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FOI Request

Disclosure ID
FOI/03143
Request Date
June 4, 2019
Subject
Smoking Cessation
Description

On behalf of the PAGB (Proprietary Association of Great Britain) NRT group, I wish to make a series of separate requests under the Freedom of Information Act. For convenience, I am including them in the same email. Please treat each as a separate request under the terms of the Act, although please do respond in one correspondence if convenient. The requests are as follows:

Request 1:

· Please confirm or deny if you are currently, or have been in any year since 2015-16, commissioned to provide stop smoking services

o If confirm, please provide your allocated budget for a) this financial year (2019-20) and b) each of the previous years to 2015-16 that you have been commissioned to deliver the service
o If deny, please confirm or deny if you have access to an on-site stop smoking service

Request 2:

· Please confirm or deny if you have a) pharmacotherapies and b) licensed nicotine-replacement therapies on your hospital formularies

o If confirm, please list (i) the relevant therapies included on your formularies, (ii) the first-line therapy recommended and (iii) the main form of treatment received by patients

Request 3:

· Please confirm or deny if you have on-site shops selling a) licensed nicotine-replacement therapies, b) unlicensed quitting aids and c) e-cigarettes

Request 4:

· Please confirm or deny if you have policies in place to implement NICE guideline PH48, Smoking: acute, maternity and mental health services, with regards to recommendations for:

a. Ensuring immediate access to stop smoking pharmacotherapies and a range of licensed nicotine-replacement therapies for patients who smoke
b. Ensuring the sale of stop smoking pharmacotherapies and licensed nicotine-replacement therapies in hospital shops
c. Ensuring care pathways deliver continuity between hospital and primary care stop smoking services (including any referral pathways)
d. Encouraging patients using unlicensed quitting aids to switch to licensed quitting aids

o If confirm for any of the above, please share the current policy

Request 5:

· Please provide your annual budget for stop smoking support a) in total, b) on stop smoking services and c) on licensed quitting aids for (i) 2015/16, (ii) 2016/17, (iii) 2017/18, (iv) 2018/19 and (v) 2019/20

Request 6:

· Please confirm or deny if there are any requirements from your local CCG to ration treatment options for people who smoke; if confirm, please provide details

Response

I can confirm an Patient Smokefree Specialist Service has been commissioned from Blackpool Council to deliver this service from February 2019 for one year. The allocated budget for this financial year is £92,000
Licenced NRT products are on the hospital formularies. NRT is the first line therapy recommended and a range of products are available of which come in different strengths and pack sizes. Products available are;
Patches – main form of treatment received by patients
Lozenge
Inhalator
Gum
Oral Spray

No other pharmacotherapies are currently available within the hospital setting.
Behavioural support is available for all patients from the Patient Smokefree Specialist team with additional support provided (with consent) for 4 weeks post discharge for patients who live in Blackpool. Out of area patients are signposted (with consent) to Quit Squad or the National Stop Smoking Service Helpline for ongoing support upon discharge from hospital.
The onsite pharmacy sells licensed NRT products. No other products are available on site to purchase.

I can confirm our Trust ensures immediate access to stop smoking pharmacotherapies and a range of licensed nicotine-replacement therapies for patients who smoke

Information not held.

I can confirm our Trust ensures care pathways deliver continuity between hospital and primary care stop smoking services (including any referral pathways)

I can confirm our Trust encourages patients using unlicensed quitting aids to switch to licensed quitting aids

The policy is currently being updated to reflect the changes with regards to the new patient smokefree service being introduced within the hospital setting
a) £92,000 as commissioned by Blackpool Council Public Health
b) As above
c) No specific budget assigned to licenced quitting aids.
I can confirm there are no requirements from the local CCG to ration treatment options for people who smoke

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