Connecting Patients to Smoking Cessation Support 20062013 Census

Connecting Patients to Smoking Cessation Support

2006/2013 Census Smoker Prevalence

2006/2013 Census Prevalence by ethnicity Māori drop 10%

Smoking Prevalence by DHB Region 20. 7% Now 15. 1%

Less than 5% • In 2012 Government established the goal of a Smokefree Aotearoa by 2025 • There is a long-standing policy framework to address smoking, including: - Advertising restrictions - Smokefree environments - Point of sale restrictions - Cessation support - Health targets • We need more quitting and health practioners have a key role to play

Getting outcomes from ABC 1. 2. 3. 4. 5. Meaningful conversations Patient willingness Systematic Referrals On-going support Repeated enquiry

Why Refer Research shows that GPs referring smokers to an evidence-based Quitline service results in increased cessation (Borland, 2008) “Where suitable services exist, we recommend that referral become the normative strategy for management of smoking cessation in general practice to complement any practice-based help provided” Ø Borland R, Balmford J, Bishop N, Segan C, Piterman L, Mc. Kay-Brown L, Kirby C, Tasker C. In-practice management versus quitline referral for enhancing smoking cessation in general practice: A cluster randomised trial. Family Practice 2008; 25(5): 382 -389.

Systematic Referrals 800, 000 2, 767 PHO referrals to Quitline 800, 000 3, 386 PHO referrals to Quitline ABC Conversations by PHOs in 2012 ABC Conversations by PHOs in 2013 800, 000 ABC Conversations by PHOs in 2014 7, 366 PHO referrals to Quitline from January 2014 to now

What lead you to call? 35% 30% 25% 20% 15% 10% 5% ay M r Ap ar M b Fe -1 4 ec Ja n D ov N ct O p Se g Au l Ju Ju n M ay -1 3 0% Health Professional or GP Cigarette box or Tobacco Packet Television Advertising Online Advertising Word of Mouth None of the Above GP referrals grow by 8. 3% from May 2013 to May 2014

What happens once a Referral is submitted to Quitline? • An acknowledgement of receipt of referral will be submitted • All patients are contacted within 3 working days • Register patient on our 3 -month programme • Support from a local face-to-face provider is offered in addition to our services

What are the benefits for Medtech users? • Referrals to Quitline directly from patient management system • Easy and efficient • Free for all Medtech users (80% of PHOs) • Read codes automatically updated • Feedback loop provides information on patient quit date and smokefree status

Medtech Referrals

Referral Form • Referral form available on our website www. quit. org. nz/healthprofessionals • E-mail to: referrals@quit. org. nz • Fax to: 04 460 9879 • Referral Enquiries Hotline: 0508 555 010 • Plans to support other patient management systems in the future

Text Referrals • Currently used by Plunket and New Zealand College of Midwives

3 -month Quit Programme • • Quit Plan 4 follow up support contacts Nicotine patches, gum and lozenges Steps to change

Quitline services 40, 000 smokers supported per year Phone Txt 2 Quit Online www. quit. org. nz

Cessation Works 15, 000 quit per year Quitline outcomes Average success rate at 6 months The more Quitline services used, the better the quit success rates: 33, 40% 37, 00% 20, 90% Phone only Phone & online Phone, online & text

Referrals Outcomes 1, 050 quit because of an ABC referral

Any Questions?