The PRIME Theory of motivation and its application to

News from the Smoking Toolkit
Study: December 2012
Robert West
University College London
December 2012
1
Public Health England
Chief Executive
designate: Duncan
Selbie
• Previous Chief Executive at St
George’s Mental Health Trust
• ‘Smoking is public enemy number
one’
Director of Health
Improvement and
Population
Healthcare: Kevin
Fenton
• Fellow of the Faculty of Public
Health and visiting Prof at UCL
• Came from US Centers for Disease
Control and Prevention
• Not worked in tobacco
2
Department of Health
Policy team
• Discussion about setting up a Centre
for Tobacco Control to co-ordinate
regional and national activities and
policies
• Resources heavily taken up by ‘plain
packaging’
Communications
team
• ‘Stoptober’ appears to be a success
• Now planning for major New Year
event
3
MHRA
• Focused on issues surrounding electronic cigarettes
• Expect to make a ruling next Spring
• Focus on public health while fulfilling their remit on
medicine safety
4
NICE
• Consulting on Harm Reduction guidance
• Draft document
– Licensed nicotine products for smoking reduction can
save lives cost-effectively, primarily by promoting
quitting later
– NHS should offer treatment for smoking reduction but
not to the detriment of cessation support
• Launched online Return on Investment (ROI) tool for
Local Authorities for calculate short- and long-term
impact of different configurations of services
5
NCSCT
Aiming
to
continue
its role
in
• providing online training, assessment and
certification for stop-smoking practitioners,
including specialty courses
• providing resources for practitioners,
managers and commissioners on
• structure and management of services
• best practice in medication and behavioural
support
• data monitoring and use in evaluation
• stimulating and evaluating innovation
• undertaking research to discover and promote
best practice
6
The design-evaluation cycle
Treatment
concept/
innovation
National Centre for
Smoking CessationEvaluation
and
Evaluation
Training (NCSCT)
Implementation
7
Identify best
practice
Translate into
training,
assessment
and resources
Evaluate
innovation
• Components behavioural support
• Medication options
• Service structure
•
•
•
•
Online knowledge and face-to-face skills training
Online assessment
Website and resources (e.g. Standard Treatment Plan)
Online Very Brief Advice training
• Evaluate knowledge and skills training
• Evaluate upgrading of service (e.g. Boots Trial)
• Evaluate specific innovations (e.g. text messaging)
8
NCSCT products
• Training Standard
– learning objectives needed to train
stop-smoking practitioners to deliver
evidence-based behaviour change
techniques
• Standard Treatment Programme
– Model treatment programme based
on best available evidence
9
NCSCT products
• Service Delivery and Monitoring
Guidance
– Up-to-date specification of
optimum service configuration and
guidance on monitoring and
evaluation
• Standard Monitoring Form
– Standard form for collecting
minimum data required to
evaluate treatment provision and
provide clinical case notes
10
NCSCT products
• Client satisfaction survey
– Short and long form of survey on client
experiences
• Service provider audit and accreditation
process
– Esessential procedures for ensuring
quality of service provision and
preventing fraud
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Questions?
www.ncsct.co.uk
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