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RCOG statement: NICE publishes new guidance on smoking cessation in secondary care settings

News 27 November 2013

Today the National Institute for Health and Care Excellence (NICE) has published new guidance Smoking cessation – acute, maternity and mental health services which aims to support smoking cessation, temporary abstinence from smoking and smokefree policies in all secondary care settings.

The guidance recommends:

  • Strong leadership and management to ensure premises remain smokefree.
  • All hospitals have an on-site stop smoking service.
  • Identifying people who smoke, offering advice and support to stop.
  • Providing intensive behavioural support and pharmacotherapy as an integral component of secondary care.
  • Integrating stop smoking support in secondary care with support provided by community-based services.
  • Ensuring staff are trained to support people to stop smoking while using secondary care services.
  • Supporting staff to stop smoking or to abstain while at work.
  • Ensuring there are no designated smoking areas or staff-facilitated smoking breaks for anyone using secondary care services.

Commenting on the new NICE guidance, Dr David Richmond, President of the Royal College of Obstetricians and Gynaecologists (RCOG) said:

“We welcome this new guidance from NICE; smoking during pregnancy has adverse effects on fetal development and our advice is for pregnant smokers to stop smoking.

“It is the duty of doctors and midwives to ensure that all mothers-to-be are informed of the risks of smoking during pregnancy and they should be offered advice and support to help them give up or abstain.

“This guidance goes a step further by minimising pregnant women’s exposure to harmful tobacco fumes in secondary healthcare settings and this includes policies on maintaining a smokefree environment in hospitals.”


To view the guidance, Smoking cessation – acute, maternity and mental health services, click here.