www.hertsdirect.org smoking and mental health hwb workshop 9th july 2015 emily clarke assistant...
TRANSCRIPT
www.hertsdirect.org
Smoking and Mental Health HWb workshop 9th July 2015
Emily Clarke
Assistant Manager
Hertfordshire Stop Smoking Service
Liz Fisher
Head of Provider Services
Tobacco Control Lead
www.hertsdirect.org
What we are covering:
• Why this is so important
• Motivation and barriers to quitting
• What’s happening locally
• Hertfordshire Stop Smoking Service – what can we offer?
• Making a referral
• Better together – workshop discussion and next steps
www.hertsdirect.org
Why Tobacco Control remains important
• Single most important cause of premature death and disability
• Kills 80,000 people prematurely in England alone and 1,500 people in Herts die every year
• Accounts for 50% of health inequalities between better and worst off
• Disproportionately affects
most deprived groups
• 135,300 smokers in Herts
• Cost the NHS £55 million in 2013-2014
www.hertsdirect.org
Smoking Still Kills
Courtesy of ASH
Obesity: 34,100
Smoking: 79,100
Alcohol: 6,669
Suicide:5,377
Illegal drugs: 1,605
HIV: 504
Traffic:1,850
Leading cause of preventable death
www.hertsdirect.org
All deaths in men and women aged 35 and over in England, 2013
Source: ASH (2015) Smoking Still Kills
www.hertsdirect.org
Herts smoking prevalence 2010-2013
www.hertsdirect.org
Smoking in People with Mental Health Conditions
Source: RCP and RCPsych (2013) Smoking and Mental Health
www.hertsdirect.org
Smoking and Mental Health• Greatest impact on health
inequalities
• High prevalence – no change over 20 years
• 70% in some groups
• 16-25 years of life lost
• 42% of all tobacco smoked
• Misconceptions about wanting to quit and impact on mental health
www.hertsdirect.org
Smoking and Mental Health
• Improved mental health reduces lifestyle risk behaviours
• Smoking responsible for most of the excess mortality in people with severe mental health conditions
www.hertsdirect.org Slide courtesy of Gay Sutherland
www.hertsdirect.org Slide courtesy of Gay Sutherland
www.hertsdirect.org Slide courtesy of Gay Sutherland
www.hertsdirect.org
Tobacco – an NHS priority NICE PH48
•NICE
NICE
NICE PH45
www.hertsdirect.org
Smokers who would find quitting difficult
Source: RCP and RCPsych (2013) Smoking and mental health
www.hertsdirect.org
What’s happening locally?• CLeaR review on tobacco control
• NHS systems leaders’ commitment to tobacco control
• Herts smoking and mental health action group
• Implementing NICE PH48 – supporting HPfT to become Smokefree
• Implementing NICE PH45 – harm reduction approaches
• Mental health and smoking master classes
• Developing more specialist stop smoking services – behavioural sciences
• Included within the Quality Metrics for HPfT
www.hertsdirect.org
What does a Stop Smoking Service offer?
Medication (on prescription)• Nicotine Replacement Therapy (NRT) x 7
• Zyban & Champix
Behavioural SupportAt least 5 weekly meetings with
trained advisor or a 7 week group
Carbon Monoxide Monitoring
The service is FREE
Ongoing Encouragement
Periodic phone support in the first year (3, 6
and 12 months)
www.hertsdirect.org
HSSS Referral Form
Hertfordshire Stop Smoking Service
Referral Form Smoking has been discussed with this patient/client who has agreed to be referred to
Hertfordshire Stop Smoking Service and will be contacted by the team to discuss quitting. Information may be shared with other appropriate health professionals.
* Fields marked with an asterisk are mandatory
PLEASE SEND TO: Hertfordshire Stop Smoking Service
Hertfordshire County Council, Apsley Campus 1, Brindley Way, Hemel Hempstead. Hertfordshire. HP3 9BF Freephone: 0800 389 3998 Telephone: 01442 453071 Fax: 01442 453070
Email: [email protected]
* Patient/Client’s Forename:…………………………………........ * Primary phone (Landline): …………………………………….
* Patient/Client’s Surname:………………………………………… * Messages can be left on this number: Yes: No:
* Date Of Birth………………………………………………………. Mobile ……………..……………………………………………..
* Gender: Female: Male:
* Messages can be left on this number: Yes: No:
* Inpatient: Yes: No:
* Is the patient/client pregnant? Yes: No:
* Address 1:……………………………………………………………………………………………………………………………………..
* Address 2: ……………………………………………………............................................................................................................
* Town: ………………………………………………………………. * Postcode: …………………………………………………………
Email: ………………………………………………………………. * Stop before the Op? Yes: No:
Does partner/any member of the household smoke and want to be contacted by HSSS? Yes: No:
Name and contact number:…………………………………………………………………………………………………………………..
* Date of referral: ………………………………………………. * Referrer’s Name: ……………………………………………
* Job Title: ………………………………………………………. * Referrer’s contact number……………………………….
* Department: …………………………………………………… * Organisation: ………………………………………………. (Please avoid abbreviations)
* Locality/Area ………………………………………………….. Referrer’s Email ……………………………………………
I would like confirmation that this patient/client was contacted: Yes: No:
* Does the Client/Patient have disabilities or mental illness that we need to be aware of? ………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………. ……………………………………………………………………………………………………………….
HSSS is committed to calling/texting all referrals up to 3 times, at different times of the day. If the team has been unable to contact the patient/client, a letter plus supporting information pack will be sent.
Thank you for referring this patient/client to Hertfordshire Stop Smoking Service
www.hertsdirect.org
Better together:
• Raising the profile of smoking and mental health
• Improving the knowledge and motivation of stakeholders
• Identification of people with mental health conditions who smoke
• Offering advice to people with mental health conditions who smoke
• Offering intensive behavioural support and medication to service users
• Making Smokefree the norm in mental health settings
www.hertsdirect.org
Thank you!
www.hertsdirect.org
HSSS Contact Details
• For further information or to refer a patient/client:
Email: [email protected]
(secure address)
Phone: 0800 389 3 998 or 01442 453071
Fax: 01442 453070
Text: 80818 (patients can just text ‘Smokefree’)
Website: smokefreehertfordshire.nhs.uk
All of the above are available to staff, patients and the public
www.hertsdirect.org
Further readingPrimary Care Guidance on Smoking and Mental Disorders:
http://www.rcgp.org.uk/clinical-and-research/clinical-resources/mental-health.aspx
RCP report: https://www.rcplondon.ac.uk/sites/default/files/smoking_and_mental_health_-_key_recommendations.pdf
NICE PH48: https://www.nice.org.uk/guidance/ph48
NICE PH45: https://www.nice.org.uk/guidance/ph45
BI training: http://www.ncsct.co.uk/pub_training.php