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Smoking Cessation Framework for NSW Health Services

An initiative of the NSW Smoking Cessation Collaboration

Smoking continues to be a leading cause of chronic disease and premature death in NSW.

A hospital stay or interaction with a health service is a prime opportunity to help someone quit smoking. This Framework outlines how NSW local health districts (LHDs) can support health professionals to integrate quit support into routine care.

Providing brief intervention for smoking cessation and the management of nicotine dependence is the responsibility of all NSW health professionals.

Strategies to support local needs

The Framework sets out four implementation strategies, including suggested actions and success factors, to provide practical guidance on how to develop and implement smoking cessation interventions within local health services.

These strategies can be adapted to meet specific or local needs; in particular, to ensure appropriate community engagement for patients and clients from vulnerable and priority population groups.

A framework for NSW Health services

Supporting LHDs to manage nicotine dependence among patients and to implement smoking cessations interventions.

Leadership and governance structures
Leadership and governance structures

Strong leadership and governance structures are key to promoting clinical practice change

Appoint a smoking cessation coordinator
Appoint a smoking cessation coordinator

Smoking cessation coordinators are used to deploy evidence-based smoking cessation systems of care

Identify, train and support the workforce
Identify, train and support the workforce

Identifying dedicated staff to implement smoking cessation interventions ensures clear roles and responsibilities

Establish accountability mechanisms
Establish accountability mechanisms

Collecting and using data informs and drives practice change, supports staff and establishes accountability

What is a ‘brief intervention for smoking cessation’?

Effective smoking cessation interventions involve brief assessment and advice, nicotine replacement therapy (NRT) and referral to a smoking cessation service, such as the NSW Quitline. This kind of brief intervention is known as ‘The 5As’:

  1. Ask
  2. Assess
  3. Advise
  4. Assist
  5. Arrange

"The NSW Cancer Plan sets out the state's blueprint fo reducing the incidence of cancer; increasing survival and improving the quality of life, treatment and care for people affected by cancer. David Currow, NSW Chief Cancer Officer & CEO Cancer Institute NSW

Download the NSW Cancer Plan publication.

This PDF document is a printable version of the NSW Smoking Cessation Framework.

Download the Framework

Download the NSW Cancer Plan summary infographic.

This PDF document is a printable version of the Framework on a page.

Download the Framework page

Evidence shows that endorsement, sponsorship and support from executives at district and hospital levels is key to the successful implementation of smoking cessation interventions in health services. Read how establishing appropriate governance structures is also crucial to affecting practice change.

Learn how smoking cessation coordinators can play a crucial role in the implementation and upkeep of smoking cessation systems of care across a range of clinical environments.

Understand why clarifying roles and responsibilities in smoking cessation is an important step in clinical environments where staff have competing demands and multiple pressures.

Find out how the use of data collection tools and feedback processes can increase the frequency and impact of smoking cessation interventions in hospitals and health services.

The NSW Smoking Cessation Collaboration will directly contribute to implementing the delivery of routine brief interventions in smoking cessation through leadership and coordinated action.

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