Real world evaluation of three models of NHS smoking cessation service in England

BMC Research Notes

Ian Lockhart¹  Fran Percival⁵  Jane Wright³  Shirley Merrett⁴  Tony Mardle² 

[1] Pfizer Ltd, Walton Oaks, Dorking Road, Tadworth, Surrey KT20 7NS, UK;South East Essex PCT, South Essex Stop Smoking Service, Mapline House, 14 Bull Lane, Rayleigh, Essex SS6 8JD, UK;Warwickshire PCT, Westgate House, Market Street, Warwick CV34 4DE, UK;Formerly of: Bournemouth and Poole Teaching PCT, Canford House, Discovery Court Business Centre, 551-553 Wallisdown Road, Poole, Dorset BH12 5AG, UK;pH Associates, Derwent House, Dedmere Road, Marlow SL7 1PG, UK

关键词: Bupropion;    Varenicline;    Nicotine replacement therapy;    Service development;    Service structure;    Smoking cessation;   

Others  :  1166808
DOI  :  10.1186/1756-0500-5-9

 received in 2011-07-28, accepted in 2012-01-06,  发布年份 2012

【 摘 要 】

Background

NHS Stop Smoking Services provide various options for support and counselling. Most services have evolved to suit local needs without any retrospective evaluation of their efficiency.

Three local service evaluations were carried out at Bournemouth & Poole Teaching Primary Care Trust (PCT) (PCT1), NHS South East Essex (PCT2) and NHS Warwickshire (PCT3) to describe the structure and outcomes associated with different services.

Result

Standardised interviews with key personnel in addition to analysis of data from 400 clients accessing the service after 1^st April 2008 in each PCT. The PCTs varied in geography, population size and quit rate (47%-63%). Services were delivered by PCT-led specialist teams (PCT1), community-based healthcare providers (PCT3) and a combination of the two (PCT2) with varying resources and interventions in each.

Group support resulted in the highest quit rates (64.3% for closed groups v 42.6% for one-to-one support (PCT1)). Quit rates were higher for PCT (75.0%) v GP (62.0%) and pharmacist-delivered care (41.0%) where all existed in the same model (PCT2). The most-prescribed therapy was NRT (55.8%-65.0%), followed by varenicline (24.5%-34.3%), counselling alone (6.0%-7.8%) and bupropion (2.0%-4.0%).

Conclusion

The results suggest that service structure, method of support, healthcare professional involved and pharmacotherapy all play a role in a successful quit. Services must be tailored to support individual needs with patient choice and access to varied services being key factors.

【 授权许可】

   
2011 Percival et al; licensee BioMed Central Ltd.

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