1. Connecting Patients to Smoking Cessation Support

2. 2006/2013 Census Smoker Prevalence

3. 2006/2013 Census Prevalence by ethnicity Māori drop 10%

4. Smoking Prevalence by DHB Region 20.7% Now 15.1%

5. Less than 5% In 2012 Government established the goal of a Smokefree Aotearoa by 2025 There is a long-standing policy framework to address smoking, including: - Advertising restrictions - Smokefree environments - Point of sale restrictions -Cessation support -Health targets We need more quitting and health practioners have a key role to play

6. Getting outcomes from ABC 1. Meaningful conversations 2. Patient willingness 3. Systematic Referrals 4. On-going support 5. Repeated enquiry

7. “Where suitable services exist, we recommend that referral become the normative strategy for management of smoking cessation in general practice to complement any practice-based help provided” Why Refer Research shows that GPs referring smokers to an evidence-based Quitline service results in increased cessation (Borland, 2008)  Borland R, Balmford J, Bishop N, Segan C, Piterman L, McKay-Brown L, Kirby C, Tasker C. In-practice management versus quitline referral for enhancing smoking cessation in general practice: A cluster randomised trial. Family Practice 2008; 25(5): 382-389.

8. Systematic Referrals 800,000 ABC Conversations by PHOs in 2012 2,767 PHO referrals to Quitline 3,386 PHO referrals to Quitline 800,000 ABC Conversations by PHOs in 2013 800,000 ABC Conversations by PHOs in 2014 7,366 PHO referrals to Quitline from January 2014 to now

9. What lead you to call? GP referrals grow by 8.3% from May 2013 to May 2014

10. What happens once a Referral is submitted to Quitline? An acknowledgement of receipt of referral will be submitted All patients are contacted within 3 working days Register patient on our 3-month programme Support from a local face-to-face provider is offered in addition to our services

11. What are the benefits for Medtech users? Referrals to Quitline directly from patient management system Easy and efficient Free for all Medtech users (80% of PHOs) Read codes automatically updated Feedback loop provides information on patient quit date and smokefree status

12. MedtechReferrals Medtech Referrals

13. Referral Form Referral form available on our website www.quit.org.nz/healthprofessionals www.quit.org.nz/healthprofessionals E-mail to: referrals@quit.org.nzreferrals@quit.org.nz Fax to: 04 460 9879 Referral Enquiries Hotline: 0508 555 010 Plans to support other patient management systems in the future

14. Text Referrals Currently used by Plunket and New Zealand College of Midwives

15. 3-month Quit Programme Quit Plan 4 follow up support contacts Nicotine patches, gum and lozenges Steps to change

16. Quitline services 40,000 smokers supported per year Phone Online www.quit.org.nz Txt2Quit

17. Cessation Works Quitline outcomes Average success rate at 6 months The more Quitline services used, the better the quit success rates: 15,000 quit per year

18. Referrals Outcomes 1,050 quit because of an ABC referral

19. Any Questions?