joint strategic needs assessment foundation profile - JSNA

Interative Hull Atlas: www.hullpublichealth.org/Pages/hull_atlas.htm More information: www.jsnaonline.org and www.hullpublichealth.org
Table 108: Increase in smoking cessation service necessary to achieve reduction of 545
deaths in annual number of deaths by 2009-2011 (from 2003-2005)
Increase in smoking cessation service
necessary to reduced deaths by 545
% who maintain 4-week quit rate: 100% 90% 80% 70% 60% 50% 40%
Long-term quit rate: 70% 63% 56% 49% 42% 35% 28%
Smoker deaths prevented
prior to 2011
10% 6.1 6.7 7.6 8.7 10.1 12.1 15.1
9% 6.7 7.5 8.4 9.6 11.2 13.5 16.8
8% 7.6 8.4 9.5 10.8 12.6 15.1 18.9
7% 8.7 9.6 10.8 12.4 14.4 17.3 21.6
6% 10.1 11.2 12.6 14.4 16.8 20.2 25.2
5% 12.1 13.5 15.1 17.3 20.2 24.2 30.3
4% 15.1 16.8 18.9 21.6 25.2 30.3 37.8
3% 20.2 22.4 25.2 28.8 33.6 40.4 50.5
2% 30.3 33.6 37.8 43.3 50.5 60.6 75.7
1% 60.6 67.3 75.7 86.5 100.9 121.1 151.4
Without extensive literature searches to obtain background information on the relative
and absolute risks of smoking and the reduction of risks following smoking cessation,
and without further definitive information on long-term (permanent) smoking cessation
quit rates, it is difficult to estimate by how much the smoking cessation service would
need to expand in order for the life expectancy targets to be achieved.
However, it is probably unlikely that 10% of deaths would be prevented by 2011 and it is
probably more likely that the figure is less than 5%. If the figure is 5%, even at the
highest long-term quit rate, the service would need to increase 12-fold. It could be that
1% or 2% is a more realistic figure, and if this was the case with the highest long-term
quit rate the service would need to increase 30-fold.
8.4.10 Stop Smoking Strategy
Further information about available services is given at www.nhshull.nhs.uk.
Hull has a free phone telephone number for support to stop smoking. One-to-one, group
sessions, and telephone or online support are all offered by the Hull and East Riding
Stop Smoking Service (www.readytostopsmoking.co.uk/). Nicotine replacement
therapies are available from a range of different providers across the City. People can
access support from GPs, pharmacies, smoking cessation specialists within CHCP or
those employed a local voluntary/community organisation: Goodwin Development Trust.
One to one and group sessions are held throughout Hull on an appointment or drop in
basis. A local Smoke Free Families Services assists pregnant women to quit smoking.
There is also the Smokefree Homes initiative which supports local families especially
those with expectant women and/or young children and aims to eliminate smoking within
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 269