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Smokefree Smokefree Greater Glasgow & ClydeGreater Glasgow & Clyde
Roisin LynchRoisin Lynch
Health Improvement SeniorHealth Improvement Senior
SmokeFree Community ServicesSmokeFree Community Services
SmokeFree Pharmacy ServicesSmokeFree Pharmacy Services
SmokeFree Hospital ServicesSmokeFree Hospital Services
SmokeFree Pregnancy ServicesSmokeFree Pregnancy Services
SmokeFree Youth ServicesSmokeFree Youth Services
• Smoking is largest preventable cause of ill health in the world
• 13,473 deaths in Scotland were attributed to smoking, which equated to 24% of all deaths (2004)
• One in two regular long-term smokers will die early from a disease related to smoking
Smoking prevalence varies across the UK
N. Ireland *23%
Wales 21%
Scotland 25%
England 21%
General Household Survey 2006; *Continuous Household Survey 2007/08
• 21% of UK population smoke
• 25% in Scotland
• 30% in Greater Glasgow and Clyde area
• Over 50% in some of our most deprived areas
Local Picture
What’s in tobacco?
• 4000 chemicals, 60 of which are known carcinogens
Nicotine: Addictive part
Carbon Monoxide (CO): Poisonous gas, binds to haemoglobin
Tar: Thick, sticky Arsenic, cyanide, ammonia, acetone,
benzene, formaldehyde, cadmium,
hydrogen cyanide etc
ADDICTION
The Nicotine Addiction CycleThe Nicotine Addiction Cycle
Emotional
Neurochemical Changes
Habit
Practice Nurse & Smoking
• Nurse time is valuable• This work can be unrewarding & can
lead to feeling disillusioned• Health messages need to be re-inforced• Issue of smoking always raised &
recorded• ‘Respectful curiosity’: they are the
expert on their smoking
SmokeFree Community Services
• All areas of Glasgow & Clyde• Advisors in each area• Trained facilitators• Approx 1500 people per year• Approx 45-50% at 4 weeks• Approx 16-20% at a year• Chronic relapsing condition
SmokeFree Community Services
• Based on ‘Maudsley’ model• 7 week groups – hour per week• NRT / Zyban / Champix + group
support• Weeks 1 & 2 – Information• Week 3 – Quit Week• Weeks 4 – 7 – Group Support• Follow up support from pharmacy
service
But what is a group actually like?
• Relaxed & informal
• Informative
• Not like a-a!
Important messages to ‘sell’ groups
• One of the most effective ways to quit
• Twice as effective as brief intervention
• Key to group success is going through same experience as others
• Relaxed & informal – good fun!
SmokeFree Pharmacy Services
• Groups don’t suit everyone
• >300 Pharmacies involved
• Trained in 1 to 1 counselling
• 5-10 minutes once a week
• NRT dispensed weekly
for up to 12 weeks
• Other services link to SF
Glasgow University Evaluation
• Groups shown to be twice as effective as Pharmacy Service (44% vs 20%)
• Heavier smokers find it harder to quit• Smoke within an hour of wakening –
intensive support should be recommended
• All smokers should be assessed & referred to most appropriate service
SmokeFree Pregnancy Services
• Launched May 2004• All pregnant women should be CO
monitored at booking in at any GG&C maternity unit
• Self Reported smoker or CO Level above 3ppm, referred to specialist midwife
• Up to 12 weeks support + NRT • Face to face, phone & text message
support
Hospital Services
• Hospital stay likely to trigger a quit attempt• All inpatients should be offered help to stop• NRT to alleviate withdrawals if not ready to quit• If motivated, should be referred to the specialist
adviser who supports while in hospital• On discharge, referred on to community advisers
who will support once patient is home• Service in all general hospitals in GG&C, all
psychiatric hospitals & the dental hospital
Who is this training for?anyone who is able to raise the issue of smoking with individuals..What will it cover?the purpose, benefits and process of raising the issue of smoking and delivering brief advice. It also covers knowledge around tobacco, smoking and health, communication skills and how to refer people to local stop smoking services for support.How long will it take?The e-learning component of the training takes around one hour to complete in your own time. You will then attend a three and half hour participatory sessionRebecca Campbell, Smoke Free Training Services0141 201 [email protected]
www.nhsggc.org.uk/smokefreeservices
0800 84 84 84
