1. Pauline Williams (iHV Fellow) 0-19 Community Service Lead.
Stop Smoking Prevention Pilot Integrated Approach 0-19 Health Visiting Service (Sept-March 2017)
Pauline Williams (iHV Fellow) 0-19 Community Service Lead.
Anita Ellis (iHV Fellow) 0-19 Specialist Health
Visitor Infant Feeding Co-ordinator.

2. Stop Smoking Midwifery Team
Stop Smoking Health Visiting Team
Stop Smoking Midwifery Team
Stop Smoking Public Health Lead
Children & Young Peoples’ Commissioning
Working together
Sharing pathways

3. Recruited a stop smoking champion in each health visitor team
Purchased a CO monitor for each champion
Each champion did the e-learning National Centre for Smoking Cessation and Training (NCSCT) including the pregnancy module.
Each champion had training for the lead stop smoking midwife identical to that, that the midwifery service receive including CO monitor training.
Each champion had identical resources to the stop smoking midwifery team to ensure that messages seen and heard from the midwifery service was mirrored by the health visiting service.
Relapse prevention pathway created
Regular champion meetings with the Stop Smoking midwifery team

5. Data Collection and referrals Sept 2016 to the end March 2017
Percentage of Quitters by area/Locality

6. Gestation at referral

7. 5As for Brief Cessation Counselling
Ask Look for ‘change talk’. Ask for permission to give further information. Plans to Quit and long term goals.  
Advise (with permission) by providing clear, strong advice to quit with personalised messages about the impact of smoking and the benefits of quitting on mother, baby and family. likely to do it for herself. Quilt to Quit.
Assess willingness to make quit attempt using ‘bubble chart’. Elicit what it would take to move towards quitting.
Assist by suggesting (with permission) problem solving methods, offering social support during the quitting process and identifying social support within the smokers’ environment. Use positive statements re health benefits rather than negative health impact
Arrange periodically to assess smoking status and encourage cessation for women who continue to smoke.

8. New Birth Visits Out of New Births not yet completed due to AN status. One delivered due on 11th April 47 NBV completed – 11 Relapses 36 still quit %

9. 6-8 week QUITS Narrative tbc

11. Actions and service response
SSHV to manage the visits for the smoke free mother/family through to the postnatal 6-8 week visit.
SSHV in each Hub (recently two more recruited)
SSNN To be located in each Hub to continue support at 1 YR and 2 YR reviews.
Regular bi-monthly champion meetings

12. Actions and service response
SSMW to contact the SSHV/locality directly with referrals of ANY quitters.
All information, training and resources mirror stop smoking midwife service
For all the HV service to give "very brief advice" and have appropriate e-learning training.

13. Actions and service response
Sharing of project with HIT (Health Inclusion Team).They are looking to recruit own SSHV.
Liaison with service analysts to produce quality outcome measures.
Any relapses can be referred back into the smoke free service or new referrals made for family members.

14. Thank you for listening