Factsheet : Tobacco...Factsheet : Tobacco Joint Strategic Needs Assessment 2016/17 1 Smoking prevalence in adults in Hounslow is 14.1% which is significantly lower than London (16.3%)

Factsheet : Tobacco

Joint Strategic Needs Assessment 2016/17

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Smoking prevalence in adults in Hounslow is 14.1% which is significantly lower

than London (16.3%) and England (16.9%) prevalence. Smoking leads to

disease and disability and harms nearly every organ of the body. Smoking is

the leading cause of preventable death.

What have we got, what are we doing?

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Stop Smoking Service (It is provided as part of the new One You Hounslow

Service by the Hounslow and Richmond Community

Healthcare NHS Trust (HRCH) from 1st of April 2016.

https://oneyouhounslow.org.uk/)

The service has set

individual targets for

each of the priority

groups which are mental

health, routine and

manual workers,

pregnant women, young

people, and those with

lower socioeconomic

status.

Focus on wider tobacco

control work including

prevention in schools,

smoke-free homes and

cars, tackling illicit

tobacco and anti-shisha

campaigns.

One to one, group and

telephone support across

the borough in a wide

range of setting including

community, GP practices,

pharmacies, hospital,

mental health setting and

prison.

➢ In 2015/16 there were 2,598 persons who set a quit date, of whom 1,453 (56%) were 4-week successful

quitters.

➢ 513 Children educated on the harms of smoking at schools (April – Sep 2016).

➢ 14 Young people stopped smoking (April – Sep 2016).

➢ All council sites went smoke free for council employees on 11th March 2015.

➢ 30 smoke free homes and cars pledges (April – Sep 2016).

➢ Seizures of goods resulting from collaborative raids with HMRC, Police and Trading Standards.

➢ An apprentice has been recruited in the Hounslow Trading Standards team with Public Health grant for

tobacco control initiatives.

➢ Hounslow recently took part in a joint North West London illicit tobacco survey that helped identify hotspots of

illicit tobacco use and sales.

https://oneyouhounslow.org.uk/

How are we getting on, any key gaps?

One You Hounslow Monthly Report October 2016

Smoking Cessation

• Smoking Cessation clients achieving a 4 week quitter status is determined twenty eight days after their quit date.

Throughout the month of October 200 clients have set a quit date target to be achieved.

• 19 clients have been identified as 4 week quitters in October with a further 81 estimated quitters for the month

based on a 50% conversion rate

• 5 of the current quitters are from deprived areas in accordance to IMD 1-4 postcodes.

• Throughout October there have been 15 clients setting a quit date and have mental health conditions. In addition,

there have been 2 clients referred from GP practices. 1 mental health client has achieved their quit date target in

this month.

• 14 smokers with mental health conditions were seen at the drop in clinics and attended via advice from the GPs.

• There were no pregnant women stopping smoking in the month of October however 5 women set quit dates to stop

smoking at the point of delivery.

• 86% of clients have had their CO validations completed throughout October.

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We have successfully trained 112 front line staff in Level 1 Smoking, year to date 657 front line staff have been trained.

• 10 front line staff have been trained in Level 2 Smoking this month, year to date 39 front line staff have been trained.

• 10 smoke free homes and car pledges have been made in October through Outreach events, Maternity Nursing Staff,

Clinics and Admin Hub staff members, year to date 31 pledges have been achieved.

• 79% of clients entering the service have their social economic status recorded

• There have been 5 young people from colleges/sixth form quitting for 4 weeks in the month of October.

• 1 in-patient client in October has been identified and offered support, all of these clients have set quit dates to be

achieved over a 12 week period.

• 1 COPD clients have been offered support in October they have set quit dates to be achieved over a 12 week period.

• There has been a conversion rate of 9% of successful quits in October presently.

We will also have a series of guest blog posts from our Stop Smoking Specialists throughout September/ October – each

blog written by a well experienced Specialist in each area, e.g. pregnancy in smoking, COPD, smoking and mental health,

etc. The range of different perspectives and ideas will engage and motivate clients to quit smoking and set a quit date.

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We are presently above target on the number of young people educated on the dangers of smoking, with an additional 49

young people being educated in October. The table below shows the locations education sessions have been completed :


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Source: PHE; Local Tobacco Control profiles for England 2016

➢ The Stop Smoking Service under the

banner of One You Hounslow is

working very hard to provide support

to current smokers in their quit

attempt. In terms of producing annual

4 week quitters, Hounslow’ rate of

successful quitters per 100,000

smokers is 4,851, which is

significantly higher than London’s rate

of 2,910 and England’s rate of 2,598.

This puts Hounslow among the best

performing boroughs in England.

➢ One You Hounslow specifically targets

people in routine and manual

occupations especially men as

national trends show high level of

smoking rates and low level of

engagement with stop smoking

services in this group. The local

service conducts support sessions

and promotional events at different

workplaces to engage this group. The

smoking rates in routine and manual

workers in Hounslow is 17.5, which is

significantly lower than England’s rate

of 26.5 and London’s rate of 24.2.

How do our performance and services compare

with other areas?

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➢Adult smoking

prevalence in

Hounslow is 14.1%

(28,588 persons

aged 18+) which is

lower than London

with16.3% and

England with16.9%

(Source: Annual

Population Survey) .

➢Smoking prevalence

rate in adults in

Hounslow is one of

the lowest in

London, ranking 7th

lowest among the 32

London local

authorities.

Future plans, what will this mean for local people?

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✓ Reduce the prevalence of smoking in adults and young

residents.

✓ Conduct educational workshops about harms of

cigarettes, second hand smoke and illicit tobacco in

schools and community.

✓ Work jointly with trading standards, Police and HMRC to

conduct operation henry with sniffer dogs.

✓ Establish a strong digital platform to offer an alternative

option to target group to support existing channels.

Summary information and data sources

Links to data sources:➢ Local tobacco control profiles for England: http://www.tobaccoprofiles.info/

Key messages:

➢ Prevalence of smoking in adults is lower in Hounslow (14.1%) is lower than London (16.3%) and England

(16.9%).

➢ There are more successful 4-week quitters per 100,000 smokers in Hounslow than in London and in

England. Hounslow ranks 4th top in London in 4-week successful smoking quitters.

➢ Smoking at time of delivery is significantly lower in Hounslow.

➢ Prevalence of smoking at 15 is 6.2% which is similar to London (6.1%) and England (8.2%).

➢ The proportion of the 15 year old population that thinks tobacco causes harm to others is lower than in

Hounslow when compared to London and England.

➢ However, smoking attributable mortality is similar to London and England.

➢ Hounslow has a similar rate of smoking attributable hospital admissions to London, but it is significantly

lower than the national rate.

➢ Emergency admissions for COPD are higher in Hounslow than in London and England.

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http://www.tobaccoprofiles.info/

Smoking in routine and manual occupations and

mortality from smoking

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➢ Smoking prevalence in adults in routine and manual occupations – current smokers (APS) is one of the lowest

(17.46%) in Hounslow among the rest of the London local authorities.

Smoking in routine and manual occupations and

mortality from smoking

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➢Smoking attributable

mortality is not

significantly different

in Hounslow (267.59

per 100,000 aged

35+) compared to the

rest of London and

England.

➢The number of

potential years of life

lost due to smoking

related illness in

Hounslow (1322.70

per 100,000 aged 35-

74) is significantly

lower than England,

but not than London.

Smoking at delivery and hospital admissions

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Hounslow has a similar rate (1489.82 per 1000,000 aged 35+) of smoking attributable

hospital admissions to that in London, but it is significantly lower than the national

rate(1671.21 per 100,000).


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Emergency hospital admissions for COPD are significantly higher in Hounslow (498.87

per 100,000 aged 35+).


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Smoking status at time of delivery is significantly lower in Hounslow when compared

to London and England.

Smoking prevalence at age 15

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➢There is a particular

focus on preventing

young people starting

the habit of smoking.

The smoking

prevalence at age 15

in Hounslow is 6.2%

which is lower than

England’s rate of

8.2%.

➢Attitudes to smoking

in 15 year olds –

‘smoking causes harm

to others’ (WAY

Survey).

Documents

Factsheet : Tobacco...Factsheet : Tobacco Joint Strategic Needs Assessment 2016/17 1 Smoking prevalence in adults in Hounslow is 14.1% which is significantly lower than London (16.3%)