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Int. J. Environ. Res. Public Health 2016, 13(12), 1244; doi:10.3390/ijerph13121244

No Ifs, No Butts: Compliance with Smoking Cessation in Secondary Care Guidance (NICE PH48) by Providers of Cancer Therapies (Radiotherapy and Chemotherapy) in the UK

Transforming Cancer Care Project, the Clatterbridge Cancer Centre NHS FT, Wirral CH63 4JY, UK
Public Health Institute, Liverpool John Moores University, Liverpool L3 2ET, UK
Public Health Wirral Borough Council, Wirral CH62 3QX, UK
Author to whom correspondence should be addressed.
Academic Editor: Frank Doyle
Received: 30 October 2016 / Revised: 9 December 2016 / Accepted: 9 December 2016 / Published: 15 December 2016
(This article belongs to the Section Global Health)
View Full-Text   |   Download PDF [287 KB, uploaded 15 December 2016]


Background: Legislation preventing smoking in public places was introduced in England in July 2007. Since then, smoke-free policies have been extended to the majority of hospitals including those providing cancer therapies. Whilst studies have been conducted on the impact and effectiveness of hospital smoke-free policy in the UK and other countries, there have not been any studies with a focus on cancer care providers. Cancer patients are a priority group for smoking cessation and support and this study aimed to examine implementation of the National Institute Clinical Excellence (NICE) guidance (PH48) in acute cancer care trusts in the UK. Methods: Participants were recruited from UK radiotherapy and chemotherapy departments (total 80 sites, 65 organisations) and asked to complete a 15 min online questionnaire exploring the implementation of NICE guidance at their hospital site. Results: Considerable variability in implementation of the NICE guidance was observed. A total of 79.1% trusts were smoke-free in theory; however, only 18.6% were described as smoke-free in practice. Areas of improvement were identified in information and support for patients and staff including in Nicotine Replacement Therapy (NRT) provision, staff training and clarity on e-cigarette policies. Conclusions: While some trusts have effective smoke-free policies and provide valuable cessation support services for patients, improvements are required to ensure that all sites fully adopt the NICE guidance. View Full-Text
Keywords: smoking cessation; tobacco control; cancer care; NICE guidance smoking cessation; tobacco control; cancer care; NICE guidance
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Hutton, D.; Gee, I.; McGee, C.E.; Mellor, R. No Ifs, No Butts: Compliance with Smoking Cessation in Secondary Care Guidance (NICE PH48) by Providers of Cancer Therapies (Radiotherapy and Chemotherapy) in the UK. Int. J. Environ. Res. Public Health 2016, 13, 1244.

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Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
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