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National Referral Systemto make every contact count in secondary care
Wioleta Prylewska Liz Gilbert
National Referral System
National Referral System Interface between hospital patient records system and
National Referral System
Bespoke Very Brief Advice online training programme
20 days programme management from NCSCT
Review of stop smoking medicine provision
Cultural change
Pilot
Pilot: Queen Alexandra Hospital, Portsmouth
600% increase in referrals
400% increase in staff trained to give VBA
http://www.ncsct.co.uk/usr/pub/ncsct-streamlined-secondary-care-final-report.pdf
Phase I of implementation the National Referral System at Imperial College Healthcare NHS Trust
Project scope: Main Outpatients Departments at Charing Cross Hospital, Hammersmith Hospital and St Mary’s Hospital
Goal: to increase number of patient referrals to local stop smoking services and to achieve behavioural change within frontline hospital staff towards more preventative approach
Tri-Borough Tobacco Control Alliance
Stakeholders
Communications MaterialsPromotional campaign was launched in early January 2013
VBA online training
Within a 5 month period, the average monthly number of stop smoking referrals increased to 45, from 18 in 2012
The number of staff members who admitted that assessing the smoking status of patients is part of their everyday routine at work has increased from 34% to 58%
77% staff members know how to refer a patient to local stop smoking service in comparison to 42% in 2012
The number of staff members who admitted to being very confident in giving the advice to patients increased from 16% to 27%
A short questionnaire was used to assess behavioural change within hospital staff
Key Survey outcomes:
Implementation of the National Referral system resulted in an increase of stop smoking referrals
Patients are referred to the service which is in closest proximity to their postcode
Implementation of the National Referral System within hospital IT system is the ideal approach
Development
17 acute trusts live by end of 2013/14
GP Systems
Lifestyle referrals development complete summer 2013
Lessons Learnt• Project manager• Cultural change: Emphasis of a whole hospital initiative• Engagement with staff: Matron & Senior Sister meetings• Stop smoking services having a presence within the hospital:
dispelling myths of support options• A robust communication system within implementation
group• A developed and comprehensive communications strategy• System does not equal activity
Thank you!
Wioleta [email protected]
Kick It Stop Smoking Service7 Galena Road, London W6 0LT
T: 020 8741 8314
NCSCTOffice: 0203 137 9072Mobile: 07884 443245