Smokefree Pregnancy: Maternity Transformation & NHS Long Term Plan
The Maternity Transformation Programme under the NHS Long Term Plan aims to tackle tobacco dependence and promote a smokefree generation. Key components include interventions based on NICE guidance, intensive behavioral advice, nicotine replacement therapy, and targeted support for pregnant smokers. The plan emphasizes local development and delivery while focusing on improving both physical and mental health services. The goal is to ensure sustainable maternity pathways and enhance early intervention strategies for pregnant smokers.
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Smokefree Pregnancy: The Maternity Transformation Programme and the NHS Long Term Plan Misha Moore National Speciality Advisor for Obstetrics (Public Health) NHS England and NHS Improvement NHS England and NHS Improvement 1 |
Smoking in Pregnancy 2 | 2 |
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NHS Long Term Plan Prevention is a core component. Sets out the NHS s contribution to tackling tobacco dependence and delivering a smokefree generation Designed to: build on good work already happening, including SBLCBV2 work in synergy with current Stop Smoking Services focus on both physical and mental health services have a level of national direction, but local development and delivery. 5 | 5 |
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2021/22 and beyond Intention to deliver the full scope of the commitments laid out in the LTP, recognising the current uncertainty which will impact pre-COVID-19 plans. Phased rollout across all ICSs until the end of 2023/24 From 2021/22 all systems (STP/ICS) will receive LTP transformation allocations. Single allocation to ICS to cover all elements of the LTP tobacco commitments (maternity, inpatients mental health) Allocations should increase over time allowing greater coverage of service, but in the short term systems will need to prioritise services. 7 | 7 |
Intervention Recommended model based on NICE guidance and learning from the Greater Manchester Smokefree Pregnancy model: identifying smokers offering, on an opt-out basis, bespoke specialist behavioural advice, combined nicotine replacement therapy and intensive face-to-face follow-up. Intensive: 1:1 (approx. 40 min) meeting with a tobacco dependence adviser at antenatal booking, or very soon after. NRT at first contact. Weekly face-to-face appointments for at least four weeks Six further face-to-face appointments throughout pregnancy 8 | 8 |
Considerations Unique opportunity to change and develop current pathway Recommended Smokefree Pregnancy Model In-house Target early intervention Flexibility in delivery, with the ability to: use different staff groups commission across organisational boundaries including local authorities expand, intensify or accelerate delivery using local resources. Ensure sustainable element of the maternity pathway 9 | 9 |
What can be done now? . Regions and LMNS can influence to ensure that maternity is a core component of plans and is prioritised according to need. We will continue to support the three Smokefree Pregnancy early implementer sites and share learning for future sites. You do not have to wait for the LTP funding. There is good practice already within the system - you could get a head start. 10 | 10 |
Questions and/or ideas Join our Future NHS platform at https://future.nhs.uk/NHSpp/grouphome Paul Cilia La Corte p.cilialccorte@nhs.net Bea Petrovica bea.petrovica@nhs.net Misha Moore misha.moore@nhs.net https://www.longtermplan.nhs.uk/areas-of-work/prevention/treating-and-preventing-ill-health/ 11 | 11 |
