Tobacco Control Collaborating Centre
iPiP hosts the Tobacco Control Collaborating Centre (TCCC) which was established in 2004 and undertakes a broad range of work associated with the practical implementation of tobacco control and smoking cessation measures.
The TCCC supports collaborative action and research whilst concentrating on putting the evidence into practice, to reduce harm particularly amongst the most vulnerable groups.
Our recent work programme has included supporting implementation of smokefree mental health; undertaking rapid reviews of the role of stop smoking services in reducing harm from tobacco and tackling health inequalities; supporting the reduction of smoking during pregnancy; promoting smokefree homes and maintaining compliance with smokefree legislation.
The TCCC also undertakes an extensive international work programme, including support of the work of the World Health Organization.
In June 2010, The National Institute for Health and Clinical Excellence (NICE) produced guidance on how to stop smoking in pregnancy. NICE stated that all pregnant women who smoke and all those who are planning a pregnancy or who have an infant aged under 12 months should be referred for help to quit smoking.
Across England the extent to which the guidance (and the more recently published NICE guidelines, PH48) is being implemented varies significantly and this is reflected in the referrals to Stop Smoking Services and subsequently the numbers engaging with the services and going on to successfully quit smoking.
The TCCC identified all the elements required to ensure all pregnant smokers are offered effective support and developed babyClear, an initiative which includes:
- CO screening for all pregnant women
- An opt out referral system
- Briefing sessions for midwifery staff and other relevant health professionals
- Protocols and care pathways reflecting the evidence base and NICE guidance
- Advanced skills training to support Stop Smoking Advisors to work effectively with pregnant women
- Ways to reach out to those pregnant smokers who currently do not engage with the Stop Smoking Services (risk perception)
- Administrative / call centre staff training to increase the number of women accepting appointments
- Awareness raising and engagement with all health professionals involved with pregnant smokers
- A performance management system
- Monitoring and evaluation of effectiveness
In February 2017, the results of a study undertaken across the North East of more than 40,000 ‘mothers to be’ was published in Tobacco Control. Since implementing babyClear, smoking at the time of delivery rates have fallen in the North East since 2009/10 when 22.2% of women smoked at the time they gave birth, down to 16% in 2016.
Please find the link to the paper below:
Hilary Wareing, the TCCC Director who leads this programme, is herself a midwife and health visitor. She can be contacted on 01926 490190 or at: firstname.lastname@example.org / email@example.com
The TCCC is working closely with Tommy’s the baby charity on a Department of Health Innovation, Excellence and Strategic Development funded project to support new service development.
The aim of the project is to develop and evaluate the effectiveness of a stop smoking intervention targeted at young pregnant women who smoke during pregnancy.
Currently stop smoking services are not meeting the needs of this group evidenced by low referral rates and the high rate of young women who smoke during pregnancy.
Qualitative research (insights work) is being conducted to explore what helps and what hinders young women from stopping smoking in pregnancy and following the birth of their baby. It will explore why women do not use existing services, how those services and other forms of support could be improved and whether there are new forms of support that have the potential to be more effective than current practice.
Following the insights work a new intervention will be designed and implemented by NHS and local government partners within Blackpool and Thanet and Shepway within Kent. The research team will evaluate the outcomes from the perspective of the participants and staff involved in implementing the intervention.
The evaluation will include an audit of outcomes using routine anonymous data and qualitative information about experiences from both participants and staff. This will be compared with an audit of routine data and minimal qualitative information gathered from the control areas within Warwickshire and Cornwall.
The CLeaR model is an approach to improving local tobacco control in England. Through self-assessment with the opportunity to follow this with a peer-assessment, the model supports councils to examine and review their tobacco control provision. iPiP have been participating in the CLeaR process since its inception as Core Assessors, Peer Assessors and trainers. If you would like to request Hilary Wareing to be involved in a CLeaR Peer Review assessment of your council, or to offer CLeaR training in your area please contact the CLeaR team at PHE: CLeaRTobaccoTeam@phe.gov.uk
Further information about CLeaR is available on the Public Health England website: https://www.gov.uk/government/publications/clear-local-tobacco-control-assessment
Rapid reviews offer a quick overview of a specific topic and can be extremely useful in providing insight into issues, policy and/or practice in a particular subject area. They can be invaluable if you need to commission a piece of research to give you some background on a topic in a limited time frame. Reviews will:
- Provide an overview of current commissioning and provision.
- Identify the most vulnerable target populations and consider how current provision reaches those groups.
- Identify local stakeholders to understand who is able to influence the engagement with, and delivery of, local services
- Provide a gap analysis of current commissioning and provision against the evidence based on local need.
- Identify lost opportunities and new opportunities in service provision.
- Consider different models of delivery and their potential impact on long term outcomes.
- Discuss cost against return on investment.
- Be completed within a matter of weeks.
A team from iPiP will undertake the review with support from key national experts. Findings will be fed back and discussed during a one day workshop. A final report will also be provided which includes outcomes and actions from the workshop.
The TCCC and Activmob have brought their skills together to support families in Kent to protect their children from second-hand smoke.
This Smokefree Homes’ initiative supports Kent County Council in securing a key health improvement goal, that of “allowing lives to be smokefree from conception throughout the life course”.
Training is delivered to Children’s Centre staff on the harmful effect of second-hand smoke to children. This training provides staff with the knowledge and skills to deliver key factual and motivational messages in an effective and supportive way, ensuring outcomes are supported and evaluated. The programme includes the distribution of Smokefree Homes’ kits co-commissioned and designed through a previous pilot.