Journal of Public Health | Vol. 36, No. 2, pp. 345 – 346 | doi:10.1093/pubmed/fdu025 | Advance Access Publication 19 May 2014

NICE Update NICE public health guidance update Chris Carmona, Simon Ellis, Charlotte Haynes, Antony Morgan, Peter Shearn, Catherine Swann Centre for Public Health, NICE, London, UK

What’s new?

† Smoking cessation—acute, maternity and mental health services ( † Behaviour change: individual approaches (http://guidance. † Domestic violence and abuse—how services can respond effectively ( These are summarized in this update

Smoking cessation: acute, maternity and mental health services This guidance aims to support smoking cessation, temporary abstinence from smoking and smoke-free policies in all secondary care settings. You can view the ‘Smoking cessation in secondary care’ pathway at: The guidance is for commissioners, clinical leads in secondary care services, health and social care practitioners, leaders of the local health and care system, managers of clinical services, estate managers and other managers, trust boards and other staff with any aspect of secondary care or public health as part of their remit. The guidance may also be of interest to people using secondary care services, their families and carers and other members of the public. The guidance recommends: † Strong leadership and management to ensure secondary care premises (including grounds, vehicles and other settings involved in delivery of secondary care services) remain smokefree—to help to promote non-smoking as the norm for people using these services. † All hospitals have an on-site stop smoking service. † Identifying people who smoke at the first opportunity, advising them to stop, providing pharmacotherapy to support

† † †

Behaviour change: individual approaches This guidance makes recommendations on individual-level interventions aimed at changing health-damaging behaviours among people aged 16 or over. It includes a range of approaches, from single interventions delivered as the opportunity arises to planned, high-intensity interventions that may take place over a number of sessions. The guidance aims to help tackle a range of behaviours including alcohol misuse, poor eating patterns, lack of physical activity, unsafe sexual behaviour and smoking. These behaviours are linked to health problems and chronic diseases (such as cardiovascular disease, type 2 diabetes and cancer).

Chris Carmona, Analyst Simon Ellis, Associate Director Charlotte Haynes, Analyst Antony Morgan, Associate Director Peter Shearn, Analyst Catherine Swann, Associate Director

# The Author 2014. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: [email protected].


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NICE published three pieces of public health guidance during November 2013 to February 2014:

abstinence, offering and arranging intensive behavioural support and following up with them at the next opportunity. Providing intensive behavioural support and pharmacotherapy as an integral component of secondary care, to help people abstain from smoking, at least while using secondary care services. Ensuring continuity of care by integrating stop smoking support in secondary care with support provided by community-based and primary care services. Ensuring staff are trained to support people to stop smoking while using secondary care services. Supporting all staff to stop smoking or to abstain while at work. Ensuring there are no designated smoking areas, no exceptions for particular groups, and no staff-supervised or stafffacilitated smoking breaks for people using secondary care services.



This means interventions that help people change have considerable potential for improving health and wellbeing. This includes helping them to: † † † † †

improve their diet and become more physically active; lose weight if they are overweight or obese; stop smoking; reduce their alcohol intake; practice safe sex to prevent unwanted pregnancies and a range of infectious diseases such as HIV and chlamydia.

The behaviour change pathway can be found at: http://

This guidance aims to help identify, prevent and reduce domestic violence and abuse. Violence and abuse perpetrated on children by adults (‘child abuse’) is not dealt with in this guidance, but it does include support for children who are affected by domestic violence and abuse. The guidance is for health and social care commissioners, specialist domestic violence and abuse staff and others whose work may bring them into contact with people who experience or perpetrate domestic violence and abuse. In addition, it may be of interest to members of the public. The guidance makes recommendations on the following: † How to plan services which are based on an assessment of need and service planning.

The domestic violence and abuse pathway can be found at: domestic-violence-and-abuse.

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Domestic violence and abuse: how services can respond effectively

† How to participate in local strategic multi-agency partnerships to prevent domestic violence and abuse. † Developing and commissioning integrated care pathways to support those who experience domestic violence and abuse. † Creating environments to help disclose domestic violence and abuse and how to ensure that staff are appropriately trained to ask about it. † Adopting clear protocols and methods for information sharing. † Tailoring support to meet people’s needs and helping them to overcome barriers of access to services. † Identifying and where necessary, referring children and young people to specialist services. † Providing specialist services for children and young people. † Providing specialist advice, advocacy and support as part of a comprehensive referral pathway. † Providing people who experience domestic violence and abuse and who have a mental health condition with evidencebased treatment for that condition. † Providing training for health and social care professionals in how to respond to domestic violence and to have this training included in pre-qualifying continuing professional development. † Commissioning and evaluating tailored interventions who perpetrate domestic violence and abuse.

NICE update: NICE public health guidance update.

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