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Developing and Delivering Systems in Secondary Care What are the Systems required • Staff training in Very Brief Advice • Referral opportunity at all stages • Mechanism for referrals – electronic, fax, paper • Process for referrals • Support for staff, patients and visitors • Information for staff, patients and visitors • Withdrawal management • Communications – newsletter, posters, leaflets, letters • Smokefree Policy Smokefree Policy • Support in production • Coherent, consistent and concise • Compliance/disciplinary procedures • Management • Hospital Smokefree Steering Group • Hospital champion Training • E learning for Very Brief Advice for all staff – mandatory? • Face to face training – where might this be appropriate • Specialist training – midwives • Stop Smoking Practitioner training Referrals • Patient’s journey from Primary Care to discharge • Process – universal • Mechanisms for referral • Willing referrers Stop Smoking Medications • Offered throughout the whole patient journey • Withdrawal management • Support to stop if required • NRT on formularies • NRT on admission and discharge Staff • Smoking on site • Taking patients out to smoke • Information and guidance • Stop Smoking Support groups for staff • Occupational Health and HR involved • Adherence to Smokefree Policy Communications • Member of Comms team involved throughout all of the systems • Accessing all mediums for getting out the message • Stop Smoking messages to be released at optimum times – knowledge of other promotions/initiatives – avoid clashes • Ongoing
