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Tackling Tobacco in Aboriginal Communities Initiative

Grant ApplicationThe Tackling Tobacco in Aboriginal Communities Initiative aims to reduce smoking related harm among Aboriginal communities in NSW by increasing capacity of Aboriginal Community Controlled Health Services and Aboriginal primary health care services (referred to as Aboriginal health services throughout this document) to address smoking within their services and to provide their clients with support to stop smoking. Cancer Council NSW is currently seeking applications for Tackling Tobacco project grants from Aboriginal health services to implement organisational change projects in 2016/17.

DEADLINE TO APPLY: 5:00 PM, 31 JULY 2016

OverviewThere are four sections in your grant application:

Section 1: Application Guide This section provides background information to help you complete your grant application.

Section 2: Baseline MeasureThis section outlines how your organisation currently addresses smoking. This includes the completion of the Organisational Practices and Policy Baseline Measure.

Section 3: Grants Project PlanIn this section you can detail the main aims of you project and outline any existing partnerships with Cancer Council NSW.

Section 4: Grant Project AdministrationThis section is required to access the funds and includes account details for payment of the grant.

Application Checklist

Please read Section 1. Complete both Section 2, 3 and 4 of the application for submission. Make a photocopy of the application for your records.

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Section 1: Application Guide

What are the aims of the grants?The grants aim to partner with Aboriginal health services to:

Develop environments that protect staff and service users from secondhand smoke. Develop service environments that support service users to quit smoking. Improve staff skills to support clients who are interested in quitting smoking.

How much money is available per grant?The total available amount accessible per grant is $7500.

Please note that Cancer Council NSW will pay the additional GST.

The grant will also provide access to free training to equip workers to provide improved quality support for clients to quit smoking.

Who are the grants open to? Aboriginal health services in New South Wales.

Milestones for the grant: Open Applications 4th July 2016

Close Application 31st July 2016

Review Application 8th August 2016

Notify Application recipients 11th August 2016

What is the deadline for applications?Applications must be received at the Cancer Council NSW by 5pm, 31st July 2016.

Incomplete or late submissions will not be accepted.

Please email submission to tacklingtobacco@nswcc.org.au or post to:Scott C. WalsbergerTackling Tobacco in Aboriginal Communities InitiativeCancer Council NSW153 Dowling Street Woolloomooloo NSW 2011

If you would like to discuss your Expression of Interest, please contact:

Email – tacklingtobacco@nswcc.org.au Phone – 02 9334 1911

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The Tackling Tobacco ProgramThe Tackling Tobacco grants are part of Cancer Council NSW’s Aboriginal Communities Initiative. The Tackling Tobacco program encourages social and community service organisations to develop policies and practices that support service users to quit smoking.

Tobacco smoking is the leading preventable cause of death and disease in Australia, and while smoking rates among the general population have declined substantially, they remain high among some groups in our community. In 2013, the daily smoking rate for the general population aged 14 years and over was 12.8%. In comparison, rates among Aboriginal people are between 37-43%. This is double those in the general population. Reducing smoking prevalence and exposure to second hand smoke is therefore critical to improving the health and life expectancy of Aboriginal people in NSW.

The health impacts of tobacco addiction are well known but the financial impacts have received less attention. The most disadvantaged 20% of people in Australia have been calculated to spend around 19% of their income on smoking, and smokers with more severe types of mental illness have been estimated to spend one-third of available money on cigarettes.

Smokers are more likely to suffer from financial stress, for example, not being able to afford household essentials. The early death of a family breadwinner through smoking-related illness can plunge a family into poverty. Disadvantaged smokers are therefore not only the worse affected by the health effects of smoking, but also by the financial and emotional impacts.

There is a need for targeted support to help disadvantaged smokers. Social and community service staff are well placed to undertake activities to support disadvantaged smokers to quit because they have the skills and expertise to encourage positive change in peoples’ lives, and positive, established relationships with clients.

Tackling Tobacco Grants Project descriptionThe project is offering grants of $7500 to services for smoking-related projects. Funds will be provided as a one-off payment. The project activities will be guided by the Tackling Tobacco organisation change framework and the completion of the Organisational Practices and Policy Baseline Measure (Section 2).

If successful in the application process, services will also be required to complete the Aboriginal Tobacco Resistance and Control (A-TRAC) Yarning Tool. The completion of these documents is a mandatory component of this grant application.

Organisational Practices and Policy Baseline Measure Audit ToolThe audit tool is a set of questions that explore how organisations address smoking and thus an excellent tool to identify areas where improvements can be made to better support service users to quit smoking. Some examples of project activities may include:

Allocating funds to continuous quality improvement activities related to tobacco control Allocating funds to support staff time to develop non-smoking policies. Allocation funds to create culturally appropriate resources. Allocate funds to purchase existing resources (e.g., no smoking signs, culturally appropriate

factsheets/ booklets). Please note: grant funds cannot be used to purchase and supply Nicotine Replacement

Therapy but may be used to develop a sustainable system to supply Nicotine Replacement Therapy to your community and staff.

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The audit tool allows the identification of site specific activities. Establishing actions and goals tailored to each Aboriginal health service is an effective strategy to create change and meet the needs of Aboriginal health services.

The audit tool also acts as baseline information that can be used to compare and track the changes that have been achieved. The audit tool is available to download through the Tackling Tobacco grants page: www.cancercouncil.com.au/tacklingtobaccogrants

Yarning ToolServices will complete the ATRAC Yarning Tool after their proposed projects have been approved. The Yarning Tool has been designed to be used for staff involved in addressing tobacco smoking for Aboriginal people in NSW. The Yarning Tool outlines areas that require improvement, the next steps and who and when these improvements will be completed. The ATRAC Yarning Tool is available through the Tackling Tobacco grants page and may be printed, filled out and scanned or alternatively you can request a hard copy of the Yarning Tool from Cancer Council staff.

Additional support for projectsTo support grant sites, Cancer Council NSW will also provide:

Free training to help staff to develop skills to support people to quit smoking. Advice and assistance from Cancer Council NSW staff on how to integrate addressing

smoking with standard care without being too time consuming. Free policy and quit smoking resources for staff and clients.

Evaluation of grantsUpon receipt, applications will be reviewed for completeness and adherence to submission requirements. Successful applicants will be selected through a competitive process. Each Expression of Interest will be reviewed and scored against the following criteria:

Sustainability – will a high proportion of staff members attend training, will there be changes to policies, protocols or procedures?

Achievability – are there clear and realistic objectives and a plan for achieving them, capacity to achieve outcomes, and track record of running projects?

Commitment – is there support from service management for the project, and plans to promote the project, for example to local inter-agencies or local media?

Collaboration – will there be with Cancer Council staff involved, and other local services? Quality – are the activities proposed in line with good practice?

Applicants may be called to provide additional information in order to reach a final decision.

Application Assessment CommitteeMembers of Cancer Council NSW and key stakeholders working in tobacco control will assess applications. An external member will also sit on the assessment panel.

Members of this committee will declare any conflict of interest and will exclude themselves from discussions or decisions that may be affected by conflict of interest.

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Section 2: Tackling Tobacco Organisational Practices and Policy Baseline Measure

About the Tackling Tobacco Organisational Practices and Policy Baseline MeasureThis set of questions will explore how your service addresses smoking. Once your application is approved, the baseline measurement tool will help you develop your ATRAC Yarning Tool. Your services may not be in a position to address all these issues at once, but it may give you some ideas about how to reduce exposure to second-hand smoke and support clients and staff who wish to quit. Cancer Council NSW looks forward to working with you on these changes.

About your organisation

Name of service

Address

Suburb/Town Postcode

Has your service completed a Cancer Council NSW Tackling Tobacco project? Yes No

If yes, when do you estimate that project was completed?

DD MM YY

Staff member completing this baseline measure

Name

Position

Office phone Mobile

Email

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Getting started…

1. Which of the following best describes how clients view your organisation in relation to smoking? (tick one)

An ideal place to gather and smoke with other clients/ staff

The place is neutral towards smoking and merely facilitates people’s usual routine

People tend to avoid smoking on the premises, or move away if they need to smoke

The organisation discourages smoking on the premises and actively supports quit attempts

Organisational policies on smoking

2. Does your service have a current written policy document? (tick one)

No Go to Question 6 Yes

3. Does the policy explain the organisation’s reasons for addressing smoking? (tick one)

No

Yes

Don’t know

4. Is there a usual process for informing clients and staff about the written policy? (tick one)

No usual process

We have a process to inform clients but not staff

We have a process to inform staff but not clients

Yes, there is a process for informing both clients and staff

Don’t know

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5. In the past 12 months, how have your written policies been implemented? (tick all that apply)

Active face-to-face promotion

Led by a staff member or team to inform all staff and clients at your service

Email to staff

Changes around your service e.g. cigarette bins at entry pints to service

Communicated via newsletters, board meetings and / or staff meetings

Signs informing staff and clients on the smoke-free policy

Online promotion

During staff appraisal

No active communication on policy

Other (please specify)

Add any comments about written organisational policies

Smoking at your organisation

6. Are clients allowed to smoke in the following areas? (tick all that apply)

Allowed Not allowed UnsureInside in certain areas Outside (all areas) Outside (designated smoking areas only) In agency cars Other (please specify)

7. Are staff allowed to smoke in the following areas? (tick all that apply)

Allowed Not allowed UnsureInside in certain areas Outside (all areas) Outside (designated smoking areas only) In agency cars On home visits Other (please specify)

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8. Are staff members allowed to smoke with clients? (tick one)

Yes

Only under certain circumstances

No

9. Do you have signs at your organisation showing where people can and cannot smoke? (tick one)

No signs because we don’t have any smoking restrictions Go to Question 12 No signs, though we do have some smoking restrictions

We have at least one sign, but we don’t have signs in all areas where smoking is restricted

We have clearly displayed signs in all areas where smoking is restricted

Add any comments about smoking restrictions and signs

10. How often are your organisation’s smoking restrictions complied with? (tick one)

Never

Rarely

Sometimes

Often

Always

11. Does your organisation have a process or procedure for enforcing smoking restrictions? (tick one)

No

Yes

Unsure

Add any comments about how smoking restrictions are enforced

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Implementing an organisational change

12. Does your organisation have a continuous quality improvement framework (or change management framework) in place (e.g. a framework for quality improvement or managing change generally, not just about smoking? (tick multiple)

No

Yes, continuous quality improvement framework

Yes, change management framework

Unsure

13. Does your organisation have a steering group (or other leadership group/committee) for addressing smoking? (tick one)

No

We don’t have a steering group at the moment, but we have had one in the past

Yes, we have started a leadership group during the last year

Yes, we have a leadership group that has been active for more than a year

Add any comments about your steering group or other leadership group

14. Which of the following best describes the role of your organisation’s senior managers in addressing smoking? (tick one)

Senior manager/s are aware of what’s happening, but not involved

At least one senior manager is actively involved in supporting and implementing the project

At least one senior manager has formal responsibility for addressing smoking within their role

Unsure

Add any comments about the role of senior managers

Staff training and follow-up

15. Which of the following best describes the smoking cessation training provided to staff by your organisation? (tick one)

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No previous training has been provided

One-off training has been offered every now and then

Smoking cessation training is part of our ongoing professional development program

Smoking cessation training is part of our ongoing professional development program and we provide regular refresher training

16. Do your organisation’s client intake and casework processes include prompts to ask about smoking? (tick one)

No

Yes, however could be improved

Yes, and it is sufficient

17. Does the performance management process in your organisation acknowledge and reward the work that staff do to address smoking? (tick one)

No

Yes

Unsure

Add any comments about staff training and follow-up

Support to quit smoking

18. Does your organisation ask new clients whether or not they are smokers? (tick one)

No

Sometimes

Yes, always

Add any comments about how or when new clients are asked about their smoking

19. If clients are smokers, how often does your organisation offer them help to try and quit? (tick one)

Never Go to Question 22 Rarely Go to Question 20 Sometimes Go to Question 20

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Often Go to Question 20 Always Go to Question 21

20. How does your organisation decide whether to offer clients help to quit smoking? (tick one)

It is only offered if the client asks for it

It is left to the individual judgment of staff, on a client-by-client basis

It is routinely offered to all clients who smoke

21. What kinds of quit supports does your organisation provide to clients? (tick all that apply)

Verbal support / encouragement to quit smoking (e.g. help to set a quit date)

Participation in on-site quit smoking group

Verbal advice to use nicotine replacement therapy (e.g. patches)

Supply of free or subsidised nicotine replacement therapy (e.g. patches) by the organisation

Referral to a GP or other doctor

Referral to other stop smoking service (e.g. smoking cessation clinic)

Referral to telephone Quitline

Referral to website (e.g. iCanQuit)

Financial counselling or referral to a financial counsellor

Pamphlets or other written information about quitting

Follow-up to check on quit smoking progress

Other, please specify ____________________________________________________________

22. If staff are smokers, how often does your organisation offer them help to try and quit? (tick one)

Never

Rarely

Sometimes

Often

Always

We don’t have any staff that smoke

Add any comments about support to quit smoking for clients or staff (e.g. what type of support is provided?)

Second-hand smoke

23. Does your organisation ask new clients (smokers and non-smokers) whether their home is smoke-free? (tick one)

Never

Rarely

Sometimes

Often

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Always

24. Does your organisation ask new clients (smokers and non-smokers) whether their car is smoke-free? (tick one)

Never

Rarely

Sometimes

Often

Always

25. Does your organisation provide information about the effects of second-hand smoke, especially on children? (tick one)

No

Sometimes

Yes, always

Add any comments about information provided about second-hand smoke

Monitoring and data collection

26. Does your organisation record and monitor whether clients are smokers when they enter the service and/or while they are engaged with the service (e.g. within PIMS)? (tick multiple)

No Go to Question 34 Yes, we record client smoking status at entry

Yes, we monitor client smoking status while they are engaged with the service

Unsure

27. Does your organisation record whether clients are smokers when they are discharged from the service? (tick one)

No

Yes

28. If clients are smokers, does your organisation record any quit attempts? (tick one)

No

Yes

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29. If clients are smokers, does your organisation record how soon after waking they have their first cigarette? (tick one)

No

Yes

Add any comments about when or how your organisation records information about client smoking and/or quit attempts

30. Does your organisation monitor the support provided to clients who smoke? (tick one)

No

Yes

Add any comments about when or how your organisation records information about support provided

31. Is smoking taken into account when assessing client outcomes and program performance? (tick one)

No

Yes

32. Are smoking-related outcomes included in your organisation’s reporting process? (tick one)

No

Yes

33. Does your organisation showcase or inform staff and community of the tobacco cessation achievements within your organisation? (tick multiple)

No

Yes, staff

Yes, community

Unsure

34. Does your organisation have a plan in place to start recording data about client smoking in the future? (tick one)

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No

A plan is being developed, but is not yet in place

Yes, a plan is in place

Add any comments about how smoking is taken into account in your organisation’s outcomes and reporting

Section 3: Grants Project PlanPlease respond in the boxes provided. Please feel free to expand the size of the box in either an electronic or printed format if you need more space.

What are the main aims of your project?

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Briefly outline any existing partnership with CCNSW (200 words)

Complete attachments:

Organisational Practices and Policy Baseline Measure (Section 2)

Monitoring and Evaluation Grants ProgramAll funded projects will be required to collect some data in order to evaluate the project. A post project audit will be mandatory; the purpose of conducting this audit is to measure the success and effectiveness of each Tackling Tobacco project by comparing the baseline results from the first audit. The results will identify what has worked well and what additional elements could be achieved.

Cancer Council NSW staff will also carry out a short interview or provide a questionnaire to be completed at the end of the project. This should be completed by the project leader to find out things such as:

Whether clients were interested in receiving help to quit smoking Whether support to quit smoking fitted with existing workloads What barriers were encountered What benefits clients experienced by quitting Any adverse effects What were the most useful/best aspects of the projects What goods news stories came out of the projects Any information that might be helpful to other services How the process of introducing policy changes went.

i. Financial records

We will need a financial record of spending on staff time related to policy development if this option is chosen. For example, an invoice for the number of staff hours required at the relevant pay rate.

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Terms and conditions of fundingIf your application is successful, the following undertakings and conditions will form your statement of commitment with Cancer Council NSW:a. We agree that workers involved in providing support for clients to quit smoking will attend

relevant training. b. We agree that we will recommend that clients consult a doctor about quitting smoking if they

take regular medications, in order to monitor any effects of a change in smoking status on these medications. Please note that both smoking and quitting smoking can alter the level of some medications in the blood, so medical monitoring is recommended as a precaution when people who take medications change their smoking patterns.

c. We agree to use the funding for the approved purposes only and to seek approval from Cancer Council NSW for any changes to the plan outlined in this application form.

d. We agree to participate in evaluation processes and report on the outcomes of the project for evaluation purposes.

e. We acknowledge the right of Cancer Council NSW to terminate this Agreement if the activities specified in this statement of commitment are not undertaken as agreed.

We have read the above conditions and agree, if funded, to carry out the activities as described in this application and according to this statement of commitment.

____________________________________________________ ___________________Signature of Contact person Date

____________________________________________________Name of Contact person

____________________________________________________ ___________________Signature of Executive Officer/Manager/President/Secretary Date

____________________________________________________Name of Executive Officer/Manager/President/Secretary

Section 4: Grant Project AdministrationApplicant’s details1) Does your organisation have an Australian Business Number (ABN)?

Yes, the number is _______________________________ No Is the organisation registered for GST?

Yes (please attach copy of your ‘GST Registration’) No

2) Contact person in your organisation who will be responsible for overall management of the project

Name:______________________________________________________________________

Position:____________________________________________________________________

Address (if different to above):___________________________________________________

Telephone:_____________________________ Fax:______________________________

E-mail:_____________________________________________________________________

3) CEO/ Line Manager supporting participation in this project

Name:______________________________________________________________________

Position:____________________________________________________________________

Address (if different to above):___________________________________________________

Telephone:_____________________________ Fax:______________________________

E-mail:_____________________________________________________________________

4) Additional Information- Tick if the following apply to your organisation:

Currently receiving commonwealth funding for tobacco control

For Office Use Only:Date grant application is received by Cancer Council NSW

Date grant application is approved

Grant DetailsThe Tackling Tobacco in NSW Aboriginal Communities initiative will fund eight services to implement Tackling Tobacco projects. The initial funding round will be for projects to be implemented between August 2016 to March 2017.

Full grant application details will be available at cancercouncil.com.au/tacklingtobacco from 1 July 2016. Grant applications will close at 5.00 pm on Sunday 31 July 2016.

Cancer Council NSW is committed to continued funding for projects in Aboriginal communities under the initiative over the next three years through an annual grants round. Aboriginal health services that apply in the current 2016-17 round would be eligible to apply again in the following grant rounds regardless of whether they were successful or not.

What will be required in the grant application? The grant application requires completion of the Tackling Tobacco Organisational Practices and Policy Baseline Measure (Section 2), the Grants Project Plan (Section 3) and the Grant Project Administration (Section 4). These forms can be completed as a Word document and emailed to tacklingtobacco@nswcc.org.au

What will the grant provide? The grant is up to $7500 (ex GST) to support implementation of project activities. In addition free Tackling Tobacco training will be provided to each service. Grant funds cannot be used to purchase and supply Nicotine Replacement Therapy but may be used to develop a sustainable system to supply Nicotine Replacement Therapy to your community and staff.

What training will be provided? Cancer Council NSW will provide free Tackling Tobacco training to the eight funded services. Tackling Tobacco training covers evidence based smoking cessation support with a focus on brief interventions. Training is provided either via a one-day on-site workshop or via an e-learning program. For evaluation purposed, services will be randomly allocated to the format of the training.

How will decisions be made about which project to fund? Applications will be assessed in line with set selection criteria of feasibility of actions in the project plan to be achieved within the project timeline and budget, commitment of service leadership and management to supporting the implementation of the project, quality of the proposed activities in line with good practice and sustainability of the activities beyond the project.

What level of reporting will be required of grant recipients? The primary reporting requirement for funded projects will be completion of a Tackling Tobacco post-project audit and reporting template. The template includes some narrative responses to describe what activities were undertaken and lessons learning. An example of this template is available from the Tackling Tobacco team.

For more information about Tackling Tobacco visit cancercouncil.com.au/tacklingtobacco or contact the Tackling Tobacco Team at Cancer Council NSW, tacklingtobacco@nswcc.org.au or 02 9334 1911.