1. Wendy Preston Advanced Nurse Practitioner Ambulatory Care Lead Stop Smoking Manager BTS Stop Smoking Champion Senior Lecturer

2. BTS Stop smoking champions 2012 Recommendations – secondary care services 2013 Case for change campaign and resources Action required

3. Approx 50% of hospitals now have a champion

4. Respiratory Clinician in each acute trust May be more than one champion – eg. consultant plus stop smoking practitioner but clinician input invaluable Committed to the idea of stop smoking as treatment for inpatients and outpatients ie sick smokers Therefore central to standard care

5. 1. Recommendations for Hospital Stop Smoking Services (December 2012)

6. Case for Change Paper - 2013 Evidence required in a business case. Smoking cessation is a TREATMENT for sick smokers, not prevention Significant numbers of smokers (and their families) who need treatment are in (or visiting) HOSPITALS Evidence exists that QS interventions are EFFECTIVE in hospital GAINS for the patients are enormous GAINS for the hospital health economy are potentially enormous, both in terms of cost savings on patient-related use of resources and also in terms of staff smoking.

7. Case for Change Campaign www.brit-thoracic..org.uk/Stop-Smoking- Champions.aspxwww.brit-thoracic..org.uk/Stop-Smoking- Champions.aspx Return on Investment (ROI) Calculator To demonstrate the value (outcome/cost), of providing comprehensive quit smoking services for hospital patients and staff User guide Video guidance Case for change forum

8. Case for change in action George Eliot Hospital experience

9. A mandatory training program ‘Make Every contact Count’ (mecc@nhs.net)mecc@nhs.net A full complement of NICE-recommended pharmacotherapy’s A fulltime stop smoking specialist (Band 7 or above) with further trained dedicated stop smoking staff A robust IT system Regular outpatient stop smoking clinics, A mandatory training program for all doctors and pharmacists Mandatory recording of smoking status, stop smoking interventions on discharge summaries and inclusion of smoking on death certificates for patients where smoking contributed to long term illness and/or directly to death A hospital stop smoking Steering Group What needs to be Commissioned

10. Come and see the tool