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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.

This action plan has been updated in January 2020 to include partner updates.

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 Local Maternity System

Integrated stop smoking services across the Sussex and East Surrey Local Maternity System

What will success look like?

Maternity partners across the Sussex and East Surrey Local Maternity System work together to enhance integrated stop smoking support for mothers and families.

Who are key partners for this action?

Local Maternity System

How are we doing so far?

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

Janurary update:

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

Pilot project 'Actively Quitting' using physical activity as a diversion

What will success look like?

Smokers will be referred from SSS to leisure provision

Who are key partners for this action?

Wellbeing programme

How are we doing so far?

Failed to recruit but hoping to utilise stop smoking service to recruit if possible

Janurary update:

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

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

What will success look like?

Increase in number of bed bound smokers using E-cigs instead of cigarettes

Who are key partners for this action?

Fire Service

How are we doing so far?

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.

Janurary update:

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

Greater sharing of intelligence to Trading Standards

What will success look like?

Increase of intel reports to Trading Standards

Who are key partners for this action?

Trading Standards

How are we doing so far?

There has been a 1% increase in intel reports

Janurary update:

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

Enhanced maternity dataset ensuring smoking status recorded for all pregnant women

What will success look like?

All hospitals within the local LMS footprint collect and report data.

Who are key partners for this action?

Local Maternity System

How are we doing so far?

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.

Janurary update:

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

Improve data capturing from stop smoking services

What will success look like?

Improved data quality to understand service delivery and targeting

Who are key partners for this action?

Public Health

How are we doing so far?

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.

Janurary update:

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

Produce smoking cessation gap analysis and action plan, based on NICE guidance (PH26) and CLeaR Assessment

What will success look like?

Maternity systems demonstrate enhanced stop smoking support and pathways in line with NICE guidance and CLeaR Assessments

Who are key partners for this action?

Local Maternity System

How are we doing so far?

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

Janurary update:

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 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

What will success look like?

Awareness of local smoking population data collected and shared

Who are key partners for this action?

Wellbeing programme

How are we doing so far?

Smoking status recorded on database referred to community providers- Stop smoking service is now in house.

No update in January 2020

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 recorded for all pregnant women

Smoking status of all pregnant women captured at time of booking and delivery (mandatory)

What will success look like?

Accurate data recorded and shared

Who are key partners for this action?

Maternity at Western Hospitals

How are we doing so far?

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.

Janurary update:

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 for H4F profiles

Quantify tobacco use by district, age ranges, and ethnicty

What will success look like?

Health4Families will be able to target groups to allow appropriate health messages

Who are key partners for this action?

Public Health and Research

How are we doing so far?

Speak to Verity about what she needs

Janurary update:

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 Health Equity Audit for stop smoking services

Refresh the West Sussex Health Equit Audit for stop smoking services

What will success look like?

Completed HEA used to inform service redseign

Who are key partners for this action?

Public Health

How are we doing so far?

This is due to start in 2020

Janurary update:

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 understanding of attitudes to smoking among Eastern Europeans

Increase local understanding of attitudes towards smoking among Eastern Europeans in West Sussex

What will success look like?

Approriate interventions developed based on insight

Who are key partners for this action?

Public Health

How are we doing so far?

This is due to start in 2020

Janurary update:

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 with smokefree prisons

Support Ministry of Justice and Public Health England with smokefree prisons

What will success look like?

Improved pathway for those being released from prison to support their smoking cessation

Who are key partners for this action?

Public Health

How are we doing so far?

This is due to start in 2020

Janurary update:

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

Health4Families targeting tobacco related activity

Target Health4Families tobacco related activity at young parents in areas of deprivation

What will success look like?

Increase of young parents/people from deprived wards being informed about smoking cessation

Who are key partners for this action?

Health4Families

How are we doing so far?

January update:

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

Offer targeted workplace health (WPH) services

Target businesses in deprived areas to offer workplace health (WPH) services

What will success look like?

Increase in the number of smokers accessing SSS from workplaces deprived areas

Who are key partners for this action?

Wellbeing programme

How are we doing so far?

Been to smaller businesses such as garages

Janurary update:

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

Improving links between prisons and community stop smoking services

Build on national smokefree prisons programme by improving links with the community stop smoking services

What will success look like?

A pathway to support those being released from prison estate to continue their stop smoking attempt

Who are key partners for this action?

Prisons

How are we doing so far?

This has not started yet

No update in January 2020

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

Use 'Actively Quitting' pilot to target disadvantaged wards

What will success look like?

Smokers from disadvantaged wards will be referred from SSS to leisure provision

Who are key partners for this action?

Wellbeing programme

How are we doing so far?

This has not started yet

Janurary update:

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

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

What will success look like?

Improved pathway for those accesing substance misuse services to support their smoking cessation

Who are key partners for this action?

Public Health

How are we doing so far?

This is due to start in 2020/21

Janurary update:

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 targeted community locations

Hold stop smoking surgeries in community locations, specifically in disadvantaged wards

What will success look like?

Increase in the number of smokers accessing stop smoking services from deprived areas

Who are key partners for this action?

Wellbeing programme, Primary Care. Early Help Hubs, Voluntary Sectore Organisations, District & Boroughs, Public Health

How are we doing so far?

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.

Janurary update:

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

Actively participate in national and local tobacco control campaigns

What will success look like?

"

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.

"

Who are key partners for this action?

Wellbeing programme, Health4Families, Trading Standards, District & Boroughs, Public Health

How are we doing so far?

Comms plan ongoing. Partners to add suggestions. WSCC communities working on a strategy to work alongside Public Health and D&B Councils.

Janurary update:

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

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

What will success look like?

Evaluation of campaign reach, which increases year on year

Who are key partners for this action?

Fire Service

How are we doing so far?

No Smoking Day in March is scheduled for annual campaign activity.

Janurary update:

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 that best serve different communities

Identify approaches to disemminating smokefree messages that best serve different communities

What will success look like?

Engagement with BAME groups , particularly Eastern European to gain insight into attitudes towards tobacco use

Who are key partners for this action?

Communities

How are we doing so far?

Tried approaching ACCORD To support with this but they are unable to. Need to rethink approach

No update in January 2020

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

Lead on tobacco control communication and campaigns

What will success look like?

A communication plan for the period of this strategy is produced

Who are key partners for this action?

Public Health

How are we doing so far?

Communications plan is ongoing and should be updated for all communications and nit just major campaigns.

Janurary update:

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

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)

What will success look like?

Family Assist achieves high levels of engagement with mothers and families in the provision of comprehensive pre-conception guidance, including on stop smoking information

Who are key partners for this action?

Western Sussex Hospitals NHS Foundation Trust, Sussex Community NHS Foundation Trust, West Sussex County Council

How are we doing so far?

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.

Janurary update:

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

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.

What will success look like?

5,000 booklets will be disctributed to vulnerable people in their homes

Who are key partners for this action?

Fire Service

How are we doing so far?

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.

Janurary update:

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

Wellbeing programme that supports tobacco control

Develop the role of the wellbeing programme to support tobacco control

What will success look like?

West Sussex wellbeing programmes are more engaged in tobacco control

Who are key partners for this action?

Public Health

How are we doing so far?

Welbeing staff are trained to deliver SSS.

Janurary update:

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

Redesign stop smoking service provision in West Sussex

What will success look like?

Effective stop smoking services reaching those that most need to access them

Who are key partners for this action?

Public Health

How are we doing so far?

Redesign in progress for new service from april 2020.

Janurary update:

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 in primary care

Work with Vape shops to support stop smoking providers

What will success look like?

Improved quit rates. Increased comfidence in stop smoking providers to discuss vaping as a mtehod to quit tobacco

Who are key partners for this action?

Public Health

How are we doing so far?

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.

Janurary update:

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

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

What will success look like?

Increase in number of elective patients being signposted to stop smoking services

Who are key partners for this action?

Western Sussex Hospitals NHS Foundation Trust

How are we doing so far?

Currently 85%, we anticipate compliance will improve when whole pre-assessment process is recorded  electronically – go live is early August.

No update in January 2020

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

Develop a Patient Group Directive around Champix prescribing

What will success look like?

Improved quit rates in pharmacy providers

Who are key partners for this action?

Public Health, Primary Care

How are we doing so far?

Unable to develop appropriate governance route at present

Janurary update:

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

Improve quality of stop smoking service delivery

What will success look like?

Improved conversion rates

Who are key partners for this action?

Public Health, Primary Care

How are we doing so far?

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.

Janurary update:

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

Improved training offer for stop smoking services

Improve training offer for providers of stop smoking services

What will success look like?

Face to face training for new advisors in place and be spoke elearning package for top up training

Who are key partners for this action?

Public Health, Primary Care

How are we doing so far?

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.

Janurary update:

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

Referral and follow up to stop smoking services whether the stop smoking intervention is inhouse or external

What will success look like?

Drop in number of pregnant women still smoking at time of delivery compared to booking

Who are key partners for this action?

Maternity at Western Hospitals

How are we doing so far?

January update:

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 midwifery-led stop smoking service

Test an integrated tier 2 midwifery led stop smoking support service

What will success look like?

Increase in maternal quit rates between booking and delivery. Shared and integrated learning across Sussex and East Surrey Local Maternity Systems

Who are key partners for this action?

Local Maternity System

How are we doing so far?

Integrated midwifery-led stop smoking service business case presented to LMS group. Reviewing feedback.

Janurary update:

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

Preventing ill health from alcohol and tobacco CQUIN

Support NHS achieve the preventing ill health from alcohol and tobacco CQUIN

What will success look like?

Local NHS Trusts have achieved the CQUIN

Who are key partners for this action?

Public Health

How are we doing so far?

Engaged with WSHT to progress CQUIN

Janurary update:

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

Training for primary care staff to deliver stop smoking services

Provide training for primary care staff to deliver stop smoking services

What will success look like?

Primary care staff are able to deliver stop smoking services

Who are key partners for this action?

Public Health, Primary Care

How are we doing so far?

Record training attendance, new and exsisting: 9 trained on 22nd March, 18 trained in June. Next training session on 23rd July

Janurary update:

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 services delivered

Work with primary care service providers to improve quantity and quality of services delivered

What will success look like?

More stop smoking services within primary care

Who are key partners for this action?

Public Health, Primary Care

How are we doing so far?

"

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.

Janurary update:

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

Home visiting staff trained in Make Every Contact Count (MECC)

Train Prevention Team home visiting staff in Make Every Contact Count (MECC)

What will success look like?

Staff will be more confident in having signposting conversations about smoking cessation and making a record

Who are key partners for this action?

Fire Service

How are we doing so far?

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.

Janurary update:

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

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

What will success look like?

30% of operational personnel will be more confident in having signposting conversations about smoking cessation and recording

Who are key partners for this action?

Fire Service

How are we doing so far?

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.

Janurary update:

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

A Local Maternity System (LMS) wide action plan will be developed

What will success look like?

Plan developed for use by all organisations which are part of the local LMS.

Who are key partners for this action?

Local Maternity System

How are we doing so far?

"

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

Janurary update:

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

Carbon monoxide (CO) testing at antenatal appointments for all pregnant women

What will success look like?

All Pregnant women attending antenatal appointments will be CO tested

Who are key partners for this action?

Maternity at Western Hospitals

How are we doing so far?

January update:

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

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

What will success look like?

Each organisation has training developed and available to relevant workforce.

Who are key partners for this action?

Local Maternity System

How are we doing so far?

January update:

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

Explore how Dentists could support tobacco control

What will success look like?

Understand the views of dentists to support tobacco control

Who are key partners for this action?

Public Health

How are we doing so far?

This is due to start in 2020

Janurary update:

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

Delivery of smoking brief advice to non-elective inpatients

Improve the delivery of smoking brief advice to non elective inpatients

What will success look like?

Non elective inpatients receive appropriate advice and support to stop smoking

Who are key partners for this action?

Western Sussex Hospitals NHS Foundation Trust

How are we doing so far?

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.

No update in January 2020

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 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

What will success look like?

Increased confidence of front line staff in raising the issue of smoking

Who are key partners for this action?

Public Health, Primary Care

How are we doing so far?

Capacity issue raised by WSPH, Level 1 and Level 2 workshop available .

Janurary update:

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

Signpost smokers to stop smoking services when conducting Safe and Well visits

What will success look like?

Increase in the number of people accessing the SSS

Who are key partners for this action?

Fire Service

How are we doing so far?

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.

Janurary update:

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

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.

What will success look like?

1. The workforce have undertaken training and are coinfident to engage with service users about quitting and keeping their homes smoke free.

Who are key partners for this action?

Health4Families

How are we doing so far?

January update:

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 level 1 training

Wellbeing hub staff to complete National Centre for Smoking Cessation and Training Very Brief Advice level 1 trianing.

What will success look like?

1. All wellbeing staff will be VBA trained, 2. Wellbeing staff will be confident to discuss smoking cessation and record conversation outcome

Who are key partners for this action?

Wellbeing programme

How are we doing so far?

All hubs have level 1

Janurary update:

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 level 2 training

Wellbeing hub staff to complete National Centre for Smoking Cessation and Training Very Brief Advice level 2 trianing.

What will success look like?

1. All wellbeing staff will be VBA trained, 2. Wellbeing staff will be confident to discuss smoking cessation and record conversation outcome

Who are key partners for this action?

Wellbeing programme

How are we doing so far?

All hubs have level 2 trained advisors. Service delivery to start in Late Summer 20019

Janurary update:

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 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

What will success look like?

1. All midwives will be VBA trained, 2. Midwives will be confident to discuss smoking cessation and record conversation outcome

Who are key partners for this action?

Maternity at Western Hospitals

How are we doing so far?

January update:

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

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

What will success look like?

Identify people who have high levels of CO in their breath and to raise awareness of the impact from smoking

Who are key partners for this action?

Fire Service

How are we doing so far?

This has not yet started it forms part of year three of the three year plan.

Janurary update:

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

Disrupt the supply of illicit tobacco

Continue to disrupt the supply of illicit tobacco in West Sussex

What will success look like?

More traders brought into compliance, increase in numbes of seizures and quantities seized

Who are key partners for this action?

Trading Standards

How are we doing so far?

80% intel targets actioned (last year 75%). Less seizures and quantities seized so far.

Janurary update:

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 illicit tobacco

Educate consumers of issues with illicit tobacco and how to report it

What will success look like?

Increase in intelligence and intel reported

Who are key partners for this action?

Trading Standards

How are we doing so far?

January update:

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

Clear reporting mechanisms for illicit tobacco among midwives

If staff are aware that illicit tobacco is being used they know how to report

What will success look like?

Increase in the number of IT reports to Trading Standards

Who are key partners for this action?

Maternity at Western Hospitals, Wellbeing programme

How are we doing so far?

January update:

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

Review Smoke Free West Sussex Partnership membership

What will success look like?

A partnership that actively discusses and addresses through working together the tobacco issues in West Sussex

Who are key partners for this action?

Public Health

How are we doing so far?

On workplan for October 2019

Janurary update:

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

CLeaR deep dive

Complete a CLeaR model (Challenge, Leadership and Results) deep dive for Smokefree West Sussex

What will success look like?

Recommendations to develop SFWSP

Who are key partners for this action?

Public Health

How are we doing so far?

This is due to start in 2020

Janurary update:

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 into community and voluntary sector organsiations

Link messages regarding tobacco control into community and voluntary sector organsiations

What will success look like?

Communities team raise tobacco control at a minimum of two events per year

Who are key partners for this action?

Communities

How are we doing so far?

Upcoming event in Wick (Littlehampton) for the community. Cream tea with info stands. Will disseminate cessation services and Illicit tobacco reporting info.

No update in January 2020

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 tobacco control messages into directorate team meetings

Link messages regarding tobacco control into directorate team meetings

What will success look like?

Tobacco control raised at a mnimum of two C&PP directorate management team meetings a year

Who are key partners for this action?

Communities

How are we doing so far?

Directorate team meeting due next week has just been postponed until September

No update in January 2020

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

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

What will success look like?

Whole system approaches to tobacco control embedded and health in all policies include tobacco control

Who are key partners for this action?

Public Health, District & Boroughs

How are we doing so far?

TC strategy signed off by HWbB, presented at LCN, CIP, CWS cancer steering group

Janurary update:

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

Under age sales operations on intel led targets

Continue to undertake under age sales operations on intel led targets

What will success look like?

Reduction in 'hit rates' of sales in UAS operations

Who are key partners for this action?

Trading Standards

How are we doing so far?

0 from 1 visit so 0%

Janurary update:

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

Educating businesses in under age sales legislation

Educate businesses in West Sussex in under age sales legislation

What will success look like?

Increased number of businesses with knowledge of UAS legislation and engagment with TS

Who are key partners for this action?

Trading Standards

How are we doing so far?

Ongoing

Janurary update:

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

Understanding attitudes to smoking among young people in West Sussex

Increase local understanding of attitudes to smoking of young people in West Sussex

What will success look like?

Approriate interventions developed based on insight

Who are key partners for this action?

Public Health

How are we doing so far?

Questionniare completed by students at Chichester college

Janurary update:

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

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

What will success look like?

Increase in smokers engaging with the stop smoking service

Who are key partners for this action?

Health4Families

How are we doing so far?

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.

Janurary update:

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

Support the Local Maternity System to achieve its aspirations related to tobacco control

What will success look like?

LMS has achieved its aspirations

Who are key partners for this action?

Public Health

How are we doing so far?

January update:

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 interventions for young people

Investigate efficacy of prevention and smoking cessation interventions for young people

What will success look like?

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.

Who are key partners for this action?

Public Health

How are we doing so far?

Evidence review planned for later in 2019

Janurary update:

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

Local Maternity System knowledgebase

Information on effects of smoking/smoking cessation services/smoke free homes included on LMS knowledgebase.

What will success look like?

Increase in visits/hits to knowledgebase per year.

Who are key partners for this action?

Local Maternity System

How are we doing so far?

January update:

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 available during hospital stay

Nicotine Replacement Therapy (NRT) to be available to all pregnant women during hospital stay

What will success look like?

An increase in the number of pregnant women on NRT during their hospital stay

Who are key partners for this action?

Maternity at Western Hospitals

How are we doing so far?

January update:

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 workplace smokefree policies for local authorities

Review the smokefree policy for local authorities

What will success look like?

Evidence based workplace policy in WSCC

Who are key partners for this action?

Public Health

How are we doing so far?

January update:

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

Promoting smokefree environments in company vehicles

Observe numbers smoking in company vehicles and follow up with employers

What will success look like?

Chichester District Council ran a small pilot in industrial estate in local area

Who are key partners for this action?

District & Boroughs

How are we doing so far?

Smoking was oberved in X number of vehicles. X were reported back to employers.

Janurary update:

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

Promoting smokefree environments on NHS Sites

Training staff to maintain and promote smokefree environments

What will success look like?

Smoke Free NHS grounds

Who are key partners for this action?

All NHS partners

How are we doing so far?

All sites are reviewing their policies.

Janurary update:

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

Planning and licensing processes promoting smokefree environments

Explore how planning and licensing processes in local authorities can be utilised to promote smokefree environments

What will success look like?

Smoke Free environments promoted

Who are key partners for this action?

Public Health, District & Boroughs

How are we doing so far?

Raised at Health and Wellbeing Board, planning element separate.

Janurary update:

Working with national park to develop smokefree playgrounds