1. Applying the evidence to tackle smoking in pregnancy. Joined up thinking and planning Hilary Wareing: Tobacco Control Collaborating Centre Tina Williams: Tobacco Free Futures

2. Increase awareness of harm Increase identification Increase referrals Increase engagement with the Stop Smoking Services Increase smoking quit data Increase smokefree pregnancies = reduction in prevalence of smoking at time of delivery What do we need to do to reduce prevalence?

3. Combining Incentives and babyClear Incentive SchemebabyClear SQD(100) 100%Screened(100) 100% Engaged(50) 50% 4/52 Quit(69) 69%4/52 Quit(25) 50% Quit at ToD(49) 71% Quit at 12 weeks post- partum (142) 51%Plus DNA offered RPI(50) 50% 4/52 Quit(25) 50%

4. What are you doing? What is it intended to change? (e.g referrals, quit rates, professional behaviour.) How do you know it works? Key Questions

5. Tobacco Control Collaborating Centre Unit 9 | Hatton Technology Park Hatton | Warwick | CV35 8XB Tel: 01926 490190 Fax: 01926 678698 Email: hwareing@pmaresearch.co.ukhwareing@pmaresearch.co.uk