📂 This component is used across multiple clinical areas, including Asthma, COPD, Heart Failure, and COPD templates.
Smoking is a critical factor in long-term condition management. This shared template component dynamically adjusts what is shown based on the patient’s smoking history and supports QOF, IIF, and LES documentation.
This component appears:
During reviews for asthma, COPD, heart disease, hypertension, and other long-term conditions
When smoking status is required for QOF or LES indicators
If the patient has a history of smoking or is flagged as a current smoker
The contents adapt automatically:
| Shown In Template | ||
| Current smoker | Advice, referral to cessation, code prompts | ||
| Ex-smoker | Maintenance advice, relapse prevention | ||
| Never smoked | Minimal fields (status only) |
Field | Purpose |
| Current Smoking Status | Required for QOF/LES |
| Cessation Advice Given | Documents brief intervention given |
| Referral to Smoking Cessation | If applicable, to local service or digital offer |
| Declined Smoking Cessation | Needed for IIF exception reporting |
| Advice Code Applied | Ensures payment and compliance |
Smoking worsens asthma, COPD, and cardiovascular outcomes
Smokers often have a blunted response to corticosteroids
Recording this correctly supports:
✅ QOF achievement
✅ IIF incentives
✅ LES payment schemes
“Do you currently smoke or have you ever smoked?”
“Have you ever tried to quit or considered support?”
“Would you like a referral to a stop smoking service?”
This section follows national guidance on smoking cessation (NICE NG80, PCRS, CVDPREVENT)
Using this component correctly ensures patients are supported in smoking cessation and your reviews meet key contract requirements for funding and care quality.