Making the case for investment in local
tobacco control – tools available
SEPHIG, City of Westminster Archives Centre, London
23 September 2014
Allan Gregory, Tobacco Control Manager, PHE
Overview
“A toolbox approach”
• An introduction - Tools available
• Seminar/Workshop Series
Reflective / Contemplative
• Awareness of the local priorities
• Challenges/opportunities that the tools present us
• NICE guidelines relevant to Tobacco control
Toolbox – an overview
Local
Tobacco
Profiles
ASH ‘Ready Reckoner’
NICE
Tobacco
ROI
JSNA support pack
ASH Ready Reckoner & Local Toolkit resources
i. Economic Impact – wider societal costs
ii. Briefing of Elected Members and ‘Board Members’
• demonstrate the scale of the harm locally caused by tobacco use and
the contribution this makes to health inequalities,
• demonstrate the cost to local communities, local economies and service
providers,
• demonstrate the evidence of effectiveness of local action on tobacco and
health
www.ash.org.uk/localtoolkit
Local Tobacco Control Profiles
i. Support needs assessment
ii. Comparator analysis
•
a snapshot of the extent of tobacco use, tobacco related harm, and measures
being taken to reduce this harm at a local level.,
•
assess the effect of tobacco use on local populations,
•
inform commissioning and planning decisions to tackle tobacco use and
improve the health of local communities
•
allows you to compare your local authority against other local authorities in
the region and benchmark your local authority against the England average
www.tobaccoprofiles.info
JSNA Resource Pack
i. Support needs assessment
ii. Local action planning
•
supports local authorities to deliver locally appropriate interventions and
services by providing data, interpretation and evidence to enable local
teams to improve the public’s health.
•
support the JSNA process and to help local authorities to commission
comprehensive tobacco control interventions.
•
generate feedback from commissioners and other local stakeholders
regarding it’s usefulness and suitability to support the case for local tobacco
control action
•
Compliment the CLeaR programme https://www.gov.uk/government/publications/clearlocal-tobacco-control-assessment
NICE Tobacco Control ROI tool
i. Commission the best environment to support smokers to quit successfully
ii. Impact of local / sub-regional tobacco control programme
• evaluates a portfolio of tobacco control interventions and models the
economic returns that can be expected in different payback timescales
• different interventions, including pharmacotherapies and support and advice,
can be mixed and matched to see which intervention portfolio or package
provides the best 'value for money', compared with 'no-services' or any other
specified package.
Making the Case – Seminar series
• 6/7 regional events.
o Overview of ‘tool-box’
o Focused sessions on NICE ROI Tool and ASH Ready Reckoner
o JSNA Resource Packs / Tobacco Profiles / CLeaR
• Pragmatic and action orientated
o Team Approach: DPH, Commissioner, TC Leads, Analyst, et al
o Meet your ROI Super User
o Identify next steps… Actions to take back locally.
• Development of case studies
o Support and Evaluation of local implementation. Are tools fit for purpose?
o Case histories
How one Local Authority has used the tools to date
High Level Summary
• What: engaged Members
and HWB
• How: Highlighted impact of
a local / sub-regional
tobacco control programme
• Outcome: investment in a
tobacco control programme
(over and above LSSS)
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Detailed Analysis
• Intention: commission the best
stop smoking service ‘model’
for local population
• How: analyse existing LSSS
practice and investment,
against other potential
‘Packages’
• Outcome: clearly
commissioned pathways of
care to support quitters
?
1. Challenge for today…your support
• How can Super Users provide the best support for
Commissioners?
Do Commissioners know what they want?
• Do we (you) have to show them the way?
• Value of the worked example and ‘scenario modeling’
Considerations
• ROI Tools use in contract performance management
• Embed the ROI Tools into local practice (JSNA, Annual PH
Report, Commissioning Frameworks)
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2. Next steps over to you
• Support for the seminar series
What tools are we missing?
• (focusing on making the case… but where next?)
• E.g. targeted tools (e.g. BTS ROI tool for Secondary care)
Examples of use of local data sets
• Performance management tools? (e.g. use of dataSAVI)
• Health Equity Audits
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Thank you
Allan Gregory
Tobacco Control Manager
allan.gregory@phe.gov.uk
07500 120069
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