This slide was commissioned on smoking cessation programme in luton

1. RATIONALE
1.High mortality rate estimated to be 214.1 per
100, 000 in people aged 35 and
above(Erphofingertips.,2011).
2. Reduced life expectancy among smokers.
3. A Lot of patients coming to the health centres
with problem related to smoking and passive
smoking. They include cancer ,cardiovascular
disease, low birth weight(pregnancy)
Health Needs Assessment
To address the reasons for smoking which include
boredom, stress,social and crave for
nicotine(nicotine addiction)
Health needs assessment was conducted to access
their health needs
Target population 35 yrs and above
Health Needs Assessment
1.Reduction in the number of smokers which will
eventually reduce the diseases associated with smoking
2.Reduce mortality rates and increase life expectancy
Data surveillance collected showed an increase in
coronary heart disease and lung cancer among
smokers ,also showed an increase in the number of the
people smoking before going an operation .According
to National Institute of Clinical Excellence guideline
,(N.I.C.E.,2012) on smoking cessation, it recommends
that all patient being referred for elective surgery
Should be encouraged to stop smoking before going
for an operation to ensure high survival rates and
reduce post operative complication.
Team-commissioner ,data analyst, policy maker,
medical personnel.
Time - 1year
Budget -£100,000.00 . This would cover expenditures which
include Advertising, printing, utilities,insurance,staff cost and
Resources.
Resources—Nicotine replacement therapy, zyban, leaflets,
chewing gum, lozenges, reminder through text message ,
talks carried out by ex-smokers
I am
commissionin
g a smoking
cessation
programme in
Luton, UK.
ROLE
1. Provide
strategic
leadership
and
management
2.Develop
innovation for
change
Commission process
Commissioning consortia-clinicians, manager,
patient representative.
Manager: Annual reports , financial risk, publish
business plans.
Clinicians: Address issues in health inequalities
World class commissioning competency(DOH 2007)
•It will be commissioned every 2 years
•Monitoring and evaluation every 4 months
•Make sound financial investment with transparent
report
•Leading people , provide response to enquiries and
health issues, provide regular report
•Working with commissioning partner to commission
services to optimise health
•Gain and reduction in health inequalities.
•Improve health awareness through media and social
networking
Commissioning principle
1.Putting users need first
2.Provide preventive services because prevention is better than
cure.
3.Open and transparent partnership.
4.Provide effective leadership.
5.Monitoring and evaluation of services to access outcome.
When addressing the smokers I came in contact with
disagreements personality clashes and conflict.
I resolved this using LEAPS conflict resolution model
L= LISTEN
E=EMPATHISE
A=ASK IF I NEED MORE INFORMATION
P= PARAPHRASE
S= SUMMARISE
I tried to tackle every problem early and stayed assertive
References
1.Erpho.,(2011)Health Inequalities Available at http;//fingertips.erpho.org.uk/inequalities,Accesed at 11 April 2012.
2.National Institute for Health and Clinical Excellence (2012)Commissioning a smoking ceassation Service for people
having Elective Surgery .Available at http;//www.nice.org/using
guidance/commissioningguides/smokingceasationserviceelectivesurgery/commissioning.jsp.Accessed at 13 April 2012.
3.Department of Health,(D.O.H.,2007) world class commissioning competencies.Available
at;http;www.dh.gov.uk/en/publications and statistics/publicationpolicyandguidiance/DH080958.Accessed at 6 April 2012.
Smoking cessation
programme in
Luton: Yemisi
Oluwafemi