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GIVING HELP AND HOPE Supporting hard to reach smokers to quit – the Liverpool experience Lisa Williams – Roy Castle FagEnds Service Manager

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GIVING HELP AND HOPE

Supporting hard to reach smokers to quit – the Liverpool experience

Lisa Williams – Roy Castle FagEnds Service Manager

GIVING HELP AND HOPE

How do we attract clients from the most

deprived communities?

GIVING HELP AND HOPE

Roy Castle FagEnds• Providing stop smoking support since

1994• Open rolling sessions• 1 2 1’s• In community settings – Libraries: GP

Practices: Community Centres: Fitness Centres: Church Halls: Childrens Centres

• Over 70 Community sessions• No waiting list or need to book

GIVING HELP AND HOPE

Neighbourhood networking• Link with NHS, community and Faith leads• What do they want? What are their

priorities?• Brief intervention training• Targeted health events – supermarkets:

bingo halls: betting shops: pubs: credit unions

• Rally people to your cause so they will market your service (WIIFM)

GIVING HELP AND HOPE

Why would someone want to come and see you?

• Would you want to attend your group?• Do you know names?• Do you care/just a job• Keep doing the same things and you

will keep getting the same results• People don’t care how much you know

– until they know how much you care

GIVING HELP AND HOPE

Clients want to feel good?• Healthy diet• Confidence triggers serotonin production• Exercise releases dopamine• Laughter releases endorphins• Trust triggers oxytocin (The cuddle

hormone)• Build new happy habits – rewires the

brain• Be positive

GIVING HELP AND HOPE

How could the service be configured to ensure

successful engagement?

GIVING HELP AND HOPE

Constant review• No barriers• Easy access – e.g prams• Located in right place and the right

time• Non judgemental• Test venues out, if they don’t work

move on

GIVING HELP AND HOPE

Configuration – pick ‘n mix• 1 2 1 s• Open rolling groups• Closed groups (target relapsers)• Workplace – time limited groups (6 weeks)• Online forum – Quit Support• Telephone support• Text messages• Written materials – diaries, reasons to quit

GIVING HELP AND HOPE

How do we keep people in the service to track 12

week quits?

GIVING HELP AND HOPE

So……. Keep ‘em comingProbability study – FagEnds

•Maximise 4 week quits if clients attend 7 consecutive weeks

•Maximise 52 week quits if clients attend 13 consecutive weeks

•Tell clients what you expect of them

GIVING HELP AND HOPE

Use your database• Make sure all data fields are

completed• Understand your outcomes LTF /

relapse / CO validation / Quit Rates• Segment your patch

(neighbourhoods/settings)• Consistency of advisor• Individual neighbourhood and advisor

outcomes

GIVING HELP AND HOPE

Use your database• Serial relapsers – look for patterns

(recycled quitter)

• Identify common themes

• Base your provision on the profile of the individuals e.g. under 25’s: Shiftworkers: multiple relapses etc

GIVING HELP AND HOPE

‘All things to all people’

GIVING HELP AND HOPE

What are your own experiences?

GIVING HELP AND HOPE

Thank you for listening

Lisa Williams – Roy Castle FagEnds Service Manager07983 439 661

[email protected]://healthunlocked.com/quitsupport