All patients who are admitted to hospital are asked whether they smoke and their response is recorded in the hospitals’ electronic patients records (EPR).
All smokers are offered immediate Nicotine Replacement Therapy (NRT) at the moment of admission to help alleviate the cravings for nicotine during that admission.
All smokers are offered specialist support through motivational interviewing and behavioural change support as well as access to additional evidence-based pharmacotherapy treatments for tobacco addiction.
All smokers are offered further appointments with a specialist team after discharge from hospital to continue their support.
Hospitals and hospital grounds are to become completely Smokefree environments for all, supporting smokers in their quest to stop smoking and protecting patients, public and staff from second-hand smoke.
Implementation of CURE effectively across all areas of the hospital requires the following:
Training the medical workforce to have the competence and confidence to discuss and initiate the treatment for tobacco addiction with smokers (mandatory training)
A standardised assessment and treatment pathway for smokers admitted to secondary care, which has now been delivered and implemented at Wythenshawe
An appropriately resourced Specialist Nurse team to see all smokers admitted to secondary care and design individualised treatment plans including beyond discharge
Standardised and robust handover of treatment plan to primary care upon discharge
Culture change within secondary care to embed the treatment of tobacco addiction into all medical teams’ day-to-day practice
IT systems to support the delivery of this programme