Greater Manchester First Stop Health Bus
Post on 03-Jan-2016
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Greater Manchester First Stop Health Bus
Wendy Kirkpatrick, Heath Development Manager
Paul Finch, Senior Health Improvement Worker
Salford Health Improvement Service
Our Partners
Background• Smoking prevalence in Greater Manchester (GM)
has fallen in recent years; still significantly higher than the national average
• 2007-2009 research, branding and mobile unit interventions carried out across GM
• Approach was deemed cost effective by GMPHN following previous pilots using a mobile unit carrying out brief interventions
• Pfizer Ltd agreed to a partnership with GMPHN to create a dedicated mobile clinic to provide a uniform Stop Smoking Service across GM
Objectives• Deliver a service that achieves quitters;
contributing to the 10 GM PCT’s Vital Signs 4-week quit targets
• Reduce the prevalence of smoking by provision of evidence based cessation, support and advice
• Engage with smokers to provide services that are responsive and needs-led
• Offer smokers effective, flexible and quick access to support
• Assist in reducing health inequalities as measured by mortality targets
Objectives• Raise awareness of the harms associated with
smoking• Work in partnership across local authority and
health economy • Work in partnership with other health lifestyle
programmes• Provide accurate data and activity monitoring
information as required by DoH and locally
Delivery Goals
• 800 X 4 week quitters in 2012/13• 95% CO validation• Operation 48 weeks of the year• One different location/day in GM• 5 days/week (changed to 6 days/week when CVD
screening commenced• 8 and 12 week cycles operated (5 Cycles)• Working hours Monday-Saturday; 8 hours/day
between 10am – 8pm
Targets
Planning• Operational and Strategic Management Groups at
GM level• Local Delivery Group• Bus staff identified from current HIS staffing• Band 5 staff with smoking cessation and local
community experience• Bus driver trained in Level 2 BI and then as a
Level 2 adviser• HIS Manager identified as lead for delivery as well
as liaison with GMPHN and local SSS
Planning• Client pathway mapping carried out • Business continuity plan completed• Bad weather protocol and policy developed and
agreed with all partners• Admin support and time identified and ring-fenced• Database changes to accommodate GM wide
data collection and reporting• Staff training on systems and to carry out mini
health MOT
Implementation• 2 X Band 5 advisers on board at all times• At least one front of house staff working there and
outside of bus• Bus driver included as team member• Close joint working with CVD screening and
assessment team to ensure client journey as easy as possible
• 5 Cycles of 12 weeks X 2; and 8 weeks X3• Site visits & risk assessments carried out by
GMPHN, Manchester Community Transport; HIS
Implementation & Delivery• Liaised with local supermarkets; markets;
shopping precincts to advertise, flier etc• Website appointment system available• Clients have up to 30 minute appointment• 10 different voucher schemes in use• One ‘Gold Standard’ monitoring form used• Client assessment and note form kept by
advisers to aid follow-up• Clients encouraged to return for at least 4 weeks• Choice of telephone or F2F follow-up
Delivery• Clients seen and assessed on the bus• Client led service – support and treatment plan• Some referred directly on to local services for
varenicline (no bupropion requested) access and support
• All clients offered support on bus initially ;referred on if requested or if identified by adviser as requiring intensive quit support e.g. Pregnancy, unstable chronic disease, on medication requiring monitoring
The Results - Targets
• 2115 (2000) smokers treated• 284 (1000) referred on to local services• 1543 or 73% (560) lived in area of deprivation • 695 (800) four week quits achieved• 128 of these were CO validated• 31% (40%) quit rate achieved• 106 (40) clients were from BME populations• 299 (560) clients were from routine and manual
groups
The Results–Client Evaluation• >85% of people found out about the bus when they
saw it (visual impact)• >70% of people attended because they wished to
stop smoking• >85% were either very or extremely satisfied with the
overall service; expertise of staff; quality of advice given; waiting time; location; cleanliness of the bus
• >62% found the service very helpful• 98% of clients said they would recommend the GM
First Stop Bus service to others• >68% of clients indicated that they had not previously
accessed any NHS stop smoking service
Our Challenges
• ICT for use with QWU database• Appointment system• Running groups• Managing voucher schemes for 10 different areas• Transition of clients from bus to local services• Bus locations and siting• Weather
Our Successes
• Fully functional ICT systems• Majority of targets have been met• Additional stop smoking services provided to
those who do not normally access services and for specific target groups
• Gold standard voucher developed (now in use in Salford)
• Dedicated bus staff – 2 staff now work full time on the bus
• Delivering stop smoking services on a Greater Manchester footprint
The Future
• 6 month extension from 7 May -1 November 2013• 2 x full time staff, regular and easier to manage• CO validation monitoring relaxed for Year 2• Cycles shortened to 5, 6 and 8 weeks • Delivery times constant at 10am-6pm• Review of bus locations• 8 of the 10 GM Boroughs took up the opportunity
for a second phase• New Commissioner, now managed by one of the
boroughs rather than at GM level
Thank youWendy Kirkpatrick
Health Development Manager
Email: wendy.kirkpatrick@salford.gov.uk
Telephone: 01617933 499 or Mob: 07795013372
Paul Finch
Senior Health Improvement Worker
Email: paul.finch@salford.gov.uk
Telephone: 07810756310
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