Background
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Established in 1999 in the most disadvantaged areas in England
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Rolled out across the UK from 2000
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Represent a unique national initiative to provide support for smokers motivated to quit
[1]
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Service provision
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Service provision framework is based on an evidenced based approach to treating dependent smokers
[2]
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Usually involves regular meetings (one to one or in groups) with a trained adviser, using structured withdrawal-oriented behavioural support combined with smoking cessation medications
[1]
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Smoking cessation medications are usually offered on the basis of an abstinent-contingent treatment programme involving an initial course of two to four weeks, followed by further prescriptions if the quit attempt is continuing
[3]
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If a smokers’ attempt to quit is unsuccessful, advisers can use discretion and professional judgement when considering whether a client is immediately ready to receive support to attempt to stop smoking again
[4]
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Training
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Smoking cessation staff come from a wide variety of backgrounds
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They are trained in the provision of treatments to help with stopping smoking
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This training is currently being standardised in England through a newly established National Centre for Smoking Cessation and Training
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Targets
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For the first ten years, targets were set within England for the numbers of smokers attending the services who set a quit date and who quit smoking four weeks after the start of treatment
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Smoking cessation services are currently expected in the course of a year to treat 5% of their local population, in line with best practice recommendations contained within National Institute for Health and Clinical Excellence programme guidance for smoking cessation
[3] |