Presentation by Shelley Piper, Head of Hospital Based Services, Blackpool Teaching Hospitals NHS Foundation Trust, Rachel Swindells, Public Health Practitioner, Blackpool Council and Stephen Boydell, Public Health, Blackpool Council: A midwifery health trainer intervention on Thursday 28 February 2019 at Haydock Park Racecourse.

1. A Midwifery Health Trainer
Intervention
Addressing maternal smoking across the Fylde Coast

2. Outline
• Background
• Partnerships
• Interventions
• Outcome measures
• Lessons learnt/Sustainability

3. Background
• NHS England funding 2016/17
• To help further current efforts to reduce smoking in pregnant women
• An area with high rates of SIP
• Equity of service across the Fylde Coast
• Midwifery Health Trainer (MHT) Pilot

4. Partnerships
• Across Fylde Coast Integrated Care Partnership
- Blackpool CCG
- Fylde & Wyre CCG
- Blackpool Teaching Hospitals NHS Foundation Trust
- Blackpool Council Public Health
- Lancashire Care Foundation Trust ‘Quit Squad’
• Steering group
• Combined funding

5. Interventions

6. MHT Stop Smoking Service
17 clinics
across the
Fylde coast
Incentive
scheme up to
12 weeks
post-partum
One to one evidence
based behavioural
Support
Risk
Perception
Intervention
Direct supply
of NRT
First Stage
booking sessions

7. Outcome measures
Hypothetical example of an area with
high smoking prevalence
Hypothetical example of an area with
average smoking prevalence
Non smoker
Smoker
30% smoke 10% smoke

8. Outcome measures
Hypothetical example of an area with
high smoking prevalence
Hypothetical example of an area with
average smoking prevalence
Non smoker
Smoker
Smoking quitter
20% quit during
pregnancy
20% quit during
pregnancy
End up with 24%
SATOD
End up with 8%
SATOD

9. 0
200
400
600
800
1000
1200
1400
1600
1800
2000
2017/18 actual 2017/18 alternative scenario
Current Position vs Alternative Scenario
Women who never smoked
Estimate of those that quit on their own
* Successful quits via SSS
Women who smoked at delivery
2017/18
actual
2017/18
alternative
scenario
Total deliveries 1744 1744
Women who never smoked 1221 1221
Women who smoked at delivery 454 419
* Successful quits via SSS 35 70
Estimate of those that quit on their own 34 34
SATOD 26.0% 24.0%
%age of smokers that quit with help of SSS 6.7% 13.4%
*note: Quits in 2017/18 were not CO verified and will be to meet
the future target

10. Percentage of pregnant smokers that quit with the
help of a smoking cessation service - 2016/17
Upper Tier Local Authorities
Blackpool, 7.9%
Blackpool 20018/19 if target met,
14.0%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%

11. Lessons learnt/sustainability
Lessons learnt:
• Data collection system
• Evaluation – ongoing
• Project management time
• Measuring effectiveness
Sustainability:
• Blackpool Council commissioned Maternity Stop
Smoking Service – 12 months
• Fylde & Wyre