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STATS ON SMOKING CESSATION SERVICES IN HEALTH ACTION ZONES (ENGLAND)

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This statistical release presents provisional results from the ...
This statistical release presents provisional results from the

monitoring of the new smoking cessation services set up in health

action zones in England during 1999/2000.

The results show that:

Around 14,600 people set a quit date through the smoking cessation

services.

63% of those setting a quit date were females and 37% were males.

40% of those setting a quit date used specialist cessation

services and 60% used intermediate services.

79% of those setting a quit date were aged 18-59 years, 1% were

aged under 18 and 21% were aged 60 or over.

At the 4 week follow-up 39% of those setting a quit date had

successfully quit (based on self-report); the success rate was

higher for specialist services (48%) than for intermediate

services (34%).

Around 10,800 of those setting a quit date were entitled to free

prescriptions and so were eligible to receive free Nicotine

Replacement Therapy (NRT)/NRT vouchers.

Around 9,300 of people setting a quit date received free NRT/NRT

vouchers, 64% of all those setting a quit date.

Some tables giving more details of these results are attached.

Notes

1. Copies of 'Statistics on smoking cessation services in the Health Action Zones in England, April 1999 to March 2000' are available on the department of health's web site web site

2. The White Paper, 'Smoking Kills' was published in December 1998

outlining the Government's policies on smoking. This contained

three key targets: young people's smoking; adult smoking; and

pregnant women.

3. The White Paper 'Smoking Kills' announced that up to£60m

was to be invested in developing smoking cessation support over

three years. In the first year (1999/2000) smoking cessation

services were launched in the health action zones; services are

being rolled out in all health authorities in 2000/2001.

4. Specialist services are usually clinics run by smoking

specialists and offer intensive treatment usually in the form of

group support over the course of 5 to 6 weeks, including the use

of Nicotine Replacement Therapy. 'Intermediate' interventions are

usually carried out by other health professionals who have

undertaken some kind of recognised training and will usually be

provided on a one-to-one basis.

5. It is planned to publish final figures for 1999/2000 with more

detail, as a Statistical Bulletin later this year.

6. The Personal Social Services Research Unit (PSSRU) at Kent

University carried out DH sponsored research into the development

of smoking cessation services in the first year of implementation

of the tobacco White Paper. The research results were published

in an article 'No smoking without fire' in the Health Services

Journal on 13 July 2000. The HSJ article presents the research

findings for the first two quarters of 1999/2000. This article is

based on the report 'Smoking cessation services: early experiences

from Health Action Zones' produced by PSSRU at Kent University;

the report is available on their web site

www.akc.ac.uk/pssru/downloads/ddSCES.html.

A statistical bulletin presenting information from a variety of

sources on smoking titled 'Statistics on smoking: England, 1978

onwards' was published on 20 July 2000. Copies of this bulletin

are available from: Department of Health, PO Box 777, London SEI

6XH, Tel: 0541 555 455 and Fax: 01623 724 524. It is also available on the DoH's web site www.doh.gov.uk/public/sb0017.htm.

Table 1. People setting a quit date during the period 1 April 1999 to

31 March 2000 by age group, gender and type of smoking cessation

service

All Health Action Zones

Numbers Percentages

Persons Total Specialist Inter- Total Specialist Inter-

mediate mediate

Services Services Services Services

All Ages 14,585 5,771 8,814 100 100 100

Under 18 129 26 103 1 0 1

18-59 11,457 4,574 6,883 79 79 78

60 and 2,999 1,171 1,828 21 20 21

over

Males

All Ages 5,441 2,195 3,246 100 100 100

Under 18 44 7 37 1 0 1

18-59 4,092 1,662 2,430 75 76 75

60 and 1,305 526 779 24 24 24

over

Females

All ages 9,144 3,576 5,568 100 100 100

Under 18 85 19 66 1 1 1

18-59 7,365 2.912 4,453 81 81 80

60 and 1,694 645 1,049 19 18 19

over

Notes:

1. Age group is based on age quit date.

2. Specialist services are usually clinics run by smoking

specialists and offer intensive treatmen usuall in the form of

group support over the course of 5 to 6 weeks, including the use

of Nicotine Replacement Therapy. 'Intermediate' interventions are

usually out by other health professionals who have undertaken some

kind of recognised trainning and will usually be provided on a

one-to-one basis.

Table 2. Outcome at 4 weeks (based on self report) of people setting

a quit date in the period 1 April 1999 - 31 March 2000 by type of

smoking cessation service.

All Health Action Zones

Numbers Percentages

Total Specialist Inter- Total Specialist Inter-

mediate mediate

services services services service

Total 14,585 5,771 8,814 100 100 100

number

setting a quit date

People 5,751 2,787 2,964 39 48 34

who had

sucessfully quit at 4 week follow-up (self report)

People 4,882 1,624 3,258 33 28 37

who had

not quit at 4 week follow-up (self report)

People 3,952 1,360 2,592 27 24 29

not

known/lost to follow up

Notes:

1. A client is counted as having sucessfully quit smoking at the 4

week follow-up if he/she has not smoked at all since two weeks

after the quit date. The figures presented here are based on self

report of smoking status by the client at the 4 week follow-up.

2. Specialist services are ususally clinics run by smoking

specialists and offer intensive treatment usually in the form of

group support over the course of 5 to 6 weeks, including the use

of Nicotine Replacement Therapy. 'Intermediate' interventions are

usually carried out by other health professionals who have

undertaken some kind of recognised training and will usually be

provided on a one-to-one basis.

Table.3 People setting a quit date during the period 1 April 1999 -

31 March 2000 by the type of smoking cessation service and success

rate at 4 weeks (based on self report)

All Health Action zones

Number of people % successfully

setting a quit at 4 weeks

quit date (self report)

All Specialist Inter- All Specialist Inter-

services mediate services service mediate

services services services

Total all 14,585 5,771 8,814 39 48 34

HAZ

Regional office areas

Northern 4,063 899 3,164 41 50 39

and

Yorkshire

Trent 1,066 882 184 45 49 24

Eastern 135 105 30 78 81 67

London 2,582 979 1,603 35 48 28

South - - - - -

East -

South 2,209 239 1,970 39 53 37

West

West 854 448 406 40 41 40

Midlands

North 3,676 2,219 1,457 37 47 23

West

Notes:

1. There is great variation in the number of health action zones

in each Regional Office area; there are no health action zones in

the South East Regional Office Area.

2. Specialist services are usually clinics run by smoking

specialists and offer intensive treatment usually in the form of

group support over the course of 5 to 6 weeks, including the use

of Nicotine Replacement Therapy. 'Intermediate' interventions are

usually carried out by other health professionals who have

undertaken some kind of recognised training and will usually be

provided on a one-to-one basis.

3. A client counted as having successfully quit smoking at the 4

week follow-up if he/she has not smoked at all since two weeks

after the quit date. The figures presented here are based on

self-report of smoking status by the client at the 4 week

follow-up.

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