UK National Smoking Cessation Conference - UKNSCC
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Poster presentation
Developing a hospital based smoking cessation service that meets the needs of both the patients and the staff
Paul Steele

Abstract
The Roy Castle Lung Cancer Foundation has been providing smoking cessation support in Liverpool since 1994 through its community stop smoking service Roy Castle Fag Ends. The service was developed by a group of people who had just quit smoking and was originally provided by trained 'lay' volunteers. It is currently provided by trained employees, not necessarily from a nursing or medical background.

Due to the success of the community based service, in 2001 Roy Castle Fag Ends were asked to provide the Smoking Cessation support to both staff and patients within the hospital setting across Liverpool.

The hospital support service has had to overcome a number of barriers to enable it to reach everyone within the hospital and to allow it to be a success.

The Royal Liverpool and Broadgreen University Hospital trust are situated on two separate large sites within Liverpool and have approximately 1,184 beds, around 6,000 trust staff and around 1,800 contractors who cover the two sites.

One of our main barriers with this support was that staff were not always able to attend clinics within the hospital, as they found it difficult to break from their duties due to staffing problems and patient needs.

By removing these barriers the number of staff referrals has increased. For Example in Q4 2004 - 2005 we estimate that around 75 staff and patients will be seen, this figure is an increase of over 50% on the figures recorded the same time last year.

As the hospital's plan to go completely smoke-free, the smoking cessation support has become increasingly important and is constantly adjusting in the response to the needs of both patients and staff.

Running this kind of service within a Hospital setting is extremely rewarding but at the same time very challenging. This presentation will explain fully the principles behind the service and also give an in depth look at how it works in practice.

Paul Steele
Senior Smoking Cessation Advisor,
Roy Castle Lung Cancer Foundation,
200 London Road Liverpool L3 9TA
Tel: 0151 794 8829
steelep@roycastle.liv.ac.uk

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