Introducing the Smoking ban
Locked units are required to implement a smoking ban. Patients will not be able to smoke indoors, in the grounds or use a smoking shelter, but will be able to smoke when out of the grounds on unescorted leave. Managing this effectively will involve the following:
- service user and carer views, such as this study from Scotland and this from the Yorkshire and Humber Involvement Network
- reference to government guidance, such as this recent guidance from Public Health England
- research evidence - see NICE and ASH and advice such as 'The Stolen Years'
- Information about the position in terms of law, caselaw and enforcement powers, such as the failed challenge from patients at Rampton
- Requirements from commissioners, as set out here, and popular commissioning responses, whether evidence-based or not - see here.
- Self assessment by individual organisations, using the tool here
- A clear organisational policy, such as this example from SLAM and this one from PiC. Other organisations are banning smaking (including e-cigarrettes) too, such as Nottinghamshire County Council.
- Timescale for introduction, and examples from NHS sites here
- Smoking cessation programmes offered to patients and how the policy is adapted in response to individual health needs, personal preferences and the therapeutic regime in neighbouring units
- Approach to e-cigarettes, such as this report from the Royal College of Physicians and this change of policy
- Staff conduct in support of the policy, including training for staff, such as the online resources here.
- How to win staff support for the policy - Rethink Mental Illness have been investigating how the ban has been introduced into mental health services. For example, early indications show that introducing the ban does not lead to a reduction in referrals. Contact Charli to find out more.
- Canterbury in New Zealand have developed a guide here to the introduction of smoke-free social housing.