Tobacco Free Action Plan 2013 (updated May 2013)
Action / Lead/key players / Timescale / Target/milestones / Evidence / Further information /Effective Partnerships
TF1. Foster a joined-up approach to tackling the public health issue of tobacco as a shared priority for the local strategic partnership.
Develop Rochdale Borough’s Tobacco Free Alliance to ensure we have the infrastructure and capacity to deliver the local tobacco action plan and to be advocates for reducing tobacco related issues in the borough. / RMBC / June 2013
Ongoing / Annually review the membership of the Alliance and task groups to ensure appropriate representation
Annual review and update where appropriate of Action Plan. / The Rochdale Borough Tobacco Free Alliance was established in 2006 and has been active since.
The intention is to participate in the CLeaR Peer Assessment programme during 2013 - 2014
Data and Intelligence
TF2. Ensure that robust data is used to inform local tobacco control goals, priorities, commissioning and monitoring. / Public Health, Public Protection SSS
Business Intelligence, / Ongoing / Review literature/best practice re niche tobacco use and treatment 31st May 2012.
Quarterly review of SSS data report / Completed
Workplaces – Priority focus on routine and manual workers
Tobacco Free Workplaces Task Group: Delivery plan (working document)
TF3. Public sector workplaces to be strong advocates for tobacco free;
RMBC
NHS Providers, including primary and community care and secondary care
Actions will include;
§ Maintain public awareness of the health benefits of plain packaging and support GM work where appropriate.
§ Development / update and strict enforcement of comprehensive smoke free policies,
· Stop smoking support for employees
· An agreed programme of brief intervention/stop smoking support training via the Health Chat programme for frontline staff, particularly those in contact with high priority groups.
· Ensuring that all commissioned and contracted organisations are smoke free. / Public Health, Public Protection,
SSS, NHS organisations / April – July 2012 / Milestones:
Review of current RMBC/NHS HMR polices
(To include plans for contracted services)
Achieve 800 signatures in support of plain packaging
Gain formal responses from strategic partnership groups.
RMBC Smoke Free Policy updated ready for moved to Number One Riverside
March 2013
Stop smoking support for employees who wish to quit included within the SLA for the Health and Wellbeing Active Workforce programme / PH5 Workplace interventions to promote smoking cessation: guidance. April 2007 / Proactive plain packaging campaign throughout 2012. Formal response gained from all strategic groups, including Council motion
RMBC Smoke Free Policy updated and agreed by the committee process by March 2013. Inclusive of partner organizations and companies that lease areas within Number One Riverside
TF4. Private workplaces
The local Tobacco Free Workplace task group to develop implement and monitor a programme of work to target routine and manual workers.
Details are provided in the Workplace delivery plan / Workplace Task Group
SSS / Workplace delivery plan to be developed, updated, implemented and evaluated / PH5 Workplace interventions to promote smoking cessation: guidance. April 2007 / Healthy driver and Healthy Salon projects successfully completed
Workplace delivery plan 2013.
TF5.
Achieve delivery of the Healthy Workforce project as detailed in the All Age All Cause Mortality plan / Public Protection Service / 2013 – 2015 / 2 further schemes will be developed and implemented to promote healthy lifestyles including a focus on stop smoking with routine and manual workers / PH5 Workplace interventions to promote smoking cessation: guidance. April 2007 /
TF6. Ensuring compliance with the smoke free legislation during routine Environmental Health visits, respond to complaints and focus on non-compliant areas as a priority
Provision of stop smoking information, when appropriate, on smoke free compliance visits / Public Protection Service / Achieve a minimum of 97% smoke free compliance
Quarterly reports – taken to Tobacco Alliance / Health Act 2006 / 2011-12: 98%
2012-13: 99:6%
TF7. Targeted stop smoking support to be delivered to priority businesses to increase the number of quitters from R&M groups, / Workplace Task Group, SSS
Workplace Health Trainers / Stop Smoking advisor for routine and manual workers (0.5FTE) recruited by SSS June 2010 / Brief Interventions and referral for smoking cessation. PH1. March 2006
Children and young people- prevention, denormalising smoking, reducing availability and stop smoking support
Children and Young People Task group: Delivery plan (working document)
TF8. Promote the Smoke-free Home and Car Campaign, targeting the high priority groups
A whole family approach will be taken when promoting smoke free homes and cars.
Follow up support to families will be offered within 6 months with the offer of further stop smoking support if needed. Those families who made a silver pledge will be asked if they are ready to commit to a gold pledge. / Public Protection Service Midwifery Services, TASK / Ongoing / Review and re-launched campaign July 2012
Smoke free home and cars targets:
- 180 pledges per year
- 15% from the 3% Super Output areas
- 80% to contain children
Explore the feasibility of delivering the chemical soup programme in local schools / Public Health Interventions for the prevention and reduction of exposure to second hand smoke: A review of reviews. 1st Edition June 2005 / Quarterly reports to MAHLs and Healthy Lifestyle Choices (Children’s Trust Subgroup)
Achievements
2011-12: 44 gold pledges received
1/4/2012 – 31/12/12: 37 pledges received
TF9. Reduce the detrimental effects of smoking and second hand smoke on families, babies and children in the playground setting. / RMBC and Public Health / ASH Wales Smoke free playgrounds toolkit.
Leonardi-Bee J, Lisa Jere M Britton J (2011). Exposure to parental and sibling smoking and the risk of smoking uptake in childhood and adolescence. BMJ
TF10. Implement an evidence based Tobacco Free /Smoking prevention programme for schools / CYP Tobacco Free Task Group
Healthy Schools
Public Protection Service / Provide a programme of workshops available for schools.
Identify ‘Smoke Free Good Practice package’ that schools will be advised to adopt if wish to take up offer of workshops / School based interventions to prevent smoking. PH23 / Development and delivery of tobacco free education work taken place within schools.
TF11. Reduce the number of young people who smoke by the provision of a peer led smoking reduction intervention, as detailed in the All Age all Cause Mortality business plan / Public Protection Service / Targets/milestones in the AAACM business plan / NICE PH Guidance 23
School-based interventions to prevent smoking
TF12. Build capacity for prevention and brief intervention/stop smoking support for children and young people in settings other than schools, e.g. Youth Service / CYP Tobacco Free Task Group, TASK / Identify appropriate people/groups / School based interventions to prevent smoking. PH23
Brief interventions and referral for smoking cessation. PH1 March 2006
TF13. Restrict access to tobacco by;
o Promotion of proof of age schemes
o Under-age sales initiatives
o Action on cheap and illicit tobacco
o Chewing Tobacco awareness and enforcement / Public Protection Service,
Oral Health / Preventing the uptake of smoking by children and young people.PH14 / There has been a wealth of activity to restrict access to tobacco. During 2011-2012 many promotional events and underage sales surveys took place in relation to tobacco and chewing tobacco. (see delivery plans for further detail)
TF14. To deliver a programme of work to determine the availably of shisha products for sale within the borough, to increase awareness amongst retailers of the relevant legislation and to increase awareness of the risks to health of using shisha, particularly with young people. This is part of the All Age all-Cause Mortality plan. / Public Protection Service / Targets/milestones in the AAACM business plan / Preventing the uptake of smoking by children and young people. PH14 / Project commenced November 2012
TF15. To develop and implement a responsible retailer scheme for cigarettes and tobacco. This is part of the All Age all-Cause Mortality plan. / Targets/milestones in the AAACM business plan / Preventing the uptake of smoking by children and young people. PH14 / Project commenced November 2012
Smoking in pregnancy and preconception
Smoking in Pregnancy Task group
TF16. Ensure that robust data is collected and used to inform tobacco free pregnancy goals, priorities, commissioning and monitoring. / D Taggart
H McBriar A Howarth E Wilson / Ongoing / Analyse data from each provider re number of pregnant smokers engaged with the service and number of quits achieved, level of co validation, level of lost to service. and number from R & M groups.
Annual audit of SATOD to ensure accuracy of the data
TF17. Monitor the care pathway for smoking in pregnancy ensuring early intervention so that Stop Smoking Support is available from contact services as early as possible along the entire pre-conceptual, pregnancy and post natal pathway of care, targeting R &M groups / GP’s, Midwifery Service, Health Visitors / May-10 / Smoking status to be recorded and passed the HV in postnatal period
Monitor level of CO validation / Quitting Smoking in pregnancy and following childbirth PH26 / Piloted NW Phase 1 smoking and pregnancy reward scheme with positive evaluation.
§ Implemented
'Opt Out' system for stop smoking support for pregnant smokers.
§ All pregnant
women are CO validated at 1st contact with the midwife
TF18. Encourage maximum uptake of stop smoking support by pregnant women who want to stop smoking.
§ Record accurate number of pregnant women who smoke and no. offered brief intervention.
Midwifery service to lead phase 2 of smoking and pregnancy reward scheme June 2012-May 2013. / D Chadderton H McBriar
A Howarth / 15 pregnant women achieve 4 week quit and smokefree pregnancy via the scheme.
PAHT internal evaluation report.
External evaluation to be commissioned
PAHT to audit SATOD data / Quitting Smoking in pregnancy and following childbirth PH26
TF19. Commission additional quits from midwifery service / E Wilson / 2013/14 / Achieve 60 quits for 2013/14 (Data available June 2015) / Quitting Smoking in pregnancy and following childbirth PH26 / 25 additional quits were commissioned in 212/13. Data available June 2013
Improving local Stop Smoking Service Provision – an integrated, needs-based approach
TF20. Develop and improve the quality and effectiveness of local stop smoking services including implementation of recommendations from
· Local efficiency and effectiveness review of services
· NHS Service and Monitoring Guidance
· Greater Manchester Tobacco Alliance / Public Health
SSS
Primary care/pharmacies/ medicines management / Explore the feasibility of adding the / Smoking cessation services (PH10) / Review of the efficiency and effectiveness of the NHS HMR Stop Smoking Services 2008 carried out. Report 02/02/10.
Provision of brief interventions/stop smoking support into the Health Visiting and School Nursing specification.
TF21. Roll out phase 1 LES for 13/14 to GPs and pharmacists, as detailed in the All Age all Cause Mortality business case. / E Wilson/ R Bardsley / June 2012/13 –Monitor levels of quits achieved against the target and monitor quality indicators. / Smoking cessation services (PH10) / Roll out completed. Need to agree quits and ensure 2013/14 target is met.
TF22. Establish and evaluate a pilot re long terms quits as detailed in the All Age all Cause Mortality business case. / PCFT A Howarth / 12 months / Smoking cessation services (PH10)
TF23. Stop Smoking Support Services within the community including Health Trainers, Community Health Development, to focus on geographical areas with the greatest need / SSS, HT Service / Smoking cessation services (PH10)
TF24. Agree with CCG commissioning plan for increasing quits as part of AAACM business case. / E Wilson / 2013/14 / Targets/milestones in the AAACM business plan / Smoking cessation services (PH10)
TF25. Primary Care
Increase capacity in primary care for brief interventions and stop smoking support / Public health,
Primary Care Team / Smoking cessation services (PH10)
Brief Intervention and referral for smoking cessation. PH 1 / March 2013 quit targets defined
TF26. Deliver a ‘hot topic’ on stop smoking to frontline staff / Dec 12 - March 2013 / Engagement of frontline staff to have a conversation about smoking with people / Brief Interventions and referral for smoking cessation. PH1. March 2006
TF27. To provide evidence based stop smoking training to ensure sufficient capacity to deliver the borough quit smoking target. / SSS, PCFT
TF28. To provide support to users of niche tobacco, including chewing tobacco, to quit using the products / SSS, PCFT
Social Marketing and Communications
TF27. Develop a consistent, coherent and co-ordinated communications strategy for tobacco, incorporating and supporting key messages from national campaigns. / PCT/RMBC Communications teams / PH 10, PH 14
TF28. Use social marketing insight work for all priority groups to maximize the effectiveness of our approaches to reducing uptake of smoking and increase uptake of stop smoking support. / HS, tobacco free task groups / Review of current appropriate local and national social marketing insight work / Workplace interventions to promote smoking cessation PH5, Smoking cessation services (PH10)