Select Committee on Health Minutes of Evidence



Examination of witnesses (Questions 380 - 383)

THURSDAY 9 DECEMBER 1999

PROFESSOR JOHN BRITTON, DR JENNY MINDELL, SIR ALEXANDER MACARA and DR BILL O'NEILL

Dr Brand

  380. Primary care team, I think.
  (Professor Britton) Not necessarily, no, because there is more to it than that, but we are talking of small numbers of pounds. In fact specialist smoking cessation clinics are very cost-effective, but they can only see a small number of people.

Audrey Wise

  381. So smoking cessation clinics plus NRT, GP support plus NRT—both of those are definitely spectacularly cost-effective?
  (Dr Mindell) And smoking cessation training and support for midwives and practice nurses and really all healthcare professionals ideally.

  Chairman: The GPs are wincing at the moment to that. The PCGs we are talking about.

  Dr Brand: The primary care team, not a PCG, and certainly in my own experience, I found one of our practice nurses absolutely brilliant at it. We were funded for smoke stop clinics and then the funding was withdrawn and people's enthusiasm waned and it was not as good as it was.

Mr Austin

  382. Everybody has said not only in this session that smokers become addicted when they are very young and those who do give up tend to give up later in life. I would just be interested to know whether you know of any examples of good practice where young people have been persuaded or enabled to quit the addiction.
  (Dr O'Neill) We can certainly get that evidence for you and send it to you because there certainly is evidence there from various groups working with schools and youth groups.

Chairman

  383. Do any of my colleagues have any further questions? Do any of the witnesses wish to add anything to what they have said so far? If not, then I will thank you, Dr Mindell and gentlemen, for your most helpful evidence.
  (Sir Alexander Macara) And thank you, Chairman, and the Committee for a most enjoyable as well as, I trust, productive session.

  Chairman: Thank you, Sir Alexander.


 
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