Making the case for investment in local tobacco control – tools availableSEPHIG, City of Westminster Archives Centre, London23 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

JSNA support pack

Toolbox – an overview

ASH ‘Ready Reckoner’

NICETobacco

ROI

LocalTobaccoProfiles

ASH Ready Reckoner & Local Toolkit resourcesi. Economic Impact – wider societal costs

ii. Briefing of Elected Members and ‘Board Members’

www.ash.org.uk/localtoolkit

• 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

Local Tobacco Control Profilesi. 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 Packi. 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/clear-local-tobacco-control-assessment

NICE Tobacco Control ROI tooli. 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 Reckonero JSNA Resource Packs / Tobacco Profiles / CLeaR

• Pragmatic and action orientatedo Team Approach: DPH, Commissioner, TC Leads, Analyst, et alo Meet your ROI Super Usero Identify next steps… Actions to take back locally.

• Development of case studieso Support and Evaluation of local implementation. Are tools fit for purpose?o Case histories

 

• 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)

How one Local Authority has used the tools to date

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High Level Summary 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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