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Evidence of what works

Background papers: Lifestyle and wider determinants :: Smoking and tobacco control [Update in progress] :: Evidence of what works

Medway evidence

A Smoking Health Equity Audits for Medway has recently been produced. (ensure link is correct) The service attracts more people from areas where smoking prevalence and deprivation are the highest and quit rates tend to be slightly higher in the least deprived areas. Stop smoking services in Medway are well distributed although possibly limited in some areas of high smoking prevalence. Most people who quit smoking used community groups, drop in sessions, GP practices or pharmacies for support. People quitting from the military achieved the highest success rates at 86%, however the numbers were relatively low for this setting. The community groups achieved an overall success rate of 73% with a higher proportion of numbers. Referral pathways and CQUIN targets have been set up with the Medway Community Health Care Trust and the Acute Trust in Medway and the service has seen an increase in the number of referrals to the service.

Figure 4: Numbers of Medway residents quitting smoking at 4 weeks 2005/2006 to 2011/2012
Figure 4: Numbers of Medway residents quitting smoking at 4 weeks 2005/2006 to 2011/2012

Research in Medway

Medway is committed to participating in local research and developing the evidence base for effective tobacco control and smoking cessation services. The following pieces of research are currently underway:
• Medway stop smoking service have supported Dr Michael Ussher (St Georges University London) with the LEAP Trial which investigated if physical activity was potentially effective and popular alongside behavioural support for smoking cessation during pregnancy.
• The service is taking part in a study that is aimed at investigating a new method of encouraging people to attend the NHS Stop Smoking Services by offering taster sessions. This Start 2 quit trial is a randomised control trial that is being directed by UCL.

National Evidence [links]

• The Centre for Disease Control Best Practices for Comprehensive Tobacco Control programme states: “A comprehensive state wide tobacco control programme is a co-ordinated effort to establish smoke free policies and social norms, to promote and assist tobacco users to quit and to prevent initiation of tobacco use.”
• The Health Inequalities National Support Team have published what works to improve uptake of SSS through their tobacco control visits Learning from National Support Team Visits Tobacco Control.
• Ten High Impact Changes to achieve tobacco control (Department of Health, 2008) should be used to plan the development and delivery of best practice tobacco control interventions. These recommendations and identified gaps from the benchmarking exercise have been translated into 6 priority actions within the Tobacco Control Strategy and Action Plans. The document has been archived and is no longer accessible. The ten changes are as follows: (1) Work in partnership, (2) Gather and use the full range of data to inform tobacco control, (3) Use tobacco control to tackle health inequalities, (4) Deliver consistent, coherent and co-ordinated communication, (5) An integrated stop smoking approach, (6) Build and sustain capacity in tobacco control (7) Tackle cheap and illicit tobacco (8) Influence change through advocacy, (9) Helping young people to be tobacco free, (10) Maintain and promote smokefree environments.
• The Health Act 2009 requires tobacco products to be removed from display in shops. This new law will be implemented for large retailers in October 2011 and small retailers in October 2013. The Act also enables the prohibition of tobacco sales from vending machines, although this still subject to Parliamentary consideration of regulations.
• Beyond Smoking Kills (ASH, 2008) details a number of tobacco control priorities and contains new and useful research to support local priority setting.
• A Smokefree Future: A comprehensive tobacco control strategy for England (Department of Health, 2010) details the rationale and evidence-based policies for future tobacco control work under three objectives:
• To stop the inflow of young people recruited as smokers.
• To motivate and assist every smoker to quit.
• To protect families and communities from tobacco-related harm.

• NICE public health guidance 10 (Smoking cessation services in primary care, pharmacies, local authorities and workplaces, particularly for manual working groups, pregnant women and hard to reach communities), public health guidance 23 (School-based interventions to prevent smoking) and public health intervention guidance 1 (Brief interventions and referral for smoking cessation in primary care and other settings) details the guidance and recommendations for preventing uptake of smoking, engaging people and successful smoking cessation.