Studies, Cancer Research UK Health Behaviour Research Centre, Department of Epidemiology and Public Health, University College London
Abstract
The English Stop Smoking Services have probably saved more lives more cheaply than just about any other single NHS service over the past few years. They have done this because of a strong basis on evidence and a continuing commitment to rigorous evaluation and monitoring. With transition to Local Authority control in the context of unprecedented cuts in Central Government funding, it is more important than ever to ensure that they are commissioned and delivered in a way that provides maximum effectiveness and value for money.
This talk will present the latest evidence on what makes for an effective and cost-effective stop smoking service, covering issues of structure, training, supervision, the content of behavioural support, the type of medication offered, and service monitoring and evaluation. The evidence indicates that putting what we know into practice can make a more than twofold different in effectiveness and efficiency and that even the best services can be improved.
A key message is that a re-focus on quality of provision is required. Specialist services are required, not only to provide support for smokers but also to manage, train and supervise services provided in GP practices and pharmacies. Cutting the budget allocated per smoker to unrealistic levels is counterproductive in terms of cost-effectiveness.
Source of funding: Cancer Research UK, Quit 51, the National Centre for Smoking Cessation and Training
Declaration of interest: Robert West undertakes research and consultancy for companies that develop and manufacture smoking cessation medications. He is a Trustee of Quit and advisor to the National Centre for Smoking Cessation and Training. His salary is funded by Cancer Research UK.
