
The Smokefree Campaign arrives in Carlisle with Percy Penguin and Olga, The Carlisle United FC team mascot.
A year blighted by flooding and snow did not prevent NHS Cumbria’s Stop Smoking Service beating its stretch targets in dramatic style thanks to an energetic campaign that saw the service come from behind with weeks to spare.
Tobacco delivery lead Su Sear has identified four strands to this success; committed and energetic leadership from the NHS Cumbria senior management team, significant and far reaching changes to services that won the support of staff, effective data management and intelligence gathering and enhanced quitter recruitment thanks to effective marketing.
When NHS Cumbria ended the third quarter of the year behind on its Local Area Agreement targets, senior management led by chief executive Sue Page swiftly moved smoking cessation right up the PCT’s agenda. This high profile hands on approach saw the chief executive taking a detailed interest in the challenge, attending meetings and receiving frequent progress updates. This level of support made it easier to remove barriers to progress, initiate and activate change and to deliver the Stop Smoking Service the people of Cumbria deserved.
Stakeholders responded positively and rallied. Pharmacists, GPs, mental health services, hospital trusts and others were all pulled together to enable Stop Smoking Services to deliver.
As a predominantly rural county, Cumbria faces particular geographic challenges that prevent it from enjoying many of the IT advantages others take for granted. While the service had a single telephone number, it was not possible to make appointments there and then. Rather than wait for long term solutions to present themselves, Stop Smoking Services created their own interim solutions, including initiatives like a networked electronic diary.
‘Working practices changed dramatically,’ says Su. ‘Opening hours were extended to better suit clients and services offered in workplaces. Staff saw the benefits of change and embraced it. Many were inspired and kept chasing for progress.’
That ability to track progress was fundamental to success. Not only were regular updates used to motivate and excite staff and stakeholders, enhanced intelligence gathering enabled Cumbria to allocate resources in the most effective manner. Particular attention was paid to tracking did not attends (DNAs), those who had made appointments with Stop Smoking Services in the past but, for whatever reason, had not made their appointments. Better understanding and working with this group reduced DNA rates from 25 to 16 percent.
With help from the Department of Health, key areas for smoker recruitment were identified and mapped. This ensured that initiatives like face-to-face recruitment always took place where they would be most successful and that resources where balanced. However, some elements of the intelligence gathering process, while worthwhile, were labour intensive and so Cumbria is now fully engaged with the development of the region wide database.
All this work was complemented by a significant quitter recruitment drive which saw Cumbria’s Stop Smoking Service contact 500 more prospective quitters than in the same quarter of the previous year. Local initiatives included radio advertising and face-to-face recruitment. Crucially, the team set about catching up with all those who had been in contact with the service in the last year, including quitters who had since returned to smoking.
‘Many people didn’t realise that they could back to us if they had they had help in the past, but had later returned to smoking,’ explains Su. ‘But many did come back and with renewed determination to quit. They just needed that little extra push.”
Local activities were also linked to national initiatives including No Smoking Day, which saw Percy the Smokefree Penguin meet mascots from teams including Carlisle United, Whitehaven RLFC and Workington Town RLFC.
Having celebrated its success, the team is now working to embed change and learn. Su insists they will not rest on their laurels, but ensure the Stop Smoking Service continues to deliver.