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Supporting the NHS long-term plan: An evaluation of the implementation and impact of hospital-based tobacco services.

This project is linked to the NIHR ARC National Priority Consortium for Prevention, including Behavioural Risk Factors

Visit the Prevention Including Behavioural Risk Factors Consortium homepage for more information

Project title: Supporting the NHS long-term plan: An evaluation of the implementation and impact of hospital-based tobacco services.

What does the project aim to achieve?

In 2019, 14.1% of adults in the UK smoked, and over 500,000 hospital admissions were due to smoking in 2020. The NHS Long Term Plan – a government policy – aimed to tackle smoking through delivering a new service to support smokers to quit, in three settings: acute hospital, mental health inpatients and maternity services. The government wanted to provide smokers who are admitted to any of these settings in England access to a new ‘stop smoking service’ that includes both behavioural support and medication to help them to quit.

Our project aims to investigate how this new service is delivered, and if it is effective. We will achieve this through four studies in five regions in England:

  1. Interviewing those who design, fund, and provide the service
  2. Surveying and interviewing NHS staff about their experiences of providing this service. We will also interview service users who have been offered the new service to understand their opinions and experiences of it.
  3. Using hospital records to find out the number of smokers who have been offered and used the service, and how effective the new service is based on the number of people quitting smoking.
  4. Using hospital records and other data to calculate the costs of providing the service and find out whether it provides value in helping people who smoke.

The findings from this study will support NHS Trusts by giving information how to improve this stop smoking service for the future from the perspectives of service users, healthcare professionals, and others. We aim to write several articles which will be shared widely; for example, with healthcare professionals, policymakers, researchers, and members of the public.

Who will be interested in this project?

This study will be relevant and of interest to NHS Trusts who are participating in this study where they will receive interim findings, those NHS Trusts who are not; NHS and Local Authority partners for policy development; and academics within the tobacco dependence area.

This study has the potential to impact all NHS healthcare professionals; commissioners of smoking services; Local Authority Stop Smoking Services; NHS Trusts delivering the service; current smokers; partners and significant others of smokers

Why is this project important?

By evaluating the rollout of the new NHS-funded tobacco dependence service it will allow us to understand how it is being delivered, how effective it is in aiding smokers to have a successful quit, and how cost-effective the new service is for the NHS. Having an in-depth understanding of these key areas will enable future decision making to be based on evidence of what worked well, what could improve and any other factors that were influential in the successful rollout of the new NHS-funded tobacco dependence service.

Duration: 1 September 2021 – 31 August 2023

Funding total: £ 369,628

Funded by NIHR ARC Prevention, including Behavioural Risk factors National Priority Consortium. Led by ARC North East and North Cumbria collaborating with ARC Greater Manchester, ARC West Midlands, ARC Yorkshire and Humber, ARC West, ARC Oxford and Thames Valley, ARC West, ARC South London, ARC North Thames, ARC Kent Surrey and Sussex.

Lead contacts for the project: Professor Eileen Kaner and Dr Sheena Ramsey (


Dr Maria Raisa Jessica (Ryc) Aquino, ARC NENC Research Fellow (Prevention), Newcastle University

Mrs Kerry Brennan-Tovey, ARC NENC Research Associate, Newcastle University

Dr Mackenzie Fong, ARC NENC Research Fellow (Prevention), Newcastle University

Dr Adam Todd – Academic Pharmacist, Newcastle University

Dr Theophile Bigirumurame – ARC Research Fellow (Methodologies) and biostatistician, Newcastle University

Dr Angela Wearn – ARC NENC Research Fellow (Public Involvement and Community Engagement), Newcastle University

Dr Nawaraj Bhattarai – ARC Research Fellow (Methodologies) and health economist, Newcastle University

Professor Paul Aveyard – Professor of Behavioural Medicine, University of Oxford

Professor Marcus Munafò – Professor of Biological Psychology, University of Bristol

Dr Angela Attwood – Senior Lecturer, University of Bristol

Dr Debbie Robson- Senior Research Fellow, Kings College London

Professor Kate Jolly – Professor of Public Health and Primary Care, University of Birmingham

Dr Sarah Damery – Research Fellow, Institute of Applied Health Research, University of Birmingham

Professor Jane West – Bradford Institute for Health Research

Sally Bridges – Bradford Institute for Health Research

Dr Matthew Franklin – Senior Research Fellow, University of Sheffield

Professor Chris Armitage – Professor of Health Psychology, University of Manchester

Professor Jamie Brown – Professor of Behavioural Science and health and Director, Tobacco and Alcohol Research Group – University College London

Evaluation sites

ARC North East and North Cumbria

ARC Yorkshire and Humber

ARC Greater Manchester

ARC West Midlands

ARC West

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