Salisbury Foundation Trust

FOI_5089

Internal Reference Number: FOI_5089

Date Request Received: 05/06/2019 09:07:05

Date Request Replied To: 16/07/2019 13:18:51

This response was sent via: By Email

Request Summary: Smoking Cessation

Request Category: Companies







 
Question Number 1:
Please confirm or deny if you are currently, or have been in any year since 2015-16, commissioned to provide stop smoking services.

If confirm, please provide your allocated budget for a) this financial year (2019-20) and b) each of the previous years to 2015-16 that you have been commissioned to deliver the service

If deny, please confirm or deny if you have access to an on-site stop smoking service
 
Answer To Question 1:
We do not have an identifiable budget for smoke cessation services, but we do provide the service.
Income is received under a wider heading of Healthy lifestyle in pregnancy which covers more than just smoke cessation.
 
Question Number 2:
Please confirm or deny if you have a) pharmacotherapies and b) licensed nicotine-replacement therapies on your hospital formularies

If confirm, please list (i) the relevant therapies included on your formularies, (ii) the first-line therapy recommended and (iii) the main form of treatment received by patients
 
Answer To Question 2:
Yes many products listed
Our medicine formulary is attached (at the top of the attached document) and our decision tree for NRT products is attached.
NiQutin patches and Nicorette inhalators are our first line NRT products.

Documentation for FOI 5089.pdf
 
Question Number 3:
Please confirm or deny if you have on-site shops selling a) licensed nicotine-replacement therapies, b) unlicensed quitting aids and c) e-cigarettes
 
Answer To Question 3:
no
 
Question Number 4:
Please confirm or deny if you have policies in place to implement NICE guideline PH48, Smoking: acute, maternity and mental health services, with regards to recommendations for:

a. Ensuring immediate access to stop smoking pharmacotherapies and a range of licensed nicotine-replacement therapies for patients who smoke
b. Ensuring the sale of stop smoking pharmacotherapies and licensed nicotine-replacement therapies in hospital shops
c. Ensuring care pathways deliver continuity between hospital and primary care stop smoking services (including any referral pathways)
d. Encouraging patients using unlicensed quitting aids to switch to licensed quitting aids

If confirm for any of the above, please share the current policy
 
Answer To Question 4:
a. Ensuring immediate access to stop smoking pharmacotherapies and a range of licensed nicotine-replacement therapies for patients who smoke – the majority of inpatients are screened during admission for smoking status, given very brief advice and offered NRT. Level of compliance for screening is 80%, given very brief advice >90% and offering NRT >90%.
b. Ensuring the sale of stop smoking pharmacotherapies and licensed nicotine-replacement therapies in hospital shops – the Trust does not sell NRT in hospital shops. Patients who need it as an inpatient are prescribed it and outpatients are signed posted/referred to NHS stop smoking community services. Stop smoking support for staff is in place via the Occupational Health Service.
c. Ensuring care pathways deliver continuity between hospital and primary care stop smoking services (including any referral pathways) –clear pathways are in place. Patients who smoke and wish to quit are referred to the Trust’s stop smoking clinical nurse specialist. She in turn will refer patients to the community NHS stop smoking services.
d. Encouraging patients using unlicensed quitting aids to switch to licensed quitting aids – provided as part of very brief advice or by the Stop smoking clinical nurse specialist
 
Question Number 5:
Please provide your annual budget for stop smoking support a) in total, b) on stop smoking services and c) on licensed quitting aids for (i) 2015/16, (ii) 2016/17, (iii) 2017/18, (iv) 2018/19 and (v) 2019/20
 
Answer To Question 5:
The Trust had no specific budgets for stop smoking support during each of these years.
 
Question Number 6:
Please confirm or deny if there are any requirements from your local CCG to ration treatment options for people who smoke; if confirm, please provide details
 
Answer To Question 6:
No - there is no rationing.
Please see attachments:
Documentation for FOI 5089.docx
Documentation for FOI 5089.pdf
 
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