Contents
Overview
This collaborative action plan has been created by the Smokefree Devon Alliance members. It describes the actions needed to achieve the ambitions set out in the Smokefree Devon Alliance strategy for 2018 – 2023.
The plan outlines actions to deliver against our three priority areas as well as having a focus on supporting and developing a strong partnership approach to tobacco control through the Alliance.
1: Protect children and young people from tobacco and encourage Smokefree pregnancies
2: Reduce health inequalities caused by smoking and support vulnerable groups to be Smokefree
3: Create and support Smokefree organisations, particularly NHS organisations
| Action | Partners | Timescale | Updates |
|---|---|---|---|
| Membership
Identify gaps in the Alliance membership and invite new members to fill these gaps | All | Continuous | New members continue to be sought and renewed representation from existing partners confirmed. Current areas for improvement include licensing, fire and rescue service, district council representation and representation from Torbay broadly.March 22 Membership renewal message sent out to confirm personnel changes and check for relevance. |
Priority 1: Protect children and young people from tobacco and encourage Smokefree pregnancies
Priority 2: Reduce health inequalities caused by smoking and support vulnerable groups to be Smokefree
| Action | Partners | Timescale | Updates |
|---|---|---|---|
| Stop Smoking Services Ensure consistency of stop smoking services across the County for individuals to access, which provide an evidence-based service and access to nicotine replacement therapy or stop smoking medications.– These services will support individuals to use e-cigarettes as a quit aid should they wish to.– Recorded via S1 and uploaded to HSCIC | Public Health Teams, Healthy Lifestyle Services, GPs, Pharmacies, LPC, LMC | Continuous | March 2022 , All individuals accessing One Small Step (OSS) now receive direct supply Nicotine Replacement Therapy (NRT), this supports quit attempts, particularly amongst vulnerable groups. There is a parallel product offer across Devon / Torbay – and probably Plymouth – regardless of current disparities in Formulary alignment.
The use of E-cigs is recorded on OSS data collection system. Some face-face provision is now available in Barnstaple, Exeter, and Newton Abbot. Data on the use of E-cigarettes will be available regularly. |
| Campaigns Targeted approach to national tobacco control campaign uplift to reach target communities.– Healthy Lifestyle Teams to share local campaign resource packs with Smokefree Devon Alliance members | All | January and October each year | March 2022 National No Smoking Day promoted via DCC, OSS, Early Years, GPs and spread to all partner agencies. The event is also promoted by “ASH” nationally. Difficult to gain data to show how many people quit on NNSD and if they maintained the quit.EDDC promoting Stoptober to staff, members and public [newsletters & tweets] |
| Substance Misuse Services
Develop the relationship between substance misuse services and smoking cessation services, inc. developing referral pathway | Healthy Lifestyle Services, Substance Misuse Services | Ongoing | |
| Mental Health Conditions Continue to work collaboratively to develop the referral pathway and embed smoking cessation advice and support for people living with mental health conditions in Devon ICS, particularly those living in the community.– Work to ensure data on the number of people with a mental health condition supported to quit smoking is collected across Devon and Torbay by healthy lifestyle services.– Links with TTD work as part of the long-term plan (see below) | DPT / TALKWORKS, Healthy Lifestyle Services, ICS / Health Inequalities Group | Ongoing | OSS: Smoking Very Brief Advice training delivered to all Talkworks teams. Referrals increased by 600% to OSS from pre project to end of Q2. Monthly project review meetings and referrals and referral data shared with Talkworks. OSS delivered training to perinatal team. OSS and DPT collaborated on Stoptober/National No Smoking DayMental Health Needs equality across the service and community.TTD steering group is the referral pathways will have option to refer to community pharmacies; There is support for TTD for in-patients, but this is often not followed through on discharge- need to be picked up within community services. DPT raised concerns on continuity of support.P SHeward, will be picking up the “Equally Well” work which includes smoking, via health checks and screening. Referrals into OSS as well. |
| Routine and Manual Workers
Build relationships with large routine and manual employers to encourage referrals into the specialist service (as well as support the development of Smokefree policies) | Healthy Lifestyle Services, District Councils | Ongoing | Engaging with employers has been challenging through the pandemic, there has been a reluctance to engage and pressures on workforces has left little/no capacity to prioritise collaborative working. |
| Vulnerable Groups
Continue to expand relationships with stakeholders relevant to vulnerable groups, so that services are accessible and made available to smokers within these e.g. gypsy and traveller groups, LGBT, homeless population, individuals who are long term unemployed, individuals with learning disabilities, offenders, people accessing domestic and sexual abuse services, people in social housing | Healthy Lifestyle Services, Public Health teams | Ongoing | As per substance misuse services above. Torbay has specialist adviser aligned to those with complex needs, especially homeless population. Ongoing project with homeless hostel to provide vaping devices and stop smoking support to residents to generate quit attempts and harm reduction. OSS continues to support vulnerably housed individuals with the option of providing vapesHarm reduction (cut down to quit) pathway in place for vulnerable groupsMarch 2022 OSS attends face-face fortnightly breakfast club at Gabriel house Exeter, to engage with homeless.OSS attends fortnightly multi agency outreach morning in Buckland, Newton abbot to engage with residents in social housing. |
| Enforcement
Environmental health teams to continue enforcement of smokefree legislation, including smokefree public places, smoking in cars etc | Environmental Health Teams | Continuous | |
| Vulnerable Housed and Homelessness
Continue support using vapes for this client group | Public Health Teams, Healthy Lifestyle Services | Ongoing
g | March 2022 Homelessness health needs assessment has been commissioned by ICS, being conducted by Pathways. Jane Bullard (Paul Sheward) will bring this back to Alliance and try to ensure smoking included. |
Priority 3: Create and support Smokefree organisations, particularly NHS organisations
| Action | Partners | Timescale | Updates |
|---|---|---|---|
| Collaborative and Supportive Approach to Smokefree Action Continue to support a cross agency approach to becoming Smokefree, involving all acute, community and mental health trusts in the ICS area.– Establish resources and examples that can support smokefree journeys– Share best practice– Improving treating tobacco dependence services so they work better as a system– Support successful roll out of the long-term plan funding | Smokefree NHS Policy Task and Finish group:
CCG / Devon ICS, Public Health teams, acute and mental health trusts, PHE | Ongoing | March 2022 Links made with Smoke free alliances in other counties to share good practice (Oxfordshire) Sharing Good Practice across Devon Plymouth, Exeter, Torbay and North Devon NHS trusts. |
| Pharmacotherapy
Review stop smoking medication and nicotine replacement therapies included on various formularies and attempt to standardise across the ICS | Task and Finish group:
CCG, Public Health Teams, Healthy Lifestyle Services, acute and mental health trusts | September 2021 | Pharmacotherapy sub-group to be established as a sub-group of the alliance for formulary and PGD conversations within trusts.
Devon, Torbay and Plymouth LAs to try to align formularies as much as possible – stop smoking services collaborating. |
| E-cigarette / Vaping Policies Continually provide updated information on e-cigarettes/vapourisers to encourage a consistent approach to vaping policies across organisations | All | Continuous | February 22 – Early Years and Childrens Centre policies updated to include E-Cigarettes and Vaping references.
Smoking and Vaping – Healthy Schools (healthyschoolscp.org.uk) |
| Making Every Contact Count (MECC) Embed making every contact count into a range of commissioning strategies | All to consider | Ongoing | EDDC worked to roll out MECC pre-pandemic, to staff, members & community representatives
March 2022 OSS delivering E-MECC lite, uptake has been high. Recent cohorts have included the Fire service, COVID testers, and Police. OSS on SW steering group panel. |
| Royal Devon and Exeter NHS Trust (RD&E) | RD&E, OneSmallStep | Ongoing | |
| Northern Devon Healthcare NHS Trust (NDHT) | Ongoing | .
| |
| Torbay and South Devon NHS Foundation Trust (TSDFT) | TSDFT, Torbay Healthy Lifestyles Team | Ongoing | |
| Devon Partnership Trust (DPT)
| DPT Smokefree Steering Group | Ongoing | March 2022 DPT proudly achieved a Smoke Free environment across all its inpatient sites in 2018. However, particularly over the last two years where operational focus has been pulled elsewhere, we are keenly aware that things have slipped and are not currently where they were or where they need to be. The NHS Long Term Plan, and the recent update to NICE Guidelines has further highlighted this, but also given opportunity to review, renew and re-implement a Smoke Free DPT. Treating Tobacco Dependency is still in it’s infancy, with ICS rollout, driven by National plans requesting this service to land in year 3 (2023/24). At DPT we felt that we needed to take action now, given the lower life expectancy, comorbidities, and prevalence of smoking in individuals who suffer with mental health illness. Our ambition is to deliver a Pharmacy Technician led service for our inpatient wards, that involves delivery of smoking cessation behavioural support and pharmacotherapy to aid a quit attempt, with an onward referral upon discharge. Year 3 will be used to implement a community service for ‘high risk mental health’ individuals. (Provided a definition for this category is provided by then)” |
| Devon County Council (DCC)
DCC to review current Smokefree policy and bring it in line with other organisations within the county, as well as the Public Health England advice on e-cigarettes | Public Health Devon | Ongoing | Task and Finish group to review the Devon Smoke free policy and align it with policies across county.
Planning for the next Smoke Free Strategy 2023-2028/30. |
| Local Authority Tobacco Control Declaration Ensure all local authorities in Devon continue to uphold the commitments outlined within the Local Government Declaration on Tobacco Control | All local authorities | Ongoing | |
| Last updated: March 22 |