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NICE guidance PH48 and the benefits of self-assessment from Public Health England

Dave Jones Alcohol, Drugs and Tobacco Division, Health and Wellbeing Directorate at Public Health England spoke at today’s Smoking Cessation in Mental Health conference.  In his presentation Dave discussed:

  • Why is NICE guidance particularly important
  • The benefits of self-assessment
  • A tool to enable benchmarking and action planning
  • Dave Jones’ full presentation is available to download at the end of this page

Dave Jones full presentation is available to download at the end of this page

In his presentation Dave stated: 

"26 out of 56 mental health trusts will be smoke free by end of this year"

"Lead assessor for CLeaR assessment should engage with other staff and all other community services, not just prepare on their own"

"The NHS has a significant opportunity to reduce smoking"

In his presentation Dave covered:

Smoking and Mental Health

  • Smoking is the largest single preventable cause of morbidity, mortality and inequalities in health in England
  • Accounting for about half of the difference in life expectancy between the lowest and the highest income groups
  • People with mental health problems smoke significantly more and are more dependent on nicotine
  • Prevalence is about three times that of the general population
  • Physical health harms of smoking and benefits of stopping are well reported
  • There is evidence to suggest that smoking is detrimental to mental health and that stopping smoking improves mood and reduces stress

NICE guidance PH48 – Secondary Care

  • NICE public health guidance PH48 recommends that all NHS funded secondary care sites should become completely smokefree
  • PHE survey of NHS E commissioned low and medium secure mental health units revealed;
    • 83% were smokefree within buildings and allowed within secure gardens
    • 9% of units had also implemented smokefree grounds
  • Admission to a secure mental health unit can be an opportunity to intervene to reduce smoking with interventions that are welcomed and effective
  • The guidance is comprehensive in making 71 recommendations under 16 headings
  • However it is not necessarily obvious where to start, nor how to measure success

NICE accredited self-assessment tool

  • PHE has developed a self-assessment tool for NHS trusts to assess against NICE guidance PH48, identify gaps and develop action plans
  • The PHE self-assessment tool brings all of the recommendations for mental health into one place and presents them under four themes: Systems, Communications, Training, Treatment
  • On completion of the tool, trusts will have a clear understanding of where there is evidence of delivery and where there are gaps

Dave Jones’ biography

Dave Jones is part of the PHE tobacco control team based in London. His portfolio covers, smoking in mental health, smoking in prisons and the criminal justice system, systems for reporting of national data. Dave trained as a nurse at St. James’s University hospital in Leeds and once qualified worked there as a theatre and post anaesthetic nurse. In 2004 he took the opportunity to work as a stop smoking advisor and has not looked back, delivering and managing services in the West Midlands until accepting the role as clinical advisor on stop smoking services to the department of health. He transferred to PHE to be part of the transition team and since then has seen the tobacco team grow, both in numbers and in ambition. Dave looks forward to a time within his life when we realise the ambition of a tobacco free generation and the benefits that this will bring.

Also of interest:

Masterclass: Deprivation of Liberty Safeguards
Friday 13 November 2015, Hallam Conference Centre, London


Safe Staffing for Nursing in Mental Health Inpatient Units
Monday 16 November 2015, Hallam Conference Centre, London


Identifying and Supporting Victims of Domestic Violence & Improving the effectiveness of MARACs
Monday 16 November 2015, Hallam Conference Centre, London


Deprivation of Liberty Safeguards: Ensuring Compliance in Practice
Tuesday 17 November 2015, Hallam Conference Centre, London


Information Sharing in Mental Health
Friday 27 November 2015, Hallam Conference Centre, London


Download: Dave Jones full presentation

20 October 2015


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