The elimination of tobacco-related lung disease in the UK population is a key BTS objective and this section contains details of a number of initiatives including our national smoking cessation audit and new QI Tool.
BTS is committed to working in partnership with others to move toward this goal, providing clinical expertise in national discussions, and local expertise to directly assist those who wish to stop smoking. Smoking is the leading cause of health inequalities, and the greatest cause of reduced life expectancy in those with serious mental health problems. Two thirds of smokers want to quit.
NEW: Smoking Cessation Quality Improvement Tool
In January 2018, BTS launched a new Quality Improvement Tool for Smoking Cessation to help hospitals undertake local quality improvement (QI) projects. The Tool contains background on QI methodology and includes a number of resources for smoking cessation, together with examples of how to tackle three main improvement objectives: referral for stop smoking support; prescription of nicotine replacement therapy and staff training. The Quality Improvement Tool and Appendices are available via the links below. See our QI methodology page for more information on this topic.
Quality Improvement Tool - Smoking Cessation (British Thoracic Society)
Appendix 1 - Example Patient Record (The Cure Project, Manchester)
Appendix 2 - Electronic Recording Case Study (University Hospitals of Leicester NHS Trust)
Appendix 3 - Example Ask, Advise, Refer Stickers (University Hospitals of Leicester NHS Trust)
Appendix 4 - Example Electronic Referral Record (South London & Maudsley NHS Foundation Trust)
Appendix 5 - Patient Group Directive for NRT (Wendy Preston and George Eliot Hospital NHS Trust)
The above documents are available for use by secondary care teams and may be adapted for local use. Please acknowledge the relevant individuals and organisations as the source of any materials developed from these documents.
Smoking Cessation Audit
The 2016 BTS national smoking cessation audit collected data on 14,500 inpatients to assess how well smoking status was being recorded and, where patients were current smokers, what support was being offered. The audit used standards derived from the BTS Recommendations for Hospital Smoking Cessation Services and NICE guidance and quality standards. See the National Report for details of the findings and national improvement objectives and this Clinical Medicine article for more information on the audit.
An updated version of the audit is available for local use to help hospitals compare their performance over time, or to assist in data collection for local quality improvement initiatives.
Commissioning for Quality and Innovation (CQUIN)
The Commissioning for Quality and Innovation (CQUIN) payment framework is a national initiative where trusts agree a set of local quality improvement goals with their commissioners with financial incentives attached. More information on the CQUIN scheme and an example CQUIN for recording, advising and referring is available here. Additional information on the 2017/19 CQUIN 'Preventing ill health' which focusses on smoking and alcohol is available here.
The Case for Change
This 2011 campaign aimed to persuade every hospital in the country to have a Stop Smoking Service to treat sick smokers. Smoking cessation interventions are the single most cost-effective life-saving intervention provided by the NHS, and hospital contact is an ideal time to advise patients and provide support to those who want to quit. Please see the full Case for Change report for further details.
In 2014 BTS established a network of Stop Smoking Champions to raise the profile of smoking cessation and provide education and support to patients and colleagues. For other ways to get involved see also Individual and Organisational Strategies in Smoking Cessation.
Quit Smoking Return on Investment tool
This tool was developed in collaboration with the NHS Institute for Innovation and Improvement to enable organisations to quantify the potential benefit to setting up a stop smoking service, and to help them to demonstrate the business case to commissioners.
The BTS Tobacco Advisory Group has developed two slide sets for use in training sessions. The e-cigarette slides include research and information on the pros and cons on their use - we have tried to maintain a balanced view to the topic, but would welcome any feedback.
These slide sets may be used for educational purposes provided no changes are made to the content and full attribution is given to BTS.
BTS has been involved in the production of two videos to encourage healthcare professionals and patients to take advantage pre-op smoking cessation.