Smoking Cessation (Wakefield) Care Pathway

Review in progress

Disclaimer: The guidance contains helpful primary care information for management of referrals and up to date referral criteria. These guidelines are locality specific to best reflect local services. This guidance does not override or replace the individual responsibility of healthcare and social care professionals involved in the delivery of care to make informed professional judgements appropriate to the circumstances of the individual.

Scope

This guidance refers to:

  • People over the age of 12
  • Raising the issue of smoking with patients
  • Delivery of brief advice regarding smoking cessation
  • Referral of smokers for local support including pregnant or breastfeeding women, adolescents, those in primary and secondary care settings and those awaiting elective surgery
  • Benefits of smoking cessation
  • Use of pharmacotherapy, including: Nicotine Replacement Therapy (NRT), Varenicline (Champix) and Bupropion (Zyban)

Management

Very brief advice for smoking cessation (less than 30 seconds)
  • An intervention designed for GPs and all other health care professionals to raise the issue and promote engagement with stop smoking services in Wakefield.
  • Simple advice (less than 30 seconds) from a GP/health professional is one of the most important triggers for a quit attempt.

Ask

  • Are you a smoker?
  • Are you smoking at all these days?
  • How do you feel about your smoking?
  • Establish and record smoking including use of electronic cigarettes

Advise

  • Example Script: "Did you know the best way to stop is with a combination of support & medication which is available on the NHS. You are four times more likely to stop & stay stopped"

Act

  • Example Script: "We have a registered stop smoking advisor here at the surgery. An appointment with them to discuss your treatment options can offer you your best chance of stopping. Are you happy for me to refer you now?'
  • "We have a specialist stop smoking service here in Wakefield. An appointment with them to discuss your treatment options can offer you your best chance of stopping. Are you happy for me to refer you now?' Would you like their details?"
Patients who decline
  • Record in patient notes that the offer of support has been offered and declined
  • Reinforce the roll of pharmacists in assisting patients with NRT and quit attempts if patient does not want to engage with other support services. A number of pharmacies in Wakefield also have in house registered stop smoking advisors
GP in-house registered community Intermediate level 2 stop smoking advisor
  • Refer the client to the person/s in your practice who is/are responsible for delivering stop smoking interventions
  • A GP in-house Intermediate level 2' adviser must be trained and registered with Yorkshire Smokefree
  • They will carry out stop smoking interventions for patients registered with a Wakefield Practice according to the Locally Enhanced Service for 'Stop Smoking' Interventions
Specialist service
  • South West Yorkshire Partnership NHS Foundation Trust, Stop Smoking Serviceis a dedicated team of 'Specialist Advisers' who will provide free intensive support for smokers wanting to quit. The support offered will include advice and recommendations of smoking cessation medications in conjunction with behavioural support.
Training
  • A free online training module has been developed by the National Centre for Smoking Cessation and Training ("NCSCT") Short modules, amongst others, include how to deliver very brief advice to smokers and smoking cessation medications. They will take less than 30 minutes to complete NCSCT Brief Advice Training

Referral

Referral Instructions

  • South West Yorkshire Partnership NHS Foundation Trust, Stop Smoking Service provides free support to all smokers and access to recommended pharmacotherapy.
  • Contact is 01924 252174 or 0800 612 001 or email swy-tr.wakefieldsss@nhs.net
  • The Stop Smoking Service is clinically proven to be the most effective way of quitting. Quitters are 4 times more likely to succeed with clinical support from the NHS Stop Smoking Service

There are a number of options available to clients to assess advice and support:

Link through ICE referral:

  • ICE is one of the easiest ways to refer your smokers to our service. By using the ICE electronic system. Using ICE removes the need for paper referrals and is quick and easy to use. ICE will automatically populate your patient's details and when you send the referral we receive it instantly, meaning we can make contact with the patient much quicker.
  • This fast method of referral will ensure quicker access to our service for all patients, and is also important for patients who need to stop smoking as soon as possible, such as those with a long term condition, pregnant women and pre-operative patients.

Supporting Information

Shared Decision Making

  • Patients have a right to make decisions about their care and should be fully informed about the options they face. They should be provided with reliable evidence-based information on the likely benefits and harms of interventions or actions, including any uncertainties and risks, eliciting their preferences and supporting implementation. If relevant patients should be signposted to Smoking Cessation decision aid which can be printed off for the patient if required

Patient Information/Public Health/Self Care

Evidence/Additional Information

Assurance & Governance

  • This guidance was developed on: 02.2017
  • This guidance was ratified by: The OSCAR Assurance Group
  • Date ratified: 05.2017
  • Publication Date: 05.2017
  • Review Date: 02.2019
  • Ref No: RS4 - 02.2017
Any feedback or suggestions to improve this guidance should be sent to: oscaradmin@this.nhs.uk
Only the electronic version is maintained, once printed this is no longer a controlled document

 

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