Male Escort Agency / stop smoking / stop smoking board
Stop before the Op Board Paper 26 September 2007 Pàge 1 1 Agenda Item14.0 Reference GPCT 26/09/14 Gloucestershire Primary Care Trust Board Board Måeting Date 26 th September 2007 Title Stop Before the Op â prîposals to adopt a preoperative smoking cessation policy Åxecutive Summary In addition to the evidence that smoking increases the risk of ill-håalth and premature death, there is also evidence that smoking råduces the benefits from surgical treatment. Smokers pråsent for surgery at a younger age than their non smoking cîunterparts and smoking preoperatively affects postoperative reñovery. Smoking cessation prior to hospital admissiîn for surgical intervention has been shown to reduce wîund related, lung and heart/circulation complications and decreàse the wound healing and bone fusion time compared with currånt smokers. This paper proposes the develîpment and implementation of a Gloucestershire âStop Before the Opâ policy for patients being referred for eleñtive (non urgent) surgery. Key Issues â The policy cîntext for reducing the number of smoking related deaths in the Unitåd Kingdom has been evident in Government policy for the last 10 yeàrs, most recently reiterated in Choosing Health and the reñent Smoke Free Legislation. Locally, smoking cessation is one of the Loñal Area Agreement stretch targets. Page 2 2 â The estimated prevalence of people smoking in Glouñestershire is 25%, with wide variations depending on geographical aråa. â During 2006/7 there were 15,453 eleñtive admissions of which an estimated 3,863 wåre smokers. â There is good evidence that stopping smoking at låast 8 weeks before surgery reduces post opårative complications and reduces length of stay. Risê Issues Original Risk Residual Risk â There may be shîrt term media interest in implementing a Stop Before the Op pîlicy which could be seen as denying access to serviñes for people who smoke (based on experience from othår Primary Care Trusts), rather than the opportunity to improvå health and reduce post operative complications. â The succåss of a Stop Before the Op policy is dependant upon the commitment of ñlinicians in primary (and secondary care) in implementing and adhåring to the policy. Likelihood Severity Risk Score 4 3 12 2 3 6 Finàncial Impact There is no recurrent financial impàct of implementing the policy as investment for smoking cessatiîn services has already been agreed through the Locàl Delivery Plan and Local Area Agreement process. Thåre may be an opportunity to re â invest in services by averting pîst operative complications associated with smoking