Smoking Status Handling

Smoking Status Handling

🚬 Smoking Status Handling

πŸ“‚ 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.


🧭 When Will I See This?

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:

Smoking Status
Shown In Template
Current smokerAdvice, referral to cessation, code prompts
Ex-smokerMaintenance advice, relapse prevention
Never smokedMinimal fields (status only)

πŸ“‹ What To Record

Field
Purpose
Current Smoking StatusRequired for QOF/LES
Cessation Advice GivenDocuments brief intervention given
Referral to Smoking CessationIf applicable, to local service or digital offer
Declined Smoking CessationNeeded for IIF exception reporting
Advice Code AppliedEnsures payment and compliance

🧠 Clinical Importance

  • Smoking worsens asthma, COPD, and cardiovascular outcomes

  • Smokers often have a blunted response to corticosteroids

  • Recording this correctly supports:

    • βœ… QOF achievement

    • βœ… IIF incentives

    • βœ… LES payment schemes


πŸ’¬ Suggested Questions to Ask

  • β€œDo you currently smoke or have you ever smoked?”

  • β€œHave you ever tried to quit or considered support?”

  • β€œWould you like a referral to a stop smoking service?”


πŸ“˜ Reference

  • 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.

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