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SMOKING CESSATION PILOT

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SMOKING CESSATION PILOT NEWSAM CENTRE WARD 2 AND 3 FORENSIC SERVICES Helen Hartley Michael Dixon Mark Lester Denise Hobson ... – PowerPoint PPT presentation

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Title: SMOKING CESSATION PILOT


1
SMOKING CESSATION PILOT
  • NEWSAM CENTRE
  • WARD 2 AND 3 FORENSIC SERVICES
  • Helen Hartley
  • Michael Dixon
  • Mark Lester
  • Denise Hobson

2
INTRODUCTION
  • Studies show that of patients in mental health
    units
  • 70 smoke
  • 50 are heavy smokers
    (smoking more than 20 cigarettes per day)
  • This compares to approximately 26 of the general
    population.
  • (Meltzer H. et al 2003)

3
BEFORE CSIP PILOT
  • Leeds Partnerships NHS Foundation Trust went
    smoke-free January 2007
  • NRT available on all community and inpatient
    units
  • Trust guidelines on assessing smoking and
    prescribing NRT
  • Assessing smoking status put on standard
    admission form
  • Smoking cessation training carried out by Leeds
    Smoking Cessation Services and Pharmacy trained
    20 people in Trust

4
CSIP PILOT - Planning
  • JANUARY 2008 commenced a pilot drop in group at
    the Newsam Centre, on wards 2 and 3, forensic
    wards.
  • Offering smoking cessation advice and support
  • Using the Smoking Cessation In Practice document
    as a toolkit to deliver a sustainable system.
  • Involved one smoking cessation nurse, trained
    smoking advisor from forensic wards and one
    pharmacist

5
CSIP Pilot - Planning
  • Pilot to run for 8 weeks then to be reviewed.
  • Same day, same time each week to promote
    familiarity .
  • Same advisors running group again to promote
    familiarity.
  • Tea, coffee and biscuits available.
  • Informal, relaxed environment
  • Level 1 training for forensic staff

6
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7
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8
Results
extended pilot due to low numbers on forensic
wards
  • Part 1 - Forensics
  • 9 people
  • 6 service users
  • 3 staff
  • 3 people still on smoking cessation therapy (2
    staff, 1 service user) 33
  • Part 2 Day Hospital
  • 8 people
  • 7 service users
  • 1 staff member
  • 4 people still on smoking cessation therapy (3
    service users, 1 staff member) 50

9
Results from Wards
  • January (before)
  • 35 SUs
  • Smokers 94
  • Non-smokers 6
  • Offered advice 74
  • Given NRT 8
  • April (after)
  • 35 SUs
  • Smokers 94
  • Non-smokers 6
  • Offered advice 82
  • Given NRT 25

10
Results
  • Smoking Cessation displays put on forensic wards
  • To run level 1 smoking cessation course at Day
    Hospital
  • To continue Monday group in forensics and day
    hospital
  • To run another Level 2 training course in the
    Trust at end of April
  • To try to keep any discharged patients in contact
    with Smoking Cessation Service

11
Plans
  • Re-designing smoking cessation booklet to suit
    mental health patients
  • Provide more posters on wards about smoking
    cessation
  • Provide more carbon monoxide monitors in Trust

12
Conclusions
  • Forensic patients challenging group to get to
    stop smoking
  • Day Hospital patients may be more mentally well
    and ready to give up smoking
  • Future work will involve providing drop-in groups
    to other day hospital in the Trust using trained
    advisors

13
AND TODAY..
  • New planner designed and in use.
  • New posters.
  • Referral pads.
  • Level 2 training planned.
  • Update training available for advisors.
  • Level 1 training available for the trust.
  • Work to start with Learning Disabilities.
  • Working in partnership with Leeds PFT and the
    Nutritional and Physical Wellbeing Team.
  • And lots more!
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