Notes and zoom recording link from Zoom hui to discuss the Revised Guidelines for Smoking Cessation

Notes and zoom recording link from Zoom hui to discuss the Revised Guidelines for smoking cessation in New Zealand, 2021 : Refresh for Primary Care Friday 12 August 2022 12.30pm -1.30pm

Meeting recorded https://us02web.zoom.us/rec/share/1LiN4PXwfZfhRCp16j4ucCHt14n8tlE2ZJPS_IfKibWrCvhxbgjL77dGd7bhwzw.Jm74uRDoDdUPqRWI Passcode:GK1u0v.m

Chaired by Dr John McMenamin Clinical Advisor Smokefree/Primary Care doctorjohnmcmenamin@gmail.com Ph 021334859 Introduction

Dr John McMenamin Primary Care clinical lead ABC Smoking

Guidelines update: impacting general practice

Dr Chris Bullen Chris Bullen MBChB MPH PhD FNZCPHM FAFPHM Ahorangi – Professor of Public Health National Institute for Health Innovation • School of Population Health • Faculty of Medical and Health Sciences • Waipapa Taumata Rau The University of Auckland • Grafton Campus, Park Rd Grafton • Private Bag Tamaki Makaurau Auckland • AOTEAROA NEW ZEALAND Getting evidence into practice for smoking cessation Updating clinician knowledge Linking covid and smoking Note changes planned at policy level re smoking Chros stresses improtnance of good GP systemns remidners, referal pathways Value of enail/textr contacts to ptients Linking to cancer awareness etc Multiple attempts required Use of combinatin NRT particularly effectve Cytosine on horizon from kwhai don’t try the tree Evidence supporting vape to quit Use Cochrane review use relaible branded vapr with nictone matched to cigarette consumptions https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD010216.pub6/f ull

Key messages

Nicotine e‐cigarettes probably do help people to stop smoking for at least six months. They probably work better than nicotine replacement therapy and nicotine‐free e‐cigarettes.

They may work better than no support, or behavioural support alone, and they may not be associated with serious unwanted effects.

However, we need more evidence to be confident about the effects of e‐ cigarettes, particularly the effects of newer types of e‐cigarettes that have better nicotine delivery than older types of e‐cigarettes.

Note under-dosing NRT is common Note clozapine needs dose review Clinical questions to Dr McMenamin doctorjohnmcmenenamin@gmail.com Smoking issues issues in primary care for Māori

Fay Selby-Law General Manager National SUDI Prevention Coordination Service Hāpai Te Hauora 40 SUDI deaths in last year over half SUDI deaths are Māori pēpī Reminder importance focus smoking kōrero on wāhine Māori Asking about smoking is not judgmental but lifesaving Reminder from John re Best Start as an opportunity to engage in smoking conversation in early pregnancy check in with John doctorjohnmcmenamin@gmail.com Focus on identifying hapū māmā

Linking SSS and general practice

Alexa Cunningham (Smokefree Advisor, Primary Care) and Basil Fernandes (Portfolio Manager, Smokefree), Living Smokefree Service, Counties Manukau

What can SSS do to help primary care : Basil and Alexa Practice visits CO testing stations Practice clinics Drop in clinics in practcies or nearby Referral drop box - self/whānau referrals Phoning practice lists x 4 morning afternoon evening weekend SUDI score Rx review list Smokefree best practice training Linking training with other items Newsletter to primary care Outreach clinics

Jacob Taiapa | Programme Coordinator

M 021 242 5930 W www.pinnacle.co.nz | www.onceandforall.co.nz 711 Victoria Street, PO Box 983, Hamilton 3240 New Zealand Stop Smoking within multi-item pop-up clinics Recommend encouring attendance by advertising through practices including text outs

Note linking cx screening results with personal conversation re smoking

Social media opportunitie s

Some examples Texting Linking personal stories Competitions Tik Tok and facebook followers Social Media Whanganui Stop Smoking Service

Data will help provide background for engaging with primary care

John is keen to hear f other regions with social media engagement https://www.health.govt.nz/publication/annual-update-key-results-2020-21-newzealand-health-survey https://smokefree.org.nz/smoking-its-effects/facts-figures