Dudley Strategy for Tackling Health Inequalities 2010-15

Proportion of clients that have quit at 4 weeks (%)Figure 4:Proportion of clients using DSSS that have quit at 4 weeks, by IMD 2007 National Quintile, 2002/03 to 2008/09100%90%80%70%60%50%40%30%20%10%0%1(most deprived) 2 3 4 5 (least deprived) out of areaIMD 2007 Quintile2002 2003 2004 2005 2006 2007 2008DSSS have updated their Pharmacotherapy Guidelines in 2009 to includecombination therapy and Varenicline as a first line treatment. This will provide themost evidenced based treatments for heavily dependent smokers who are generallyin the most deprived areas. It is anticipated that this will contribute to improving quitoutcomes for the most needy smokers.Smoking and Pregnancy ServicesDSSS has provided a specialist service to help pregnant smokers and their familiesstop smoking since 2000. The service aims to reduce the percentage of pregnantsmokers in Dudley and consequently have a positive impact on perinatal and infantmorbidity and mortality. There has been a steady increase in women accessing theservice since 2002. Dudley Stop Smoking and Pregnancy (DSS&P) service hasbeen used nationally as an example of good practice through Infant Mortality andTobacco Control National Support Team visits and provides leadership for the WestMidlands Regional Smoking and Pregnancy network.A recent national audit of smoking and pregnancy services was commissioned bythe West Midlands Government Office to determine the performance andeffectiveness of the West Midlands Smoking and Pregnancy Services, compared toother England PCT services. The analysis has placed Dudley in the top 10% (12 th of147) of smoking and pregnancy services nationally for women quitting on a „quitneed‟ basis, and top performing for the West Midlands Region (Figure 5). Thisinformation reassures us that Dudley is providing a good service for those who aremost at need.99