Children and Families Community Services Mental Health Secure Services Specialist Services

www.quitsquad.nhs.uk

Burscough

Preston

Morecambe

Carnforth

Lancaster

Fylde

Wyre

Ormskirk

HyndburnHyndburnHyndburnBurnley

Pendle

Ribble Valley

Tarleton Rossendale

South RibbleHesketh Bank

Chorley

SkelmersdaleUp Holland

Call the

FREE from

any landline or mobile on:

0800 328 6297to speak to your local service

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Whether you smoke, vape or chew -

Quit Squad can help you

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Myths and Facts About Stopping Smoking

Myth “We only help people to stop smoking cigarettes”.

Fact The Quit Squad supports people with all smoke-related habits, including smoking cigarettes, chewing tobacco, shisha and e-cigarettes.

Myth “I can rely on willpower when trying to stop smoking”.

Fact Research shows that you are four times more likely to quit smoking with treatment and support from your local Quit Squad than willpower alone.

Myth “I have been smoking for so long it’s not worth giving up”.

Fact Every time you breathe in cigarette smoke you absorb carbon monoxide (CO) which is a poisonous gas that thickens the blood and can lead to heart attacks and strokes. Within 24 hours of stopping, the CO level in your blood goes back to the level of a non-smoker and 3-9 months after you stop your lung function will improve by 5-10%, allowing you to breathe easier. The other good news is that the average smoker can save over £2,000 a year by quitting!

Myth “I have been to a stop smoking clinic before and wasn’t able to stop, so I’m not allowed to go back”.

Fact You are welcome to attend and seek support from the Quit Squad as many times as you need.

Myth “I will find the cravings and withdrawal symptoms too hard to cope with”.

Fact The withdrawal symptoms can include mood disturbance, increased appetite, headaches, sleep disturbances and difficulty concentrating but these can all be controlled with Nicotine Replacement Therapy (NRT), Varenicline or Bupropion (tablets). These products include patches, oral products (mouth chews and sprays) and medication which you can get on prescription and your stop smoking advisor can recommend the right ones for you.

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Free Advice and SupportWe provide a variety of appointments to suit your needs. These include individual and group sessions as well as drop in appointments and groups.

Community drop in clinicsThese clinics are easy to access and don’t require an appointment, you simply just turn up! They provide a relaxed and friendly environment where you can speak to a trained advisor who will offer advice and support to help you take those first steps in quitting. Follow ups will then be arranged either weekly or fortnightly between you and your advisor.

Individual appointmentsYou will need to contact the Quid Squad via our freephone number to book an appointment. You will be seen, wherever possible, by the same specialist advisor to help you quit.

Group sessionsThese are available at a number of locations and consist of a 6 week course and then support continues at drop in clinics for a further 6 weeks. The groups are held in a relaxed informal setting and with the support of others who are trying to stop smoking which improves your chances of quitting for good.

How long is the course and how long do the sessions last?The course lasts for 12 weeks with the initial appointment lasting for approximately 30 minutes. Each follow up appointment will be tailored to your needs and each session should last around 15 minutes. You are welcome to bring along a friend, partner or relative if you wish.

TreatmentTo help you quit you will receive a prescription or voucher for Nicotine Replacement Therapy (NRT), Varenicline or Buproprion, and we work in partnership with your GP.Your GP may need to assess your suitability for these products. If you pay for prescriptions you may find it cheaper to buy a Prescription Prepayment Certificate (PPC), and you can find our more information and how to apply for this at: www.nhsbsa.nhs.uk

Collection of dataWe are required to collect outcomes from people who have stopped smoking using the service. We therefore may need to contact you by telephone, text or letter to confirm how you have got on and where possible ask you to attend a venue to obtain a carbon monoxide reading to support your smoke-free status.

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Specifi c services for the South Asian communityWe offer specialist 1-1 support for people from the South Asian community who may experience language or cultural barriers in their effort to stop smoking. Our trained advisers can offer multilingual services in Punjabi, Gujarati and Urdu, and acknowledge the differences in culture which can vary within families as well as communities. Everyone can access the 1-1 or community drop in clinics in their local area without fear of stigma.

Harmful Oral, Smokeless and Tobacco Products

CigaretteE-cig

Paan

Shisha pipe

Shishatobacco

Below are some examples of oral, smokeless and tobacco products that may cause serious risks to your health.

• The paan leaf itself is not harmful but nearly all the other ingredients impact on oral health.

• Lime is corrosive, damaging the lining of the mouth.

• Paan masala consists of spices and artifi cial colourings. Can cause teeth problems and increase risk of mouth cancer.

Paan masalas

Lime

Paan leaf

Tobacco products

Betel nut(supari)

Support in PregnancyStopping smoking while you are pregnant is the most important step you can make so you don’t harm the growth and health of your baby. When you smoke, the carbon monoxide in cigarettes restricts the oxygen supply, so that your baby gets less of the oxygen it needs to grow and develop. In addition, smoking during pregnancy can also increase the risk of miscarriage or premature birth.

Our specialist stop smoking advisors provide friendly and individual support and will work closely with you and your midwife to help you quit.

It is much safer to use Nicotine Replacement Therapy (NRT) whilst pregnant than continuing to smoke as the nicotine used in NRT is less harmful than the chemicals in cigarettes. Patches, gum, inhalators, nasal spray and lozenges are several options that are suitable for mums-to-be, but if you are concerned about what medicines to use during pregnancy speak to your midwife or GP.

Support in HospitalIf you are going into hospitalContact your local Quit Squad who will be able to offer treatment and support prior to admission.

If you are already in hospitalYou can ask your ward nurse for treatment and support to help ease withdrawal symptoms during your stay.

If you have stopped smoking in hospitalYou can ask your ward nurse for support during your stay in hospital and on discharge if you want to remain smoke free just ask to be referred to the Quit Squad and you will be discharged with a nicotine replacement product. Your local Quit

Squad will then get in touch to offer further support to help you remain smoke free. We can also support any of your family and friends if they wish to stop smoking too.

Hospital clinicsClinics are available each week at:

• Burnley General Hospital • Royal Blackburn Hospital • Longridge Community Hospital • Royal Preston Hospital • Chorley and South Ribble

District Hospital• Royal Lancaster Infirmary • Ormskirk Hospital

These clinics are open to both staff and the general public but please feel free to contact the Quit Squad for more information.

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Nicotine Replacement TherapyYou will be able to obtain a voucher or prescription for Nicotine Replacement Therapy (NRT). These products provide a lower dose of nicotine than cigarettes. They help you manage your withdrawal symptoms.

PatchesNicotine patches work well for most regular smokers. They work by releasing nicotine directly into the bloodstream through the skin. Patches also come in different strengths.

Whichever strength you start on you should aim to gradually reduce the strength over time before stopping the usage of patches completely.

· 16 hour - These patches are worn just during the time you are awake.

· 24 hour - These patches are worn round the clock. They may cause some sleep disturbance but are helpful for people who have strong cravings during the early morning.

Nasal sprayThe spray delivers a swift and effective dose of nicotine through the lining of your nose.

QuickmistA fast acting spray, that delivers nicotine through the mouth lining.

GumWhen you use nicotine gum, the nicotine is absorbed through the lining of your mouth. To release the nicotine from the gum, chew until the taste becomes strong or hot. After this you can rest the gum inside your cheek. Gum is available in two strengths: 2mg and 4mg.

Lozenges· Mini · Cools · Standard

Lozenges are placed in the mouth and dissolve slowly to release the nicotine. To release the nicotine from the lozenge, suck until the taste becomes strong or hot. Suck slowly until the lozenge has completely dissolved.

InhalatorInhalators look like a plastic cigarette. The inhalator releases nicotine vapour which gets absorbed through your mouth and throat. If you miss the ‘hand to mouth’ aspect of smoking, these may suit you.

StripsA fresh, minty flavoured strip that dissolves in your mouth.

There are a number of products to

choose from to help you stop smoking

301035 Stop Smoking Booklet 2012 7/2/13 16:37 Page 4

There are a number of products to choose from to help you stop smoking

301035 Stop Smoking Booklet 2012 7/2/13 16:37 Page 4

There are a number of products to choose from to help you stop smoking

301035 Stop Smoking Booklet 2012 7/2/13 16:37 Page 4

There are a number of products to choose from to help you stop smoking

301035 Stop Smoking Booklet 2012 7/2/13 16:37 Page 4

There are a number of products to choose from to help you stop smoking

301035 Stop Smoking Booklet 2012 7/2/13 16:37 Page 4

There are a number of products to choose from to help you stop smoking

301035 Stop Smoking Booklet 2012 7/2/13 16:37 Page 4

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Buproprion (Zyban) and Varenicline (Champix)These are non-nicotine based medications that work by reducing the desire to smoke and easing cravings. They are very effective but are not suitable for everyone. If you choose to use Buproprion (Zyban) or Varenicline (Champix), we will work in partnership with your GP and you may need to see your GP who will assess your suitability for these products and if appropriate will prescribe for you. Sometimes a prescription may also be issued by a nurse prescriber.

How Do I Find Help?You can contact the by the following ways:-

Online at www.quitsquad.nhs.ukHere you will find an online self-referral form which once completed will be sent directly to the service.

By Telephone on 0800 328 6297

You can call free from any landline or mobile

This will put you in contact with your local Quit Squad team who will be able to discuss your options.

The lines are open Monday to Friday 9am – 5pm

Outside of these times please leave a message and contact number and we will call you back as soon as possible.

In partnership with other services We work alongside hospital trusts, leisure trusts, pharmacies and practice nurses in providing a specialist stop smoking service. Please contact your local Quit Squad for up to date information and further details for these and other services that can help.

There are a number of products to choose from to help you stop smoking

301035 Stop Smoking Booklet 2012 7/2/13 16:37 Page 4

There are a number of products to choose from to help you stop smoking

301035 Stop Smoking Booklet 2012 7/2/13 16:37 Page 4

These medications are not available if you are under 18, pregnant, breast feeding or trying for a family.

Other sources of information:The Mental Health Helpline provides an information and listening service for people in Lancashire. It is available between 7.00pm and 11.00pm Mondays to Fridays and from 12.00 noon until 12.00 midnight on Saturdays and Sundays. Freephone 0500 639000.

The Patient Advice and Liaison Service provides advice and information. Please contact East Lancashire PALS on:

01282 474178 or 07507 857345

If you have problems reading the print we can provide this leaflet in large print, audio book or Braille.

Leaflet number: XXX XXX/XXXX Name of Leaflet: Seeing a Clinical Psychologist in Blackburn with Darwen Date produced: February 2009 Review date: February 2011

© Lancashire Care NHS Foundation Trust 2009-02-18. All rights reserved. Not to be reproduced in whole or in part without the permission of the copyright owner.

Copies of this leaflet are available from:-Lancashire Care NHS Foundation Trust, Sceptre Point, Sceptre Way, Walton Summit, Bamber Bridge,

Data ProtectionThe Trust will endeavour to ensure that your information remains secure and confidential at all times. The Data Protection Act 1998 explains how personal information should be processed and this applies to all information whether held on paper or electronically on computer systems. We must ensure that all personal information is processed fairly, lawfully and as transparently as possible so you: • Understand reasons for us processing your

personal information • Give your consent for the disclosure and use of

information where necessary • Gain Trust in the way we handle your

information• Understand your rights regarding the right to

request access about the information we hold about you.

The Caldicott Guardian, who is a senior health clinician, has the role to ensure we meet the highest standards for handling personal information at the Trust.

© Lancashire Care NHS Foundation Trust. All rights reserved. Not to be reproduced in whole or in part without the permission of the copyright owner. Data ProtectionLancashire Care NHS Foundation Trust adheres to The Data Protection Act 1998. The Trust will endeavour to ensure that your information remains secure and confidential at all times. For further information regarding data protection please visit the Trust’s website or ask a member of staff for a copy of our leaflet entitled “Sharing Information With Us”.

Copies of this leaflet are available from:

Lancashire Care NHS Foundation Trust,

Sceptre Point, Sceptre Way,

Walton Summit, Preston PR5 6AW

Tel: 01772 695300

Email: communications@lancashirecare.nhs.uk

Website: www.lancashirecare.nhs.uk

Leaflet Code:Date Produced: Review Date: Name of Leaflet:

If you have problems

reading the print we can provide this

leaflet in large print, audio

book or Braille.W przypadku jakichkolwiek problemow z odczytaniem tekstu z przyjamnoscia dstarczymy Panstwu ulotke z duzym drukiem,

tasme do odluchu lub tekst w jezyku Braille.

Quit SquadNovember 2016 024/2014November 2014

Contact Details:

Freephone 0800 328 6297

Central Lancashire01772 644474

East Lancashire 01254 283370

www.quitsquad.nhs.uk

Other sources of information:The Mental Health HelplineThis provides an information and listening service for

people in Lancashire. It is available between 7:00pm

and 11:00pm Mondays to Fridays and from 12:00

noon until 12:00 midnight on Saturdays and Sundays.

Freephone 0300 222 5931.

Customer Care

If you wish to pay a compliment about the Trust’s

services, make a comment, raise a concern or complaint,

please contact the Customer Care Department on

01772 695315, freephone 0808 144 1010 or

email customer.care@lancashirecare.nhs.uk

March 2016 March 2018

Call free from any landline or mobile on

0800 328 6297To access your local Quit Squad:-

Option 1 for Preston, Chorley and South Ribble

Option 2 for Skelmersdale, Ormskirk, Burscough, Up Holland, Tarleton and Hesketh Bank

Option 3 for Burnley, Pendle, Rossendale, Hyndburn and Ribble Valley

Option 4 for Lancaster, Morecambe, Fylde and Wyre