Smoking Cessation Ruby PoppletonHealth Improvement Specialist

• Smoking is the single biggest preventable cause of premature death in Stockton

• 18% of deaths in adults over 35 are a result of smoking • People from lower socio-economic group who smoke,

start smoking at an earlier age• Smoking costs Stockton approx. £56 million each year• The average smoker could save £2,873 a year by

stopping smoking – based on £7.87 / 20 cigarettes a day• Cigarettes are as addictive as drugs such as heroin or

cocaine

Background: smoking

• Smoking is associated with a range of diseases - Cardiovascular Disease (CVD), Chronic Obstructive Pulmonary Disorder (COPD) and Cancer

• Smoking during pregnancy – increases risk of miscarriage, premature births and a range of other health outcomes

• Second-hand smoke - increases infant mortality rates by 40%, around 13,000 children need GP or Hospital treatment from glue ear, wheeze and asthma every year in the North East due to breathing in second-hand smoke in their home

• Quality of life ↓– a 25 year old smoker can expect to lose 10 years of healthy and disability-free years of life compared to a person who don’t smoke

Smoking: Effects on health

• 21.6% of adults smoke (approx. 32,000 people)• Massive inequalities in smoking prevalence across Stockton

wards - strong correlation between smoking & deprivation• High smoking prevalence wards - Stockton Town Centre,

Roseworth, Norton South, Newtown, Mandale & Victoria, Hardwick and Parkfield

• Young people: Stockton Social Norms Project: identified that approx. 15% of

college students in sample smoked, with 38% taking up smoking at 14 years of age

Smoking Prevalence in Stockton-On-Tees

Smoking Prevalence by Wards

• Smoking in Pregnancy: 19.4% of pregnant mothers in Hartlepool & Stockton CCG area were reported as smokers at time of delivery (Q3 13/14)

• Smoking in Mental health: High prevalence of smoking in those with mental health problems (70% in inpatient units)

• Smoking in Occupation: Higher smoking prevalence amongst the Routine & Manual group than professional & managerial group

Smoking prevalence continued…

• Majority of smokers would like to stop smoking but find it difficult due to the addiction average smokers usually require 4 to 5 attempts to stop

smoking some smokers require intensive support and motivation.

• Smokers from the deprived wards or from the routine and manual group are less likely to succeed.

Challenges

• Provide brief advice and motivation to smokers to stop through the local stop smoking services

• Organise peer support group - follow-up & given motivation

• Raise awareness of the services and how the service could help individual

• Engage and support smokers to access the services

• ‘Denormalise’ smoking – to help create an environment that smoking will be viewed as more socially unacceptable for our children in the future

What could the VSC organisations do?

For Smokers •Local Stop Smoking Services (SSS) with behavioural support & treatment – Pharmacy & drop-in across the Borough – people who stop smoking with the SSS is 4 times more likely to succeedFor VCS sector •Free training – Brief Intervention / second-hand smoke / shadowing opportunity •Free resources to borrow from the Public Health resource library – www.sphil.nhs.uk

What is available to support people to quit?

• Number of smokers given brief intervention • Number of smokers referred to the Stop Smoking

Services• Number of smokers accessed the stop smoking

services • Number of smokers who accessed the services and

successfully quitted at 4weeks, 12 weeks and 6 months

Potential measures of success

Other requirement:-

•Number of staff attended the brief intervention training •Demographic information e.g. age, occupation, ward details, previous unsuccessful attempts stop smoking •System in place to record service user’s smoking status /whether BI is given / whether individual has accepted the referral