according to NICE guidelines

1. Smoking Cessation
Mohammed Ali 12110009

2. Who should take action?
Doctors, and stop smoking
advisers, health and social care
practitioners trained to provide
intensive stop smoking support.

3. Recommendations
1. Provide information for planned or anticipated use of secondary care
2. Identify people who smoke and offer help to stop
3. Provide intensive support for people using acute and mental health
services
4. Provide intensive support for people using maternity services
5. Provide information and advice for carers, family, other household
members and hospital visitors

4. Provide information for planned or anticipated use
of secondary care
• Provide everyone with verbal and written
information and advice about the smoke-free policy
before their appointment, procedure or hospital
stay.
• Provide information for relatives, carers, friends
and other visitors explaining why the hospital is
smokefree and giving information about local stop
smoking services.

5. Identify people who smoke and offer help to stop
• Encourage everyone who smokes to stop smoking completely.
Explain that help is available, and if necessary provide immediate
access to licensed-nicotine-containing products
• Intensive Behavioural Support
• If a person declines help to stop smoking, leave the offer open. At
subsequent contacts, offer the support again
• Ensure all actions, discussions and decisions related to stop smoking
advice, referrals or interventions are recorded in the person's records

6. Provide intensive support for people using acute
and mental health services
• Discuss current and past smoking behaviour and develop a personal
stop smoking plan
• Discuss different types of stop smoking pharmacotherapies
(varenicline or bupropion)
• Alert the person's healthcare providers and prescribers to changes in
smoking behaviour because other drug doses may need adjusting
• Use measurements of exhaled carbon monoxide during each contact,
to motivate and provide feedback on progress

7. Provide intensive support for people using
maternity services
• Offer guidance on stopping smoking
• Explain health benefits on mother and child, during pregnancy and
after childbirth

8. Provide information and advice for carers, family,
other household members and hospital visitors
• Provide clear information and advice about the risks of smoking and
secondhand smoke
• Advise them not to smoke near the patient, pregnant woman, mother
or child; this includes not smoking in the house or private vehicle

9. Advise on and provide stop smoking
pharmacotherapies
• Licensed nicotine-containing products (usually a combination of
transdermal patches with a fast-acting product such as an inhalator,
gum, lozenges or spray) to all people who smoke
• OR
• Vareniclineor bupropion as sole therapy as appropriate.
• Remove nicotine patches 24 hours before microvascular
reconstructive surgery and surgery using vasopressin injections

13. 1. Make stop smoking pharmacotherapies available in hospital
2. Develop smokefree policies
3. Communicate the smokefree policy
4. Support staff to stop smoking
5. Provide stop smoking training for frontline staff
6. Ensure local tobacco control strategies include secondary care
7. Commission smokefree secondary care services
Provide leadership on stop smoking support

14. NICE GUIDELINE
• https://www.nice.org.uk/guidance/ph48/chapter/Introduction-scope-
and-purpose-of-this-guidance
• https://www.nice.org.uk/guidance/ph48/chapter/4-Recommendations-
for-research