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Development of a ten-year tobacco control strategy using outcome-focussed planning within NHS Ayrshire and Arran. Elaine Young Senior Manager Public Health. What I am going to talk about…. Why strategies are important What relevance strategies have to practitioners

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Elaine Young Senior Manager Public Health

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Elaine young senior manager public health

Development of a ten-year tobacco control strategy using outcome-focussed planning within NHS Ayrshire and Arran

Elaine Young

Senior Manager

Public Health


What i am going to talk about

What I am going to talk about….

  • Why strategies are important

  • What relevance strategies have to practitioners

  • How we approached writing our strategy

  • Lessons learned from writing our strategy


Why strategies are important

Why strategies are important


Why strategies are important1

Why strategies are important

“A journey of a thousand miles begins with a

single step”

Lao Tzu


Why strategies are important2

Why strategies are important

“By not acting, we are killing people”.

Nicola Roxon, Minister for Health

in Australia, who championed plain

packaging


What relevance strategies have to practitioners

What relevance strategieshave to practitioners

  • Variety of posters and presentations here today from Ayrshire and Arran, but why are we working on these areas?

    • Prison – using Varenicline

    • Hospital – respiratory opt out project

    • Hospital into community – follow up

    • Veterinary practices – second hand smoke


What relevance strategies have to practitioners1

What relevance strategieshave to practitioners


Elaine young senior manager public health

…because - they are part of our strategy - practitioners’ objectives flow from this strategy- we can clearly show budgetary spending


How we approached writing our strategy

How we approached writing our strategy

  • Our director had a vision….


How we approached writing our strategy1

How we approached writing our strategy

  • ….about using outcome focussed planning i.e. looking at

    • long term, intermediate and short

      term outcomes for tobacco control

    • how these connect to the national outcomes

    • the local actions required to meet these outcomes along with appropriate performance measures


How we approached writing our strategy2

How we approached writing our strategy

  • Step 1: We formed a Tobacco Leadership group with members from Public Health and Policy, Planning and Performance Department

  • Step 2: We developed a project plan and Volume 2 – fact file describing epidemiology, current services, local issues “where are we now in relation to tobacco control”


How we approached writing our strategy3

How we approached writing our strategy

  • Step 3: We held an initial stakeholder event:


How we approached writing our strategy4

How we approached writing our strategy

Outcomes triangle

Logic models

Multiple results chains


How we approached writing our strategy5

How we approached writing our strategy

  • We discussed how we might wish to change these national logic models to reflect our local situation

  • We then spent some time in workshops collating activities/actions which we thought would result in these locally agreed short term outcomes


How we approached writing our strategy6

How we approached writing our strategy

  • Step 4: Brought together a multi-disciplinary strategy development task and finish group who used the information from the stakeholder event to develop our draft strategy and action plan over a period of 3 meetings


How we approached writing our strategy7

How we approached writing our strategy

  • Step 5: We engaged widely with community planning partners and the public on our draft strategy and action plans and amended the documents accordingly


How we approached writing our strategy8

How we approached writing our strategy

  • Step 6: We took the draft strategy and action plan through our management structures to the NHS Board requesting that it was endorsed for a period of formal consultation

    Digital Story: My smoke free family


How we approached writing our strategy9

How we approached writing our strategy

  • Step 7: We consulted on the draft strategy and action plans in a more targeted way, using focus groups etc

  • Step 8: We took the consultation report and amended strategy back to the NHS Board in Feb 12 and it was endorsed for implementation


How we approached writing our strategy10

How we approached writing our strategy

  • Next steps:

    • Multi-agency Tobacco Strategy Implementation Group

    • Actions and monitoring via covalent – performance management system

    • Working with North, South and East CHPs

    • Leadership group continues, working with Health Scotland


How we approached writing our strategy11

How we approached writing our strategy

  • Next steps:

    • Poster at Public Health Conference

    • Presentation at national Smoking Cessation Conference

    • Benchmarking against National Strategy and altering our action plan if required


Lessons learned from writing our strategy

Lessons learned from writing our strategy

  • It takes longer than you think

  • The tendency is to be over ambitious

  • Engagement and consultation are vital to producing a document which is owned by partners and the public

  • The process has been useful in raising the profile of smoking and smoking related issues

  • We have created a template for the development of other strategies


Contact details

Contact details

[email protected]

01292 885914


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