Policy update

1
Policy update

• Kerry McKenzie
• Health Improvement Programme Manager (Tobacco)
• NHS Health Scotland

2
A Breath of Fresh Air

• Tobacco control action plan
• Prevention education
• Second-hand smoke
• Cessation
• Protection and controls
• Ministerial Working Group on Tobacco chaired by
• Shona Robison, Minister for Public Health

3
Better Health, Better Care

• Published in December 2007
• Comprehensive and targeted action to accelerate
  progress on health improvement, tackling health
  inequality and improving the quality of health
  care.

4
Smoking

• Prevention
• Scotlands Future is Smoke-free A Smoking
  Prevention Action Plan, supported by 3m per
  annum
• Cessation
• Continued support for smoking cessation services
  at 11m per annum

5
Early years

• We will also be working with each NHS Board so
  they can identify a lead maternity care
  professional that will ensure that support is in
  place to help mothers stop drinking or smoking
  during pregnancy. 

6
Early Years Framework

• From pre-conception through pregnancy, birth and
  up to age 8.
• Identifying effective interventions to target
  high risk groups before conception.
• Identifying risk early in pregnancy and moving to
  put supports in place immediately. Improving
  access to antenatal care for parents with higher
  needs linking this to improving outcomes for
  children by addressing key factors such as
  maternal nutrition and breastfeeding rates, and
  reducing tobacco, alcohol and drug use.

7
Health inequalities

• Ministerial Task Force on Health Inequalities,
  chaired by Shona Robison, Minister for Public
  Health
• Equally Well The Report of the Ministerial Task
  Force on Health Inequalities (forthcoming)
• Given the proportionately greater use of acute
  services by patients from deprived communities,
  health promotion in acute care settings offers a
  major opportunity to improve health and reduce
  health inequalities (BHBC)

8
HPHS Chief Executives Letter

• CEL 14 (2008) Health Promoting Health Service
  Action in Acute Care Settings
• driver for Health Boards to take health promoting
  actions within hospital settings.
• Every healthcare contact is a health improvement
  opportunity.
• Smoking
• Provide brief interventions to support smoking
  cessation for out and in patients in maternity
  units and all acute care settings.

9
Keeping Childbirth Natural and Dynamic (KCND)

• Strategic, systematic approach to implementing
  Framework for maternity services /Expert Group in
  Acute Maternity Services
• Multiprofessional programme of work
• Focus on midwifery within multidisciplinary care
  network
• Overarching aims
• Maximise opportunities for women to have as
  natural birth experience as possible through
• Providing evidence based care, reducing
  unnecessary intervention, ensuring informed
  choice
• Introducing multi-professional antenatal,
  intrapartum and postnatal care pathways
• Supporting implementation of midwife managed care
  programme to deliver pathways

10
HEAT target on smoking
Through smoking cessation services, support 8 of
each NHS Boards smoking population in
successfully quitting (at one month post quit)
over the period 2008/09 2010/11.
11
Thank you
12
Dissemination of ResearchMapping Study of
Smoking Cessation Services in Pregnancy in
Scotland

• The Marriott Hotel, Glasgow
• 20 June 2008