Appendix 1

{Policy Number}

DERBY HOSPITALS NHS FOUNDATION TRUST

SMOKE FREE POLICY

1. Introduction

The public health white paper, Choosing Health, makes a clear commitment to

a smokefree NHS by the end of 2006.

Section 2(2) of the Health and Safety at Work Act 1974 places a duty on

employers to :-

`…… provide and maintain a safe working environment which is, so far as is reasonably practical, safe, without risks to health and adequate as regards facilities and arrangements for their welfare at work'.

Several EU directives relating to health and safety in the workplace have come

into force since 1^st January 1993. These include the Management of Health

and safety at Work Regulations 1999 which, unger General Principles of

Prevention include :-

Secondhand smoke - breathing other people's tobacco smoke - has now been

shown to cause lung cancer and heart disease in non-smokers, as well as

many other illnesses and minor conditions.

The employer acknowledges that breating other people's smoke is both a public

health hazard and a welfare issue. Therefore, the following policy has been

adopted concerning smoking at all Derby Hospitals NHS Foundation Trust

premises, buildings and grounds.

2. General Principles and Scope

The aim of this policy is to :-

…… by arranging for Trust buildings, properties and vehicles to be “smokefree” and by requiring staff not to smoke while on duty.

This policy is part of a range of policies that together comprise the Derby Hospitals NHS Foundation Trust Health and Safety Policy.

3. Work Areas

This policy will apply to all staff, patients, visitors, contractors and other

persons, who enter the Derby Hospitals NHS Foundation Trust owned or rented

buildings (or grounds) for any purpose whatsoever. (Although the policy

extends to cars leased from the Derby Hospitals NHS Foundation Trust during

business usage, it does not apply to the interior of cars owned privately and not

being used for business purposes or during business hours).

(The policy can be extended to protect staff from exposure to smoke when

making home visits).

4. Introduction and Implementation of the Policy

The policy was agreed by the Trust Board at its meeting on {date}. Its formal

adoption will commence on {date}. From that date, staff will not be permitted to

smoke while they are on duty, (irrespective of their location), except in

accordance with the previous paragraph.

There will be a `lead-in' period between {date} and {date}. During this period,

staff who do not comply with the policy will be interviewed by their line manager

and referred to Occupational Health, for support and advice as appropriate.

Should an individual or group of individuals continue to infringe this policy after

the lead-in period, the manager may invoke disciplinary procedures as a means

of encouraging adherence to the policy.

Responsibility for implementing this policy rests with the Chief Executive. Day-

to-day responsibility for implementation lies with directors and managers.

The Occupational Health Department will provide advice and support for staff.

Those who wish to stop smoking will be helped to access individual or group

support and nicotine replacement therapies as appropriate.

To ensure that everyone entering Derby Hospitals NHS Foundation Trust sites

understands that smoking is not allowed in the buildings and grounds, clear

signs will be on display. Staff will be reminded of how the policy relates to their

use of vehicles. (Smoking at entrances and exits by staff, patients or visitors

will not be tolerated).

Tenders and contracts with the Derby Hospitals NHS Foundation Trust will

stipulate adherence to this policy as a contractual condition. Existing contracts

will be modified as soon as possible. Patients will be advised of the new policy

on admission to Derby Hospitals NHS Foundation Trust premises. GP

practices will also be informed of the policy. Exisiting patients will also be

addressed through a series of information session, with the support of stop-

smoking specialists and counseling as appropriate.

Job advertisements will include reference to the non-smoking policy and

indicate that the adherence will be contractual.

Training will be offered to staff in advising patients, visitors, etc of the policy, as

requested.

5. Secondhand Smoke

This policy recognizes that secondhand smoke adversely affects the health of

all employees. It is not concerned with whether anyone smokes but with

where they smoke and the effect this has on patients, visitors, smoke and non-

smoking colleagues and other members of the wider health community. It is

also concerned with the presence of preventable carcinogenic substances in

the locality of health sites.

Derby Hospitals NHS Foundation Trust sincerely encourages its employees to

refrain from smoking outside the times and circumstances set out in this policy,

both in their own interests and as representatives of a major public body,

whose purpose is to improve health. However, this falls outside the scope of

this policy.

6. Exceptions

The Trust Board recognizes that some patients have circumstances that will

require staff to make an assessment as to whether special arrangements need

ot be made so that the patient will be permitted to smoke on a Trust site. Such

circumstances might include detention under the Mental Health Act or the

inability of a patient to give informed consent for help with smoking cessation.

Permission to grant an exception will rest with the nurse in charge of the ward

or unit and be formally recorded.

In all cases where an exception has been made there should be demonstrable evidence that smoking cessation has been fully considered as part of the patient pathway, in conjunction with the patient and / or their relatives. Where an exception is made, every effort must be made to minimize staff exposure to smoke. This would normally mean that smoking would only be permitted outdoors where staff and other patients would not be in close proximity to the smoker. Ideally this would also be out of sight of other patients, visitors and staff, who may be engaged in a stop-smoking programme.

Document Control

Development of Policy:

Consultation with:

Approved by:

Date of Approval:

Review Date:

Distribution and Location of Policy:

Key contact:

DRAFT

Policy Number

Name of Document : Smoke Free Policy

Name of Creator : Director of HR

Issued : Draft Version 1 - February 2006

P-R1-1

Issued February 2000