NICE has published NICE Guideline (NG) 92 on Stop smoking interventions and services, developed in conjunction with Public Health England. It also updates and replaces both Public Health Guideline (PHG) 1 on Smoking: brief interventions and referrals (2006) and PHG10 on Stop smoking services (2008).
Smoking is still the primary cause of preventable illness and premature death in England. An estimated 16% of all deaths in 2015 were attributed to smoking. Treating illnesses related to smoking are estimated to cost the NHS £2.5 billion a year, with the cost to society being estimated at around five times as much (£12.7 billion). Despite this, the use of stop smoking services and the prescribing of stop smoking medications has declined.
NICE Guideline 92 updates the 2006 guideline completely and several parts of the 2008 guideline. Areas covered by the recommendations in NG92 include:
- commissioning and providing stop smoking interventions and services
- monitoring stop smoking services
- evidence-based stop smoking interventions
- engaging with people who smoke
- advice on e-cigarettes
- people who want to quit
- people who are not ready to quit
- telephone quitlines
- education and training
- campaigns to promote awareness of local stop smoking services
- closed institutions
Significant updates were made to sections on the provision of brief advice and very brief advice, behavioural support, and pharmacotherapies (including nicotine replacement therapy, bupropion, and licensed E-cigarettes).
It is hoped that the current advice and evidence will support healthcare professionals in primary and community care to give everyone the encouragement and assistance they need to stop smoking. It emphasises the importance of targeting vulnerable groups who find smoking cessation hard or who smoke a lot.