Dr Sanjay Agrawal Consultant in Respiratory Medicine, Respiratory Department, University Hospitals of Leicester NHS Trust, Leicester
Melanie Perry Stop Smoking Specialist Advisor, Leicester City Stop Smoking Service
Abstract
NICE guidelines for secondary care (PH48) recommend hospitalised smokers are offered smoking cessation support in hospital by trained smoking cessation staff. Barriers to implementing this guidance include:
1. Lack of electronic systems to capture smoking status and ward location of in-patients.
2. Lack of commissioning models for a hospital based smoking cessation services.
3. Hospital staff believing it is the job of Primary Care or Public Health to address smoking cessation.
Conclusion: Hospital based smoking cessation intervention represents a significant opportunity to initiate smoking cessation support. We have instigated a real-time electronic smoking status report for inpatients allowing newly commissioned hospital bedside smoking cessation advisors to see the patient within hours of admission to initiate pharmacotherapy and behavioural support. In addition we have commissioned a new training tool for hospital staff to reinforce Brief Advice training.
We will describe the measures and tools we have put into place to overcome these three barriers at University Hospitals of Leicester NHS Trust, including the opportunity to preview our training film “Emily’s Story”, a story of little girl whose father is admitted for routine surgery and the subsequent consequences of no cessation support offered versus a successful outcome when support is offered.
Source of funding: University Hospitals of Leicester NHS Trust & Leicester City CCG.
Declaration of interest: No conflicts of interest to declare.
