Stop Smoking Services – Extending the Reach

IPHI Workshop June 2014

Mrs Gerry Bleakney

PHA Strategic Lead for Tobacco Control

gerry.bleakney@hscni.net

Overview

• Strategic Direction/targets

• Service provision

• Reach of services

In Northern Ireland• Smoking is the single greatest cause of

preventable illness, premature death and health inequality

• 2,300 people die prematurely from smoking related illnesses every year.

• 24% of population smoke – 32% of manual workers smoke

• In 2012/13 - 32,714 people used Stop Smoking Services (56.6% quit)

Source: Continuous Household Survey; 82/82- 09/10. Northern Ireland Health Survey 2010/11-2012/13.

Smoking prevalence in Northern Ireland 2005/06-2012/13

2020 strategy target prevalence= 15%

Smoking prevalence by socio-economic group 2010/11-2012/13

Routine and manual workers31%- 2010/1133% -2011/1232% - 2012/13

Smoking prevalence by deprivation quintile, 2010/11-2012/13

Source: Northern Ireland Health Survey 2010/11-2012/13

Ten Year Tobacco Strategy for NI

2012-2022Objectives & Priority Groups

http://www.dhsspsni.gov.uk/tobacco_strategy_-_final.pdf

Tobacco Strategy 2020 Prevalence

Targets

• NI: Overall 24% to 15%

• Children and young people (11-16): 8% to 3%

• Pregnant women: 15% to 9%

• Manual groups: 31% to 20%

• Additionally - To ensure a MINIMUM of 5% of the smoking population in NI access stop smoking services annually

http://www.dhsspsni.gov.uk/tobacco_strategy_-_final.pdf

Services 645 providers – specialist training, meet Quality

Standards and use Elite System (acute/primary care/community/workplaces)

BIT and pathways Public Information Campaign Website – www.want2stop.info Helpline – 0808 812 8008 Quit Kit and materials Facebook and SMS

Number and location of Stop Smoking Service providers by provider type across Northern Ireland by super output area* multiple deprivation measure 2010 (MDM)

Stop Smoking Service providers by total number of providers at each location across Belfast LCG by super output area* multiple deprivation measure 2010 (MDM)

Reproduced with the permission of Land and Property Services under delegated authority from the Controller of Her Majesty’s Stationery Office, © Crown copyright and database rights NIMA ES&LA 210.3

Uptake and Estimated Proportion of All Smokers Accessing Stop Smoking Services

in Northern Ireland, 2007/8 – 2012/13

Est

imat

ed p

rop

ort

ion

of

NI

smo

kers

acc

essi

ng

ser

vice

s (%

)

Total Service Uptake by ProviderType 2012/13

Provider type Uptake 2012/13 (n,%)

Quit rate at 4 weeks (%)

Pharmacy 23,490 (72%) 55.6

GP 3,862 (12%) 48.2

Hospital sites 3,514 (11%) 65.7

Community 1,848 (6%) 65.2

TOTAL 32,714 56.6

Number and estimated proportion of smokers accessing Stop Smoking Services within each deprivation quintile 2011/12-2012/13

Source: NI Stop Smoking Services database 2011/12-2012/13. Cited in PHA Annual Stop Smoking Services Report 2012/13

Overall Uptake and Proportion of all NI Smokers Accessing and Quitting at 4 weeks by deprivation quintile 2012/13

Access and effectiveness – R+M workers 2010/11-2012/13   2010/11 2011/12 2012/13

Numbers accessing service (n) 8258 10009 8159

Est. proportion of all R & M smokers accessing services (%)

7.1 8.6 7.0

Number of R & M smokers quitting at 4 weeks (n) 4531 5575 4972

4 week quit rate (%) 55% 56% 61%

Est. proportion of all R & M smokers quitting at 4 weeks (%)

3.91 4.81 4.29

Number of R & M smokers quitting at 52 weeks (n) 1487 1958 n/a

52 week quit rate (% based on all accessing services) 18% 20% n/a

Est. proportion of all R & M smokers quitting at 52 weeks (%)

1.28 1.69 n/a

Smoking and pregnancy (routine data) 2010/11-2012/13

Source: Child Health System: Cited in Children’s Health in Northern Ireland. PHA 2014.

Year

2020 strategy target prevalence =9%

Overall regional prevalence of smoking in pregnancy 2011

= 16%

Stop Smoking Services: Use and effectiveness among pregnant smokers 2008/09-2012/13

   

2008/09 2009/10 2010/11 2011/12 2012/13

No. accessing services (n)

363 694 1015 1462 1608

Est. proportion of smokers accessing

service (%)8.0 16.1 23.9 34.0 37.5

4 week quit rate (%) 60.9 53.9 52.4 58.5 59.3

Est. proportion of smokers quitting at 4 weeks with services

4.9 8.7 12.6 19.9 22.2

52 week quit rate (%) ~

27.0 21.2 25.3 26.1 n/a

Est. proportion of smokers quitting at

52 weeks with services

2.2 3.4 6.1 8.9 n/a

Use and effectiveness of Stop Smoking Services

among 11-16 year old smokers by area 2012/13

Belfast Northern South Eastern

Southern Western NI

Number accessing service (n)

93 74 78 53 125 423

Est. proportion of smokers accessing service (%)

4.1 2.8 4.6 3.2 9.6 4.4

Number quit at 4

weeks (n)47 23 41 21 51 186

4 week quit rate (%)

50.5 31.1 52.6 39.6 40.8 44.0

Source: Cited in PHA Annual Stop Smoking Services report 2012/13

Estimated access to Stop Smoking Services by UK region 2012/13

(NI Strategy Target – 5% reach)

*Source: PHA Stop Smoking Services – Annual Report 2012/13

  Service uptake

(n)

Population size: aged

16+ (n)

Smoking prevalence

(%)

Assumed smoking population (n)

Proportion of smoking population accessing Services

(%)

England724,427 43,363,400 20% 8,672,680 8.4%

Scotland 116,198 4,398,900 25% 1,099,725 11%

Wales6,299 2,429,800 23% 558,854 1.1%

Northern Ireland

32,714 1,441,500 24% 345,960 9.5%

Four Week (self reported) Quit Rates in the UK, 2012/13

Uptake = 6,299

Uptake = 116,198

Uptake =32,714

Uptake = 724,427

The Battle Goes On!!