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The draft policy prohibits smoking in all GGNHS premises (including buildings, grounds, doorways, car parks and vehicles)

This means that internal patient smoking rooms will be removed. This is because evidence shows that even powerful ventilation systems cannot remove the harmful gasses and particles caused by tobacco smoke from the air. The NHS has a duty to protect staff, patients and visitors from being harmed on its premises and this includes addressing the problems of smoke leaking from smoking rooms and also protecting the staff who clean them.

Do you agree with this definition?
   
YES
NO - it is not sufficiently stringent
NO - it is too stringent.
   
Any additional comments  
   
 
Restrictions on NHS staff

Staff will not be permitted to smoke while on duty. Smoking will be permitted only during designated breaks. For the first year of implementation staff will be allowed to continue to smoke in grounds, but thereafter staff wishing to smoke will require to leave GGNHS premises.

The definition of NHS premises to include grounds, car parks and vehicles, will impose greater restrictions on staff smoking. The policy seeks to discourage staff from smoking (while off duty) in uniform - but it was not considered feasible to specifically prohibit this practice.
   
Do you agree with the restrictions on NHS staff smoking?
   
YES
NO - it is not sufficiently stringent
NO - it is too stringent.
   
Any additional comments  
   
 
Staff will not be permitted to assist patients to go outside to smoke

The Working Group took the view that this provision would ensure a consistent approach from all staff, protect individual members of staff from the charge of being unreasonable and protect them from ETS. Patients suffering severe nicotine withdrawal symptoms will be treated in a supportive manner and prescribed appropriate medication if required.
 
Do you agree with this provision?
   
YES
NO
   
Any additional comments  
   
 
Exceptions to the policy - psychiatric and residential care

The only exceptions will be where NHS premises are in effect a patient's home - i.e. in residential and long stay psychiatric in-patient facilities. In these circumstances patients can smoke only in designated smoking rooms where provided (not patients' rooms) and alternative separate non-smoking provision must be made.

It is anticipated that the Scottish ban on smoking in public places (to be implemented in 2006) will, as in Ireland, make certain premises including psychiatric and residential care facilities exempt. However GGNHSB will still have a duty of care to protect employees in these facilities from the hazards posed by environmental tobacco smoke (ETS). The Working Group therefore decided that patient smoking in these facilities should be restricted to designated smoking rooms (if found to be necessary by local management) and that efforts to increase smoke free areas and reduce smoking activity in these facilities should continue to be supported. Staff in these facilities will be subject to the same restrictions as staff working elsewhere in NHS Greater Glasgow.
 
Do you agree with these proposed exceptions?
   
YES
NO
   
Any additional comments  
   
   
Have you any proposals regarding additional steps to take to protect staff from ETS in these facilities?
   
 
Protecting staff working in the community

In situations where staff provide a community service in a patient's home, the patient will be asked in advance not to smoke during the visit and to provide an environment that is as smoke free as possible.

The difficulties of enforcing a smoking ban in a patient's own home are acknowledged, but it is expected that the majority of patients will comply (provided the policy is explained clearly in terms of the legal obligation placed on GGNHSB to protect NHS staff from the hazards of ETS). Standard letters and leaflets will be developed that will ask patients not to smoke during the visit from staff, where possible to refrain from smoking and to ventilate the room (e.g. by opening windows) before the visit.

It was not considered feasible to withdraw services to a patient who does not comply with these requests.
   
Do you agree with this provision?  
   
YES
NO - it is not stringent enough
NO - it is too stringent.
   
Any additional comments  
   
 
General comments about the policy

Please use this space to make known any views you may have regarding the aim, rationale or proposed implementation of the policy.
 
 
Support required to implement the policy

Staff, patients and public will need to be clear what is expected of them in implementing the policy. It is acknowledged that an awareness-raising programme among all groups will be necessary, with more in-depth training for some groups (e.g. materials and/or training for managers in implementing the policy, training for some health service staff in smoking cessation skills).

Smoking cessation support will be made available to both staff and patients. Patients suffering severe nicotine withdrawal symptoms will be treated in a supportive manner and prescribed appropriate medication if required.

Please use this space to detail what support mechanisms need to be put in place to ensure the policy can be implemented effectively.
 
 
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