PHS Smoking Cessation Service

About the Service

Smokingdoc

The Introduction of the national pharmacy smoking cessation service in 2009 has seen community pharmacy now deliver around 70% of all NHS stop smoking attempts in Scotland. The pharmacy network has made a crucial contribution towards public health targets to reduce smoking rates to below 5% by 2034, as set out in current tobacco control policy.

The service is delivered against a specification which has developed over the years to include the processes to be followed in carrying out the service and a PGD for prescribing Varenicline which is adapted and adopted for local use by each Health Board. The service specification is a great place to start if you have questions about what can and cannot be done in community pharmacy.

The latest update to the service specification and Varenicline PGD was published in August 2017. This remains mostly unchanged from the 2014 version, but makes clear that those who do not wish to use a product during their quit attempt  can be supported as well as emphasising that where a client has had several quit attempts a discussion should be initiated as to which NHS cessation service was the most appropriate for their needs.

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Remuneration

Quit attempt event MDS submission Remuneration basis
Submission of the MDS information with confirmed quit date (normally first return appointment)

£30
To be electronically submitted once the quit-date is confirmed with client. This will form the basis of the timelines for the 4-week and 12-week post-quit date follow-ups. At the end of each calendar month a count will be made, by Practitioner Services Division (PSD), on the central smoking cessation database of patients for MDS submissions for new quit attempts that meet the validation requirements.
Four week post-quit date 

£15

This should be performed for every patient who enters the service

To be electronically submitted immediately after
the 4-week post- quit date and not later than 6 weeks from the confirmed quit-date.
At the end of each calendar month a count will be made, by Practitioner Services Division (PSD), on the central smoking cessation database of patients for MDS submissions for the 4-week stage that meet the validation ­­­­requirements.
Twelve week post-quit date

£35
To be electronically submitted between 12 and 14 weeks from the confirmed quit-date.,(If the patients quit attempt is known to have failed during the period the PCR may be submitted between 10 and 14 weeks.) At the end of each calendar month a count will be made, by Practitioner Services Division (PSD), on the central smoking cessation database of patients for MDS submissions for the 12-week stage that meet the validation requirements.

 

Education

NHS Education for Scotland has produced a number of learning resources to aid contractors in delivering the service. The service specification states that the NES multi choice questions must be completed to a satisfactory standard.

The MCQs and e-learning module can be found on the NES portal. NES have also recorded a webcast to support those delivering the service.

Key Facts

We have created a PHS Smoking Cessation Key Facts Sheet to give you further information on the service.

CPS Webcast

We have recorded a webcast on the PCR and Smoking Cessation Support Tool. The webcast runs through two scenarios in terms of patients accessing the service and talks you through how the support tool works. It will also demonstrate how to use the reports function to give you an idea of how the PCR has been adapted to deliver the new service.

View the Smoking Cessation Support Tool webcast now.

The webcast lasts for 20 minutes but you can skip to the following sections by following the links below:

PCR Smoking Cessation Template Forms/Letters

  • This template form can be used to collect the data required to enter into the PCR
  • Varenicline Clinical Risk Assessment Form
  • Supply of Product Letter to GP Template 1
  • Supply of Product Letter to GP Template 2

PCR Administration Guide

4 Week Smoking Status Data Should Be Submitted For All Patients

The office has received feedback from Health Boards that the number of 4 week data set submissions from the PCR is very low compared with the number of quit dates set. Members are reminded that all patients who access the service should have data submitted for their quit date and their smoking status at 4 weeks post quit. The 4 week data is required for Health Boards to monitor quit rates. There is a £15 fee for submitting data at week 4.

Please see our PCR guide for helpful information.

Varenicline Support

Further support on Varenicline (Champix) supply can be found on the Pfizer website. Pfizer representatives can also provide you with product information on Champix. To book a phone or web-based appointment you can use the following link https://www.pfizerline.com/uk/ask-pfizer. Pfizer also have other support materials available on their website.

*CPS does not have any say over the content of these webpages. We add the link to provide further support for practitioners who feel they may benefit from the content and materials provided in their professional judgement.