Site Map | Feedback | Search | Login

Welcome To Lakes DHB

Smokefree - Auahi Kore - at Lakes DHB

Lakes DHB Values: Manaakitanga • Integrity • Accountability

Tobacco use, in the form of cigarette smoking, is the leading cause of preventable deaths in New Zealand and is responsible for a large proportion of New Zealand’s disease burden. Second-hand smoke (SHS) is also recognised as a major public health problem in New Zealand and is associated with many of the same cancers and diseases as active smoking.

HOME PAGE MENU
	About Smokefree at Lakes DHB Smokefree Co-ordinator Role Lakes DHB Smokefree Policy ABC of Smoking Cessation Brief Advice to Stop Smoking Smokefree Links

Patients/Clients

All patients will be asked their smoking status on admission to hospital and have it recorded on their file. All patients who are recorded as smoking will be offered brief advice on the benefits of being Smokefree, and offered Nicotine Replacement Therapy (NRT) products during their time in hospital. They will be also given the option of a referral to a cessation service. NRT Quit cards will be available on all wards to be given to patients on discharge. Click here for the referral form

Visitors/Family/Whanau

All visitors are expected to respect the Smokefree policy of Lakes DHB. All staff members have the responsibility under this policy to ensure visitors are informed of the policy and, if they see visitors smoking in areas designated Smokefree to inform them that they must go off-site if they wish to smoke. Parents of children admitted to the children’s ward will be offered NRT and support to stop smoking.

Staff

Staff are able to access Aukati Kaipaipa, eight-week programme Cessation Programme through Tipu Ora. Free NRT (Patches, Gum and Lozenge) are available, contact 07 348 2400.

SMOKEFREE CO-ORDINATOR ROLE

The Smokefree Co-ordinator, Yvonne Rogers, has been employed on a three year project to develop Smokefree Services across Lakes DHB. Yvonne's key responsibilities include:

Yvonne Todd

Development of a clear Smokefree Policy for Lakes DHB
Design of clear Smokefree systems
Providing ongoing education to staff
Implement inpatient smokefree interventions
Investigate development of a Smokefree Steering Group
Development of Smokefree Ambassador roles
Development of 'Partners in Change' Smokefree in pregnancy programme
Activities to encourage a Smokefree workforce
Active participation in local, regional and national networks and groups
Co-ordination of local activities
Extension of smokefree services to all services contracted by DHB (years 2 and 3)

Yvonne is located on D-Floor of the Edward Guy Building, Rotorua Hospital (with the Planning and Funding Team).

Yvonne can be contacted via extension 7827 or e-mail yvonne.todd@lakesdhb.govt.nz.

SMOKEFREE POLICY

The Lakes DHB Smokefree Policy is available by clicking here. Please note this policy is currently under review.

TRAINING

Training is limited to Staff Orientation at this stage. E-learning from the Ministry of Health will be available by February 2009. The Smokefree Co-ordinator is looking at Mandatory training for all staff, watch this page for further details.

SERVICES TO HELP YOU STOP SMOKING

National Quitline

ABOUT SMOKEFREE AT LAKES DHB

Environment

Lakes DHB buildings, sites, grounds, offices and vehicles are smokefree. Staff cannot smoke where services to patients are being provided off-site (eg home visits, community based clinics) or where staff are representing Lakes DHB outside the organisation (eg community).

Local Cessation Providers

Korowai Aroha Health Centre
1292 Hinemoa Street
Rotorua
Ph: (07) 348 8454
Fax: (07) 349 1597

Tipu Ora Charitable Trust
Houkotuku Street
Rotorua
Ph:      (07) 348 2400
Fax:    (07) 348 2403

Ngati Pikiao Health Services
283-293 Te Ngae Road
Rotorua
Ph: (07) 347 3195
Fax (07) 345 7413

Health Reporoa
3838 Broadlands Road
Reporoa
Ph: (07) 386 6587
Fax: (07) 333 7302

Tuwharetoa Health Services
Heu Heu Street
Turangi
Ph: (07) 386 6587
Fax: (07) 386 0558

THE ABC OF SMOKING CESSATION

Ask	Ask about and document smoking status for all people (for those who smoke or have recently stopped smoking, smoking status should be checked and updated on a regular basis). For example, you could ask: ‘Do you currently smoke cigarettes?’
Brief Advice	Provide advice to all people who smoke. For example, you could say: ‘You may know the risks involved with smoking, but do you realise how harmful it is? I cannot stress enough how important it is to stop smoking. Stopping is the best thing that you can do to improve your health. I understand that it can be hard to stop smoking, but if you want to, I can help you.’ Personalise the advice (for example, if relevant explain how smoking is related to existing health problems and how stopping smoking might help). Highlight the benefits of quitting smoking (see Appendix 1 for some examples). Acknowledge that some people make several attempts to quit before stopping for good. Document that advice was given.
Cessation Support	There are two options for providing cessation support. Refer: Health care workers without the expertise or time to help people to stop smoking should refer smokers to smoking cessation services such as the Quitline (phone toll free: 0800 778 778 or http://www.quit.org.nz). For example, you could say: ‘Give the Quitline a call. They can help you and provide you with medication that will make quitting easier. The number is 0800 778 778. Local Cessation Providers. Provide support: Health care workers who are able to provide support should do so. Support can include setting a quit date; advising the smoker that complete abstinence from smoking is best; arranging medication to aid the quit attempt and arranging for a follow-up consultation within a week. Assessment of the degree of nicotine

BRIEF ADVICE TO STOP SMOKING

“Stopping smoking is the single best thing that you can do to improve your current and future health.”

“Most smokers want to give up smoking at some point. You might want to think about stopping smoking sooner rather than later.”

“Apart from your health think of the money you could save”

Acknowledge that quitting can be difficult

Tobacco is very addictive, so it can be very difficult to give up, and many people have to try several times before they succeed”

“The important thing is to keep trying”

Be motivational

“If you would like to give up smoking I can help you”

“If you are interested in stopping smoking there are services and medications which can help you in your quit attempt.

Would you be interested in stopping smoking?”

“Your chances of succeeding are much greater if you make use of support and effective medication such as NRT”

SMOKEFREE LINKS

Action on Smoking and Health – ASH
ASH New Zealand was founded in 1982 by concerned health professionals and is committed to preventing the uptake of smoking among young people and reducing the prevalence rate of smoking among all New Zealanders, particularly Maori and pregnant and young women. (www.ash.org.nz)
Auahi Kore - Smokefree
Auahi Kore is a Smokefree Māori brand, which supports those Māori who want or have chosen to lead a healthy lifestyle by not smoking. Auahi Kore develops partnerships with the community through the support of important Māori events in sport, arts and culture. (www.auahikore.co.nz)
Aukati KaiPaipa
A face-to-face quit smoking service to meet the needs of Māori and their whānau. (www.aukatikaipaipa.co.nz)
Aotearoa New Zealand 2007-2008 Smokefree / Auahi Kore Directory
This comprehensive directory of individuals and organisations involved in the smokefree push in New Zealand has been developed by Te Reo Marama (Māori Smokefree Coalition) and the Smokefree Coalition and is updated every year.
Cancer Society of New Zealand
The Cancer Society of New Zealand is dedicated to reducing the incidence of cancer and ensuring the best cancer care for everyone in New Zealand. (www.cancernz.org.nz)
Health Sponsorship Council
The Health Sponsorship Council (HSC) is a New Zealand government agency that promotes health and healthy lifestyles. (www.hsc.org.nz)
Lungfish
This site, run by the Health Sponsorship Council, is focused on reducing the number of young people becoming addicted smokers. It is aimed at 7-12 year old and offers activities and games as well as information on smoking. (www.lungfish.co.nz)
National Drug Policy
This site aims to promote and communicate work being undertaken under the National Drug Policy (NDP). The NDP aims to improve the health and well-being of New Zealanders by encouraging the development of strategies and programmes to prevent and reduce drug related harm resulting from the use of tobacco, alcohol, cannabis, other illicit drugs. (www.ndp.govt.nz)
PHIOnline
PHIOnline features greographical information on smoking prevalence, callers to the Quitline and Year 10 students' tobacco use for each DHB. Click on 'Risk Behaviours' and then 'Data' to choose the information you want to see. (www.phionline.moh.govt.nz)
Smokefree Coalition
The Smokefree Coalition is committed to preventing the uptake of smoking among young people and reducing the smoking rates of all New Zealanders. (www.sfc.org.nz)
Smokefree Schools
This site features information and resources to help schools/kura make a commitment to a healthy Smokefree environment. (www.smokefreeschools.org.nz)
Smoking Not Our Future
This site, run by the Health Sponsorship Council, is targeted at young people and is centred around a campaign where Kiwi celebrities share their thoughts on smoking, and tell us why they choose not to. This campaign, which first ran as a pilot in 2006, is now in its third year. (www.notourfuture.co.nz)
Te Hotu Manawa
Te Hotu Manawa Māori is committed to providing leadership in promoting healthy lifestyles and healthy environments to achieve Māori heart health. (www.tehotumanawa.org.nz)
Te Reo Mārama
Since 1998, Te Reo Mārama has been dedicated, on behalf of the Auahi Kore-Tupeka Kore community and the wider Māori community, to tobacco resistance. (www.tereomarama.co.nz)
The Ministry of Health
The Ministry of Health has traditionally been the key agency for policy development in the tobacco control area and is involved in a large number of policy, service development and operational aspects of tobacco control. (www.moh.govt.nz/tobacco)
The Quit Group
The Quit Group is a charitable trust funded by the Ministry of Health to run quit smoking programmes in New Zealand, including the national free telephone support Quitline (Ph: 0800 778 778). (www.quit.org.nz)

World Health Organisation – Tobacco Free Initiative
The Tobacco Free Initiative (TFI) was established in July 1998 to focus international attention, resources and action on the global tobacco epidemic. (www.who.int/tobacco)
World No Tobacco Day
World No Tobacco Day is celebrated around the world every year on 31 May. The Member States of the World Health Organization created World No Tobacco Day in 1987 to draw global attention to the tobacco epidemic and the preventable death and disease it causes.

www.smokingcessationabc.org.nz
A 30 minutes e-learning module on smoking cessation for registered Health Professionals in NZ. This module will familirise you with the latest evidence, tools and techniques to help support patients make a successful quit attempt.