NHS Stop Smoking Services Help 146,000 Smokers Quit Long-Term

NHS Stop Smoking Services Help 146,000 Smokers Quit Long-Term
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NHS stop smoking services have helped almost 146,000 people quit long term, according to new research.

Data suggests that, over the last 10 years, around 145,783 people in England have quit smoking for at least 12 months.

A team led by Robert West, Cancer Research UK director of tobacco research at University College London, examined NHS services, which can include prescribing medication to help smokers quit as well as face-to-face counselling in groups or individually.

They found the services had "increased their reach and impact threefold" over the decade and were reaching poorer people with traditionally high rates of smoking.

Writing in the British Medical Journal (BMJ), they said around 35% of people who set a quit date had stopped smoking four weeks later.

And the number estimated to have quit in the long term (still not smoking 12 months later) was almost 22,000 in 2010/11 alone.

"Bearing in mind the difficulty in quitting experienced by smokers who typically attend stop smoking services, even a 35% four-week quit rate represents a substantial impact when applied to the nearly 800,000 quit dates set with the services in 2010/11 (700,000 smokers, or 8% of the nine million smokers in England," the authors wrote.

The team looked at smoking figures from 2001 to 2011 for the number of quit dates set (throughput).

Throughput rose from 227,335 in 2001/02 to 787,527 (8% of all smokers) in 2010/11.

While the percentage of four-week quitters declined slightly from 35% to 34%, this meant that, overall, the actual number of four-week quitters rose from 79,767 to 269,293.

The team concluded: "The English stop smoking services have had an increasing impact on national smoking cessation since 2001 by increasing throughput, with only a small decrease in the percentage of those treated who succeed.

"They have been successful in reaching economically disadvantaged smokers, with more than half of those treated being eligible for free prescriptions."

Until 2013, stop smoking services in England were provided through 151 primary care trusts. Since April this year, local authorities have held the budget. Each local area can run its service as it wants but is encouraged to follow national guidance.

Alison Cox, Cancer Research UK's head of tobacco policy, said: "Tobacco is a lethal product that kills half of all long-term smokers, so helping smokers to quit is an incredibly important job.

"With local authorities now in charge of this area of public health, these findings provide reassurance that stop smoking services are effective and provide value for money in reducing the deadly toll from tobacco.

"A close watch needs to be kept on the local provision of these services. Reduced support to smokers would be a very bad outcome of the NHS restructure as it would increase health inequalities, and could ultimately cost lives."

The researchers found that, while the overall picture is positive, there is a large variation in performance between local services, with some doing more than twice as well as others.

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Five Ways To Quit Smoking
Five Ways To Quit Smoking (01 of06)
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Battle the addiction with these top tips by hypnotherapist, Elle Dormer. (credit:Alamy)
Close Your Eyes(02 of06)
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"Close your eyes and take 3 deep breaths in and out. Now build a mental picture of yourself in the future as a non smoker. "Make it real by filling in the detail - where you are, what you're doing, who you're with and how much better you look and feel. This is known as future pacing. If you can imagine yourself having achieved your goal you a mentally a step closer to it." (credit:Alamy)
Plan Your Escape(03 of06)
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"Smokers often use cigarettes as a form of escapism. To have a break away from their desk after a stressful call. Or to provide thinking time when they are procrastinating. "Go for a brisk walk instead. Or to the kitchen to make a cup of tea. Any simple, familiar task that we can do without much thought allows us to simultaneously access our unconscious or 'zone out' which can be both relaxing and enable greater creative thought." (credit:Alamy)
Imagine Other People's Disappointment(04 of06)
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"Make a list of all the people (alive or dead) in your life who care for you - or have cared for you, like your friends, partner, parents or children. Then close your eyes and imagine them all together gathered in a room. "You are standing before them with a large beautifully gift wrapped box. This present represents you quitting smoking. Explain this to them in your mind. See or imagine their reactions. "Make them real. The relief, love, pride, appreciation. Then imagine asking for the gift back and how sad and disappointed they would be. And resolve that you cannot do this to the people you love." (credit:Alamy)
Breathe!(05 of06)
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"Cigarettes do not relax you. Nicotine is a stimulant so it is actually making you edgier and more stressed by elevating your heart rate and releasing stress hormones like adrenalin and cortisol into your blood stream. "Try an experiment: replace one of your regular cigarettes of the day with the following pattern of breathing. Breathe in for a count of 4 and out for a count of 8. Do this 10 x, consciously relaxing your body on every out breath. "This will physiologically de-stress you by slowing your heart rate and releasing endorphins. And prove to you you can truly relax yourself without a cigarette. (credit:Alamy)
Use Your Imagination (06 of06)
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"Take a moment somewhere quiet and close your eyes. Remember a time when you felt really confident, relaxed and in control. Take yourself back to that time, fill in the details and make it real. When you're feeling those emotions at their strongest, squeeze our thumb and forefinger together. "Clear your mind and repeat. Then practice recalling those helpful, positive emotions at points during the day by squeezing your thumb and forefinger together. The physical trigger should help to access those beneficial feelings that will help at moments of weakness." (credit:Alamy)

Prof West said: "England's stop smoking services have led the world and saved lives more cost-effectively than just about any other area of the NHS - a real success story.

"However, there is clearly room for improvement and a need to bring the poorer performing services up to standard."

England's deputy chief medical officer, Professor David Walker, said: "Smoking is one of the biggest and most stubborn challenges in public health.

"The latest figures show that more people are getting the right support to help them quit long term. This is testament to the excellent work of health professionals across the country but we know more must be done.

"We want to drive down smoking rates even further - that's why we have published an ambitious plan for England, ended tobacco displays in large supermarkets and are running national campaigns to remind smokers of the harm."