Dudley Strategy for Tackling Health Inequalities 2010-15

RECOMMENDATION ACTIONS OUTCOMES LEAD TIMESCALEInclude under age sales and illicitdata collection in TS enforcementpostTest purchase outcomesROMar 2011Intention to commission EH to carryout additional smokefree compliancechecks in routine and manualworkplaces to include illicit tobaccoand stop smoking informationThere would be a benefit tindeveloping a programme of ongoingtest purchasing to explore the issueof supply of tobacco to young peopleThe early adoption of DH StopSmoking in Secondary Care toolkitprovides an opportunity to ensureeffective care pathways are in placefor smokers – this will impact on thekey contributors to tackling healthinequalities.- This would also provide anopportunity to ensure a formallyagreed care pathway for smokingin pregnancy to be used by allstaff. (Infant Mortality NSTrecommendations provide furtherdetail on this issue).HINST recommend that the DH StopSmoking Interventions in PrimaryCare toolkit is rolled out to ensurestrengthened infrastructure forquality brief interventions.Looking at ways to improve datasharing between HMRC and TSthrough the Alliance0.5 WTE EH Technical Officer postcommissioned from Sep 09- Apr 10Contract renewed Apr 10 – Mar 11PCT has commissioned a jointalcohol and tobacco tradingstandards enforcement post from Apr2010- Mar 2011Early adopter action in progressPlans to develop a risk assessmenttool for pregnant smokers5 pilot sites conducting 10 pointstructures approachBI and referral included inCommunity CQUIN for 2010-11Development of protocol forsharing data25 workplace visits /contacts permonthTotal 175 workplace visits300 workplace visits400 test purchases per year20 exercises50 contacts with smokersReduce IM and problematicpregnanciesIncreased access to DSSSBI training for HV and CNData on BI and referrals to DSSSROROMar 2011Mar 2010ROMar 2011RO & JP Mar 2010JPYHMar 2011Mar 2010Mar 2011JP Mar 2010Q1 & Q2-2010-11222