Smoking Cessation Services: extending the reach in Northern Ireland - Gerry Bleakney
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Transcript of Smoking Cessation Services: extending the reach in Northern Ireland - Gerry Bleakney
Stop Smoking Services – Extending the Reach
IPHI Workshop June 2014
Mrs Gerry Bleakney
PHA Strategic Lead for Tobacco Control
Overview
• Strategic Direction/targets
• Service provision
• Reach of services
In Northern Ireland• Smoking is the single greatest cause of
preventable illness, premature death and health inequality
• 2,300 people die prematurely from smoking related illnesses every year.
• 24% of population smoke – 32% of manual workers smoke
• In 2012/13 - 32,714 people used Stop Smoking Services (56.6% quit)
Source: Continuous Household Survey; 82/82- 09/10. Northern Ireland Health Survey 2010/11-2012/13.
Smoking prevalence in Northern Ireland 2005/06-2012/13
2020 strategy target prevalence= 15%
Smoking prevalence by socio-economic group 2010/11-2012/13
Routine and manual workers31%- 2010/1133% -2011/1232% - 2012/13
Smoking prevalence by deprivation quintile, 2010/11-2012/13
Source: Northern Ireland Health Survey 2010/11-2012/13
Ten Year Tobacco Strategy for NI
2012-2022Objectives & Priority Groups
http://www.dhsspsni.gov.uk/tobacco_strategy_-_final.pdf
Tobacco Strategy 2020 Prevalence
Targets
• NI: Overall 24% to 15%
• Children and young people (11-16): 8% to 3%
• Pregnant women: 15% to 9%
• Manual groups: 31% to 20%
• Additionally - To ensure a MINIMUM of 5% of the smoking population in NI access stop smoking services annually
http://www.dhsspsni.gov.uk/tobacco_strategy_-_final.pdf
Services 645 providers – specialist training, meet Quality
Standards and use Elite System (acute/primary care/community/workplaces)
BIT and pathways Public Information Campaign Website – www.want2stop.info Helpline – 0808 812 8008 Quit Kit and materials Facebook and SMS
Number and location of Stop Smoking Service providers by provider type across Northern Ireland by super output area* multiple deprivation measure 2010 (MDM)
Stop Smoking Service providers by total number of providers at each location across Belfast LCG by super output area* multiple deprivation measure 2010 (MDM)
Reproduced with the permission of Land and Property Services under delegated authority from the Controller of Her Majesty’s Stationery Office, © Crown copyright and database rights NIMA ES&LA 210.3
Uptake and Estimated Proportion of All Smokers Accessing Stop Smoking Services
in Northern Ireland, 2007/8 – 2012/13
Est
imat
ed p
rop
ort
ion
of
NI
smo
kers
acc
essi
ng
ser
vice
s (%
)
Total Service Uptake by ProviderType 2012/13
Provider type Uptake 2012/13 (n,%)
Quit rate at 4 weeks (%)
Pharmacy 23,490 (72%) 55.6
GP 3,862 (12%) 48.2
Hospital sites 3,514 (11%) 65.7
Community 1,848 (6%) 65.2
TOTAL 32,714 56.6
Number and estimated proportion of smokers accessing Stop Smoking Services within each deprivation quintile 2011/12-2012/13
Source: NI Stop Smoking Services database 2011/12-2012/13. Cited in PHA Annual Stop Smoking Services Report 2012/13
Overall Uptake and Proportion of all NI Smokers Accessing and Quitting at 4 weeks by deprivation quintile 2012/13
Access and effectiveness – R+M workers 2010/11-2012/13 2010/11 2011/12 2012/13
Numbers accessing service (n) 8258 10009 8159
Est. proportion of all R & M smokers accessing services (%)
7.1 8.6 7.0
Number of R & M smokers quitting at 4 weeks (n) 4531 5575 4972
4 week quit rate (%) 55% 56% 61%
Est. proportion of all R & M smokers quitting at 4 weeks (%)
3.91 4.81 4.29
Number of R & M smokers quitting at 52 weeks (n) 1487 1958 n/a
52 week quit rate (% based on all accessing services) 18% 20% n/a
Est. proportion of all R & M smokers quitting at 52 weeks (%)
1.28 1.69 n/a
Smoking and pregnancy (routine data) 2010/11-2012/13
Source: Child Health System: Cited in Children’s Health in Northern Ireland. PHA 2014.
Year
2020 strategy target prevalence =9%
Overall regional prevalence of smoking in pregnancy 2011
= 16%
Stop Smoking Services: Use and effectiveness among pregnant smokers 2008/09-2012/13
2008/09 2009/10 2010/11 2011/12 2012/13
No. accessing services (n)
363 694 1015 1462 1608
Est. proportion of smokers accessing
service (%)8.0 16.1 23.9 34.0 37.5
4 week quit rate (%) 60.9 53.9 52.4 58.5 59.3
Est. proportion of smokers quitting at 4 weeks with services
4.9 8.7 12.6 19.9 22.2
52 week quit rate (%) ~
27.0 21.2 25.3 26.1 n/a
Est. proportion of smokers quitting at
52 weeks with services
2.2 3.4 6.1 8.9 n/a
Use and effectiveness of Stop Smoking Services
among 11-16 year old smokers by area 2012/13
Belfast Northern South Eastern
Southern Western NI
Number accessing service (n)
93 74 78 53 125 423
Est. proportion of smokers accessing service (%)
4.1 2.8 4.6 3.2 9.6 4.4
Number quit at 4
weeks (n)47 23 41 21 51 186
4 week quit rate (%)
50.5 31.1 52.6 39.6 40.8 44.0
Source: Cited in PHA Annual Stop Smoking Services report 2012/13
Estimated access to Stop Smoking Services by UK region 2012/13
(NI Strategy Target – 5% reach)
*Source: PHA Stop Smoking Services – Annual Report 2012/13
Service uptake
(n)
Population size: aged
16+ (n)
Smoking prevalence
(%)
Assumed smoking population (n)
Proportion of smoking population accessing Services
(%)
England724,427 43,363,400 20% 8,672,680 8.4%
Scotland 116,198 4,398,900 25% 1,099,725 11%
Wales6,299 2,429,800 23% 558,854 1.1%
Northern Ireland
32,714 1,441,500 24% 345,960 9.5%
Four Week (self reported) Quit Rates in the UK, 2012/13
Uptake = 6,299
Uptake = 116,198
Uptake =32,714
Uptake = 724,427
The Battle Goes On!!