The new guidance provides a fresh call to action, for two reasons.įirstly, NG92 emphasises that everyone should be asked if they smoke (in a way that is sensitive to their preferences and needs) and advised to stop if they do.
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Faced with repeated ‘failures’ or obdurate refusal from patients to consider stopping smoking, many clinicians struggle to continuously reinforce the stop smoking message. Some primary care healthcare professionals, and others in different fields, have lost heart with asking their patients about smoking. One important purpose of NG92 is to clarify the role of primary care healthcare professionals, among others, in carrying out brief opportunistic interventions and referring patients to a local stop smoking service, and how the stop smoking services should maximise the potential to turn a referral, or self-referral, into a successful quit. 5 The new guideline updates and replaces Public Health Guideline (PH) 1 on Smoking: brief interventions and services and PH10 on Stop smoking services, and includes recommendations from other guidelines relevant to smoking. In March 2018, NICE published NICE Guideline (NG) 92 on Stop smoking interventions and services. 1 Several possible reasons have been put forward to explain this decrease: the move of commissioning stop smoking services from NHS to local authorities, the fall in spending on national stop smoking campaigns, and the rise in popularity of e-cigarettes. 4 Since 2013, numbers attending the services have been falling sharply. Stop smoking services were first set up in 1999 in the first 10 years of operation they helped nearly two million smokers to quit 3 and experienced substantial footfall until about 2011. It is worth noting that people who smoke are more likely than the general population to have additional mental health problems and co-morbidities such as cardiovascular disease, respiratory illness, and cancer. 1 Smoking affects the most disadvantaged in our society, having a marked impact on health inequalities.
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In 2015/16, around 474,000 hospital admissions in England were attributable to smoking-related conditions, and an estimated 16% (79,000) of all deaths in 2016 were linked to smoking. Smoking remains the principal cause of preventable illness and early death in England. We estimate that this activity will take you 30 minutes-worth 0.5 CPD credits. After reading this article, ‘ Test and reflect ’ on your updated knowledge with our multiple-choice questions.