This document provides learning outcomes for training stop smoking practitioners. It begins with an introduction outlining the importance of evidence-based behaviour change techniques in smoking cessation support. The document is then divided into two main sections:
1. Knowledge - Outlines the key information practitioners should understand regarding smoking and cessation. This includes topics like health effects, addiction, treatments, and the wider context.
2. Practice - Lists the competencies practitioners require to effectively assess and support clients. This involves skills like motivational interviewing, addressing cravings, promoting medication use, and building rapport. Many outcomes relate to specific behaviour change techniques shown to increase quit rates.
The document establishes a standard for high quality, evidence
This document summarizes guidelines for brief smoking cessation interventions in hospital settings. It recommends that hospitals consistently identify, document, and treat tobacco use through the 5As approach of asking about tobacco use, advising patients to quit, assessing willingness to quit, assisting with a plan and resources, and arranging follow-up. Even brief interventions and referrals to quitlines or pharmacotherapy can be effective. The document provides an overview of effective behavioral change strategies and resources to support patients in quitting.
This poster was presented at the 45th Union World Conference on Lung Health in 2014. It outlines the interim findings of a study that tests behaviour change interventions aimed at lung health patients in Nepal
Improving earlier diagnosis and the long term management of COPD: testing the...NHS Improvement
The document summarizes work done by NHS Improvement - Lung to improve diagnosis and management of chronic obstructive pulmonary disease (COPD) in the UK. Key findings from case studies include: standardized processes reduced variation; integrated teams improved the patient pathway; and self-management support reduced emergency admissions. Emerging principles for successful COPD care include understanding current practices, integrating care across settings, and supporting patients in self-management.
Presentation describing the DMA INSIGHT programme and its use in collaboration with St Andrews Hospital Charity to develop person centred integrated care pathways - presented at International Forensic Conference - UCLAN
Competence-Based Training for a National Stop-Smoking Service: An English Cas...Global Bridges
Presentation by Andy McEwen, Ph.D., National Centre for Smoking Cessation and Training, UK, at the 15th World Conference on Tobacco OR Health in Singapore.
Directory of Diagnostic Services for Commissioning Organisations NHS Improvement
This document provides a directory of diagnostic services for commissioning organizations in the NHS. It includes descriptions and links to resources on several diagnostic modalities including endoscopy, pathology, genetics, and cross-diagnostics. The resources were developed by National Clinical Directors to inform decisions about commissioning diagnostic services and ensure patients have access to the best care.
This document summarizes guidelines for brief smoking cessation interventions in hospital settings. It recommends that hospitals consistently identify, document, and treat tobacco use through the 5As approach of asking about tobacco use, advising patients to quit, assessing willingness to quit, assisting with a plan and resources, and arranging follow-up. Even brief interventions and referrals to quitlines or pharmacotherapy can be effective. The document provides an overview of effective behavioral change strategies and resources to support patients in quitting.
This poster was presented at the 45th Union World Conference on Lung Health in 2014. It outlines the interim findings of a study that tests behaviour change interventions aimed at lung health patients in Nepal
Improving earlier diagnosis and the long term management of COPD: testing the...NHS Improvement
The document summarizes work done by NHS Improvement - Lung to improve diagnosis and management of chronic obstructive pulmonary disease (COPD) in the UK. Key findings from case studies include: standardized processes reduced variation; integrated teams improved the patient pathway; and self-management support reduced emergency admissions. Emerging principles for successful COPD care include understanding current practices, integrating care across settings, and supporting patients in self-management.
Presentation describing the DMA INSIGHT programme and its use in collaboration with St Andrews Hospital Charity to develop person centred integrated care pathways - presented at International Forensic Conference - UCLAN
Competence-Based Training for a National Stop-Smoking Service: An English Cas...Global Bridges
Presentation by Andy McEwen, Ph.D., National Centre for Smoking Cessation and Training, UK, at the 15th World Conference on Tobacco OR Health in Singapore.
Directory of Diagnostic Services for Commissioning Organisations NHS Improvement
This document provides a directory of diagnostic services for commissioning organizations in the NHS. It includes descriptions and links to resources on several diagnostic modalities including endoscopy, pathology, genetics, and cross-diagnostics. The resources were developed by National Clinical Directors to inform decisions about commissioning diagnostic services and ensure patients have access to the best care.
Breakout 2.2 Commissioning Quality Care: Tools to support the commissioning p...NHS Improvement
Breakout 2.2 Commissioning Quality Care: Tools to support the commissioning process - Stephen Callaghan:
Principal Consultant, EQE Health.
Associate Consultant, Hope Street Centre.
Visiting Lecturer, University of Chester.
ANP, A&E University Hospitals Aintree
Part of a set of presentations from NHS Improvement event: Better value, better outcomes held on Thursday 21 February 2013,
Guoman Tower Hotel, London
How to deliver quality and value in chronic care:sharing the learning from the respiratory programme
Improving the quality and safety of home oxygen services: The case for spread NHS Improvement
The document discusses improving the quality and safety of home oxygen services through structured assessment and ongoing clinical review. It provides case studies from five sites that implemented home oxygen service-assessment and review (HOS-AR) as part of a national project. The project found that HOS-AR not only improves safety and quality but also increases cost efficiency, with some sites saving up to £400,000 per year through rationalizing unnecessary oxygen therapy. The case studies highlight practical service models for implementing HOS-AR and establishing it across the country.
Peter Tyrer Imperial College London 15 October 20153GDR
The document summarizes key changes made in the updated NICE guideline on violence and aggression from 2005, including:
1. Expanding the scope to include children/adolescents and community settings. For children, recommendations include training staff in adult restraint techniques adjusted for size/weight and using de-escalation first before restraint.
2. Placing greater emphasis on service user concerns through advance decisions/statements and programs to reduce restrictive interventions through a cooperative, person-centered approach.
3. Revising the definition of "rapid tranquillization" and providing clearer guidance on PRN medication use.
4. Providing new recommendations on restrictive interventions like restraint, seclusion, and reviews to
Top tips to overcome the challenge of commissioning diagnostic services NHS Improvement
The document provides top tips for commissioners to overcome challenges in delivering diagnostic services. It recommends: developing a shared understanding of quality diagnostics across organizations; recognizing the need for effective infrastructure to support patient flow; and maximizing the use of equipment, space, and staff skills. Adopting continuous quality improvement and using demand and capacity data can improve both operational management and long-term planning of diagnostic services.
The best of clinical pathway redesign - practical examples of delivering bene...NHS Improvement
The examples here showcase just some of the innovations that have enabled thousands of patients to enjoy better health and well-being thanks to practicalservice improvements implemented on various clinical pathways
Rg0035 A Guideto Service Improvement Nhs Scotlandprimary
This document provides a guide to using various tools and techniques for improving health care services. It focuses on using process mapping to analyze patient journeys through the health care system. Process mapping involves capturing each step of a patient's experience in a visual map to identify issues like bottlenecks, unnecessary steps, or handoffs between staff. Preparing for process mapping by defining the scope and goals and involving relevant staff and patients is important. Once complete, process maps can reveal problems and opportunities for improving efficiency and patient experience.
Improving adult asthma care: emerging learning from the national improvement ...NHS Improvement
This document discusses NHS improvement projects aimed at improving care for adult asthma patients. It describes emerging lessons learned from various sites that are testing interventions like supportive self-management plans, medicines use reviews by pharmacists, and integrated care approaches. The overall goals are to define the patient care pathway, reduce variations, challenge existing systems, and identify principles that could help other organizations optimize asthma management and reduce burden on emergency care. Case studies provide examples of projects reducing accident and emergency re-attenders, implementing asthma care bundles, and creating an integrated care pathway.
Mind the gap: ways to enhance therapy provision in stroke rehabilitation
This document, being launched at the UK Stroke Forum this week, explores some of the different models adopted by therapy services to deliver more rehabilitation and provides further detail about 45 minutes, process and outcomes.
(Published November 2011)
Standard of care / Standard of Practice / Clinical Guideline/ Clinical Pathway Naz Usmani
A very brief presentation about the clinical process improvements including practices, standards of care , guideline and pathway . I have reflected upon the basic differences between them . Hope it is useful
This document provides guidance for developing clinical practice guidelines at the Royal Children's Hospital in Melbourne, Australia. It outlines a 17 step process for guideline development that involves identifying a topic, forming an authoring team, reviewing evidence, drafting content, obtaining stakeholder feedback, finalizing and approving the guideline, implementing it, and evaluating its impact. Key principles include developing guidelines through a multidisciplinary process, basing them on the best available research evidence, and involving consumers throughout. The overall goal is to improve healthcare quality and outcomes for patients.
CLINICAL PATHWAY and CLINICAL PRACTICE GUIDELINESMary Ann Adiong
This document discusses clinical pathways and clinical practice guidelines. It defines clinical pathways as multidisciplinary plans of best clinical practices for specific patient groups. Clinical pathways help improve quality of care, reduce variation, and enhance communication. The document outlines the components and development process of clinical pathways, including establishing multidisciplinary teams, collecting data, and monitoring variances. It also discusses how clinical practice guidelines are evidence-based statements that optimize patient care through systematic reviews and benefit-harm assessments.
This document provides guidelines for managing pain and symptoms in patients with incurable cancer or advanced disease. It addresses key symptom areas including pain, dyspnea, nausea, vomiting, constipation, delirium, fatigue, and depression. The pain management section outlines strategies for assessing and treating cancer pain, including the use of opioids, adjuvant analgesics, and non-pharmacological therapies. It provides algorithms and tables to guide clinicians in optimizing pain and symptom management.
"I can just copy this, right?": Introducing students to copyrightCharles Huber
"I can just copy this, right?: Introducing Students to Copyright", presented at the 246th American Chemical Society National Meeting, Indianapolis, IN, on Sept. 11, 2013 as part of the "Before and After the Lab" symposium in the Division of Chemical Information
This document provides an overview of the national certification process and standards for lay ecclesial ministers. It discusses the history and context leading to the development of national certification, including key documents from Vatican II, USCCB, and the Alliance for Certification of Lay Ecclesial Ministers. The presentation reviews the four standards for certification, which align with the pillars of formation from Co-Workers in the Vineyard of the Lord. It also describes the certification process, which involves compiling a portfolio demonstrating competence based on the standards and undergoing review by various committees.
Alternative Education National Skills Standards And Certification Program By ...Rachelle Fegarido
The document discusses the National Skills Standards and Certification System implemented by the Technical Education and Skills Development Authority (TESDA) in the Philippines. TESDA develops competency standards, qualifications, and assessment arrangements to certify middle-level skilled workers. Individuals can earn certification by completing institution-based or work-based training programs. Certification validates that workers have the skills and competencies required for their occupation according to national standards, and helps improve their employment opportunities and wages.
The document discusses the duty of care in negligence cases. It explains that there are four key considerations for establishing a duty of care: (1) duty of care, (2) breach of duty of care, (3) causation, and (4) loss or injury. It then focuses on duty of care, outlining the traditional categories where a duty of care has been established (such as between doctors/patients). It also discusses novel cases and explains the three part test of foresight, proximity, and fairness used to determine if a duty of care exists. Specific cases are referenced to illustrate various principles around establishing duty of care.
The document provides policy guidelines for daily lesson preparation for teachers in the K to 12 Basic Education Program in the Philippines. It was issued by the Department of Education to support the implementation of the Enhanced Basic Education Act of 2013. The guidelines aim to help teachers effectively organize and manage their classes and lessons to ensure learning outcomes are achieved. Planning lessons is fundamental to ensuring effective teaching and learning in schools.
This document provides information about a non-medical prescribing course, including which allied health professionals are eligible and its structure. The course aims to qualify nurses, midwives, physiotherapists, podiatrists, chiropodists and radiographers as independent and/or supplementary prescribers. It is delivered over 26 days of taught content and 12 days of practice learning. Assessment includes a exam and portfolio demonstrating competence in prescribing practices. The document also discusses updates to prescribing competency frameworks and proposals to expand prescribing rights to radiographers and paramedics.
The document describes the development and implementation of a Making Every Contact Count (MECC) training programme for third sector organizations in East Sussex, England. It discusses:
1) How three flexible training packages were created (generic, older people-focused, and wellbeing-focused) based on feedback to improve relevance.
2) Key aspects of the training included behavior change techniques, health quizzes, and role plays to teach brief intervention skills.
3) Over 22 training courses were held between 2012-2014, training 267 staff and volunteers from 8 organizations on opportunistic healthy lifestyle advice.
4) The training programme was successful in meeting its aims and received positive participant feedback, leading to expanded future
A feasibility study to examine the adoption of CBT techniques and their impact on clinical practice in the community pharmacy environment
Led by the AHSN Network
Day One, Pop-up University 8, 11.00
Professional Standards for Occupational Therapy Practice, Conduct and Ethics.pdfRebecca Ferriday
The document introduces the Professional standards for occupational therapy practice, conduct and ethics published by the Royal College of Occupational Therapists (RCOT). It describes the RCOT as the sole professional body for occupational therapy in the UK that supports and protects the profession. The standards define agreed requirements for professional practice and conduct expected of all occupational therapists. They aim to guide practitioners in their work, regardless of setting or role. The RCOT sets these standards to inform practice, education and monitoring within the profession.
Breakout 2.2 Commissioning Quality Care: Tools to support the commissioning p...NHS Improvement
Breakout 2.2 Commissioning Quality Care: Tools to support the commissioning process - Stephen Callaghan:
Principal Consultant, EQE Health.
Associate Consultant, Hope Street Centre.
Visiting Lecturer, University of Chester.
ANP, A&E University Hospitals Aintree
Part of a set of presentations from NHS Improvement event: Better value, better outcomes held on Thursday 21 February 2013,
Guoman Tower Hotel, London
How to deliver quality and value in chronic care:sharing the learning from the respiratory programme
Improving the quality and safety of home oxygen services: The case for spread NHS Improvement
The document discusses improving the quality and safety of home oxygen services through structured assessment and ongoing clinical review. It provides case studies from five sites that implemented home oxygen service-assessment and review (HOS-AR) as part of a national project. The project found that HOS-AR not only improves safety and quality but also increases cost efficiency, with some sites saving up to £400,000 per year through rationalizing unnecessary oxygen therapy. The case studies highlight practical service models for implementing HOS-AR and establishing it across the country.
Peter Tyrer Imperial College London 15 October 20153GDR
The document summarizes key changes made in the updated NICE guideline on violence and aggression from 2005, including:
1. Expanding the scope to include children/adolescents and community settings. For children, recommendations include training staff in adult restraint techniques adjusted for size/weight and using de-escalation first before restraint.
2. Placing greater emphasis on service user concerns through advance decisions/statements and programs to reduce restrictive interventions through a cooperative, person-centered approach.
3. Revising the definition of "rapid tranquillization" and providing clearer guidance on PRN medication use.
4. Providing new recommendations on restrictive interventions like restraint, seclusion, and reviews to
Top tips to overcome the challenge of commissioning diagnostic services NHS Improvement
The document provides top tips for commissioners to overcome challenges in delivering diagnostic services. It recommends: developing a shared understanding of quality diagnostics across organizations; recognizing the need for effective infrastructure to support patient flow; and maximizing the use of equipment, space, and staff skills. Adopting continuous quality improvement and using demand and capacity data can improve both operational management and long-term planning of diagnostic services.
The best of clinical pathway redesign - practical examples of delivering bene...NHS Improvement
The examples here showcase just some of the innovations that have enabled thousands of patients to enjoy better health and well-being thanks to practicalservice improvements implemented on various clinical pathways
Rg0035 A Guideto Service Improvement Nhs Scotlandprimary
This document provides a guide to using various tools and techniques for improving health care services. It focuses on using process mapping to analyze patient journeys through the health care system. Process mapping involves capturing each step of a patient's experience in a visual map to identify issues like bottlenecks, unnecessary steps, or handoffs between staff. Preparing for process mapping by defining the scope and goals and involving relevant staff and patients is important. Once complete, process maps can reveal problems and opportunities for improving efficiency and patient experience.
Improving adult asthma care: emerging learning from the national improvement ...NHS Improvement
This document discusses NHS improvement projects aimed at improving care for adult asthma patients. It describes emerging lessons learned from various sites that are testing interventions like supportive self-management plans, medicines use reviews by pharmacists, and integrated care approaches. The overall goals are to define the patient care pathway, reduce variations, challenge existing systems, and identify principles that could help other organizations optimize asthma management and reduce burden on emergency care. Case studies provide examples of projects reducing accident and emergency re-attenders, implementing asthma care bundles, and creating an integrated care pathway.
Mind the gap: ways to enhance therapy provision in stroke rehabilitation
This document, being launched at the UK Stroke Forum this week, explores some of the different models adopted by therapy services to deliver more rehabilitation and provides further detail about 45 minutes, process and outcomes.
(Published November 2011)
Standard of care / Standard of Practice / Clinical Guideline/ Clinical Pathway Naz Usmani
A very brief presentation about the clinical process improvements including practices, standards of care , guideline and pathway . I have reflected upon the basic differences between them . Hope it is useful
This document provides guidance for developing clinical practice guidelines at the Royal Children's Hospital in Melbourne, Australia. It outlines a 17 step process for guideline development that involves identifying a topic, forming an authoring team, reviewing evidence, drafting content, obtaining stakeholder feedback, finalizing and approving the guideline, implementing it, and evaluating its impact. Key principles include developing guidelines through a multidisciplinary process, basing them on the best available research evidence, and involving consumers throughout. The overall goal is to improve healthcare quality and outcomes for patients.
CLINICAL PATHWAY and CLINICAL PRACTICE GUIDELINESMary Ann Adiong
This document discusses clinical pathways and clinical practice guidelines. It defines clinical pathways as multidisciplinary plans of best clinical practices for specific patient groups. Clinical pathways help improve quality of care, reduce variation, and enhance communication. The document outlines the components and development process of clinical pathways, including establishing multidisciplinary teams, collecting data, and monitoring variances. It also discusses how clinical practice guidelines are evidence-based statements that optimize patient care through systematic reviews and benefit-harm assessments.
This document provides guidelines for managing pain and symptoms in patients with incurable cancer or advanced disease. It addresses key symptom areas including pain, dyspnea, nausea, vomiting, constipation, delirium, fatigue, and depression. The pain management section outlines strategies for assessing and treating cancer pain, including the use of opioids, adjuvant analgesics, and non-pharmacological therapies. It provides algorithms and tables to guide clinicians in optimizing pain and symptom management.
"I can just copy this, right?": Introducing students to copyrightCharles Huber
"I can just copy this, right?: Introducing Students to Copyright", presented at the 246th American Chemical Society National Meeting, Indianapolis, IN, on Sept. 11, 2013 as part of the "Before and After the Lab" symposium in the Division of Chemical Information
This document provides an overview of the national certification process and standards for lay ecclesial ministers. It discusses the history and context leading to the development of national certification, including key documents from Vatican II, USCCB, and the Alliance for Certification of Lay Ecclesial Ministers. The presentation reviews the four standards for certification, which align with the pillars of formation from Co-Workers in the Vineyard of the Lord. It also describes the certification process, which involves compiling a portfolio demonstrating competence based on the standards and undergoing review by various committees.
Alternative Education National Skills Standards And Certification Program By ...Rachelle Fegarido
The document discusses the National Skills Standards and Certification System implemented by the Technical Education and Skills Development Authority (TESDA) in the Philippines. TESDA develops competency standards, qualifications, and assessment arrangements to certify middle-level skilled workers. Individuals can earn certification by completing institution-based or work-based training programs. Certification validates that workers have the skills and competencies required for their occupation according to national standards, and helps improve their employment opportunities and wages.
The document discusses the duty of care in negligence cases. It explains that there are four key considerations for establishing a duty of care: (1) duty of care, (2) breach of duty of care, (3) causation, and (4) loss or injury. It then focuses on duty of care, outlining the traditional categories where a duty of care has been established (such as between doctors/patients). It also discusses novel cases and explains the three part test of foresight, proximity, and fairness used to determine if a duty of care exists. Specific cases are referenced to illustrate various principles around establishing duty of care.
The document provides policy guidelines for daily lesson preparation for teachers in the K to 12 Basic Education Program in the Philippines. It was issued by the Department of Education to support the implementation of the Enhanced Basic Education Act of 2013. The guidelines aim to help teachers effectively organize and manage their classes and lessons to ensure learning outcomes are achieved. Planning lessons is fundamental to ensuring effective teaching and learning in schools.
This document provides information about a non-medical prescribing course, including which allied health professionals are eligible and its structure. The course aims to qualify nurses, midwives, physiotherapists, podiatrists, chiropodists and radiographers as independent and/or supplementary prescribers. It is delivered over 26 days of taught content and 12 days of practice learning. Assessment includes a exam and portfolio demonstrating competence in prescribing practices. The document also discusses updates to prescribing competency frameworks and proposals to expand prescribing rights to radiographers and paramedics.
The document describes the development and implementation of a Making Every Contact Count (MECC) training programme for third sector organizations in East Sussex, England. It discusses:
1) How three flexible training packages were created (generic, older people-focused, and wellbeing-focused) based on feedback to improve relevance.
2) Key aspects of the training included behavior change techniques, health quizzes, and role plays to teach brief intervention skills.
3) Over 22 training courses were held between 2012-2014, training 267 staff and volunteers from 8 organizations on opportunistic healthy lifestyle advice.
4) The training programme was successful in meeting its aims and received positive participant feedback, leading to expanded future
A feasibility study to examine the adoption of CBT techniques and their impact on clinical practice in the community pharmacy environment
Led by the AHSN Network
Day One, Pop-up University 8, 11.00
Professional Standards for Occupational Therapy Practice, Conduct and Ethics.pdfRebecca Ferriday
The document introduces the Professional standards for occupational therapy practice, conduct and ethics published by the Royal College of Occupational Therapists (RCOT). It describes the RCOT as the sole professional body for occupational therapy in the UK that supports and protects the profession. The standards define agreed requirements for professional practice and conduct expected of all occupational therapists. They aim to guide practitioners in their work, regardless of setting or role. The RCOT sets these standards to inform practice, education and monitoring within the profession.
CBRT - A Case for NHS Adoption 05.04.13 Supporting individuals with anxiety a...Alison Bourne
The document discusses CBRT (Colour Breathing Relaxation Technique), an NHS innovation that provides structured relaxation support sessions. It argues that CBRT provides value for money, helps address growing mental health needs, and can contribute to cost savings through reduced referrals. CBRT training for NHS staff is described as helping strengthen communication skills and team building. Evidence is presented that CBRT could help over 12,000 patients annually in a single Trust and provide a return on investment.
OCNZ Scope of Practice Development - AOA Convocation July 2012Stiofán Mac Suibhne
This document discusses New Zealand and Australian health regulation, specifically the scope of practice for healthcare professions. It outlines the process undertaken so far to reform osteopathic scope of practice, including establishing vocational/extended scopes. It notes the need for additional scopes to recognize post-graduate skills and specializations. Suggested new osteopathic scopes include areas like paediatrics, geriatrics, acupuncture, and prescribing. The document also discusses partnerships and next steps in the reform consultation and approval process.
CBRT - "A Case for NHS Adoption." 05.04.13Alison Bourne
33 slides POWERPOINT : “CBRT A Case for NHS Adoption - Providing patients with structured relaxation support sessions. CBRT provides the NHS with a Value for Money, practical and unique system for physical
health, mental health and wellbeing.
• CBRT provides a ‘safe care’ and ‘right care’ solution to the ever growing requirement for
increased capacity within integrated care for patients with anxiety, mild to medium
depression and long term conditions. This need was highlighted in the report, “How Mental
Illness Loses Out in the NHS”, produced by a distinguished team of economists,
psychologists, doctors and NHS managers convened by Professor Lord Layard of the LSE
Centre for Economic Performance.
• CBRT can contribute to productive patient care and strengthen staff and patient
communication skills; CBRT is empowering.
• CBRT is a high quality, yet low cost product.
• A relaxation technique and therapeutic intervention - CBRT is a safe product. It is a potential CE Class 1 Medical Device and is made of printed matter.
• CBRT is a motivational, inclusive, non-pharmaceutical, non-invasive, non-denominational
and non-tactile intervention, for all ages and abilities.
LCFT provides mental and physical health services across Lancashire and South Cumbria. It employs around 7,000 staff across over 400 sites. The document discusses LCFT's process of becoming a completely smoke-free organization, including establishing an implementation team, developing policies and procedures, training staff, removing smoking shelters, and communicating the changes to stakeholders. Some of the challenges included addressing staff and service users' personal smoking habits and views, ensuring support and alternatives like NRT were available, and managing media and community perceptions. Successes included positive feedback, staff reporting secondary smoke exposure, and service users celebrating quitting smoking.
This document provides guidance for a standard treatment programme to support smoking cessation through behavioral support. The programme consists of 6 sessions: a pre-quit assessment, the quit date, and follow-ups at 1, 2, 3, and 4 weeks post-quit. The pre-quit assessment covers assessing readiness to quit, current smoking habits, past quit attempts, explaining nicotine dependence and conducting a carbon monoxide test. It emphasizes the importance of abrupt cessation and not smoking any puffs after the quit date. Practitioners are advised to discuss withdrawal symptoms and stop smoking medications.
Prescribing, administration and supply of medicines by allied health professi...MS Trust
This presentation by Helen Marriott, AHP Medicines Project Lead, looks at prescribing and medicines supply mechanisms and the AHP Medicines Project.
It was presented at the MS Trust Annual Conference in November 2014.
Perceived feasibility of a primary care interventionTanja Tomson
The document discusses a qualitative study that explored the perceived feasibility of a Tobacco Cessation on Prescription (TCP) intervention in Swedish primary care, targeting disadvantaged groups. Semi-structured interviews were conducted with 32 participants, including tobacco users, healthcare providers, and experts in lifestyle interventions. Interviewees suggested that TCP should include the client's information, evidence-based cessation options and choices for follow-up. They also proposed including empowerment and planning tools, as well as information on the health benefits of quitting. Perceived advantages of TCP included increased motivation to quit and support from the healthcare system. Providers saw advantages related to improved documentation and treatment facilitation. Disadvantages were mainly connected to future implementation challenges. Overall
NHS Improving Quality undertook a scoping exercise of rehabilitation services, which included:
Identification of the different practice models illustrated through case studies looking at integrated models of adult rehabilitation service provision
A high level baseline mapping exercise of the current availability of adult rehabilitation services across England.
NHS Improving Quality also assisted in capturing the views from key stakeholders by supporting and facilitating a series of stakeholder engagement events hosted by NHS England.These events aimed to develop and agree principles and expectations to underpin high quality rehabilitation services.
This document discusses CBRT (Colour Breathing Relaxation Technique), an innovation in mental healthcare that provides structured relaxation support sessions. It summarizes that CBRT (1) is a simple yet effective mindfulness technique that focuses the mind through guided relaxation, (2) provides value for money and a solution for increased mental healthcare needs, and (3) can be delivered by a variety of healthcare staff after training to support patients with conditions like anxiety, depression, and long-term conditions.
The document is the proceedings from the Australian Smoking Cessation Conference in 2013. It includes:
- An introduction welcoming attendees and emphasizing the theme of translating science into clinical practice.
- An overview by the Scientific Committee of the diverse and innovative abstracts presented on topics like tailored smoking cessation methods, novel uses of nicotine replacement therapy, and programs for vulnerable groups.
- Invited speaker abstracts on topics such as integrated treatment for substance users, a smoking cessation project for pregnant smokers, smoking rates and interventions for Aboriginal people, adolescent tobacco dependence and cessation approaches.
Canadian Psychological Association For Cameron NormanCameron Norman
Presentation at the CPA convention on the work done by the CAN-ADAPTT project. Norman, C.D. & Selby, P. (2010, June). CAN-ADAPTT: Developing a Canadian Smoking Cessation Guideline. Presentation at the annual meeting of the Canadian Psychological Association, Winnipeg, MB, June 3, 2010.
This presentation will address efforts by the ATTC Network to decrease the gap between research and practice and to influence understanding of factors that enhance uptake of innovations. This presentation outlines how pairing research with innovative dissemination techniques can enhance the use of EBPs related to MAT. The presentation will provide an overview of the Buprenorphine Suite, a training product designed by the ATTC Network to provide the SUD treatment field with the tools to access and adopt NIDA treatment protocols. Additionally this presentation will identify research undertaken by the Network which identifies barriers to providing MAT to minority populations.
BPS DCP SIGOPAC Good Practice Guidance in Demonstrating Quality and Outcomes ...Alex King
This report outlines a rigorous, multidimensional framework for evaluating quality and outcomes in psycho-oncology services, which can be flexibly adapted to local needs and priorities.
It aims to challenge psycho-oncology services to develop and standardise procedures that address the clinical and operational aspects of quality, while maintaining a firm focus on the experiential.
The proposed framework focuses on six key domains of service quality:
- Is this service safe?
- Is this service equitable, while also focused on those most in need?
- Is this service timely and responsive?
- Is this service respectful, collaborative and patient-centred?
- Is this service offering effective interventions?
- Is this service contributing to efficient multidisciplinary care?
To address these domains, psycho-oncology services need to draw on multiple, convergent sources of data, including key performance indicators, activity levels, patient self-report measures, feedback from professional colleagues, etc.
2006 a space oddity – the great pluto debate science _ the guardianGeorgi Daskalov
Long known as the ninth planet, Pluto was downgraded in 2006, sparking a scientific spat that raises basic questions about how we understand the universe
The document discusses Google tools that can be used to find relevant consumer insights for RFPs, creative briefs, and content strategies. It describes YouTube Analytics, Google Consumer Surveys, Google Trends, Google Correlate, which can provide fast focus group data, test consumer insights, uncover growing and declining interests, and find related search trends. These tools allow accessing larger samples of data faster and more cost-effectively than traditional market research methods to better inform marketing strategies.
Getting cytisine licensed for use world-wide: a call to actionGeorgi Daskalov
Most tobacco users live in low and middle income countries where stop smoking medicines are unavailable or unaffordable. There is an urgent need for action by key stakeholders to get cytisine licensed worldwide so that its life-saving potential can be realised.
Evaluation of the efficacy and safety of tribulus terrestris in male sexual d...Georgi Daskalov
Evaluation of the efficacy and safety of tribulus terrestris in male sexual dysfunction – a prospective, randomized, double blinded, placebo controlled clinical trial 2015 poster
This document summarizes national trends in prescription drug expenditures in the United States for 2015 and provides projections for 2016. Key findings include:
- Total US prescription drug sales in 2015 were $419.4 billion, an 11.7% increase over 2014. Spending in clinics and non-federal hospitals increased 15.9% and 10.7%, respectively.
- Growth in overall spending was driven primarily by price increases for existing drugs (8.4%), with new drugs (2.7%) and changes in drug usage (0.5%) also contributing. Hospital spending growth was mainly from price increases, while clinic growth was mostly from increased drug usage.
- Projections estimate an 11-13%
This document discusses how pharmaceutical companies can improve clinical development and manufacturing processes through product lifecycle management (PLM). It identifies 7 key business processes for transforming R&D operations: 1) drug development program management, 2) regulatory archive management, 3) clinical trial management, 4) scale-up and commercial manufacturing, 5) quality management, 6) packaging and marketing asset management, and 7) global product registration. Implementing PLM using Oracle's solutions can deliver ROI by improving productivity, reducing time to market, and lowering development costs.
This document discusses the therapeutic index of antihistamines, which is defined as the benefit-to-risk ratio or efficacy-to-safety ratio that determines the range of doses where a drug is effective and safe. While second-generation antihistamines have similar efficacy for allergic rhinitis and urticaria, they differ in their safety profiles and therapeutic indices. Fexofenadine has one of the broadest therapeutic indices, having been shown to be effective at doses as low as 20 mg twice daily and not causing sedation or cardiac toxicity at doses as high as 690 mg twice daily. A broad therapeutic index is important considering potential drug interactions and situations where patients increase their dose in search of
Extreme trans neptunian objects and the kozai mechanismGeorgi Daskalov
This document summarizes a study examining the possibility of undiscovered planets beyond Neptune based on the discovery of extreme trans-Neptunian objects (ETNOs). The study finds:
1) There is an observational bias that most ETNOs would be discovered at declinations of -24 to 24 degrees, regardless of survey completeness.
2) The clustering of the arguments of perihelion of known ETNOs near 0 degrees cannot be explained by observational biases and suggests the influence of an unseen planetary perturber.
3) The distributions of orbital parameters of known ETNOs show clustering that resembles mean motion resonances and families influenced by planetary perturbations, providing further evidence for one or more undis
Some In Vitro/In Vivo Chemically-Induced Experimental Models of Liver Oxidati...Georgi Daskalov
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3. 3NCSCT Training Standard
Contents
1. Purpose of this document 4
2. Introduction 5
3. Knowledge 8
3.1 Smoking in the population 8
3.2 Smoking and health 8
3.3 Why stopping smoking can be difficult 9
3.4 Smoking cessation treatments 9
3.5 The wider context 9
4. Practice 10
4.1 Assessment 10
4.2 Planning behavioural support 10
4.3 Delivery of behavioural support 11
4.4 Group interventions 14
5. References 15
4. 4 NCSCT Training Standard
1. Purpose of this document
■ This document lists the learning outcomes of training courses for stop smoking practitioners
founded upon evidence-based behaviour change techniques and approved by a panel of
key stakeholders and experts convened by the National Centre for Smoking Cessation
and Training (NCSCT).
■ This second edition of the NCSCT Training Standard has been edited to refine the
language used and to improve the document’s usability. It also indicates which learning
outcomes relate to individual behaviour change techniques for which we have most
evidence of effectiveness.
■ This second edition also gives some detail on how the behaviour change techniques
were identified and how we established evidence of their effectiveness.
■ The NCSCT Training Standard is intended to meet the needs of individuals and organisations
that commission or deliver stop smoking services.
■ The NCSCT Training Standard does not cover learning outcomes for training to deliver
brief advice for smokers aimed at motivating them to make a quit attempt. These learning
outcomes and an online module on delivering very brief advice on smoking can be found
on our website: www.ncsct.co.uk.
■ This document also does not cover learning outcomes for additional smoking cessation
training applicable to special groups such as pregnant smokers and those with mental
health problems. However, all of the learning outcomes in this training standard are
converted from behaviour change techniques that can be adapted for use with all smokers,
including pregnant smokers and those with mental health problems. Two online specialty
training modules addressing the needs of these smokers form part of the NCSCT Training
and Assessment Programme; that is available on our website: www.ncsct.co.uk.
■ This document only covers learning outcomes and does not address the broader issue
of necessary qualification and experience of trainers
■ The NCSCT Trainers Course will soon be available on the NCSCT website and will provide
training and assessment in delivering training on the core behaviour change techniques
for smoking cessation
5. 5NCSCT Training Standard
2. Introduction
The English Stop Smoking Services consist of a national network of funded clinical services
to help smokers to stop. They provide a combination of behavioural support and medication.
Research shows that they have the potential to increase smokers’ chances of stopping by
300% (West et al, 2000; Ferguson et al, 2005; Lancaster & Stead, 2005; Stead & Lancaster,
2005; West, 2010).
To work effectively, the English Stop Smoking Services should be configured with:
1. a full-time equivalent service manager with up-to-date knowledge and experience
of providing specialist behavioural support for smoking cessation
2. a core group of Stop Smoking Practitioners1 trained to an appropriate standard and
working from evidence-based treatment manuals
and they should offer:
3. both group-based and individual face-to-face behavioural support; telephone-based
support may also be offered in addition
4. all medications approved by the National Institute for Health and Clinical Evidence
(NICE) as first-line treatment
and they should:
5. collect data on 4-week quit rates in accordance with the Russell Standard (clinical), being
careful only to count smokers who have actually set a quit date with a Stop Smoking
Practitioner and been offered multi-session behavioural support. Successes are those who
report not having smoked at all for the previous two weeks with at least 85% of these
claimed quits being confirmed by an expired air-carbon monoxide concentration of less
than 10ppm.
1. Stop Smoking Practitioners are health professionals who are selected, trained and employed to deliver behavioural support
to help smokers to stop. Their role, or a major part of it, is to provide cessation support to smokers.
6. 6 NCSCT Training Standard
All smokers in the country deserve high quality evidence-based behavioural support. For this
to be achieved, Stop Smoking Practitioners need to be trained to a minimum standard and
be able to demonstrate competence to fulfill their role.
Therefore training courses should cover relevant topics, as indicated by a set of learning outcomes.
This document lists a set of learning outcomes that have been agreed as essential for individual
and group face-to-face smoking cessation interventions. In some cases, they are based on the
need for Stop Smoking Practitioners to be able to accurately answer queries from clients on
matters relating to smoking and smoking cessation. In other cases they are required for safe
professional practice and in some cases they are based on a systematic analysis of behaviour
change techniques that have a reasonable evidence base to support their use.
It is expected that to achieve these learning outcomes would require a minimum of 30 hours
of study.
This current document supersedes the first edition of the NCSCT Training Standard which
in turn superseded the Standard for Training in Smoking Cessation Treatments in England
(Health Development Agency, 2003) and reflects the clinical, policy and research developments
that have taken place since the original document was published. This NCSCT Training Standard
– Learning Outcomes for Training Stop Smoking Practitioners document was originally
commissioned by the Department of Health as part of the National Centre for Smoking
Cessation and Training (NCSCT) work programme.
The content of this training standard was informed by the practical experience of Stop Smoking
Practitioners currently working for and running Stop Smoking Services, reviews of research
evidence and existing training programmes, and through consultation with an expert panel
comprised of clinicians, service managers, commissioners, academics and policy advisers.
7. 7NCSCT Training Standard
The importance of evidence-based behaviour change techniques
■ Knowledge itself is not enough to engender behaviour change, either in smokers or
health professionals
■ The NCSCT recognised that it needed to train practitioner in the competences
(knowledge and skills) that would make a significant difference (add value) to the
quit attempt that practitioners were assisting with
■ Although we knew that behavioural support roughly doubled smokers chances of success
(similar to the effect of medications), we did not know what the ‘active ingredients’ were.
This was our first task.
■ The first thing we did was to develop a reliable taxonomy of behaviour change techniques
used in behavioural support for smoking cessation. This provided a starting point for
investigating the association between intervention content and outcome and formed the
basis for determining competences required to undertake the role of stop smoking specialist:
Michie S, Hyder N, Walia A, West R (2011) Development of a taxonomy of behaviour
change techniques used in individual behavioural support for smoking cessation. Addictive
Behaviors, 36 (4), 315–319, doi: 10.1016/j.addbeh.2010.11.016
■ We then established that it is possible to identify competences recommended for behavioural
support for smoking cessation and subsets of these supported by different types of evidence.
This approach was used to form the basis for the development of the NCSCT Training and
Assessment programme for stop smoking specialists: Michie S, Churchill S, West R (2011)
Identifying evidence-based competences required to deliver behavioural support for smoking
cessation. Annals of Behavioral Medicine, 41(1), 59–70, doi: 10.1007/s12160-010-9235-z
■ Based on treatment protocols and international guidelines, plus evidence from randomised
controlled trials and expert clinical opinion, there are 16 individual behaviour change
techniques for which we have good grounds to believe that they are the most effective.
The learning outcomes relating to these 16 behaviour change techniques are indicated
in this document by a orange diamond [ ◆ ]
■ More on the evidence underpinning the NCSCT activities and on research outputs can
be found here: www.ncsct.co.uk/pub_research.php
8. 8 NCSCT Training Standard
3. Knowledge
Learning resources and training course content should result in Stop Smoking
Practitioners being able to do the following:
3.1 Smoking in the population
■ describe prevalence and patterns of smoking and smoking cessation as functions of
demographic characteristics such as gender, age, ethnicity and socio-economic status
■ describe prevalence and patterns of smoking and smoking cessation in special groups,
such as pregnant smokers and those with mental health problems
■ describe changes in smoking and smoking cessation patterns over time and across
different demographic groups
3.2 Smoking and Health
■ list the major life-threatening and non life-threatening diseases to which smoking contributes
■ describe the health benefits of cessation
■ quantify the increased risk of premature death from smoking and the benefits of
cessation at different ages
■ describe the harmful effects of smoking during pregnancy and breast feeding
■ give an accurate and balanced indication of any potential beneficial effects of smoking
■ describe the harmful effects of secondhand smoke
■ describe any effects of stopping smoking on dosages of drugs used to treat conditions
such as psychotic disorders
9. 9NCSCT Training Standard
3.3 Why stopping smoking can be difficult
■ accurately describe the process of stopping smoking in a way that reflects that attempts
to stop can be arrived at suddenly or gradually, the importance of avoiding ‘lapses’, the
factors that promote and deter quit attempts and factors that protect against and
promote relapse
■ explain what is meant by tobacco addiction and nicotine dependence and how these develop
■ list known nicotine withdrawal symptoms and their natural time course
■ describe the common reasons smokers give for why they smoke and how far these
reflect the true effects of smoking
■ describe environmental, socio-demographic and psychological factors associated
with cigarette addiction
3.4 Smoking cessation treatments
◆ describe the principles, and long-term and short-term effectiveness, of behavioural
support (individual and group-based)
■ identify potential difficulties associated with providing group-based support, such as
patient recruitment and organisational logistic demands, and how these can be addressed
◆ describe the full range of evidence-based medications available to aid smoking cessation,
including their efficacy; correct use; contra-indications and cautions, drug interactions,
side-effects; and relevant clinical guidelines
■ explain why complementary therapies and unproven commercial treatment programmes
for smoking cessation should not be made available
◆ show understanding of the principles and methodology of measurement of biomarkers
of smoking, such as carbon monoxide (CO) and cotinine
3.5 The wider context
■ show awareness of the contribution of smoking cessation to public health and to
reducing health inequalities
■ demonstrate understanding of the role of smoking cessation plays in wider tobacco
control strategies
■ describe the cost effectiveness of smoking cessation interventions compared with other
life-saving clinical interventions
10. 10 NCSCT Training Standard
4. Practice
Learning resources and training course content should result in Stop Smoking
Practitioners being able to do the following:
4.1 Assessment
◆ assess a client’s current commitment, readiness and ability to quit throughout the
quitting process
■ assess a client’s past smoking behaviour, including past history of quit attempts
◆ assess a client’s current self-reported and CO-validated smoking behaviour and deal
appropriately with any discrepancies that may arise between these
■ assess a client’s level of available social support, including assessment of the client’s
contacts who smoke
■ assess a client’s degree of nicotine dependence using validated tools such as the
Fagerström test for Nicotine Dependence (FTND), the Heaviness of Smoking Index (HSI)
or the Urges to Smoke scale
■ assess a client’s nicotine withdrawal symptoms
■ pragmatically assess a client’s psychological state (e.g. depressed mood) insofar as it
is relevant to the quit attempt
4.2 Planning behavioural support
◆ assist the client to set a quit date
■ use relevant information from a client to tailor behavioural support
■ show an appreciation of client choice, and emphasise a client’s choice and preferences
within the bounds of evidence-based practice
11. 11NCSCT Training Standard
4.3 Delivery of behavioural support
Directly addressing motivation in relation to smoking and smoking cessation
■ provide the client with accurate information on the consequences of smoking and
smoking cessation in a way that maximises motivation to quit or stay quit
◆ describe to the client the principles and effectiveness of typical behavioural support
and pharmacological therapies that can support a quit attempt
◆ apply appropriate behavioural support strategies to enhance a client’s motivation
and self-efficacy
■ maximise the client’s commitment by asking them to affirm a strong commitment
to start, continue, or restart the quit attempt
■ assist the client in identifying their reasons for wanting to stop smoking and address
concerns that they may have about the possible negative aspects of stopping
◆ emphasise to the client the importance of, and secure commitment to, the ‘not a puff’
rule once the quit date has been reached
◆ deal appropriately with ‘lapses’ to minimise the likelihood that they will lead to full ‘relapse’
■ provide feedback on a client’s performance and progress towards becoming a permanent
non-smoker, including praise contingent on successfully remaining abstinent
■ help to strengthen the client’s ‘ex-smoker’ identity (e.g. encouraging the smoker to
regard smoking as no longer part of his or her life)
12. 12 NCSCT Training Standard
Supporting the client to exercise self-control
■ accurately describe to the client what they may experience in terms of nicotine withdrawal
symptoms and suggest evidence-based approaches to alleviate these
◆ discuss barriers, triggers, and relapse predictors and assist the client in developing appropriate
strategies to cope with them
■ assist the client in setting achievable goals (e.g. one day at a time) that support the aim
of remaining abstinent, and prompt frequent review of progress towards the goal of
being permanently smoke-free
◆ use expired air CO measurement as a motivational tool to assess the extent of a client’s
smoke exposure prior to quitting and to confirm successful abstinence
◆ advise on the restructuring of the client’s social life, including specific advice on avoiding
exposure to social cues for smoking
■ discuss potential ways of changing the client’s daily routines and physical environment
in order to minimise exposure to smoking cues (e.g. removing ashtrays)
■ suggest ways of minimising stress and other psychological demands so as to conserve
mental resources
■ for concerned clients, outline weight and alcohol/caffeine consumption control methods
Promoting effective medication use and other supporting activities
◆ describe to clients the full range of pharmacological therapies available and how they
work; and assist clients in choosing which pharmacological therapy is best suited to
their needs, giving practical information and/or demonstrations on their use and monitoring
the continued suitability of the chosen product
◆ assess the client’s experience of any stop smoking medications that they are using,
including enquiries into their usage, side effects and experienced benefits
◆ advise clients appropriately on adjusting medication usage in the light of their experiences
■ enact the necessary local procedures to ensure the client receives their medication easily
◆ facilitate and advise on the client’s use of social support from friends, relatives, colleagues,
or ‘buddies’
■ provide options for obtaining additional and later support (including telephone and
online support) where these are available
13. 13NCSCT Training Standard
General communication
◆ build rapport with clients
■ communicate in an empathic and non-judgmental manner, using reflective listening
and providing reassurance throughout
■ elicit the client’s views and questions on smoking, smoking cessation, and any aspect
of behavioural support, answering questions in a clear and accurate manner
◆ describe to the client the expectations regarding the treatment programme, including
its typical length and content, plus what it requires of the client
◆ explain the reasons for measuring CO both prior to and after the quit date
■ distinguish between appropriate and inappropriate written materials, and should they
be required, offer/direct the client to appropriate materials in ways that promote their
effective use
■ provide clients with summaries of the information they have received and prompt
confirmation from the clients regarding any decisions or commitments they have made
Professional practice
■ keep accurate records for personal use of the numbers of clients seen, and Russell
Standard (clinical) success rates
■ accurately record information necessary for local and national monitoring
■ regularly reflect on own practice and assess possible areas for improvement
■ undertake the duties of a Stop Smoking Practitioner in a way that meets the appropriate
ethical standards
■ obtain and accurately interpret important new information that relates to their clinical practice
14. 14 NCSCT Training Standard
4.4 Group-based behavioural support
In addition to the learning outcomes already listed for individual support, learning
resources and training course content should result in Stop Smoking Practitioners
being able to do the following:2
Planning behavioural support in (closed) group contexts
■ assess a client’s suitability for group support
■ plan, organise, establish and run a stop smoking group
■ manage problems of comorbidity (psychological and physical) within the group appropriately
Maximising motivation to quit within the (closed) group context
■ stimulate and facilitate supportive group discussions
■ apply techniques, such as group tasks or placing of chairs, to reinforce group interaction
and enhance mutual group support and/or bonding
■ encourage clients to make public promises/contracts with other group members
■ foster a sense of responsibility to the group
■ encourage group members to compare their CO readings
■ facilitate communication of group member identities
(e.g. using name badges, encouraging client’s to talk about themselves)
■ report on missing members appropriately so as to maintain group motivation
Supporting activities in the (closed) group context
■ facilitate choice of medications in a group context
■ encourage sharing of experiences of medication use
Communication in the (closed) group context
■ describe the content of group support sessions and ways in which group processes can
sustain or enhance motivation to stop smoking, and to help create accurate positive
treatment expectations
2. These learning outcomes are in addition to those required for individual behavioural support
15. 15NCSCT Training Standard
5. References
Ferguson, J., Bauld, L., Chesterman, J., & Judge, K. (2005). The English smoking treatment
services: one-year outcomes. Addiction, 100 Suppl 2: 59–69.
Health Development Agency (2003) Standard for training in smoking cessation treatments.
Health Development Agency, London.
Lancaster, T., & Stead, L. F. (2005) Individual behavioural counselling for smoking cessation.
Cochrane Database Syst Rev (2), CD001292.
Stead, L. F., & Lancaster, T. (2005) Group behaviour therapy programmes for smoking cessation.
Cochrane Database Syst Rev (2), CD001007.
West, R., McNeill, A. & Raw, M. (2000) Smoking cessation guidelines for health professionals:
an update. Thorax; 55(2): 987–99.
West, R (2010) Summary of findings from the Smoking Toolkit Study. www.smokinginengland.info