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The journey for patients to quit smoking can be challenging, but with the right strategies and support, it is achievable. Smoking cessation is a critical step for patients towards improving overall health and well-being. We caught up with Thorrun Govind, pharmacist, TV health expert and pharmacy lawyer at Brabners for her top tips. Govind notes that smoking is a leading cause of preventable diseases and deaths worldwide. It is associated with numerous health issues, including lung cancer, heart disease, stroke, and chronic obstructive pulmonary disease (COPD). Quitting smoking can significantly reduce the risk of these conditions and improve quality of life. Within weeks of quitting, individuals often experience improved lung function, better circulation, and enhanced sense of taste and smell. Govind advises that; After 20 minutes of quitting your pulse rate, will already be starting to return to normal. After 48 hours of quitting your carbon monoxide levels have dropped to that of a non-smoker. Your lungs are clearing out mucus and your senses of taste and smell are improving. After 1 year your risk of heart attack will have halved compared with a smoker's. This piece explores the various methods and benefits of smoking cessation.

The new Smoking Cessation Service (SCS) will commence on March 10, 2022, allowing community pharmacy contractors to register to provide the service on the NHS Business Services Authority's (NHSBSA) Manage Your Service (MYS) portal from March 1, 2022. This is the second of the two new Advanced services to be introduced this financial year, after the Hypertension case-finding service, which were agreed outcomes from negotiations for Year 3 of the Community Pharmacy Contractual Framework. Since the service is an Advanced service, contractors are free to decide if they wish to provide it, as most would be busy completing work for the Pharmacy Quality Scheme 2021/22 alongside winter-related workload, the Pharmaceutical Services Negotiating Committee said. Therefore, those who decide to start this service should consider the likelihood of receiving sufficient referrals to make provision of the service worthwhile, the PSNC said.

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Smoking is more harmful than previously thought. New research from University College London (UCL) reveals that every cigarette smoked shortens a smoker's life by an average of 20 minutes. Published today (30 December), the study estimates that a pack of 20 cigarettes results in nearly 7 hours of life lost. The research, commissioned by the Department for Health and Social Care (DHSC), also highlights the positive impacts of quitting smoking. Smokers who stop on New Year's Day could save a whole day of their life by 8 January, assuming they smoked 10 cigarettes daily. By 20 February, this figure increases to a week, and by the end of the year, they could avoid losing up to 50 days of life. Public health minister Andrew Gwynne has urged smokers to make a New Year's resolution to quit, describing smoking as "an expensive and deadly habit." "The new year offers a perfect chance for smokers to make a new resolution and take that step."

Smoking is the most significant cause of preventable deaths in England, and the health risks associated with smoking well documented. This not only puts a heavy burden on the healthcare system but also has a substantial social impact. Its link to health inequalities is more evident because it is more prevalent amongst the most vulnerable in our society, with low educational attainment and poor socioeconomic status. Even as smoking rates progressively reduced, these patients remained the most difficultto reach with cessation services. Recent years have also seen many local authorities stop providing locally commissionedNHS stop smoking service, citing funding constraints. The postpandemic financial reckoning may yet see more strain on what is left in the coffers. The Healthy Living pharmacy ethos community pharmacy teams, proactively supporting patients to quit and advising on the best evidence-shaped approach, deliver successful outcomes.

The Office for National Statistics (ONS) has released new data revealing that adult smoking rates in the UK have fallen to their lowest levels on record. In 2023, only 11.9 per cent of adults aged 18 and over-approximately 6 million people-reported smoking cigarettes, marking the lowest proportion of smokers since the Annual Population Survey (APS) began in 2011. Since 2011, the proportion of smokers has decreased by 8.3 percentage points from 20.2 per cent. However, this change was not statistically significant when compared to the previous year's rates, which was 12.9 per cent in 2022. Among age groups, those aged 25 to 34 years had the highest smoking prevalence at 14.0 per cent in 2023. Notably, the 18 to 24 age group experienced the largest reduction in smoking rates, dropping by 15.9 percentage points from 25.7 per cent in 2011 to 9.8per cent in 2023. Commenting on the new ONS statistics, Paul Rees, CEO of the National Pharmacy Association (NPA), highlighted the importance of community pharmacies in combating smoking.

Smoking increases the risk of developing schizophrenia and depression, a report by academics from the University of Bristol published on 20 June claims. It says smoking raises the risk of developing schizophrenia by between 53 per cent and 127 per cent and the risk of developing depression by from 54 per cent to 132 per cent. The authors of the report say more research is needed to identify why this is the case and that more evidence is needed to understand its impact on other mental health conditions such as anxiety or bipolar disorder. The evidence, presented at the Royal College of Psychiatrist's international congress, has been shared with the government which is currently developing a new Tobacco Control Plan for publication later this year. Action on Smoking and Health (ASH) said: "Rates of smoking are much higher among people with mental health conditions than those without, and among England's six million smokers there are an estimated 230k smokers with severe mental illness (e.g., schizophrenia and bi-polar disorder) and 1.6 million with depression and anxiety."

Online vape store GoSmokeFree analysed data from NHS Stop Smoking Service in England from April to September 2023 to determine the number of individuals in each of the nine UK regions who reported successfully quitting smoking after setting a quit date. The findings showed that the South East has the highest number of successful quitters, with 1,226 smokers per 100,000 reporting to have given it up. The Isle of Wight is the most successful area to quit smoking in the South East with 3,124 people quitting per 100,000 smokers. Of the 4,294 individuals who set a quit date in this region, 803 admitted to not being able to achieve their target. A spokesperson from the online retailer noted that overcoming nicotine withdrawals and mental challenges can be exceptionally difficult when attempting to quit smoking.

Generic pharmaceutical company Brown & Burk has announced that it is "the first and the only company" to launch the new anti-smoking pill 'Varenicline' in the UK. Available through NHS stop smoking services, the daily pill has been shown to be as effective as vapes and more successful than nicotine replacement gum or patches in helping smokers quit. When combined with behavioural support, such as counselling, Varenicline was found to help one in four smokers quit for at least six months. The company told Pharmacy Business that its Varenicline 1mg and 0.5mg tablets are being distributed by Teva UK, branded with Brown & Burk's livery. Health secretary Wes Streeting recently highlighted the potential benefits of the pill, stating that its rollout could "save the NHS millions of pounds, save appointments to help other patients be seen faster, and save lives." A study by University College London suggested that Varenicline use could help over 85,000 people try to quit smoking each year, potentially preventing up to 9,500 smoking-related deaths over the next five years.

Tens of thousands of smokers in England will be offered an improved anti-smoking pill by the NHS to help them quit. NHS England has announced the rollout of a new generic version of Champix, called Varenicline, which has been proven to be as effective as vapes and more successful than nicotine replacement gum or patches. When used alongside behavioural support, such as counselling, the daily pill has been shown to help one in four smokers quit for at least six months. NHS chief executive Amanda Pritchard called the introduction of Varenicline a "vital step in shifting NHS further towards prevention" and highlighted that it could be a "game-changer" for people who want to quit smoking. Speaking at the NHS Providers annual conference in Liverpool on Tuesday, she emphasised that smoking remains "one of the biggest public health issues facing the NHS."

UK-based consumer health company Kenvue has developed a series of tools and materials to support healthcare professionals - including pharmacy teams - with their conversations with smokers on their quit journey. This is part of their newly launched Smokefree Families initiative, which aims to help reduce the number of smoking households with children in England. Kenvue believes that pharmacists and their teams are vital to the success of this initiative, as they play a crucial role in supporting smokers in their quit journey. "As trusted sources of support and advice to families across the country, we firmly believe that community pharmacy teams are crucial to the success of our Smokefree Families initiative," Manoj Raghunandanan, Area Managing Director, Northern Europe at Kenvue, told Pharmacy Business. "To support them, we've created a series of tools and materials that can help pharmacists and other healthcare professionals tackle sensitive conversations with new and expectant parents, their partners and support networks, and ultimately motivate them on their quit journey."

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New data released on Friday (July 1) shows how public support has continued to grow despite a lack of progress on the policy front, 15 years since a smokefree legislation in Britain prohibited smoking inside public spaces such as offices, shops and pubs. This was demonstrated by a new report 'Fifteen Smokefree Years' summarising results from the annual survey carried out since 2007 by YouGov for the public health charity Action on Smoking and Health. Around three quarters (74 per cent) of those who participated in survey supported the government's Smokefree 2030 ambition. The report said: "The public are way ahead of the government, and right behind recommendations made to the Health and Social Care Secretary for the forthcoming Tobacco Control Plan by Javed Khan's independent review." Three quarters (76 per cent) support making tobacco manufacturers pay a levy to fund tobacco control and smoking cessation, 83 per cent support requiring retailers to be licensed to sell tobacco, 70 per cent support increased investment in public education campaigns, 67 per cent support warnings on cigarettes, and 62 per cent support making seating areas outside restaurants, pubs and cafes smokefree.

At the Conservative Party Conference, PM Rishi Sunak pledged to raise the legal age every year to buy from those who were born in 2009. The proposed changes also encompass heated tobacco products, recognized as smoke-free alternatives that heat, not burn, tobacco to produce a distinct nicotine-containing aerosol compared to traditional cigarette smoke. The following move in a bid to "try and stop teenagers taking up cigarettes in the first place", and bring in restrictions to stop young people from vaping. PM Rishi Sunak spoke at the conference, "Last week I promised to create the first smoke-free generation and I am wasting no time to deliver on that promise.

The government has extended VAT exemption from Monday (1 May) on healthcare services carried out by pharmacy staff under the supervision of pharmacists. HM Revenue and Customs has issued a note detailing the change to the VAT treatment of medical services. The Government said this will bring the VAT treatment of pharmacists in line with other registered health professionals providing medical services to the public. The Pharmaceutical Services Negotiating Committee (PSNC) said: "This is something that PSNC has been seeking Government agreement on for a long time, including in recent CPCF negotiations." PSNC believes that the extension of this VAT exemption will help as community pharmacy businesses try to make better use of the skill mix in their teams both now and in the future. "Not only does it enable contractors to review the VAT status of any locally commissioned services currently provided by non-registered pharmacy staff but also, in time, it could be used to amend nationally commissioned services to allow support staff to provide certain parts. For example, following a recent amendment to the service Directions, pharmacy technicians are now able to perform blood pressure checks as part of the Hypertension Case-Finding Service and deliver the Smoking Cessation Service.

Maintaining a healthy digestive system is a vital component of a customer's overall health. Gut health affects how food is processed and digested, in turn affecting how and what vitamins and minerals are absorbed from the food that is ingested. It also impacts immune system efficiencies which can lead to allergies and autoimmune conditions. As such, supporting customers with their digestive health should be a key focus for community pharmacists. Alongside offering a range of over-the-counter products, pharmacists are well placed to offer one-to-one guidance for customers concerned about their digestive health. Top tips that pharmacists should provide their customers with, include: Eating well Pre and probiotics Water intake Smoking cessation Alcohol Intake

Along with pharmacists, pharmacy technicians in England are now able to perform blood pressure checks as part of the Hypertension Case-Finding Service and deliver the Smoking Cessation Service (SCS). The government has amended Drug Tariff and includes the amendments to The Pharmaceutical Services (Advanced and Enhanced Services) (Amendment) (England) Directions 2023. Pharmaceutical Services Negotiating Committee (PSNC) said: "The service specifications for both services are currently going through NHS England's publication process; when these are published PSNC will alert contractors through their normal communication channels. PSNC resources for both of these services are also currently being updated."

The Pharmaceutical Services Negotiating Committee (PSNC) and NHS England have agreed that community pharmacy contractors will have to participate in one mandatory national health campaign. This campaign on weight management commenced from Tuesday (03 January) and will run until Sunday (29January). PSNC said: "Pharmacies can be required to participate in up to six health campaigns at the request of NHS England per year (1st April to 31st March). Pharmacies will be involved by displaying and distributing leaflets provided by NHS England. In addition, pharmacies are required to undertake prescription-linked interventions on major areas of public health concern, such as encouraging smoking cessation. "Contractors can order pharmacy specific posters, wallet cards ('info' cards with a QR code signposting people to the Better Health website and free tips and tools to lose weight) and a dispenser for these cards on the Campaign Resource Centre website. A guidance leaflet to support community pharmacy teams' conversations with patients is also available," said PSNC.

Community pharmacy is integral to accelerating the three shifts envisaged by the government, but concrete action is needed to address the current funding crisis - the Company Chemists' Association (CCA) has stated in its response to the 10-year plan consultation. The CCA highlighted a wide range of pharmacy services that could contribute to achieving the government's vision shifting care from hospitals to community, from analogue to digital, and from treating sickness to prevention. To strengthen the sector's role in prevention, it proposes expanding the pharmacy's role in vaccination, screening, emergency hormonal contraception (EHC), and smoking cessation services. Furthermore, the CCA's submission noted that the expansion of Pharmacy First as "key to moving more care into the community."

A new survey has highlighted growing concerns about pharmacists' increasing workload and their often-overlooked role within the healthcare systems. In the survey commissioned by consumer health company Kenvue, over 90 per cent of pharmacists reported a workload increase over the past year, with only 37 per cent considering their current workload sustainable. Their primary concerns include the impact of workload on wellbeing, expanding clinical roles and services, and challenges with staff recruitment and retention. Pharmacists reported spending most of their time advising patients on common ailments such as coughs, colds, pain, and allergies. However, they spend significantly less time on preventive services, which could further reduce pressure on the wider healthcare system. For instance, only seven pharmacists focus primarily on smoking cessation, and just four per cent on oral health. The survey also highlighted pharmacists' sense of being undervalued, with only 22 per cent feeling valued by policymakers, despite their significant contributions to primary care provision.