BMJ  2003;327:811-812 (4 October), doi:10.1136/bmj.327.7418.811-c

Letter

Smoke free hospitals

Rising to the challenge

The first 150 words of the full text of this article appear below.

EDITOR—W McKee et al defend the provision of rooms for smokers in response to the editorial by M McKee et al.1 2 They draw attention to the fact that for smoking cessation to be effective with inpatients, a follow up of more than four weeks is needed. They argue that this cannot be provided in acute hospitals.

The Royal London Hospital's inpatient service provides an intensive behavioural intervention combined with nicotine replacement and outpatient follow up for at least four weeks. This is achieving four week validated continuous abstinence rates of 54%. A growing number of acute hospitals within the United Kingdom are providing a similar cost effective treatment.3 The £390 000 spent on the smoking rooms could have funded such a service for a very long time.

Smoking rooms in hospitals also represent smoking cues and their existence may encourage smoking. Anecdotally, a number of patients we treated . . . [Full text of this article]

Hayden McRobbie, research fellow

h.j.mcrobbie@qmul.ac.uk Barts and the London School of Medicine, London E1 2AD

Cressida Darwin, research health psychologist, Peter Hajek, professor of clinical psychology

Tobacco Dependence Research and Treatment Centre, Institute of Community Health Sciences, Barts and the London School of Medicine


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