Smoking Cessation Public Health Agreement (PHA) for Pharmacies Rachael Davis - Surrey County Council Public Health Liz Fellows - Quit 51 Stop Smoking Service
Smoking cessation Public Health Agreement (PHA) PHA objective: • Provide one to one intensive stop smoking support on a weekly basis over a minimum 6-8 week period. Maximum support for up to 12 weeks • Undertake carbon monoxide (CO) reading • Monitor quit rates at 4 weeks post quit date • Record and submit all client data to Surrey County Council Public Health Team via PharmOutcomes Treatment Outcome Quit at 4 weeks: £60 Not Quit at 4 weeks (quit date set, £25 support delivered): Lost to follow up No payment Pharmacotherapy – Nicotine Replacement Therapy reimbursed at the Drug Tariff price
PharmOutcomes • No paperwork • Use during smoking cessation consultation • Help in counting quitters • Text message function • Payment automatically processed
2016/17 Performance 2015/16 2016/17 From Oct 2015 onwards Number of Pharmacies signed up to PHA 62 68 2016/17 Number of Pharmacies active 27 32 Number of quit dates set 151 266 Number of quits (CO validated) 68 121 Quit rate average 45% 45% Lowest quit rate: 23% Lowest quit rate: 12% No outcome average 52% 42%
What does the data tell us? • Use PharmOutcomes to help • Large proportion of pharmacies monitor your clients progress: are not active ‘Provision History’, launch a tracker report, or filter clients by • Quit rates are low in some service pharmacies • Get outcomes for your clients – payment is made even for a not • Clients with no outcomes are an quit issue
Future developments Incentive scheme • One off additional payments e.g. for reaching 10 and 20 quitters in the year. More details will follow. Enrolment function on PharmOutcomes • Advisors will need to have completed the NCSCT stop smoking practitioner training and log on PharmOutcomes
Optimising your service
Why deliver? How to deliver • You have good • Promote your service knowledge of the need • Ensure all staff know about in the local geographical your service and how to area – target the recruit smokers smokers who need • All smokers are given an support the most appointment time for next • You know who buys the session products NRT and e-cig • Offer all stop smoking products medications as first line • Already have existing • CO monitor at every visit relationships with Contact Quit 51 • Give a maximum of 2 weeks smokers - including for more of any product those with LTC information
Training and support available • All practitioners must have completed: 1. NCSCT – Online Smoking Cessation Practitioner training - http://elearning.ncsct.co.uk/ 2. Two day face to face Behaviour change training – delivered by Quit 51 • Annual and quarterly update trainings available • Support for in-house staff • ‘Very Brief Advice’ (VBA) Training for staff available
Contact Quit 51 0800 622 6968 contact.quit51@nhs.net www.quit51.co.uk Text ‘ smokefree ’ to 66777
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