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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…. Why strategies are important What relevance strategies have to practitioners

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Elaine Young Senior Manager Public Health

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  1. Development of a ten-year tobacco control strategy using outcome-focussed planning within NHS Ayrshire and Arran Elaine Young Senior Manager Public Health

  2. 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

  3. Why strategies are important

  4. Why strategies are important “A journey of a thousand miles begins with a single step” Lao Tzu

  5. Why strategies are important “By not acting, we are killing people”. Nicola Roxon, Minister for Health in Australia, who championed plain packaging

  6. 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

  7. What relevance strategieshave to practitioners

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

  9. How we approached writing our strategy • Our director had a vision….

  10. 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

  11. 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”

  12. How we approached writing our strategy • Step 3: We held an initial stakeholder event:

  13. How we approached writing our strategy Outcomes triangle Logic models Multiple results chains

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

  19. 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

  20. 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

  21. 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

  22. Contact details elaine.young@nhs.net 01292 885914

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