Derby City Councils Livewell service is to work in the Royal Derby Hospital to support patients that have been admitted to the hospital after a cardiac event to stop smoking and reduce avoidable re-admissions and reduce NHS costs.
It is estimated that 1 in 6 cardiac admissions to hospital are due to smoking. Smoking prevalence in adults in Derby City is 17.8%, rising to 27.8% amongst those working in routine or manual occupations. Derby also has higher than national rates of smoking attributable mortality and smoking attributable hospital admissions.
Councillor Martin Repton, Cabinet Member for Integrated Health and Care said:
“Derby businesses lose approximately 50,000 days per year, costing an estimated £4.6m in lost productivity, whilst the estimated cost of smoking to society in Derby £74.3m per year.
“I’m delighted that we are working with the Royal Derby Hospital on such a fantastic initiative. The Livewell team are working hard to ensure the people of Derby have every chance to give up smoking and stay smoke free.”
Consultant Respiratory Physician John Anderson said:
“As a respiratory consultant, I regularly see patients whose health would significantly improve if they were able to stop smoking. I am delighted that we have been able to work in partnership with Livewell to deliver two specific stop smoking programmes, which the patient can access when they are admitted into hospital. In addition to these programmes, we are committed to supporting all patients, visitors and staff to make positive lifestyle choices, which we deliver through our Making Every Contact Count programme.”
Studies have shown that being admitted to hospital can provide a key ‘teachable moment’ at which smoking cessation advice and support is likely to improve quit rates. During the second half of 2017 a smoking cessation pilot was run by the City Council Livewell service providing support to patients admitted to the respiratory wards at Derby Teaching Hospitals.
The pilot was very well received and highly valued by staff and patients and a decision has been taken to expand the service to the cardiac wards to compliment services provided in the community. Livewell will be offering smoking cessation support to cardiac in patients and then support them on discharge to reduce their likelihood of readmission.
Quitting smoking has been shown to reduce the need for re-hospitalisation following an episode of Acute Coronary Syndrome, plus reduces the risk of restenosis following angioplasty. It also reduces the risk of recurrent MI by 30%. (British Thoracic Society June 2013).
A return on investment calculation undertaken by Kent Public Health Observatory in 2015 indicated that the hospitals investing in in-house, smoking cessation service would receive an ROI of around £90 on every £1 invested.
This contract continues the fantastic work of the Livewell service in helping the people of Derby quit smoking. As well as work in the hospital, Livewell are now operating in workplaces across the city, supporting employers, including Rolls-Royce, help their staff break the habit. Livewell offers an employee centred approach to quitting through 121’s, groups, telephone support and a Facebook messenger bot called Will Power.
Livewell supports adults and children to manage their weight, quit smoking and have an NHS Health check. To find out more or to join Livewell please visit www.livewellderby.co.uk or call 01332 641254.
Pictured with Cllr Repton are (l-r) Paul Mallett, Livewell Advisor, Corinne Hallsworth Senior Sister on Ward 403 and Dawn Lee, Livewell Coordinator.