Stop Smoking Brief Interventions

Kerry Briggs

Stop Smoking Manager

Pennine Care NHS Foundation Trust

Housekeeping

• Phones• Emergency Exits• Toilets• Coffee Break• Finish

Aim• To raise awareness of smoking related issues and harm and how to

refer people for help to quit.

Objectives• Deepen understanding of why people smoke & the benefits of

stopping.• Explain nature & purpose of stop smoking brief interventions. • Equip you to use brief interventions in your role.• Raise profile of Trafford Stop Smoking Service including how to

refer.

Recent Government Action on Smoking

Smoking and HealthEngland 2013•462,900 hospital admissions attributable to smoking diseases. (Health & Social Care Information Centre, 2013).

• 79,100 deaths from smoking related diseases (Health & Social Care Information Centre, 2013).

Trafford 2013-14•1830 annual hospital admissions attributable to smoking diseases at a cost of nearly £5million (Tobacco Profiles, 2013-14).

•343 deaths from smoking related diseases (Public Health England, 2015).

Smoking & Health

• About half of all regular smokers will eventually die of their addiction

• A regular smoker on 15-20 cigarettes per day has a one in two risk of having a smoking related illness after the age of 35 years

• Smoking is the greatest cause of health inequalities & the largest single cause of preventable mortality and morbidity in England.

• In Trafford smoking prevalence rates in routine and manual groups is 30.2% compared to 19.6% in other groups (Tobacco Profiles, 2014).

• Two thirds of smokers start before the age of 18yrs and of those who try smoking between one third and one half will develop a regular habit.

Smoking and Health

What’s in a Cigarette

 

Nicotine

• Addictive chemical derived from tobacco plant.

• Alters neurotransmitters(dopamine & noradrenaline) in brain.

• Causes nicotine ‘hit/rush/buzz’. Craving can happen 15mins after smoking last cigarette.

• A stimulant, raises blood pressure & constricts blood vessels.

• Increases metabolism slightly.

• Gives temporary pleasure feeling.

• Withdrawal causes craving, irritability & restlessness.

Stop smoking treatments• Nicotine Replacement Therapies (NRT) – prescription or voucher scheme

Patch, gum, lozenge, nasal spray, quickmist, strips.

• Varenicline Tartrate (Champix) - prescription only.

Reduces craving for a cigarette by blocking nicotine receptors. Causes low level of dopamine release, thus reducing the need to smoke.

• Buproprion (Zyban) - prescription only.

Reduces craving for a cigarette by reducing the rate of dopamine re-uptake, thus reducing the need to smoke.

Secondhand Smoke• It is smoke exhaled (mainstream smoke) and smoke from the lit

cigarette end (sidestream smoke).• More than 80% is invisible & odourless.• Dangerous to anyone. Children more vulnerable as they breathe

more rapidly and have less developed lungs, airways & immune systems.

• Children breathing in other people's cigarette smoke results in 300,000 GP visits and 9,500 hospital admissions for children every year.

• https://www.youtube.com/watch?v=EsU79V7GbpY

E-Cigarettes• Electronic cigarettes are not cigarettes. They do not contain tobacco

& using them is not smoking. Unlicensed nicotine containing product, also known as vapourisers.

• Regulated as general consumer products.Tobaco Products Directive May 2016 when products above 20mg of nicotine will require authorisation by MHRA as over the counter medicinal products.

• 2.6 million people in UK using them.• Now the most popular quitting aid.• Evidence points towards health risks from e-cigs relatively small in

comparison with cigarettes.

E-Cigarettes

E-Cigarettes

Benefits of quitting

• Health & others health• Finances• Smell & taste• Fire risk• Self esteem/confidence

Evidence based interventions to help people quit smoking

What is a brief intervention?

• Brief advice (usually less than 5 minutes) given opportunistically by a health professional during routine consultations with people who smoke, whether or not they are seeking help with stopping

• https://www.youtube.com/watch?v=6ggvECsMnqw&feature=youtu.be

What does a brief intervention involve?

Trafford Stop Smoking Service

How to refer into the stop smoking service

Trafford Stop Smoking Service

Trafford Town HallTalbot Road

StretfordM32 0TH

Tel: 0300 456 2400stopsmoking.trafford@nhs.net

www.twitter.com/SmokeFreeTraffwww.trafford.gov.uk/stopsmoking