Mental Health Inpatient – Berkshire Healthcare NHS Foundation Trust Tobacco Dependency Service
Driver for change:
As a service we recognised that the smoke free policies are more on the paper, than in practice. We observed that we must collaboratively work as a team and reinforce what is on paper to be visible in practice.
Regarding data and referrals, the numbers on our internal audit were showing we do not screen effectively all patients on admission and patients who are identify as smokers they not necessary are referred to the Tobacco Dependence Service.
- To maintain smoke free environment and reinforce the existing smoke free policies in the whole Trust (including staff, patients, visitors).
- Data to be submitted as per implementation of the NICE guidelines NG209 and NHS Long term plan for non-smoking approach, providing smoking cessation service within the trust.
- Challenge – no consistency from the wards for the referrals to the service, difficulties to identify on admission smokers, vapers, non-smokers.
Establishing your data collection:
- We were using initially our Trust tableau and RIO, our electronic care record system, to gather data and we used the national dataset.
Brief description of your data collection tool:
Our data collection tool is Trust wide. Data collected through the Physical Health and Lifestyle Assessment Form and the main data which Rio includes, like NHS number, name, hospital number, gender, sex, home address etc.
Data is added each time a patient is admitted to the hospital. However, when they are in the community, community services like CMHTT (Community Mental Health Team), CRHTT ( Crisis Resolution & Home Treatment Team) should fill the Physical Health and Lifestyle Form to make sure that the information is accurate and up to date.
We submit data monthly to NHSE and audit is managed monthly as well. This enables us to have the data for our local purposes.
The specific information required for NHSE are also captured with Tobacco Dependence Care plan, which was created by our transformation team with collaboration with our General Data Analyst Manager from our Trust plus our team which includes me as Tobacco Dependence Advisor/lead and my line manager.
Staff team / data lead:
We have strong engagement from our Analyst from the Trust, the Transformation Team, and IT support, and me as the TDA/Lead.
Outcome / goals:
Currently we are using the data for NHSE submission and Quality Improvement in Tobacco Treatment Collaborative (QUITT) QI project submission. We are trying to improve referrals and Physical Health and Lifestyle Assessments, to be able to capture those who are smokers/vapers so we can deliver prompt support and advice.
We can monitor how many admissions are smokers and whether our service is supporting them during admission as well post admission and we can then assess if the needs of the patients are met.
Data is helping to foster increased collaborative work with Local Authority services – smoking cessation through the referrals and supporting our patients once they are back home is improving.
