Manchester has the highest smoking prevalence rates in Greater Manchester and the highest rates of smoking attributable mortality and smoking related disease in England.
We do not accept this situation and reducing smoking prevalence is a key priority for the Population Health Plan for Manchester. As part of our whole system plan for Tobacco Control, we wish to commission a Tobacco Addiction Service for central and south Manchester during 2019. This will compliment the service we already have in north Manchester.
This includes treating smoking as an addiction, rather than a lifestyle or behavioural issue, in line with current thinking in the NHS long term plan and at a Manchester and Greater Manchester level plan.

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* 1. Please tell us who you are

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* 2. We are proposing to offer our tobacco addiction service to anyone aged 12 and over in line with NICE guidance. Is this acceptable ? If "no" please say why not.

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* 3. Who should be able to refer into the new service? Please select all that apply or enter a brief description in 'other'.

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* 4. Where should the new service be located? Please select all that apply or enter a brief description in 'other'.

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* 5. Within the available budget, we would like our service to be available to smokers at times which most suit them. Based on your experience please agree/disagree or briefly comment.

  Agree Disagree
Monday to Friday 9am - 5pm
One or more evenings a week
One of more Saturday mornings per month
Should there be a 24 hour on line self referral portal?

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* 6. Our service will be for all smokers, but the national, Greater Manchester and Manchester tobacco plans all highlight the need to make "extra" efforts to engage with smokers in groups where smoking rates are especially high or where smoking carries additional risk.

National guidance tells us that these groups are :
  • people in routine and manual occupations
  • people with mental health issues
  • people from our Lesbian, Gay, Bisexual and Trans community
  • pregnant women     
  • people with complex health conditions which are caused by or exacerbated by smoking
  • some Black Asian Minority Ethnic groups 
We would therefore like our provider to demonstrate that they will " reach out" to these communities as part of their work.

Do  you agree with a targeted approach for some groups?

Do you think that any other groups should be included?

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* 7. Public Health England now advise, in line with a growing body of research evidence, that vaping carries 5% of the risk of smoking tobacco cigarettes. Current NICE guidance therefore supports the use of E Cigarettes as an aid to quitting.

What are your views on the new service providing vaping equipment /starter kits to service users to assist in their efforts to stop smoking and as a harm reduction measure? Please select all that apply or add a brief description in 'other'.

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* 8. In order to minimise potential " barriers" or demotivators to making a quit attempt, we would like to offer "one stop shop" model where Pharmacotherapy (as per NICE guidance) is given directly to the smoker (subject to medicines management protocols etc).

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* 9. We support the CURE programme and the approach it takes. We want our new service to take patients discharged from hospital on the CURE programme while maintaining a community focus. Do you agree with this principle?

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* 10. Would you like to be invited to any further market testing or consultation events regarding this service?

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* 11. If you have responded yes to the above, please share your name, telephone or email address.

Your email address will be stored confidentially and not shared with an exernal third party. 

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* 12. Please use this space for any additional feedback you would like to share with us.

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