Sustaining the Smoking Targets

Compass Health Wairarapa

Brief Advice and Cessation Support - Wairarapa

Date High needs Other total

Jan – March 2013 101.6% 92.3% 96%

April – June 2013 102.9 95.3% 98.3%

Oct – Dec 2013 102.8 94.3% 97.7%

Jan – March 2014 97.1% 89.7% 92.7%

April – June 2014 99.9 % 97.4% 98.4%

Sustaining the target

• Wairarapa Tobacco Control Plan• Push toward coding during consults• Continued funding from Compass• Appointment scanner• Motivational Interviewing – not focussed

on Smokefree• Keep up the good work!

• Whaiora is Wairarapa’s Maori health provider. They also hold contracts for various other health services including AKP

• We have excellent links with the team there.

Community support for target

• Quit groups• Media articles and adverts• Resources, Champix Flowchart, NRT Flip

Chart• Medtech read code sticker for computer,

desk resources, jandal mobiles

Referral and Quit Groups

• Whaiora – Aukati Kai Paipa• Quit groups – Weds lunchtimes – with

more groups starting up this spring• Pregnancy Quit group – Friday

mornings• Stoptober – new quit promotion

to feed into our existing programmes

Stoptober media

Smokefree mothers celebration May 2014

Pregnancy quit smoking

Signage

Brief Advice

• Brief advice works – international evidence shows 2% of those given brief advice will quit

• Wairarapa exceeds this with 10% of patients quitting – one in ten people!

More stats

• Brief Advice – provided to 83 % of patients (5524 / 6649)

• 11% of patients were given or referred to cessation support

• If we are to get to 25% referred, need to code another 980 patients

Smart strategies needed going forward!• We are not going to get much further by

continuing with just BA and cessation referrals

• We need new inspiring approaches for both practitioners and patients

• Motivational Interviewing for all health targets

• Applicable for self management and long term conditions

Motivational Interviewing• We need to promote and market this to get

practitioners to training• We need to invest some funding into

training• We think for our biggest practice with

enrolled pop of 20 000 will require training at the practice.

• We have 6649 people in the Wairarapa who smoke

Research proves most smokers want to quit, however remaining smokers are likely to be;• often considered more addicted and difficult to treat• Less pleased and harder to be contacted – but we will continue!• We need to change our mindset and approach

• We need to continue to support our practitioners to be inspired and enthusiastic