1. Developing and Delivering Systems in Secondary Care

2. What are the Systems required Staff training in Very Brief Advice Referral opportunity at all stages Mechanism for referrals – electronic, fax, paper Process for referrals Support for staff, patients and visitors Information for staff, patients and visitors Withdrawal management Communications – newsletter, posters, leaflets, letters Smokefree Policy

3. Support in production Coherent, consistent and concise Compliance/disciplinary procedures Management Hospital Smokefree Steering Group Hospital champion

4. Training E learning for Very Brief Advice for all staff – mandatory? Face to face training – where might this be appropriate Specialist training – midwives Stop Smoking Practitioner training

5. Referrals Patient’s journey from Primary Care to discharge Process – universal Mechanisms for referral Willing referrers

6. Stop Smoking Medications Offered throughout the whole patient journey Withdrawal management Support to stop if required NRT on formularies NRT on admission and discharge

7. Staff Smoking on site Taking patients out to smoke Information and guidance Stop Smoking Support groups for staff Occupational Health and HR involved Adherence to Smokefree Policy

8. Communications Member of Comms team involved throughout all of the systems Accessing all mediums for getting out the message Stop Smoking messages to be released at optimum times – knowledge of other promotions/initiatives – avoid clashes Ongoing