Proposed Tobacco Prevention Actions 2014-2018

NHS Lothian Tobacco Prevention Programme – proposed priorities 2014-2018Consultation July 2014

Principles underpinning tobacco prevention activity in Lothian:

Develop a mix of interventions at different levels which build capacity and are sustainable
Proportionate universalism: actions must be across all social groups but with ‘a scale and intensity that is appropriate to levels of disadvantage’ in order to contribute to reduce health inequalities.
Young people should be actively involved in the development of smoking prevention information, activities, services and policies.
Tobacco use should be addressed in the wider context of young people’s lives

Activityarea one: develop, support and deliver smoking prevention in schools, CLD and youth-work settings alongside work explicitly targeted at specific groups eg LAAC. / Addresses action/s within Creating a Tobacco-Free Generation: a tobacco control strategy for Scotland 2013 (or related strategy)
1. Pilot the Decipher-Assist approach in selected secondary schools in Lothian. Decipher-Assist is an evidence-based peer led intervention delivered to either S1 or S2 years in secondary schools. The intention is to deliver the intervention in circa 20 schools over three years. / (12) We will undertake a pilot of ASSIST, which will consider its suitability for Scotland and potential for further adaptation to other risk-taking behaviour.
2. Facilitate review of and supportstrong implementation of tobacco policies (with reference to other policies relevant to smoking and tobacco) in schools, CLD, youth agencies and LAACYP establishments. / (9) We will work with learning establishments and partner agencies to identify good practice and high quality resources which will be shared on the GLOW schools intranet site.
(13) We will work with the youth sector to support smoking prevention programmes.
Report on the mapping of existing tobacco control policies within looked after and accommodated children and young people (LAACYP) services in Scotland (ASH Scotland 2014)
3. Provide training and other professional development opportunitiesfor staff and volunteers to enhance their skills and knowledge to deliver smoking prevention(coupled withtraining in ‘raising the issue’ / providing ‘brief intervention’ support to young people who smoke, where appropriate). / (14) 4 In support of the Scottish Government Parenting Strategy, we will work with service providers in the statutory and third sector to assist parents, carers and professionals address the smoking habits and associated health behaviours of young people.
4. Support secondary schools to plan and deliver smoking prevention systematically across the curriculum and in all year groups. / (10) We will publish a National Action Plan for Health and Wellbeing in Curriculum for Excellence by autumn 2013. [replaced by ‘Health and wellbeing: the responsibility of all 3-18’]
5. Learning from existing practice, develop a model to deliver tobacco education in Primary schools (classes P6/P7) / (10) We will publish a National Action Plan for Health and Wellbeing in Curriculum for Excellence by autumn 2013. [replaced by ‘Health and wellbeing: the responsibility of all 3-18’]
6. Facilitate production of and access to smoking prevention resources for staff and volunteers to use in working with young people / (9) We will work with learning establishments and partner agencies to identify good practice and high quality resources which will be shared on the GLOW schools intranet site.
7. Provide small grants to youth agencies to involve young people in planning and delivering smoking prevention activities. This is the grant scheme currently available through LAYC / (13) We will work with the youth sector to support smoking prevention programmes.
8. Utilise commissioning arrangements to include tobacco issues in youth service delivery. / (13) We will work with the youth sector to support smoking prevention programmes.
Activity area two: Plan, design and deliver smoking prevention targeted at young people ages 16-24 years. / Addresses action within ‘Creating a Tobacco-Free Generation: a tobacco control strategy for Scotland’ or other relevant strategy
1. Further test use of a social-norms approach to smoking prevention in FE colleges. / (15) In conjunction with relevant bodies, including higher and further education and vocational training providers, we will explore what measures can be developed to support young people between 16-24 in making decisions about smoking and other health behaviours.
2. Audit tobacco issues in relevant FE courses and facilitate greater inclusion where appropriate. / 16+ Learning Choices (positive and sustained destinations)
3. Learning from existing practice, further develop a model to deliver combined smoking prevention and cessation education sessions to young people 16-24 in a variety of settings such as vocational training, criminal justice and housing. / (13) We will work with the youth sector to support smoking prevention programmes.
16+ Learning Choices (positive and sustained destinations)
4. Provide small grants to youth agencies in order to involve young people in planning and delivering smoking prevention activities / (13) We will work with the youth sector to support smoking prevention programmes.
5. Utilise commissioning arrangements to include tobacco issues in youth service delivery. / (13) We will work with the youth sector to support smoking prevention programmes.
7. Develop and implement action/s to tackle other forms of tobacco and nicotine use such as shisha, oral tobacco, e-cigarettes and vapourisers. / (15) In conjunction with relevant bodies, including higher and further education and vocational training providers, we will explore what measures can be developed to support young people between 16-24 in making decisions about smoking and other health behaviours.
Activity area three: maintain appropriate level of activity to effectively enforce age-related sales (including proxy sales) and tackle the availability of illicit cigarettes and tobacco. / Addresses action within ‘Creating a Tobacco-Free Generation: a tobacco control strategy for Scotland’ or other relevant strategy
1. Maintain a robust programme of work to ensure retailers comply with age-related sales legislation and display ban. This should include improving intelligence available to target shops suspected of selling under-age. / (21) We will continue to support strong national and local alliances to tackle underage purchases through the Enhanced Tobacco Sales Enforcement Programme and also more rigorous enforcement of existing tobacco sales laws.
2. Pilot a participatory research project to investigate young people’s access to tobacco from non-retail sources including proxy sales. / (21) We will continue to support strong national and local alliances to tackle underage purchases through the Enhanced Tobacco Sales Enforcement Programme and also more rigorous enforcement of existing tobacco sales laws.
3. Develop and implement appropriate action/s to tackle the availability of illicit tobacco / (19) We will continue to support strong national and local alliances to tackle the availability of illicit tobacco through the Enhanced Tobacco Sales Enforcement Programme.
Activity area four: support parents and carers to play a role in smoking prevention including helping them to make their homes and cars smoke-free / Addresses action within ‘Creating a Tobacco-Free Generation: a tobacco control strategy for Scotland’ or other relevant strategy
1. Maintain delivery of smoke-free homes and zones project via local primary schools, NHS and community based services / (28) We will continue to support and promote interventions such as REFRESH to help families make their homes smoke-free.
2. Pilot wider use of air-quality monitors with parents/carers to increase awareness about the health impact of second-hand smoke. / (28) We will continue to support and promote interventions such as REFRESH to help families make their homes smoke-free.
3. Provide training and other professional development opportunities for staff and volunteers to enhance their skills and knowledge to raise the issue of second-hand smoke. This should include facilitating access to appropriate resources for staff to use. / (26) Advice on creating a smoke-free home should be a feature of all ante- and post-natal services and adoption, foster, kinship and residential care services. Therefore, in keeping with GIRFEC principles, service providers should ensure
that practitioners have access to appropriate resources to support families to make their homes smoke-free.
Activity area five: contribute to evidence and understanding about tobacco issues affecting young people
1. Undertake and/or contribute to needs assessment, evaluation and research in order to increase and improve evidence, knowledge and practice in relation to tobacco issues affecting young people. / (6) We will establish a Prevention Sub-Group of the Ministerial Working Group on Tobacco Control. The Sub-Group will be responsible for overseeing the implementation of the preventative actions in this strategy, and for advising
the Scottish Government on new actions to prevent the uptake of smoking among young people. The Sub-Group will ensure alignment with wider national prevention priorities and collaborations.