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Tobacco: preventing uptake, promoting quitting and treating dependence
National Institute for Health and Care Excellence (2021)
This guideline covers support to stop smoking for everyone aged 12 and over, and help to reduce people's harm from smoking if they are not ready to stop in one go. It also covers ways to prevent children, young people and young adults aged 24 and under from taking up smoking. The guideline brings together and updates all NICE's previous guidelines on using tobacco, including smokeless tobacco. It covers nicotine replacement therapy and e-cigarettes to help people stop smoking or reduce their harm from smoking. It does not cover using tobacco products such as ‘heat not burn’ tobacco.
Recommendations
This guideline includes new and updated recommendations on:
adult-led interventions in schools
stop-smoking interventions
support to stop smoking in secondary care services
adherence and relapse prevention
identifying pregnant women who smoke and referring them for stop-smoking support
providing support for women to stop smoking during and after pregnancy
commissioning and designing services
It also includes recommendations on:
organising and planning national, regional or local mass-media campaigns
campaign strategies to prevent uptake and denormalise tobacco use
helping retailers avoid illegal tobacco sales
coordinated approach to school-based interventions
whole-school or organisation-wide smokefree policies
peer-led interventions in schools
using medicinally licensed nicotine-containing products
promoting stop-smoking support
promoting support for people to stop using smokeless tobacco
identifying and quantifying people's smoking
support to stop smoking in primary care and community settings
supporting people who do not want, or are not ready, to stop smoking in one go to reduce their harm from smoking
stopping use of smokeless tobacco
following up pregnant women who have been referred for stop smoking support