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Smoking in Pregnancy Project Report: June 2012<br />
The majority of respondents 73% (n=38), reported that the referral system most commonly<br />
adopted locally was telephone based, with other respondents stating that they used a fax<br />
(12%, n=6) or a paper (10%, n=5) based system to refer identified pregnant smokers to<br />
their local stop smoking service. A small number (6%, n=3) mentioned that they had<br />
implemented an electronic referral system linked to a database.<br />
Respondents were also asked to indicate any support they felt was needed to facilitate the<br />
implementation of the NICE recommended actions (recommendations one and two). The<br />
responses were categorised into key themes according to the number of times the support<br />
type was mentioned. Most respondents indicated that they would welcome additional support<br />
from midwifery managers. They also indicated that appropriate commissioning and contracting<br />
of maternity services would help to support the implementation of the recommendations<br />
contained in the guidance. Furthermore, a number of areas indicated that additional financial<br />
resource to increase midwifery and stop smoking services capacity would be helpful and aid<br />
compliance in implementing the actions recommended in the guidance.<br />
Finally, respondents were asked to select from a list which resources (if any) they would find<br />
useful including:<br />
a) An electronic referral system<br />
b) Examples of best practice guidelines e.g. carbon monoxide testing on pregnant women<br />
c) Examples of best practice protocols e.g. smoking in pregnancy referrals (maternity services)<br />
d) A ‘how to implement’ toolkit<br />
Most respondents (63%, n=33) said an electronic referral system would be useful.<br />
The findings from the survey therefore indicated that:<br />
■<br />
■<br />
■<br />
NICE guidance recommendations one and two for midwives and health professionals<br />
are being implemented in some areas<br />
These actions are not being consistently implemented in every local area<br />
Electronic referral systems are not commonly in use although the development of such<br />
systems would be useful<br />
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