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Decision details

Tobacco Control in Sheffield: Strategy and Future Commissioning Model

Decision Maker: Cabinet

Decision status: Recommendations Approved

Is Key decision?: Yes

Is subject to call in?: Yes

Purpose:

The report describes the proposed strategy for Tobacco Control in Sheffield and changes to future commissioning to support implementation of the strategy. The investment in Tobacco Control in Sheffield overall remains the same, but the focus will shift from individual quits to a focus on addressing population prevalence of smoking. To this end, it is proposed that £220,000 will be shifted from stop smoking services into wider tobacco control including schools based prevention programme, local media campaigns and increasing the number of smokefree sites.

 

 

Decision:

10.1

The Executive Director, Place submitted a report proposing a Tobacco Control Strategy for Sheffield and changes to future commissioning to support the Tobacco Control Strategy.

 

 

10.2

RESOLVED: That:-

 

 

 

(a)

the content of the report is noted and approval is given to the Tobacco Control Strategy and the Tobacco Control future commissioning strategy;

 

 

 

 

(b)

the Director of Culture and Environment be authorised to terminate contracts relevant to the delivery of the Tobacco Control Strategy in accordance with terms and conditions of those contracts;

 

 

 

 

(c)

in accordance with the commissioning strategy and this report authority be delegated to the Director of Financial and Commercial Services to:

(i) in consultation with the Director of Culture and Environment, and Director of Public Health approve the procurement strategy for the services outlined in this report; and

(ii) in consultation with the Director of Culture and Environment, Director of Public Health and Director of Legal and Governance to award, vary or extend contracts for the provision of services outlined in this report; and

 

 

 

 

(d)

the Director of Culture and Environment in consultation with the Director of Public Health, the Director of Legal and Governance, and the Director of Finance and Commercial Services is authorised to take such steps as he deems appropriate to achieve the outcomes in this report.

 

 

 

10.3

Reasons for Decision

 

 

10.3.1

The proposal set before Cabinet is the preferred option because:

 

It is based on detailed analysis of local need through a Tobacco Health Needs Assessment in line with commissioning good practice;

 

It is evidence based, drawing on good practice and evidence of what works in international contexts including the World Health Organisation MPOWER approach;

 

It has been developed over a 12 month period with the Sheffield Tobacco Control Board partners and is supported by the board;

 

It has been tested through a 6 week public consultation through Citizen Space and through specific consultation events with key stakeholders, including NHS partners;

 

An important caveat is that these proposals are not supported by the Yorkshire and Humber Regional Lead for Tobacco Control or by ASH, as they include a reduction of investment in individual quits which have a strong evidence base. Sheffield City Council recognises the expertise of ASH and the Regional Lead and welcomes this challenge. Where investment has been earmarked for projects with a less strong evidence base than 4 week quits, a research partnership will be sought to robustly evaluate the projects and add to the evidence base, not just for Sheffield but for wider Tobacco Control. The Director of Public Health will continue a dialogue with local NHS partners regarding increased NHS investment in stop smoking services.

 

 

10.4

Alternatives Considered and Rejected

 

 

10.4.1

Do nothing – business as usual re-commissioning or extend current contracts. This option will not provide the greatest opportunity to respond to changing need as evidenced by the Tobacco Health Needs Assessment, and to the diminishing resources available and will not provide the best opportunity to re-consider how to address population prevalence.

 

 

10.4.2

Collaborative commissioning as a sub-region of South Yorkshire -  this option is not recommended as the timescales are not conducive to be able to do so, and the aims and ambitions of the different Local Authorities are sufficiently different that there is not a good match.

 

 

10.4.3

Increase investment overall in Tobacco Control from additional NHS partner contributions  - this remains an aspiration, as tobacco dependency is a chronic relapsing condition that usually starts in childhood and which is currently under-treated. The London Senate describe treating tobacco dependency as “the highest value intervention for today’s NHS and Public Health system, saving and increasing healthy lives at an affordable cost” http://www.londonsenate.nhs.uk/helping-smokers-quit/ . However, further local NHS investment has not yet been agreed within the timescales for this procurement. These conversations will continue and will be led by the Director of Public Health.

 

 

10.5

Any Interest Declared or Dispensation Granted

 

 

 

None

 

 

10.6

Reason for Exemption if Public/Press Excluded During Consideration

 

 

 

None

 

 

10.7

Respective Director Responsible for Implementation

 

 

 

Acting Executive Director, Place

 

 

10.8

Relevant Scrutiny and Policy Development Committee If Decision Called In

 

 

 

Healthier Communities and Adult Social Care Scrutiny and Policy Development Committee

 

Report author: Magdalena Boo

Publication date: 21/02/2017

Date of decision: 15/02/2017

Decided at meeting: 15/02/2017 - Cabinet

Effective from: 28/02/2017

Accompanying Documents: