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        2014 Archive Presentation
        AbstractBiography
        A more effective service from introducing a payment by results tariff


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        Author(s)

        Su Sear

        Presenter(s)

        Su Sear  Senior Public Health Improvement Specialist, Cumbria County Council, Kendal

        Abstract

        On 1st January 2013 Cumbria Primary Care Trust commissioned a single new provider for smoking cessation in one district of Cumbria, whilst maintaining the previous provider across the rest of Cumbria.  The new provider was engaged under a payment by results tariff payment.

        This contracting arrangement has enabled commissioners to identify a clear difference in performance between the two models of delivery of a stop smoking service.

        In line with the rest of England, which has seen a 17% reduction in the number of people achieving a 4 week quit, the county wide service has struggled to recruit smokers. In contrast, in the first two quarters of 2013/14, the new service has far out performed expectations and that of the previous service. The number of people setting a quit date in comparison to the same period the previous year more than doubled (122% increase), resulting in a 176% increase in 4 week quits (167 quits to 462).

        It is believed that this success is as a result of:
        • Investment in staff, resources and infrastructure
        • Greater accessibility – the provider purchased a mini bus which accesses smaller communities
        • Immediate provision of nicotine replacement therapy at the point of contact



        Source of funding: Service is funded by Cumbria County Council Public Health.

        Declaration of interest: None

         
        Abstract
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