A white paper on tobacco and smoking
- It led to the establishment of the NHS Stop Smoking Services, the first nationwide stop smoking treatment service in the world, combining psychological support and medication.
- The second has a lower reach but higher success rates.
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This guidance aims to help local health and social care services as well as the community and voluntary sectors plan and deliver the most effective and most cost-effective services to encourage people who smokiny to quit. Smoking remains the leading cause of preventable morbidity and premature death in England.
It is estimated that between andsmoking caused an average 86, deaths a year. The prevalence of tboacco has declined dramatically since the s, but it still remains alarmingly high in some groups. These include 20—34 year olds including women who continue to smoke through pregnancy tobaccl, members of some minority ethnic communities and those from lower socioeconomic groups.
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Differences in the prevalence of smoking between the higher and lower social classes accounts for over half the difference in the risk of premature death faced by these groups[ 7 ]. Chewed tobacco products are widely used by some minority ethnic groups.
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Although less hazardous than cigarettes, they are still harmful to health and smoking cessation wmoking also be made available for those who want to quit this habit. Previous UK guidance has emphasised the importance of offering two forms of smoking cessation support to achieve the greatest population health benefit: The first option reaches the wider population.
It will help us if you say what assistive technology you use. Making healthier choices easier. The second has a lower reach but higher success rates. Government policy now states that health professionals should refer patients who need support to the service.
The second has a lower reach but higher success rates. It is thought, however, that brief advice could be key in persuading more smokers to try to stop[ 8 ]. In the tobacco white paper 'Smoking kills'[ 9 ], the government set out a comprehensive strategy to reduce tobacco use in the A white paper on tobacco and smoking. It led to the establishment of the NHS Stop Smoking Services, the first nationwide stop smoking treatment service in the world, combining psychological support and medication.
The latest results for April to March show thatpeople who had contact with the service had set a quit date — andof them reported that they had stopped smoking 4 weeks after that quit date[ 10 ]. There is also evidence that smpking service is reaching smokers from disadvantaged socioeconomic groups, although they have a lower success rate than other socioeconomic groups[ 11 ].
Government policy now states that health professionals should refer patients who need support to the service. This is being reflected in contractual changes: The 'Our health, our care, our say'[ 12 ]white paper outlines plans for the QOF to smoing wider public health and well-being measures by from springnurses a white paper on tobacco and smoking pharmacists who have undergone special training will be able to prescribe any licensed medicine, for any medical condition, within their competence[ 13 ] one of the key tasks of NHS-accredited health trainers[ 14 ] is to work in the community to encourage smokers to quit and to refer them to the specialist service[ 15 ].
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This scheme has already been set up in disadvantaged areas and will be rolled out nationally by This guidance is primarily designed for those who commission or work in local health services — within PCTs, community pharmacies and dental practices — and secondary NHS care, including mental health and hospital trusts. It also has implications for those working in community settings, such as health trainers, youth workers and others who may have a role in advising smokers. In Marmot M, Wilkinson R, editors Social Determinants of Health.
Prevalence, mortality and cessation in Great Britain. A white paper on tobacco. Making healthier choices easier.