NHS Lothian Tobacco Prevention Programme – proposed priorities 2014-2018
Consultation July 2014
Principles underpinning tobacco prevention activity in Lothian:
1. Develop a mix of interventions at different levels which build capacity and are sustainable
2. Proportionate universalism: actions must be across all social groups but with ‘a scale and intensity that is appropriate to
levels of disadvantage’ in order to contribute to reduce health inequalities.
3. Young people should be actively involved in the development of smoking prevention information, activities, services and
policies.
4. Tobacco use should be addressed in the wider context of young people’s lives
Activity area one: develop, support and deliver smoking
prevention in schools, CLD and youth-work settings alongside
work explicitly targeted at specific groups eg LAAC.
1. Pilot the Decipher-Assist approach in selected secondary schools
in Lothian. Decipher-Assist is an evidence-based peer led
intervention delivered to either S1 or S2 years in secondary schools.
The intention is to deliver the intervention in circa 20 schools over
three years. www.decipher-impact.com
2. Facilitate review of and support strong implementation of tobacco
policies (with reference to other policies relevant to smoking and
tobacco) in schools, CLD, youth agencies and LAACYP
establishments.
3. Provide training and other professional development
opportunities for staff and volunteers to enhance their skills and
knowledge to deliver smoking prevention (coupled with training in
‘raising the issue’ / providing ‘brief intervention’ support to young
people who smoke, where appropriate).
Addresses action/s within Creating a Tobacco-Free Generation:
a tobacco control strategy for Scotland 2013 (or related strategy)
(12) We will undertake a pilot of ASSIST, which will consider its
suitability for Scotland and potential for further adaptation to
other risk-taking behaviour.
(9) We will work with learning establishments and partner
agencies to identify good practice and high quality resources
which will be shared on the GLOW schools intranet site.
(13) We will work with the youth sector to support smoking
prevention programmes.
Report on the mapping of existing tobacco control policies within
looked after and accommodated children and young people
(LAACYP) services in Scotland (ASH Scotland 2014)
(14) 4 In support of the Scottish Government Parenting Strategy,
we will work with service providers in the statutory and third
sector to assist parents, carers and professionals address the
smoking habits and associated health behaviours of young
people.
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(10) We will publish a National Action Plan for Health and
Wellbeing in Curriculum for Excellence by autumn 2013.
[replaced by ‘Health and wellbeing: the responsibility of all 3-18’]
(10) We will publish a National Action Plan for Health and
Wellbeing in Curriculum for Excellence by autumn 2013.
[replaced by ‘Health and wellbeing: the responsibility of all 3-18’]
(9) We will work with learning establishments and partner
6. Facilitate production of and access to smoking prevention
agencies to identify good practice and high quality resources
resources for staff and volunteers to use in working with young
which will be shared on the GLOW schools intranet site.
people
7. Provide small grants to youth agencies to involve young people in (13) We will work with the youth sector to support smoking
prevention programmes.
planning and delivering smoking prevention activities. This is the
grant scheme currently available through LAYC www.layc.org.uk
4. Support secondary schools to plan and deliver smoking
prevention systematically across the curriculum and in all year
groups.
5. Learning from existing practice, develop a model to deliver
tobacco education in Primary schools (classes P6/P7)
8. Utilise commissioning arrangements to include tobacco issues in
youth service delivery.
(13) We will work with the youth sector to support smoking
prevention programmes.
Activity area two: Plan, design and deliver smoking prevention
targeted at young people ages 16-24 years.
Addresses action within ‘Creating a Tobacco-Free Generation: a
tobacco control strategy for Scotland’ or other relevant strategy
1. Further test use of a social-norms approach to smoking
prevention in FE colleges.
(15) In conjunction with relevant bodies, including higher and
further education and vocational training providers, we will
explore what measures can be developed to support young
people between 16-24 in making decisions about smoking and
other health behaviours.
16+ Learning Choices (positive and sustained destinations)
2. Audit tobacco issues in relevant FE courses and facilitate greater
inclusion where appropriate.
3. Learning from existing practice, further develop a model to deliver (13) We will work with the youth sector to support smoking
combined smoking prevention and cessation education sessions to prevention programmes.
16+ Learning Choices (positive and sustained destinations)
young people 16-24 in a variety of settings such as vocational
training, criminal justice and housing.
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4. Provide small grants to youth agencies in order to involve young
people in planning and delivering smoking prevention activities
5. Utilise commissioning arrangements to include tobacco issues in
youth service delivery.
7. Develop and implement action/s to tackle other forms of tobacco
and nicotine use such as shisha, oral tobacco, e-cigarettes and
vapourisers.
(13) We will work with the youth sector to support smoking
prevention programmes.
(13) We will work with the youth sector to support smoking
prevention programmes.
(15) In conjunction with relevant bodies, including higher and
further education and vocational training providers, we will
explore what measures can be developed to support young
people between 16-24 in making decisions about smoking and
other health behaviours.
Activity area three: maintain appropriate level of activity to
effectively enforce age-related sales (including proxy sales)
and tackle the availability of illicit cigarettes and tobacco.
1. Maintain a robust programme of work to ensure retailers comply
with age-related sales legislation and display ban. This should
include improving intelligence available to target shops suspected of
selling under-age.
2. Pilot a participatory research project to investigate young
people’s access to tobacco from non-retail sources including proxy
sales.
Addresses action within ‘Creating a Tobacco-Free Generation: a
tobacco control strategy for Scotland’ or other relevant strategy
3. Develop and implement appropriate action/s to tackle the
availability of illicit tobacco
(21) We will continue to support strong national and local
alliances to tackle underage purchases through the Enhanced
Tobacco Sales Enforcement Programme and also more rigorous
enforcement of existing tobacco sales laws.
(21) We will continue to support strong national and local
alliances to tackle underage purchases through the Enhanced
Tobacco Sales Enforcement Programme and also more rigorous
enforcement of existing tobacco sales laws.
(19) We will continue to support strong national and local
alliances to tackle the availability of illicit tobacco through the
Enhanced Tobacco Sales Enforcement Programme.
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Activity area four: support parents and carers to play a role in
smoking prevention including helping them to make their
homes and cars smoke-free
1. Maintain delivery of smoke-free homes and zones project via
local primary schools, NHS and community based services
2. Pilot wider use of air-quality monitors with parents/carers to
increase awareness about the health impact of second-hand
smoke.
3. Provide training and other professional development
opportunities for staff and volunteers to enhance their skills and
knowledge to raise the issue of second-hand smoke. This should
include facilitating access to appropriate resources for staff to use.
Activity area five: contribute to evidence and understanding
about tobacco issues affecting young people
1. Undertake and/or contribute to needs assessment, evaluation
and research in order to increase and improve evidence, knowledge
and practice in relation to tobacco issues affecting young people.
Addresses action within ‘Creating a Tobacco-Free Generation: a
tobacco control strategy for Scotland’ or other relevant strategy
(28) We will continue to support and promote interventions such
as REFRESH to help families make their homes smoke-free.
(28) We will continue to support and promote interventions such
as REFRESH to help families make their homes smoke-free.
(26) Advice on creating a smoke-free home should be a feature
of all ante- and post-natal services and adoption, foster, kinship
and residential care services. Therefore, in keeping with
GIRFEC principles, service providers should ensure
that practitioners have access to appropriate resources to
support families to make their homes smoke-free.
(6) We will establish a Prevention Sub-Group of the Ministerial
Working Group on Tobacco Control. The Sub-Group will be
responsible for overseeing the implementation of the
preventative actions in this strategy, and for advising
the Scottish Government on new actions to prevent the uptake
of smoking among young people. The Sub-Group will ensure
alignment with wider national prevention priorities and
collaborations.
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