JAN SINCLAIRJAN SINCLAIR
LIFESTYLES CO ORDINATORLIFESTYLES CO ORDINATOR
STOCKPORT LIFESTYLES SERVICESTOCKPORT LIFESTYLES SERVICE
……………………About the ServiceAbout the Service
Commenced - August 2009
Support staff to make their own lifestyle changes
Lifestyles Service Model
Patient Lifestyles Group
Lifestyles ServiceLifestyles Service……..PROGRESS..PROGRESS
GM Mini Network – Links with GM Food and Drink / Smoking Cessation groups
International Care Pathway Journal – published article
(Development of a health promotion care pathway for adult hospitalised patients)
Gala Award by Trust for “Improving Patient Care”
Link Nurse Seminars/ Behaviour Change Training (local and out of area)
Lifestyles ServiceLifestyles Service
Smoking AssessmentsSmoking Assessments
Total percentage of smoking assessments across roll-out wards over 6 month period
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26
Week no.
• Aug/Sept 2010 – rolled out service to 6 more wards and audited case notes from these Sept 2010 – Feb 2011
• Assessments for smoking increased from 50% to 70% over 6 months
Lifestyles ServiceLifestyles ServiceSmoking assessmentsSmoking assessments
28 31 51 61 101 119 243
46% 48%
31%
21%25%
20%
10%
0
50
100
150
200
250
300
18-25 26-35 36-45 46-55 56-65 66-75 OVER 75Age group
Tota
l ass
esse
d
0%
10%
20%
30%
40%
50%
60%
Pro
port
ion
of s
mok
ers
Total assessed for smoking smoker %
Lifestyles ServiceLifestyles Service
Evaluation September 2011Evaluation September 2011
Referrals to Stop Smoking Services
0
5
10
15
20
25
May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug
2010 2011
Tota
l num
ber
of r
efer
rals
Stop SmokingServiceLinear (Stop SmokingService)
Average increased from approx 14 ref/month to 18 ref/month
• May-Aug 2010 = 51 referrals
• May-Aug 2011 = 65 referrals � 27%
Lifestyles ServiceLifestyles Service
Evaluation September 2011Evaluation September 2011
Referrals to the Lifestyle Service Team
0
10
20
30
40
50
60
70
May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug
2010 2011
No
. of
refe
rral
s
Average increased from 28 ref/month to 46 ref/month• May-Aug 2010 = 114 referrals • May-Aug 2011 = 167 referrals•Total Referrals to date = 682 � 46%
Lifestyles ServiceLifestyles Service
Evaluation September 2011Evaluation September 2011
Estimated no. of smokers identified (20% of assessed population)
2837
No. of smoking referrals
122 (4% of smokers)
Estimated no. assessed for smoking (67% of total)
14186
Total Adult inpatients from project wards (Jan-Jul 2011)
21173
Lifestyles ServiceLifestyles ServiceEvaluation September 2011Evaluation September 2011
• October 2009 to April 2011 204 referrals were made to stop smoking service.
• Questionnaires were sent to all patients who received referrals and 17% were returned.
• Of those contacted by the service 53% had quit smoking and 39% reduced the amount they smoke
What the Patients sayWhat the Patients say…….. ..
�� ““ itit’’s absolutely excellent that you offer so many s absolutely excellent that you offer so many services for people who want to change their lifestyleservices for people who want to change their lifestyle””
�� ““good advice, straight talking good advice, straight talking –– told what I was doing told what I was doing to my bodyto my body””
�� ““find all the support/services very helpful and I no find all the support/services very helpful and I no longer drink alcohollonger drink alcohol””
WhatWhat’’s next ?s next ?
�� More wards involvedMore wards involved�� Continued ward based trainingContinued ward based training�� Further audit (pre op smokers, NHPH)Further audit (pre op smokers, NHPH)�� Increased Patient and Staff involvementIncreased Patient and Staff involvement�� PCT PCT -- new models of workingnew models of working