1. Respiratory Right Care
Dianne Woodall, Public Health Portfolio Lead
Durham County Council

2. RightCare
RightCare is a National programme, aiming to make sure that each person has:
right care, right place, right time
whilst making the best use of available resources
NHS England have analysed data from all CCG’s nationally to shine a light on unwarranted variation to support an improvement in quality

3. RightCare - Co Durham findings
National analysis shows that we spend more on respiratory care than most other CCGs
High spend areas are COPD admissions to hospital
Inhaler use
27 attendees at the event representing clinical, senior management, national and patient views across both the commissioning and provider elements of the respiratory pathways in place across County Durham and Darlington.

4. Task and Finish Groups How we are taking this forward
All groups are lead by a clinician – we are looking at improved patient pathways avoiding hospital if possible, educating patients more and staff within our GP practices
Exploring telehealth with these pts to highlight early the risk
Prevention is key and lifestyle opportunities – Smoking

5. Smoking is the main cause of COPD
Prevention
Missed opportunities before a person gets to this stage.

6. Number setting a quit date
Opportunities
Giving children the best start in life
Number referred to SSS
Number setting a quit date
Number quit
Number quit with
Midwife BI
Total quit
920
211
117 66
183

7. A systematic approach to tobacco dependence/ treatment across all healthcare settings
Every frontline professional to discuss/document smoking with patients.
Stop Smoking support offered on site or referral on for support
Strong emphasis on ‘stop before the op’
In-hospital management of nicotine dependency.
Referral and access to local services on discharge
No tobacco smoking anywhere in NHS buildings or grounds.
But…If we don’t do first five bullets how do we expect the public to comply with fifth

8. What should health professionals say?
“Stopping is the best thing you can do for your health and wellbeing
The most effective way of stopping is with a combination of medication and specialist support from a trained worker
Can I arrange for you to meet a stop
smoking specialist to have a
chat about this?
It will make the whole process so
much easier

9. GP triggerer quit attempts

11. County Durham Stop Smoking Service Numbers
Setting a quit date and quitters by the three main intervention settings 2016/17

12. Stop smoking service successes 2016/17

13. Percentage quit with behavioural support and medication

14. Workshop discussion
How can we ensure every health professional/health care worker has the discussion with smokers (smoking/secondhand smoke)
How can we increase quit attempts and uptake to stop smoking services
Especially in pregnancy
Especially in our most deprived communities