The 2019-22 Smokefree West Sussex Tobacco Control Strategy actions are outlined below. These are a collection of actions agreed by members of the Smokefree West Sussex Partnership to take forward the tobacco control agenda in the county. Actions are coloured by the Department of Health's 2008 10 high impact changes to achieve tobacco control.
You can filter the actions by the time frame (short to long term), by relevant partners/stakeholders, or by the level at which the action is expected to operate within (individual/community/or environment). To learn more about an action, hover over each box.
The 2019-22 Smokefree West Sussex Tobacco Control Strategy document can be found here.
Hover over an action (tile) to see more information, including the progress made to date and what we think success looks like. The actions range from short term to long term and some are ongoing and as such, our progress rating does not reflect whether the task is complete but rather how we thinkg we are doing giving how far we are into the lifecourse of the overall strategy. The colour of the border therefore denotes whether we think this is on target to be achieved (green), almost there (amber), needs some work (red) or where progress is unknown (grey).
1
Integrated stop smoking services across the Local Maternity System
Integrated stop smoking services across the Sussex and East Surrey Local Maternity System
Local Maternity System
1
Working in partnership is the building block for success
Medium term
Individual
Integrated stop smoking services across the Sussex and East Surrey Local Maternity System
Maternity partners across the Sussex and East Surrey Local Maternity System work together to enhance integrated stop smoking support for mothers and families.
Local Maternity System
SES LMS Maternal Smoking meeting in July communicated effective models and maternal data systems to inform maternity smoking support and commissioning. Exploring how integrated maternity opt-out model can be developed in West Sussex
Maternity aware of the stop smoking services available in the community. Service specifiation and contract for WSHT midwifery support worker led being developed from OH funding. SASH finding opt in pathway an issue for maternity. BSUH_ no update available.
2
Pilot project 'Actively Quitting' using physical activity as a diversion
Pilot project 'Actively Quitting' using physical activity as a diversion
Wellbeing programme
1
Working in partnership is the building block for success
Short term
Individual
Pilot project 'Actively Quitting' using physical activity as a diversion
Smokers will be referred from SSS to leisure provision
Wellbeing programme
Failed to recruit but hoping to utilise stop smoking service to recruit if possible
Move to 2020/21 for discussion
3
Promote e-cigarettes as a safer and healthier alternative to smoking
Promote e-cigarettes as a safer and healthier alternative to smoking. Work with Public Health 'approved' Vape Shops to give vouchers to bed bound clients
Fire Service
1
Working in partnership is the building block for success
Long term
Individual
Promote e-cigarettes as a safer and healthier alternative to smoking. Work with Public Health 'approved' Vape Shops to give vouchers to bed bound clients
Increase in number of bed bound smokers using E-cigs instead of cigarettes
Fire Service
Specialist home visiting staff always promote e-cigarettes as a safer alternative. The partnership work with Vape Shops forms part of the longer term aspirations as part of a three year plan. We are currently in year 1.
Specialist home visiting staff are continuing to promote e-cigarettes. Whilst the current system does not record the numbers there are case studies that confirm this.
4
Greater sharing of intelligence to Trading Standards
Greater sharing of intelligence to Trading Standards
Trading Standards
2
Gather and use the full range of data to inform tobacco control
Short term
Community and Place
Greater sharing of intelligence to Trading Standards
Increase of intel reports to Trading Standards
Trading Standards
There has been a 1% increase in intel reports
Still 1% increase
5
Enhanced maternity dataset
Enhanced maternity dataset ensuring smoking status recorded for all pregnant women
Local Maternity System
2
Gather and use the full range of data to inform tobacco control
Long term
Individual
Enhanced maternity dataset ensuring smoking status recorded for all pregnant women
All hospitals within the local LMS footprint collect and report data.
Local Maternity System
Prevention and data recommendations provided to SES LMS Dashboard to support development and improvement of prevention information within maternity dataset. Maternity services adapting to 2019 update to Better Births maternal stop smoking procedure and data collection .All maternity services are capturing booking data but either failing NHS digital data quality or not submitting data for SATOD. This is largely an issue with mandatory fields within MIS and also training needs to raise profile of importance of discussing maternal smoking and accurate data reporting.
acutes in Sussex and east surrey are reviewing their maternity information systems including the mandatory fields including the additional 36 week field.
6
Improve data capturing from stop smoking services
Improve data capturing from stop smoking services
Public Health
2
Gather and use the full range of data to inform tobacco control
Short term
Individual
Improve data capturing from stop smoking services
Improved data quality to understand service delivery and targeting
Public Health
There is a new data monitoring form for GP practices and new pharmoutcomes template for pharmacies. More rigourous processes are also in place for monitoring data returns and incomplete data are being returned to be resubmitted.
In April 2019 DMF's that required further clarification or were incomplete totaled 20% of all submissions, by Oct 2019 this percentage had fallen to 7%
7
Produce smoking cessation gap analysis and action plan
Produce smoking cessation gap analysis and action plan, based on NICE guidance (PH26) and CLeaR Assessment
Local Maternity System
2
Gather and use the full range of data to inform tobacco control
Medium term
Community
Produce smoking cessation gap analysis and action plan, based on NICE guidance (PH26) and CLeaR Assessment
Maternity systems demonstrate enhanced stop smoking support and pathways in line with NICE guidance and CLeaR Assessments
Local Maternity System
CLeaR Assessment completed 2018 WaSH catchment. All maternity services are now NICE compliant since Dec 2018 for CO testing. Maternity mandated training update provided to LMS. Prevntion group in June 2018. Maternity leads Identifying/delivering actions to develop integrated maternal smoking support through training
WSHT to revisit Clear at end of pilot, other trusts to also review at same time. Action plans needs to be strengthend and communicated.
8
Report the number of people signposted
Report on the number of people signposted to stop smoking services from wellbeing hubs and share data gathered from health MOTs to show the number of people identified as smokers
Wellbeing programme
2
Gather and use the full range of data to inform tobacco control
Short term and Medium term
Community
Report on the number of people signposted to stop smoking services from wellbeing hubs and share data gathered from health MOTs to show the number of people identified as smokers
Awareness of local smoking population data collected and shared
Wellbeing programme
Smoking status recorded on database referred to community providers- Stop smoking service is now in house.
10
Smoking status recorded for all pregnant women
Smoking status of all pregnant women captured at time of booking and delivery (mandatory)
Maternity at Western Hospitals
2
Gather and use the full range of data to inform tobacco control
Short term
Individual
Smoking status of all pregnant women captured at time of booking and delivery (mandatory)
Accurate data recorded and shared
Maternity at Western Hospitals
Maternity data accuracy is highly dependant on mandatory fields within the Maternity Information System (MIS). Western Sussex Hospitals is now reaching full compliance of NHSD data quality. Work is in progress to achieve the new 36 week smoking status requirement by March 2020.
https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-sets/maternity-services-data-set/maternity-services-dashboard
11
Quantify tobacco use by district, age ranges, and ethnicty for H4F profiles
Quantify tobacco use by district, age ranges, and ethnicty
Public Health and Research
2
Gather and use the full range of data to inform tobacco control
Medium term
Community
Quantify tobacco use by district, age ranges, and ethnicty
Health4Families will be able to target groups to allow appropriate health messages
Public Health and Research
Speak to Verity about what she needs
Healthy Lifestyles team will have the opportunity to input into profiles
12
Refresh the Health Equity Audit for stop smoking services
Refresh the West Sussex Health Equit Audit for stop smoking services
Public Health
3
Use tobacco control to tackle health inequalities
Medium term
Community
Refresh the West Sussex Health Equit Audit for stop smoking services
Completed HEA used to inform service redseign
Public Health
This is due to start in 2020
This is due to start in 2020
13
Increase understanding of attitudes to smoking among Eastern Europeans
Increase local understanding of attitudes towards smoking among Eastern Europeans in West Sussex
Public Health
3
Use tobacco control to tackle health inequalities
Medium term
Community
Increase local understanding of attitudes towards smoking among Eastern Europeans in West Sussex
Approriate interventions developed based on insight
Public Health
This is due to start in 2020
This is due to start in 2020
14
Support with smokefree prisons
Support Ministry of Justice and Public Health England with smokefree prisons
Public Health
3
Use tobacco control to tackle health inequalities
Long term
Community
Support Ministry of Justice and Public Health England with smokefree prisons
Improved pathway for those being released from prison to support their smoking cessation
Public Health
This is due to start in 2020
This is due to start in 2020
15
Health4Families targeting tobacco related activity
Target Health4Families tobacco related activity at young parents in areas of deprivation
Health4Families
3
Use tobacco control to tackle health inequalities
Medium term
Community
Target Health4Families tobacco related activity at young parents in areas of deprivation
Increase of young parents/people from deprived wards being informed about smoking cessation
Health4Families
Parents who smoke are signposted to smoking cessation service
16
Offer targeted workplace health (WPH) services
Target businesses in deprived areas to offer workplace health (WPH) services
Wellbeing programme
3
Use tobacco control to tackle health inequalities
Short term and Medium term
Community
Target businesses in deprived areas to offer workplace health (WPH) services
Increase in the number of smokers accessing SSS from workplaces deprived areas
Wellbeing programme
Been to smaller businesses such as garages
Look at developing this further in the year.
17
Improving links between prisons and community stop smoking services
Build on national smokefree prisons programme by improving links with the community stop smoking services
Prisons
3
Use tobacco control to tackle health inequalities
Medium term
Community
Build on national smokefree prisons programme by improving links with the community stop smoking services
A pathway to support those being released from prison estate to continue their stop smoking attempt
Prisons
This has not started yet
18
Use 'Actively Quitting' pilot to target disadvantaged wards
Use 'Actively Quitting' pilot to target disadvantaged wards
Wellbeing programme
3
Use tobacco control to tackle health inequalities
Short term
Community
Use 'Actively Quitting' pilot to target disadvantaged wards
Smokers from disadvantaged wards will be referred from SSS to leisure provision
Wellbeing programme
This has not started yet
Look at developing this further in 2020/21
19
Uptake of stop smoking services among substance misuse service users
Work with substance misuse services to improve uptake of stop smoking services by service users
Public Health
3
Use tobacco control to tackle health inequalities
Medium term
Individual
Work with substance misuse services to improve uptake of stop smoking services by service users
Improved pathway for those accesing substance misuse services to support their smoking cessation
Public Health
This is due to start in 2020/21
This is due to start in 2020/21
20
Hold stop smoking surgeries in targeted community locations
Hold stop smoking surgeries in community locations, specifically in disadvantaged wards
Multiple partners
3
Use tobacco control to tackle health inequalities
Ongoing
Individual
Hold stop smoking surgeries in community locations, specifically in disadvantaged wards
Increase in the number of smokers accessing stop smoking services from deprived areas
Wellbeing programme, Primary Care. Early Help Hubs, Voluntary Sectore Organisations, District & Boroughs, Public Health
Focus on districts where prevalence is higher or number of providers lower. In addition to Wellbeing Hub providers being established in these areas, four additional community providers have also been established since the start of the year.
New contract out for procurement with a focus on addressing inequalities. All Wellbeing hubs are now helping smokers to quit. In second quarter we have had an additional provider in Littlehampton.
21
Actively participate in national and local tobacco control campaigns
Actively participate in national and local tobacco control campaigns
Multiple partners
4
Deliver Consistent, coherent and coordinated communication
Short term and Medium term
Community
Actively participate in national and local tobacco control campaigns
Evaluation of campaign reach which increases year on year. Stoptober campaign promoted in Children and Family Centres and Find it out YP Service. Evaluation of campaign assessed by service user feedback. Families signed up for Family Assist receive timed Stoptober information. Lullaby Trust Safer Sleep Campaign is promoted by the Children’s Workforce in March. Smoking cessation is part of this campaign.
"Wellbeing programme, Health4Families, Trading Standards, District & Boroughs, Public Health
Comms plan ongoing. Partners to add suggestions. WSCC communities working on a strategy to work alongside Public Health and D&B Councils.
The H4FP promoted Stoptober by disseminating key messages and information Stoptober and comms plan are ongoing. Stoptober will be evaluated in Jan when we receive the full data. We will be looking at how many came through the service and also who came through. If there is anything peeople have that they could feedback on that went well so we could share with PHE please let me know.
22
Annual campaign community event
Actively participate in national and local tobacco control campaigns through at least one annual campaign community event organised by 10 fire stations and through social media
Fire Service
4
Deliver Consistent, coherent and coordinated communication
Short term and Medium term
Community
Actively participate in national and local tobacco control campaigns through at least one annual campaign community event organised by 10 fire stations and through social media
Evaluation of campaign reach, which increases year on year
Fire Service
No Smoking Day in March is scheduled for annual campaign activity.
The March 2020 campaign will be delivered using social media. WSFRS is currently working on targeted campaign material to support specific local risk. Smoking related fires will be one of the areas that we focus on later in the year.
23
Identify approaches that best serve different communities
Identify approaches to disemminating smokefree messages that best serve different communities
Communities
4
Deliver Consistent, coherent and coordinated communication
Medium term
Community
Identify approaches to disemminating smokefree messages that best serve different communities
Engagement with BAME groups , particularly Eastern European to gain insight into attitudes towards tobacco use
Communities
Tried approaching ACCORD To support with this but they are unable to. Need to rethink approach
24
Lead on tobacco control communication and campaigns
Lead on tobacco control communication and campaigns
Public Health
4
Deliver Consistent, coherent and coordinated communication
Short term
Place
Lead on tobacco control communication and campaigns
A communication plan for the period of this strategy is produced
Public Health
Communications plan is ongoing and should be updated for all communications and nit just major campaigns.
Comms plan ready. Used for Stoptober campaign. This is a standing item of the SFWSP agenda. All members to forward their plans to Heather as and when agreed.
25
Provide evidence based information via Family Assist
Provision of evidence based and consistent information, including on smoking cessation, to all families across West Sussex, via an easily accessed and interactive digital platform (Family Assist)
Multiple partners
4
Deliver Consistent, coherent and coordinated communication
Short term
Community
Provision of evidence based and consistent information, including on smoking cessation, to all families across West Sussex, via an easily accessed and interactive digital platform (Family Assist)
Family Assist achieves high levels of engagement with mothers and families in the provision of comprehensive pre-conception guidance, including on stop smoking information
Western Sussex Hospitals NHS Foundation Trust, Sussex Community NHS Foundation Trust, West Sussex County Council
Family Assist has always and continues to provide information on smoking and smoke free homes as routine to all registered users so in reality, The only future changes that will be made to this is the improvement of that information and resource material.
Ongoing.
26
Distribute 5,000 Safe and Well information booklets
Distribute 5,000 Safe and Well information booklets to residents receiving a Safe and Well visit. Booklets include information on smoking related fires, how to make a home smoke free and where to go for smoking cessation support.
Fire Service
4
Deliver Consistent, coherent and coordinated communication
Short term
Individual
Distribute 5,000 Safe and Well information booklets to residents receiving a Safe and Well visit. Booklets include information on smoking related fires, how to make a home smoke free and where to go for smoking cessation support.
5,000 booklets will be disctributed to vulnerable people in their homes
Fire Service
The new Safe and Well information booklet was expected to be released in April, unfortunately it was held up due to copyright issues. It started to be issued to residents by the specialist home visiting staff at the beginning of July. It will be issued by crews in August once training in its use has been delivered. Distribution figures will be available one month in arrears.
Booklets started to be issued from 1st of August 2019 to 31st December 1739 booklets have been issued to residents. Training is being developed with the assistance of a Programme Manager from PH. It will support operational fire crews with using the booklets and include motivational interview techniques.
27
Wellbeing programme that supports tobacco control
Develop the role of the wellbeing programme to support tobacco control
Public Health
5
An integrated stop smoking approach
Short term
Community
Develop the role of the wellbeing programme to support tobacco control
West Sussex wellbeing programmes are more engaged in tobacco control
Public Health
Welbeing staff are trained to deliver SSS.
As of December 2019 all six Wellbeing Hubs are delivering the service. Collectively the Wellbeing Hubs have started intervention with 39 individuals and have already recorded 9 successful quits.
28
Redesign stop smoking service provision in West Sussex
Redesign stop smoking service provision in West Sussex
Public Health
5
An integrated stop smoking approach
Long term
Individual
Redesign stop smoking service provision in West Sussex
Effective stop smoking services reaching those that most need to access them
Public Health
Redesign in progress for new service from april 2020.
Procurement of new smoking cessation providers is underway. New contract will commence 1st April 2020.
29
Work with Vape shops to support stop smoking providers in primary care
Work with Vape shops to support stop smoking providers
Public Health
5
An integrated stop smoking approach
Short term
Individual
Work with Vape shops to support stop smoking providers
Improved quit rates. Increased comfidence in stop smoking providers to discuss vaping as a mtehod to quit tobacco
Public Health
Specification for working with vape shops agreed to start on coastal strip. Face to face and online training include ecigs advice also fact sheets on wellbeing website.
Vape pilot now live throughout Adur, Worthing and Chichester with 22 GP surgeries participating, these surgeries have all received programme guidance and vape vouchers to distribute. As of December 2019 9 starter kit vouchers had been issued to referred clients by Totally Wicked (IBVTA recognised provider). Two of these clients have returned post quit to redeem a completion voucher as well.
30
Patients are asked about their use of tobacco at pre-assessment clinics
All patients attending pre assessment clinic are asked about their use of tobacco. Smokers are given brief advice and signposted to local stop smoking services
WSHFT
5
An integrated stop smoking approach
Short term
Community
All patients attending pre assessment clinic are asked about their use of tobacco. Smokers are given brief advice and signposted to local stop smoking services
Increase in number of elective patients being signposted to stop smoking services
Western Sussex Hospitals NHS Foundation Trust
Currently 85%, we anticipate compliance will improve when whole pre-assessment process is recorded  electronically – go live is early August.
31
Develop a Patient Group Directive around Champix prescribing
Develop a Patient Group Directive around Champix prescribing
Multiple partners
5
An integrated stop smoking approach
Short term
Individual
Develop a Patient Group Directive around Champix prescribing
Improved quit rates in pharmacy providers
Public Health, Primary Care
Unable to develop appropriate governance route at present
Change to amber. New conversations have begun with East Sussex.
32
Improve quality of stop smoking service delivery
Improve quality of stop smoking service delivery
Multiple partners
5
An integrated stop smoking approach
Short term
Individual
Improve quality of stop smoking service delivery
Improved conversion rates
Public Health, Primary Care
Priority scoring tool used to identify providers who may require additional support to improve service quality. Recorded site visits based on this and reduction in scoring proof additional support/training has been effective. Of 17 providers visited last quarter 15 have reduced scoring post visit.
Priority scoring tool used to identify providers who may require additional support to improve service quality and delivery. Recorded site visits based on this scoring system with reduction in score proof additional support/training has been effective. As of December 2019 a total of 17 Primary Care visits have been made this quarter with a score reduction in 13.
33
Improved training offer for stop smoking services
Improve training offer for providers of stop smoking services
Multiple partners
5
An integrated stop smoking approach
Short term
Individual
Improve training offer for providers of stop smoking services
Face to face training for new advisors in place and be spoke elearning package for top up training
Public Health, Primary Care
Two training sessions have taken place, with 28 attendees in total. Training sessions for the remainder of the year have been organised and are now live on the Learning and Development Gateway for bookings.
Education for Health have now successfully delivered 4 face to face training. The Onclick e-training platform is now live and provides free CPD support to all providers when they register, there is also an assessment to ensure compentency remains high.
34
Referral and follow up to stop smoking services
Referral and follow up to stop smoking services whether the stop smoking intervention is inhouse or external
Maternity at Western Hospitals
5
An integrated stop smoking approach
Short term
Individual
Referral and follow up to stop smoking services whether the stop smoking intervention is inhouse or external
Drop in number of pregnant women still smoking at time of delivery compared to booking
Maternity at Western Hospitals
New Maternity smoking cessation postfor pregnant women. Partners of pregnant women will need to continue to refer to community service for smoking cessation support
36
Test an integrated midwifery-led stop smoking service
Test an integrated tier 2 midwifery led stop smoking support service
Local Maternity System
5
An integrated stop smoking approach
Long term
Individual
Test an integrated tier 2 midwifery led stop smoking support service
Increase in maternal quit rates between booking and delivery. Shared and integrated learning across Sussex and East Surrey Local Maternity Systems
Local Maternity System
Integrated midwifery-led stop smoking service business case presented to LMS group. Reviewing feedback.
Service to be piloted in WsHT from January 2020 for 6 months, but not in other maternity accessed by west sussex women.
37
Preventing ill health from alcohol and tobacco CQUIN
Support NHS achieve the preventing ill health from alcohol and tobacco CQUIN
Public Health
5
An integrated stop smoking approach
Medium term
Community
Support NHS achieve the preventing ill health from alcohol and tobacco CQUIN
Local NHS Trusts have achieved the CQUIN
Public Health
Engaged with WSHT to progress CQUIN
Western have set up a smoking strategy group. PH are supporting them with their business case and developing an information leaflet for bedsides. MECC training delivered to staff.
38
Training for primary care staff to deliver stop smoking services
Provide training for primary care staff to deliver stop smoking services
Multiple partners
5
An integrated stop smoking approach
Ongoing
Individual
Provide training for primary care staff to deliver stop smoking services
Primary care staff are able to deliver stop smoking services
Public Health, Primary Care
Record training attendance, new and exsisting: 9 trained on 22nd March, 18 trained in June. Next training session on 23rd July
A total of 56 attendees have now received fact to face training with two more sessions scheduled for January and March 2020.
39
Work with primary care service providers to improve services delivered
Work with primary care service providers to improve quantity and quality of services delivered
Multiple partners
5
An integrated stop smoking approach
Ongoing
Individual
Work with primary care service providers to improve quantity and quality of services delivered
More stop smoking services within primary care
Public Health, Primary Care
Improved training provision with F2F training, as well as development of additional online training support (onclick). This allows trained providers to refresh knowledge when required. Provider forums also gives good basis for providers to network and keep up to date with industry trends and developments.
Forum held in October in Crawley. Supported by PHE, Cancer Research, OnClick, Karen Davies, BHR, Wellbeing, West Sussex Resource lead Nicky Gale, WS Public Health Department, Share Celebrations and Q&A Physical Activity Guidelines Provider Support Marketplace Workshop 1: CVD Risk or Reducing Smoking Workshop 2: Quality Standards for Health Checks or E-Cigarette Guidance
"40
Home visiting staff trained in Make Every Contact Count (MECC)
Train Prevention Team home visiting staff in Make Every Contact Count (MECC)
Fire Service
6
Build and sustain capacity in tobacco control
Short term
Individual
Train Prevention Team home visiting staff in Make Every Contact Count (MECC)
Staff will be more confident in having signposting conversations about smoking cessation and making a record
Fire Service
Specialist home visiting staff have already completed on-line Make Every Contact Count training. Face to Face training will be scheduled for Q3&4 this year.
Face to face training has been booked for 11th February 2020
41
Rollout Make Every Contact Count (MECC) to 30% of operational crews
Work with the Fire and Rescue Training and Development team to roll out Make Every Contact Count (MECC) to 30% of operational crews
Fire Service
6
Build and sustain capacity in tobacco control
Medium term
Individual
Work with the Fire and Rescue Training and Development team to roll out Make Every Contact Count (MECC) to 30% of operational crews
30% of operational personnel will be more confident in having signposting conversations about smoking cessation and recording
Fire Service
The FRS is about to recruit two additional trainer posts who will be expected to work with Public Health to develop and deliver this training to be rolled out commencing next year.
MECC activity since April 2019 - 23 attendees across 15 organisations. 10 more upcoming events booked between Dec - Feb. The two trainers have now commenced and are working with the PH Programme Manager to develop workshop content for operational crews. The workshops will commence as part of years 2&3
42
A Local Maternity System (LMS) wide action plan
A Local Maternity System (LMS) wide action plan will be developed
Local Maternity System
6
Build and sustain capacity in tobacco control
Short term
Community
A Local Maternity System (LMS) wide action plan will be developed
Plan developed for use by all organisations which are part of the local LMS.
Local Maternity System
Action plan developed. Includes: 1) Continue to raise importance of data quality 2) Continue to review and respond to training position 3) Review feedback and explore fundiung for integrated midwifery stop smoking service
Awaiting response from LMS.
"43
Carbon monoxide (CO) testing at antenatal appointments
Carbon monoxide (CO) testing at antenatal appointments for all pregnant women
Maternity at Western Hospitals
6
Build and sustain capacity in tobacco control
Short term
Individual
Carbon monoxide (CO) testing at antenatal appointments for all pregnant women
All Pregnant women attending antenatal appointments will be CO tested
Maternity at Western Hospitals
New Maternity specification written by LMS is in line with NICE guidance and beter birth guidance which inludes Co testing at antenatal appointments.GP to check about WSHT
44
Training delivered to all HCP staff involved in the care of pregnant women
Ensure training is delivered to all HCP staff involved in the care of pregnant women in the identification of smoking, delivery of smoking cessation advice and referring to smoking cessation services
Local Maternity System
6
Build and sustain capacity in tobacco control
Medium term
Community
Ensure training is delivered to all HCP staff involved in the care of pregnant women in the identification of smoking, delivery of smoking cessation advice and referring to smoking cessation services
Each organisation has training developed and available to relevant workforce.
Local Maternity System
Awaiting an update
45
Explore how Dentists could support tobacco control
Explore how Dentists could support tobacco control
Public Health
6
Build and sustain capacity in tobacco control
Long term
Individual
Explore how Dentists could support tobacco control
Understand the views of dentists to support tobacco control
Public Health
This is due to start in 2020
This is due to start in 2020
46
Delivery of smoking brief advice to non-elective inpatients
Improve the delivery of smoking brief advice to non elective inpatients
WSHFT
6
Build and sustain capacity in tobacco control
Medium term
Individual
Improve the delivery of smoking brief advice to non elective inpatients
Non elective inpatients receive appropriate advice and support to stop smoking
Western Sussex Hospitals NHS Foundation Trust
Smoking very brief advice is currently not recorded. So unable to provide baseline data until recording is mandatory on Patientrack – now planned for late September.
47
Rollout Make Every Contact Count to clinical and non-clinical staff
Rollout Make Every Contact Count (MECC) programme to clinical and non-clinical staff in healthcare settings such as primary care
Multiple partners
6
Build and sustain capacity in tobacco control
Medium term
Individual
Rollout Make Every Contact Count (MECC) programme to clinical and non-clinical staff in healthcare settings such as primary care
Increased confidence of front line staff in raising the issue of smoking
Public Health, Primary Care
Capacity issue raised by WSPH, Level 1 and Level 2 workshop available .
New person in place to deliver MECC training. Training has been delivered to many sites and departments.
48
Signpost smokers to stop smoking services
Signpost smokers to stop smoking services when conducting Safe and Well visits
Fire Service
6
Build and sustain capacity in tobacco control
Short term
Individual
Signpost smokers to stop smoking services when conducting Safe and Well visits
Increase in the number of people accessing the SSS
Fire Service
Where appropriate specialist home visiting staff are already doing this. Our curent IT system has nowhere to record this information so we have limited records. The system will be replaced at the end of this year. Crews will be better placed to signpost when they start using the new Safe and Well booklet.
A new IT system has been procured and will go live later this year. This will result in the more comprehensive data and the ability to report on those who are signposted. Training to use the new system will be supplemented by the workshops delivered with the support of the PH Programme Manager. This will increase the confident of operational crews to confident about sign posting people where appropriate.
49
Health4Families staff training
The Children and Young Peoples workfprce have accessed level 1 brief advice on smoking cessation, promote smokefree homes and if required signpost to smoking cessation support.
Health4Families
6
Build and sustain capacity in tobacco control
Short term
Individual
The Children and Young Peoples workfprce have accessed level 1 brief advice on smoking cessation, promote smokefree homes and if required signpost to smoking cessation support.
1. The workforce have undertaken training and are coinfident to engage with service users about quitting and keeping their homes smoke free.
Health4Families
Ongoing. Children and Young peoples workforce. Level 1 training. Training status audited annually.
50
Wellbeing hub staff level 1 training
Wellbeing hub staff to complete National Centre for Smoking Cessation and Training Very Brief Advice level 1 trianing.
Wellbeing programme
6
Build and sustain capacity in tobacco control
Short term
Individual
Wellbeing hub staff to complete National Centre for Smoking Cessation and Training Very Brief Advice level 1 trianing.
1. All wellbeing staff will be VBA trained, 2. Wellbeing staff will be confident to discuss smoking cessation and record conversation outcome
Wellbeing programme
All hubs have level 1
Completed. Ongoing for new staff coming through.
51
Wellbeing hub staff level 2 training
Wellbeing hub staff to complete National Centre for Smoking Cessation and Training Very Brief Advice level 2 trianing.
Wellbeing programme
6
Build and sustain capacity in tobacco control
Short term
Individual
Wellbeing hub staff to complete National Centre for Smoking Cessation and Training Very Brief Advice level 2 trianing.
1. All wellbeing staff will be VBA trained, 2. Wellbeing staff will be confident to discuss smoking cessation and record conversation outcome
Wellbeing programme
All hubs have level 2 trained advisors. Service delivery to start in Late Summer 20019
Completed. Ongoing for new staff coming through.
52
Midwives level 1 training
Midwives to complete National Centre for Smoking Cessation and Training Very Brief Advice on smoking for pregnant women level 1 to talk about smoking cessation with pregnant women and their partners
Maternity at Western Hospitals
6
Build and sustain capacity in tobacco control
Short term
Individual
Midwives to complete National Centre for Smoking Cessation and Training Very Brief Advice on smoking for pregnant women level 1 to talk about smoking cessation with pregnant women and their partners
1. All midwives will be VBA trained, 2. Midwives will be confident to discuss smoking cessation and record conversation outcome
Maternity at Western Hospitals
Our maternity in house stop smoking service plans to go live mid Jan 2020 (pending wscc legal and contractual sign off). Huge thanks to WSCC for supporting this proof of concept model. I will be training our maternity support workers on the 18th Dec in appreciative inquiry (so that they are skilled in having difficult conversations) and they will also be completing the NCSCT e-learning at practitioner level. All the PGDs have passed successfully through the Trust’s medicines management committee, which means our maternity support workers will be able to give NRT as part of this new service (I think this is an England first but would need to check!). I really do believe this service will better support women to quit and remain smoke free as well as continue to signpost other family members to the existing stop smoking services. We will be running the proof of concept for 6 months initially and will closely monitor and evaluate to inform future commissioning.
53
Safe and Well visits to test individual levels of carbon monoxide
Use carbon monoxide (CO) Monitors during Safe and Well Visits to test individual levels of CO
Fire Service
6
Build and sustain capacity in tobacco control
Long term
Individual
Use carbon monoxide (CO) Monitors during Safe and Well Visits to test individual levels of CO
Identify people who have high levels of CO in their breath and to raise awareness of the impact from smoking
Fire Service
This has not yet started it forms part of year three of the three year plan.
Not due to start yet
54
Disrupt the supply of illicit tobacco
Continue to disrupt the supply of illicit tobacco in West Sussex
Trading Standards
7
Tackle cheap and illicit tobacco
Ongoing
Community and Place
Continue to disrupt the supply of illicit tobacco in West Sussex
More traders brought into compliance, increase in numbes of seizures and quantities seized
Trading Standards
80% intel targets actioned (last year 75%). Less seizures and quantities seized so far.
40/43 = 93%. Change to green
55
Educate consumers of illicit tobacco
Educate consumers of issues with illicit tobacco and how to report it
Trading Standards
7
Tackle cheap and illicit tobacco
Ongoing
Community and Place
Educate consumers of issues with illicit tobacco and how to report it
Increase in intelligence and intel reported
Trading Standards
Ongoing Social Media messages. Green
56
Clear reporting mechanisms for illicit tobacco among midwives
If staff are aware that illicit tobacco is being used they know how to report
Multiple partners
7
Tackle cheap and illicit tobacco
Short term
Community
If staff are aware that illicit tobacco is being used they know how to report
Increase in the number of IT reports to Trading Standards
Maternity at Western Hospitals, Wellbeing programme
Awaiting response.
57
Review Smoke Free West Sussex Partnership membership
Review Smoke Free West Sussex Partnership membership
Public Health
8
Influence change through advocacy
Short term
Place
Review Smoke Free West Sussex Partnership membership
A partnership that actively discusses and addresses through working together the tobacco issues in West Sussex
Public Health
On workplan for October 2019
This needs to be pushed back to new financial year.
58
CLeaR deep dive
Complete a CLeaR model (Challenge, Leadership and Results) deep dive for Smokefree West Sussex
Public Health
8
Influence change through advocacy
Medium term
Place
Complete a CLeaR model (Challenge, Leadership and Results) deep dive for Smokefree West Sussex
Recommendations to develop SFWSP
Public Health
This is due to start in 2020
This is due to start in 2020
59
Link messages into community and voluntary sector organsiations
Link messages regarding tobacco control into community and voluntary sector organsiations
Communities
8
Influence change through advocacy
Short term
Community
Link messages regarding tobacco control into community and voluntary sector organsiations
Communities team raise tobacco control at a minimum of two events per year
Communities
Upcoming event in Wick (Littlehampton) for the community. Cream tea with info stands. Will disseminate cessation services and Illicit tobacco reporting info.
60
Link tobacco control messages into directorate team meetings
Link messages regarding tobacco control into directorate team meetings
Communities
8
Influence change through advocacy
Short term
Community
Link messages regarding tobacco control into directorate team meetings
Tobacco control raised at a mnimum of two C&PP directorate management team meetings a year
Communities
Directorate team meeting due next week has just been postponed until September
61
Raise the issue of tobacco control in West Sussex
Support members and the Director of Public Health in West Sussex to raise the issue of tobacco control
Multiple partners
8
Influence change through advocacy
Long term
Place
Support members and the Director of Public Health in West Sussex to raise the issue of tobacco control
Whole system approaches to tobacco control embedded and health in all policies include tobacco control
Public Health, District & Boroughs
TC strategy signed off by HWbB, presented at LCN, CIP, CWS cancer steering group
Presentations have been delivered to three CAB sites on smoking and poverty. The plan has been shared with SASH Smokefree alliance. Strategy has also been shared with other Local Authorities. We are now looking to plan a 'One Year On' event to showcase achievements from the partners.
62
Under age sales operations on intel led targets
Continue to undertake under age sales operations on intel led targets
Trading Standards
9
Helping young people to be tobacco free
Ongoing
All levels
Continue to undertake under age sales operations on intel led targets
Reduction in 'hit rates' of sales in UAS operations
Trading Standards
0 from 1 visit so 0%
2/17 = 12%
63
Educating businesses in under age sales legislation
Educate businesses in West Sussex in under age sales legislation
Trading Standards
9
Helping young people to be tobacco free
Ongoing
All levels
Educate businesses in West Sussex in under age sales legislation
Increased number of businesses with knowledge of UAS legislation and engagment with TS
Trading Standards
Ongoing
Distribution of information drinks mats to targeted pubs at known hotspots for illicit tobacco.
64
Understanding attitudes to smoking among young people in West Sussex
Increase local understanding of attitudes to smoking of young people in West Sussex
Public Health
9
Helping young people to be tobacco free
Medium term
Community
Increase local understanding of attitudes to smoking of young people in West Sussex
Approriate interventions developed based on insight
Public Health
Questionniare completed by students at Chichester college
Additional contacts with youth groups to run some insight sessions in the new year.
65
Signpost Health4Families service users to stop smoking services
Pregnant smokers and household members are identified at the earliest opportunity so that they can be signposted to Smoking cessation services
Health4Families
9
Helping young people to be tobacco free
Short term
Individual
Pregnant smokers and household members are identified at the earliest opportunity so that they can be signposted to Smoking cessation services
Increase in smokers engaging with the stop smoking service
Health4Families
The Public Health team will be using the data from 2019/20 as a baseline figure. 2021/22 will be used to see if the number of young people referred have increased.
Ongoing
66
Support the Local Maternity System
Support the Local Maternity System to achieve its aspirations related to tobacco control
Public Health
9
Helping young people to be tobacco free
Medium term
Individual
Support the Local Maternity System to achieve its aspirations related to tobacco control
LMS has achieved its aspirations
Public Health
PH funding being provided for a 15 month pilot of a MSW led service in WSHT starting in January 2020
68
Investigate efficacy of interventions for young people
Investigate efficacy of prevention and smoking cessation interventions for young people
Public Health
9
Helping young people to be tobacco free
Medium term
Individual
Investigate efficacy of prevention and smoking cessation interventions for young people
Awareness of appropriate interventions for preventing the uptake of smoking among young people as well as helping them stop. This will be through a review of published and grey literature and other social research methods.
Public Health
Evidence review planned for later in 2019
Evidence review completed and recommendations being considered.
69
Local Maternity System knowledgebase
Information on effects of smoking/smoking cessation services/smoke free homes included on LMS knowledgebase.
Local Maternity System
10
Maintain and promote smoke free enviornments
Ongoing
Individual
Information on effects of smoking/smoking cessation services/smoke free homes included on LMS knowledgebase.
Increase in visits/hits to knowledgebase per year.
Local Maternity System
Smoking during pregnancy and beyond webpage has had 127 visits since April 19. Myth Busting: Smoking during pregnancy page has had 51 visits since April 2019. And Smoke Free Home web page has had 81 visits to the site since April 2019.
70
Nicotine Replacement Therapy available during hospital stay
Nicotine Replacement Therapy (NRT) to be available to all pregnant women during hospital stay
Maternity at Western Hospitals
10
Maintain and promote smoke free enviornments
Short term
Individual
Nicotine Replacement Therapy (NRT) to be available to all pregnant women during hospital stay
An increase in the number of pregnant women on NRT during their hospital stay
Maternity at Western Hospitals
Awaiting response
71
Review workplace smokefree policies for local authorities
Review the smokefree policy for local authorities
Public Health
10
Maintain and promote smoke free enviornments
Medium term
Community
Review the smokefree policy for local authorities
Evidence based workplace policy in WSCC
Public Health
The WSCC smoking policy has been updated, and plans for the new year include embedding a smoke-free policy ready to launch in Jan 2021
72
Promoting smokefree environments in company vehicles
Observe numbers smoking in company vehicles and follow up with employers
District & Boroughs
10
Maintain and promote smoke free enviornments
NA
NA
Observe numbers smoking in company vehicles and follow up with employers
Chichester District Council ran a small pilot in industrial estate in local area
District & Boroughs
Smoking was oberved in X number of vehicles. X were reported back to employers.
Due to the complexities of this pilot, the decision was taken not to continue this further
73
Promoting smokefree environments on NHS Sites
Training staff to maintain and promote smokefree environments
All NHS partners
10
Maintain and promote smoke free enviornments
Medium term
Place
Training staff to maintain and promote smokefree environments
Smoke Free NHS grounds
All NHS partners
All sites are reviewing their policies.
Continuing to review, Public Health team members are assisting with these.
74
Planning and licensing processes promoting smokefree environments
Explore how planning and licensing processes in local authorities can be utilised to promote smokefree environments
Multiple partners
10
Maintain and promote smoke free enviornments
Medium term
Place
Explore how planning and licensing processes in local authorities can be utilised to promote smokefree environments
Smoke Free environments promoted
Public Health, District & Boroughs
Raised at Health and Wellbeing Board, planning element separate.
Working with national park to develop smokefree playgrounds