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joint strategic needs assessment foundation profile - JSNA

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Interative Hull Atlas: www.hullpublichealth.org/Pages/hull_atlas.htm More information: www.jsnaonline.org and www.hullpublichealth.org<br />

the home or limit smoking to specific rooms within the home. Social Marketing<br />

advertising campaigns have been commissioned following insight work into why people<br />

smoke locally and information gathered from this has been used to reconfigure and<br />

commission new services.<br />

The Humber Alliance on Tobacco (HALT) is a multi-agency partnership. The Alliance<br />

has a five year plan that incorporates all recommendations covered in 2008 tobacco<br />

control document (Department of Health 2008). The National Support Team visit to Hull<br />

described HALT as “a well established and effective Tobacco Control Alliance”.<br />

Smokesnojoke (www.smokesnojoke.com) is a web-site for children parents and<br />

teachers, developed in consultation with its users. The site is a one-stop-shop for<br />

information and resources and has recently been nominated for a Regional Health and<br />

Social Care Award.<br />

All commissioned smoking cessation interventions follow NICE and Department of<br />

Health Guidelines.<br />

NHS Hull has commissioned the production of an information booklet for local people<br />

with details of local healthy lifestyles services and support. This booklet will help to<br />

increase access to, and awareness of, a number of services that are available to help<br />

local people to improve their lifestyles e.g. lose weight, be more active, stop smoking,<br />

manage alcohol consumption.<br />

8.4.11 Progress Towards Targets<br />

As part of its World Class Commissioning (WCC) Strategy, Hull set ambitious targets of<br />

a minimum one percentage point reduction in smoking prevalence among adults each<br />

year for the next 5 years (starting at 31% for 2008/2009 reducing to 27% for 2012/2013).<br />

The WCC target smoking prevalence for children is similarly a one percentage point<br />

reduction each year (starting at 14% for 2008/2009 reducing to 10% for 2012/2013), and<br />

the WCC target for women smoking during pregnancy is a two percentage point<br />

reduction each year (starting at 25% for 2008/2009 reducing to 17% for 2012/2013).<br />

Following the change in the government in May 2010, new outcomes are now under<br />

consultation (see section 3.3.6.2 on page 52). The prevalence of adult smoking and<br />

smoking in pregnancy are both included in the proposed list of outcomes, so it is<br />

possible that these measures and the local targets could be retained.<br />

Assessing progress towards these prevalence-based targets is difficult as accurate<br />

information can only really be based on survey information (as opposed to modelled or<br />

synthetic smoking estimates; see section 12.1 on page 770). The initial targets were<br />

based on the prevalence observed for the 2007 Health and Lifestyle Survey, where the<br />

prevalence was estimated to be 31.7%. The 2009 Prevalence Survey and the 2009<br />

Social Capital Survey have both been completed since. However, the prevalence<br />

increased slightly in the 2009 Prevalence Survey (to 35.1%). On further investigation,<br />

an adjusted smoking prevalence was slightly higher than the unadjusted smoking<br />

Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 270

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