Smoking

Smoking is the single largest cause of preventable mortality in England. This is recognised in the Government’s Public Health White Paper ‘Healthy lives, healthy people', which states that ‘reducing smoking rates represents a huge opportunity for public health.'

Approximately 8.5 million people in England smoke and about half of all long-term smokers will die from smoking with half of those in middle age.

Tobacco use is one of the Government’s most significant public health challenges and causes over 80,000 premature deaths in England each year.

The health risks from tobacco smoking are well established. In 2006-7 there were approximately 1.4 million hospital admissions with a primary diagnosis of a disease that can be attributable to smoking.

Smoking is estimated to cost the NHS in England £2.7 billion a year and £13.7 billion in wider costs to society through sickness, absenteeism, the cost to the economy, social care, environmental pollution and smoking-related fires.  This burden impacts on every GP surgery and hospital, every local authority and every family whether they smoke or not. 

As a drug medically proven to be every bit as addictive as heroin, most tobacco users start as children.  The majority wish they could stop and are overwhelmingly in favour of helping stop the next generation becoming addicted to smoking.

About one-third of all cancer deaths can be attributed to smoking.   These include cancer of the lung, mouth, lip, throat, bladder, kidney, stomach and liver.

Chronic obstructive pulmonary disease (COPD) is the second most common cause of emergency admission to hospital and one of the most costly diseases in terms of acute hospital care (DH, 2010).  This is primarily a ‘smokers’ disease.

Provision of effective local NHS Stop Smoking Services is just one of a range of local tobacco control measures that need to be in place to reduce smoking prevalence.   Fresh North East has developed an evidence-based multi-component tobacco control programme based on an eight key strands approach that local alliances are encouraged to follow.

Smoking is linked most closely to the following JSNA topics:

Respiratory diseases

Circulatory diseases

Cancer

Poverty

Alcohol misuse

Illicit drug use

Last updated: 2018-02-22 14:15:16
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1. What are the key issues?

Estimated smoking prevalence in Hartlepool (24.0%) is significantly higher than the national average (18.4%).

There is a high rate of smoking during pregnancy in Hartlepool (18.2%). This is significantly higher than the national average (12.0%). 

The number of deaths in Hartlepool (391 per 100,000) that are attributable to smoking is significantly higher than the national average (289 per 100,000).

Parents who smoke in front of their children significantly increase their child's risk of disease and ill-health.

In Hartlepool, 6% of children aged 11-15 years old smoke.

In Hartlepool, around 256 children need GP or hospital treatment every year from breathing in other peoples smoke.

Smoking costs the Hartlepool NHS £4.1 million per year.

Smoking costs social care in Hartlepool £1.7 million per year.

Stop Smoking Services (SSS) have seen a decrease in the numbers of people accessing services both nationally and in Hartlepool.

The most likely reason for the decrease in people accessing an SSS is the emergence of electronic cigarettes and the likely arrival of other nicotine-containing devices currently in development provide an alternative to tobacco. Opinion is still somewhat divided on the use of these but a recent statement from Fresh North states:

“Although not completely without risk, experts estimate that electronic cigarettes carry 95% less risk than smoking

People from the most disadvantaged areas with the highest smoking prevalence have least success in 4-week quit rates, thus widening the gap in inequalities.

There is continuing need to educate young people on the harmful effects of tobacco and exploitation carried out by the tobacco industry, and also provide dedicated services to help young people stop smoking when they want to quit.

Smoking has a cost implication in the workplace in terms of days of lost productivity due to high absenteeism levels from smokers compared to non-smokers and smokers taking additional breaks and other associated costs.

Research shows that effective smoking cessation treatment is not routinely offered to people with mental health problems. On average, people with mental illness die five to ten years younger than the general population.

Research shows that effective smoking cessation treatment is not routinely offered to people with mental health problems. On average, people with mental illness die five to ten years younger than the general population. However, since the beginning of 2015 both mental health trusts in the region have been working with Fresh North East, the Strategic Clinical Networks and Public Health England to improve the physical health of patients with mental health problems and the first topic to be tackled is smoking.  The mental health trusts are proposing to go completely smoke-free early in 2016 and plans are being made to support both staff and patients.

Last updated: 15/06/15

2. What commissioning priorities are recommended?

2015/01

Identify and commission key hub functions from the SSS including quality assurance for all providers;  training, mentoring and competency assessment for health and health-related professionals who are working in partnership with the Service;  central data co-ordination and monitoring ;  authorisation and payment of tariff systems for providers. Action complete

2015/02

Commission delivery services appropriate for Hartlepool.  This would mean a mix of nurse-led provision, pharmacy provision and provision within the secondary care setting. Action complete

2015/03

The recently implemented risk perception approach (BabyClear) is embedded as part of mainstream midwifery services.

2015/04

An active case-finding approach for chronic obstructive pulmonary disease (COPD) is included in the new SSS contract. Action complete

2015/05

New school nursing contract and health visitor contracts include smoking support. Action complete

2015/06

An appropriate intervention, based on the views of young people,  to support smoking cessation for young people be implemented

2015/07

Consider payment by results using a tariff payment system for Stop Smoking Services as some areas are currently implementing and evaluating this approach. Action no longer being considered.

2015/08

Invest in comprehensive, multi-component tobacco control.

2015/09

Ensure Trading Standards and Environmental Health Departments within the Council have the capacity to contribute to the tobacco control agenda.

2015/10

Engage a variety of other local authority departments in tobacco control work such as adult and children's services, housing and planning.

Last updated: 15/06/15

3. Who is at risk and why?

Socioeconomic status

The prevalence of smoking amongst people in the “routine and manual” socio-economic group is higher than amongst those in the “managerial and professional” group.

Smokers from the most affluent areas are more likely to die earlier than none smokers from the most deprived areas.

Gender

The prevalence of cigarette smoking is higher for men than women.

Age

For women, smoking is highest amongst 20 to 24-year-olds; for men the highest rate is amongst 16 to 19-year-olds, 20 to 34-year-olds and 35 to 49-year-olds.

Approximately two-thirds of current and ex-smokers who had smoked regularly at some point in their lives started smoking before they were aged 18 years old.

More than a quarter of 11 to 15-year-old children have tried smoking at least once and approximately 6% of children are regular smokers. Girls are more likely to smoke than boys; 9% of girls are likely to have smoked in the last week compared to 6% of boys.

Ethnicity

Bangladeshi and Irish men were more (Indian men less) likely to report smoking cigarettes than men in the general population.  Self-reported smoking prevalence is higher among women in the general population than most minority ethnic groups, except Irish (26%) and Black Caribbean women (24%).

Smoking in pregnancy

Women who smoke in pregnancy are more likely to be younger, single, of lower educational attainment and in unskilled occupations.

Mental health

There is a strong association between smoking and mental health problems.  The highest levels of smoking occur among inpatients in mental health units where up to 70% of people smoke, often heavily.  People with mental health problems are therefore at even greater risk of smoking-related harm than the general population.

Evidence suggests that people with mental health problems show the same level of motivation to quit smoking as the general population and are able to quit when offered evidence-based support.

Prisoners

Rates of smoking in prisons are extremely high.  Approximately 80% of prisoners smoke, compared with 22% of the UK population as a whole.

Last updated: 15/06/15

4. What is the level of need in the population?

Smoking Prevalence

The proportion of adults aged 18+ in Hartlepool estimated to smoke regularly is 24.0%, representing approximately 17,000 people.  This rises to over 30% among people employed in routine and manual (R&M) occupations. 

In Hartlepool, there is a strong correlation between smoking prevalence and the level of deprivation.  The more deprived the area, the higher the smoking prevalence.   Smoking rates in the most affluent wards (Quintile 5) are less than half of those in the more deprived wards (Quintile 1).  The chart below shows the estimated smoking prevalence in Hartlepool at 30.9% for the years 2003-05, indicating prevalence by ward.

Stop smoking service

During 2013/14, Hartlepool NHS Stop Smoking Service saw 2344 smokers set a quit date with their support.  This represents 11.2% of the estimated smoking population.    922 people reached the 4-week quit target successfully, which is (4.4%) of the estimated smoking population.   Since NHS Stop Smoking Services were established in 1999, Hartlepool consistently had the highest number of quitters per 100,000 population in England.  In line with National and Regional trends there has been a reduction in the number of people accessing services, however, despite this, in 2013/14 Hartlepool still managed to have the 10th highest 4-week quit rate in the Country per 100,000 population.

Despite achievements it has to be recognised that Stop Smoking Services and stop smoking interventions in isolation should not be regarded as the main drivers for reducing smoking prevalence.   A comprehensive tobacco control plan involving a range of partners is required. 

To ensure a whole health system approach to tackling smoking it is vital that all professionals raise the issue of smoking through a brief intervention and refer to Specialist Stop Smoking Services for support.

The most effective way of stopping smoking is provided by NHS Stop Smoking Services.  Quitting with support from NHS Stop Smoking Services (SSS) is up to four times more likely to result in prolonged abstinence from smoking than quitting without any assistance.

The chart below states that 9% of the smokers in Hartlepool accessed the Stop Smoking Service in 2014/15.

The chart below states that approximately 3.6% of the smokers in Hartlepool have quit smoking in 2014/15.

The chart below shows the % of smokers setting a quit date and quitting at 4-weeks over a nine year period (04/05 – 12/13). Since 2004/05, the success rate has reduced both locally and nationally.

Social segmentation

Mosiac groups K & O (see below) make up 38% of the population of Hartlepool (the largest two groups in Hartlepool). These two groups have much higher than average smoking rates. According to Mosaic, on average, 40.48% of group O and 32.35% of group K are smokers.

Smoking during Pregnancy

Smoking during pregnancy poses a significant health risk to both the mother and the unborn child. There are high rates of smoking during pregnancy in Hartlepool. The current target is to ensure a 1% reduction per year in women smoking during pregnancy, with a view to reaching the target of 15% by 2015. The 2013/14 level was 18.2% - a decrease of 3.5% from 2012/13.

Passive smoking and children

According to the 2010 Royal College of Physicians' report, "Passive smoking and children", parents who smoke in front of their children significantly increase their child's risk of disease and ill-health.  Based on these national figures it is estimated that there are over 256 additional incidents of childhood disease each year within Hartlepool directly attributable to passive smoking.  These diseases are lower respiratory infections, middle ear infections, wheeze, asthma and meningitis.

Young people

In Hartlepool, 4.4% (2009-12) of 11-15 year olds are regular smokers.

In Hartlepool, 1.4% (2009-12) of 11-15 year olds are occasional smokers.

Mortality

Deaths in Hartlepool attributed to smoking (391 per 100,000) are higher than the national average (289 per 100,000). The rate is decreasing year-on-year.

Benchmarking

Benchmarking is the process of comparing one district with another.

The following chart shows that Hartlepool is worse than Halton for many of the indicators used in the Tobacco Control Profiles apart from smoking attributable mortality, smoking attributable deaths from heart disease and deaths from COPD.

Source: Tobacco Control Profiles (www.lho.org.uk)

The cost of tobacco control

The estimated cost of smoking in Hartlepool is over £26 million.

Source: Balance - Local tobacco control toolkit

Last updated: 30/07/15

5. What services are currently provided?

Smoking Cessation

The Tees Specialist Stop Smoking Service working through North Tees and Hartlepool NHS Foundation Trust, provide 10 stop smoking clinics within Hartlepool in a variety of community locations with easy access and at varied times, covering 6 days of the week.  In addition there are 5 pharmacies in the town, supported by the Specialist Service, increasing choice of provision and out of hours availability.  Two of these pharmacies have received additional training, shadowing and mentorship from the Service to deliver an intervention to young people and/or pregnant women.   Pharmacies use a tariff based system with additional reward for supporting young people, pregnant women and those from disadvantaged wards.    There are no plans at present to increase the number of pharmacies providing a stop smoking service, but they will be regularly reviewed to ensure performance is maintained.

Services provided by the Specialist Stop Smoking Service include:

  • Support and advice to clients and staff.
  • Pharmacotherapies – Nicotine Replace Therapy (NRT), (offered on prescription or via a voucher system in specific settings); Bupropion (Zyban); Varenicline (Champix).
  • Help, advice and support will be offered to clients wishing to use non-licensed nicotine-containing products they have purchased themselves to quit nicotine addiction.  
  • Carbon monoxide monitoring and calibration.
  • Telephone helpline support.
  • Workplace stop smoking support.
  • An enhanced support to quit programme for clients who need more dedicated support
  • Training a wide range of professionals in brief interventions.
  • Active case finding for lung health,  Now in service spec.
  • Active case finding for lung health, although this is not currently in the service specification.
  • An effective partnership with midwifery services to deliver a smoking in pregnancy programme.
  • Support to five pharmacies, offering stop smoking support through a tariff system.
  • Promotion of services through a variety of methods.

Tobacco Control

In order to reduce smoking prevalence a comprehensive tobacco control plan involving a range of partners has to be in place in addition to Stop Smoking Services.

Through the ring-fenced Public Health budget there is currently a specific post within Trading Standards in Hartlepool dedicated to tobacco control. 

Trading Standards contribute to the tobacco control agenda through:

  • Undertaking regular test purchasing.
  • Identification of traders selling counterfeit, imported cigarettes.
  • Ensuring retailers comply with relevant legislation – not selling single cigarettes, dispensing machines, age display notices, general signage, point of sale advertising.
  • Participation in regional and local campaigns to raise awareness of illegal sales, smuggling, counterfeiting and tobacco advertising and promotion through partnership working with Her Majesty's Revenue and Customs and Police.

Environmental Health Officers ensure current legislation is enforced and monitor any breaches through general compliance work by inspection and routine visits.

Secondhand smoke

There are three secondhand smoke trainers in Hartlepool trained by Fresh North East to deliver the Smoke Free Families message to anyone working with children and families.  Two of the trainers are from the SSS with training courses scheduled into the Service’s training programme.  The third trainer is employed by the Fire Service.

Smoke Free Hartlepool Alliance

There is an active local Alliance made up of a wide range of partners with a remit to raise the profile of tobacco control and to champion local implementation of a smokefree future. The Alliance develops, delivers and monitors an annual action plan based on regional and national guidance.   Local Alliances are very strongly supported by Fresh North East, established in 2005 to help the North East take a co-ordinated and comprehensive approach to reducing the harm caused by tobacco.   The concerted efforts of the many partners involved with the Fresh programme have helped the North East to achieve the biggest drop in adult smoking rates in England over the 9 years.  In addition, a regional Making Smoking History Partnership was set up in 2013 and is working to get local support and action to establish a vision of a 5% smoking prevalence by 2025.

Smoking education for young people

Hartlepool currently provides a theatre in education programme for all year 7 pupils in secondary schools.  The production and accompanying workshops inform the audience of the exploitation of young people and third world countries by the tobacco industry.  Funding from the British Heart Foundation has been achieved to continue this work for four years

Smoking education is also delivered as part of a Risk Taking Behaviour Programme in secondary schools.

Based on in-depth consultation with young people a stop smoking service specifically for young people will be commissioned through youth workers in a youth setting using a voucher scheme to provide the appropriate nicotine replacement along with advice and support.   For the first year Public Health funding will be used with an expectation of the work being embedded into mainstream practice of youth workers if it is successful.   Linked to this will be a further theatre in education production for year 10 pupils in secondary schools to launch and promote the new service.

Last updated: 15/06/15

6. What is the projected level of need?

No projections at present.

Last updated: 02/06/15

7. What needs might be unmet?

Education and support of young people

Young people continue to take up smoking.  There is a continuing need to educate young people on the harms of cigarettes and the benefits of not smoking.  Training needs to be given to youth/community workers in smoking awareness and brief interventions and also to identify positive role models to emphasise the 'no smoking being the social norm' message.

As very few young people access current Stop Smoking Service provision there is also a need to set up a dedicated Stop Smoking Service for those young people who are addicted to smoking and wish to quit.  A pilot project was tried offering a stop smoking clinic specific to young people to run in the same building as a young person’s contraceptive clinic, but this did not attract young people to attend and had to be closed.

There are four pharmacies in Hartlepool operating under the Community Pharmacy Stop Smoking Enhanced Service scheme but currently they are only able to offer stop smoking support to young people aged 16 and over.  However, the intention stated in the Service Level Agreement is that suitably experienced and trained pharmacy staff will be able to offer a service to young people aged 12 and over, adhering to Fraser Guidelines for young people aged between 12 and 16.

It is recommended that suitable training to support this young age group is developed and delivered as soon as possible to meet the Government target ambition 'To reduce rates of regular smoking among 15 year olds in England to 12% or less by the end of 2015'.

Young people under the age of 18 still have illegal access to cigarettes.

Health Inequalities – smoking in most disadvantaged wards

Smoking rates are highest in the most disadvantaged electoral wards.  Data from the MOSAIC programme indicates that stop smoking provision in Hartlepool is set up in the areas of highest smoking prevalence and SSS data shows the highest number of quit dates set each quarter come from the most disadvantaged wards.  However, the percentage of successful 4-week quits from the most disadvantaged wards are lowest, thereby perpetuating health inequalities.   

Smoking during pregnancy

  • Many pregnant women continue to smoke, thus failing to give their child the best start in life. Based on extensive consultation with midwifery services across the region an intervention called BabyClear was developed and rolled out across the region during 13/14.  Part of the intervention is a hard-hitting risk perception tool which specially trained midwives use with women who show no desire to quit smoking.  The pilot phase has ended with evaluation due in Spring 2015.   The work now needs to be embedded in practice within the Foundation Trust.
  • Smoking at Time of Delivery Data (SATOD) is now only available nationally as a Hartlepool and Stockton on Tees CCG area.   Each Local Authority is mainly interested in own data to get a true reflection and this may become a pressing issue.  Data coming direct from the Foundation Trust on individual areas is often not clear as they cover a wider range of communities than Stockton on Tees and Hartlepool.

Second hand smoke

Many non-smokers continue to suffer the effects of second-hand smoke, particularly at home and in private cars.   Smoking in cars when children are present is currently under government consultation prior to it becoming law. (August 2014)

Mental health patients

The physical health needs of mental health patients are not being fully met by difficulties in engaging staff in undertaking the relevant brief/intermediate intervention training.  A top down approach is required.

Use of information

More information on general lifestyle issues (such as weight gain) should be available in community clinics.

More social marketing is needed to identify barriers to accessing Stop Smoking Services and quitting and also use of MOSAIC to target messages appropriately.

Stop Smoking Services

The development of a model of working in the SSS that offers more flexible support to reach more smokers as it is evident from the numbers accessing services that not all smokers feel they can, or want to, stop smoking in the way currently available.

The SSS needs to develop new ways of working such as considering harm reduction approaches and how to support clients using e-cigarettes

Pharmacies and prescribing

Currently 5 pharmacies are funded to provide a stop smoking service through a tariff system.  This was commissioned primarily to improve access in terms of extended opening hours and increased convenience and choice of stop smoking services.   Community pharmacies must apply to join the Scheme by completing a self-assessment document to demonstrate that they can comply with the Scheme requirements.  Selected pharmacies must agree to adhere to a service level agreement involving appropriate governance procedures; providing an appropriate level of trained staff; and collecting the full gold standard dataset in a timely manner, reimbursed under a tariff payment system.

Other pharmacies in Hartlepool have expressed an interest in providing this service and one additional pharmacy has been added to the list of providers.  Two out of the 5 pharmacies have undertaken additional training, shadowing and mentoring to extend this work to enable pharmacies to provide an enhanced service particularly for clients who are routine and manual workers, pregnant women and young people, thereby contributing to a reduction in health inequalities. There are no plans to increase numbers at the current time.

From Statistics on NHS Stop Smoking Services;  England 2009/10 experimental statistics from SSS indicate that varenicline was the most successful smoking cessation aid between April 2009 and March 2010.  Of those who used varenicline 60% successfully quit, compared with 50% who received bupropion only and 47% who received NRT.   Clinical Governance requirements for the Stockton & Hartlepool SSS stipulate that if clients wish to be prescribed Varenicline, medical records must first be verified by their own GP to ensure there are no underlying medical conditions that would prevent its use.  When medical records are confirmed clients are then asked to attend for a specific appointment at a designated community clinic with an appropriately trained nurse prescriber.  Delays for clients are often experienced through waiting for confirmations from GPs, leading to frustrations for clients and SSS staff.    There is continued pressure on the SSS to reduce prescribing costs.  There are plans to develop a Patient Group Direction to enable greater use of varenicline.

Tobacco control

  • Continued investment in comprehensive, multi-component tobacco control.
  • Continued capacity within Trading Standards and Environmental Health Departments within the Council to contribute to the tobacco control agenda
  • Engagement of a variety of other local authority departments in tobacco control work such as adult and children’s services, housing and planning
Last updated: 02/06/15

8. What evidence is there for effective intervention?

NICE Guidance

  • Smoking cessation services (PH10) This guidance recommends that for the first time, all health professionals, including GPs seeing patients at a consultation, nurses in primary and community care, hospital clinicians, pharmacists and dentists, should advise everyone who smokes to stop and refer them to an intensive support service (for example, NHS Stop Smoking Services).
  • Brief interventions and referral for smoking cessation (PH1) This guidance recommends that all smokers should be advised to quit and referred to NHS Stop Smoking Service in primary, secondary and community care settings. For those who do not accept the offer, pharmacotherapy should be offered to them. Brief interventions for smoking could include opportunistic advice to stop, assessment of patents’ commitment to quit, offer of pharmacotherapy and/or behavioural support and provision of self-help material as well as referral to more intensive support e.g. NHS Stop Smoking Service. 
  • Quitting smoking in pregnancy and following childbirth (PH26) The recommendations mainly cover interventions to help pregnant women who smoke to quit and their partners and others in the household who smoke to quit. It also includes training for midwives to deliver interventions as well as a referral pathway from maternity services to NHS Stop Smoking Services. 
  • School-based interventions to prevent smoking (PH23) This guidance is for all those responsible for preventing the uptake of smoking by children and young people aged under 19. Information on smoking should be integrated into the curriculum and anti-smoking activities should aim to develop decision-making skills and include strategies for enhancing self-esteem.
  • Workplace interventions to promote smoking cessation (PH5) This guidance recommends employers to provide support to employees with help to stop smoking, including development of smoking cessation policy, promoting the Stop Smoking Services and allowing time off to attend smoking cessation services.
  • Preventing the uptake of smoking by children and young people (PH14) The recommendations focus on communication methods (mass media) and point-of-sales measures. These should be combined with regulation, education, cessation support and other activities as part of a comprehensive strategy.
  • Smoking cessation - varenicline (TA123) The guidance recommends varenicline as an option for smokers who have expressed a desire to quit smoking and it should be prescribed only as part of a programme of behavioural support.  
  • 2002/021 NICE recommends use of smoking cessation therapies The guidance recommends the use of pharmacotherapy such as Nicotine Replacement Therapies (NRT) in conjunction with advice and encouragement to help smokers who wish to quite.
  • Smokeless tobacco cessation – South Asian communities (PH39) - This guidance aims to help people of South Asian origin who are living in England to stop using traditional South Asian varieties of smokeless tobacco.
  • Smoking cessation: supporting people to stop smoking (QS43) This quality standard covers smoking cessation, which includes support for people to stop smoking and for people accessing smoking cessation services.
  • Tobacco: Harm Reduction Approaches to Smoking (PH45)
  • Smoking cessation in secondary care - acute, maternity and mental health services. (PH48) - This guidance aims to support smoking cessation, temporary abstinence from smoking and smokefree policies in all secondary care settings.
  • Smoking cessation in secure mental health settings - Guidance for commissioners. The guidance for commissioners provides: evidence on the effects of smoking on mental health the benefits of smoking cessation case studies where providers have successfully implemented NICE guidance PH48.
  • Introducing self-assessment for NICE guidance smoking cessation in secondary care: mental health settings (PH48) A practical guide to using the self-assessment mode- The self-assessment model offers a:
    • free-to-access model for self-assessment that can assist in evaluating the effectiveness of action to address harm from tobacco
    • suite of videos that set the scene and explain the benefits of action
    • replicable workshop format that can be delivered at a local level to support local action to reduce the harm of tobacco
Last updated: 15/06/15

9. What do people say?

A survey was undertaken by the Stop Smoking Service in January 2014 with 80 responses completed in Hartlepool clinics.   Responses are shown below :

  • 98% of respondents said the times of the Stop Smoking Clinics were convenient to them although a small number expressed a desire for more evening appointments
  • 100% of respondents felt the venue suitable for them
  • 99% of respondents felt  the length of time they had to wait within the drop in session to be acceptable
  • 96% felt they were given sufficient privacy when discussing personal details with the clinic staff
  • Respondents who used champix (varenicline) as a cessation aid felt that the length of time to wait for a first appointment was acceptable.
  • 100% of respondents felt they got enough support and encouragement from the Stop Smoking Service staff during their visits
  • 98% respondents said they had been offered a choice of treatments to help in stopping smoking
  • 98% felt they had been given sufficient information about their treatment
  • Those respondents who needed to telephone the Service mostly found it easy to contact them.  One person found it hard to get through at times
  • 94% of respondents said they would go back to the service for help with stopping smoking if they started smoking again.
  • 97% of respondents said they would recommend this service to other smokers who want to stop smoking.
  • 92 respondents were very satisfied with the Stop Smoking Service

In 2012 Fresh NE commissioned NEMs to consult locally on illicit tobacco the results for Hartlepool show :

  • 79% of smokers in Hartlepool say they do not buy illegal tobacco
  • 77% of smokers who buy illegal tobacco in Hartlepool agree it enables them to smoke when they could not afford to do so otherwise
  • 89% of people in Hartlepool say illegal cigarettes are a danger to children as they can buy them easily and cheaply

 

In 2014 Public Health in Hartlepool commissioned NEMS to undertake a survey of local smokers to inform the Stop Smoking Service Review.   A total of 420 interviews were conducted across the Hartlepool Borough catchment.  Interviewing took place across 2 main centres within the Borough: Hartlepool town centre and Seaton Carew.

Interviews were conducted in July and August 2014 using in-street interviewing.

Sampling was done among all those aged 16 and over. Quota controls were applied on gender and age, with all respondents meeting the criteria of being resident within the Borough of Hartlepool and a current smoker.  (James, not sure how much of the results to put in here – I have attached for information/guidance.   I am happy to add, just don’t know how much!!)

Household surveys

Since 2004 Hartlepool Borough Council has undertaken a MORI Household survey every 2 years.  One of the many questions is about smoking status. When asked about smoking habits, one in three (30%) Hartlepool residents say they smoke cigarettes.  There are significantly more people smoking in Neighbourhood Renewal Fund areas (39%) than in wider Hartlepool (17%) with North Hartlepool and the New Deal for Communities area being the areas where people are most likely to smoke (56% and 49% respectively).

Last updated: 02/06/15

10. What additional needs assessment is required?

No further needs assessment is required at this stage.  There is a strong evidence base for effective intervention. 

Some identified needs are unmet and these should be addressed.

Last updated: 02/05/12

Key contact

Name: Steven Carter

Job title: Health Improvement Practitioner

e-mail: steven.carter@hartlepool.gov.uk

Phone: 01429 523397

References

Local strategies and plans, with dates
  • Hartlepool Tobacco Alliance Action Plan, 2011/12
  • Fresh North East Regional Delivery Plan, 2011/12
National strategies and plans with dates
  • Stop smoking service delivery and monitoring guidance, 2011/12
  • A smokefree future: a comprehensive tobacco control strategy for England, February 2010
Other references with dates