Services Database Stop Smoking Interventions in Pharmacy (Plymouth Area)

SERVICE DESCRIPTION

The pathway shall include the following elements:

Brief Intervention (not monitored)

1. Smoker presents to a Pharmacy. Address with “how do you feel about your smoking?”

In all cases offer support: “Did you know that the best way to quit is with free NHS support and medication? We actually provide the service here in the pharmacy. Would you like me to book you an appointment?”

2. If motivated to stop smoking then provide support in line with this specification.

Pharmacy Practitioner

(Registered with Plymouth Stop Smoking Service under the Pharmacy Public Health Contract)

3. The Pharmacy will arrange an initial appointment for each patient wishing to use the Community Pharmacy’s stop smoking service to set a quit day (20-30 minute appointment).

4. Patients should be seen in-house. The Pharmacy shall provide a consultation room that offers suitable privacy and confidentiality to the client and use this when consulting the client for this service (unless the client does not wish to do so, or the pharmacist believes this would threaten his or her safety).

5. Assess motivation to quit.

6. Raise monitoring form on PharmOutcomes

7. Provide counselling and support. Assess medication options for quitting in line with South & West Devon Formulary and Referrals prescribing recommendations, (SWDFR) including suitability.

8. NRT can be recommended and issued by the pharmacy*. If necessary refer to patient’s practice/ GP for a prescription. (See Appendix 3 for ‘Medication Protocol for Pharmacy PHS’).

9. Arrange a follow up appointment at 2 week stage before issuing further smoking cessation medications. (10-20 minute appointments).

10. Arrange follow up appointment at 4 week stage before issuing any further medications (10-20 minute appointments); complete PharmOutcomes form.

11. The Practitioner will CO validate with a smokerlyser at each consultation. All quits will be verified by a smokerlyser which will be provided free of charge to the Community Pharmacy by the Livewell South West WellBeing Team.

12. Where the quit is unsuccessful, clients may be seen again under this PHS. In these cases, the client’s readiness to quit should be assessed prior to providing NRT and support (in line with the SWDFR).

Th Responsible Pharmacist should undertake and completes the CPPE Smoking Cessation Training 'Stop Smoking NCSCT stage 1 and 2 assessment'.

At least one person per Community Pharmacy needs to attend a 1-day workshop (Community Practitioner Training for Pharmacies) run by the Plymouth NHS Stop Smoking Service before providing services under this service. The training will be run to NCSCT required training standards.