Introduction of fully smoke free policies in two mental health NHS Foundation Trusts: a process evaluation
PHE ePoster Library. E Jones S. Sep 12, 2017; 186657; 76
Susan E Jones
Susan E Jones
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Abstract Introduction: In view of NICE guidance on working towards a smoke free NHS, two Foundation Trusts, with a focus on mental health and learning disabilities, decided to adopt an on-site fully smoke free policy. This was implemented on 9th March 2016. The initiative was in response to an increasing awareness of the growing inequality gap for mental health service users in terms of premature death from smoking. Methods: An independent evaluation conducted by Teesside University, in collaboration with Public Health England, aimed to explore the impact and effectiveness of introducing the trust-wide, smoke free initiative in each trust. A mixed methods approach was adopted. Focus groups and interviews were carried out with staff in each trust. This data was integrated with audits of smoking prevalence from routinely collected data and additional trust surveys. Results: Findings from the qualitative work suggest that there is consensus that improved physical health should always be promoted amongst patients. However, despite the work undertaken by the trusts to promote the reasons for the policy, some staff reflected that they felt their professional values were compromised by “enforcing” a policy on patients suffering mental health crises.Conclusion: A continual commitment to provide access to smoking cessation for mental health patients is important to aid compliance with frontline staff's duty of care towards their patients. In addition the continued senior support for the policy and communication of smoking cessation improvement could aid the buy-in of reticent staff members.
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