Publication - Transparency data

NHS Scotland performance against LDP standards

Published: 18 Jul 2019

Performance data on the current Local Delivery Plan (LDP) Standards - priorities set and agreed between the Scottish Government and NHS Boards to provide assurance on NHS Scotland performance. 

Contents
NHS Scotland performance against LDP standards
Smoking cessation

LDP Standard

NHS Boards to sustain and embed successful smoking quits at 12 weeks post quit, in the 40 per cent most deprived SIMD areas (60 per cent in the Island Boards).

Current national performance

In the year ending March 2019 there were 7,206 successful quits at 12 weeks post quit.

About this LDP standard

This target sets out the key contribution of NHSScotland to reduce the prevalence of smoking. Smoking has long been recognised as the biggest single cause of preventable ill-health and premature death. It is a key factor in health inequalities and is estimated to be linked to some 13,000 deaths and many more hospital admissions each year. The annual cost to NHSScotland of treating smoking related diseases is estimated to exceed £300m and may be higher than £500m each year.

Although substantial achievements have been made in reducing the smoking rate in Scotland, smoking remains a major influence on Scotland's health. The prevalence gap between the most and least deprived is large, with the most deprived also suffering more smoking related ill health. Progress in reducing the smoking rate in Scotland has previously been measured by a National Indicator in Scotland Performs. However this indicator is no longer being reported in the new National Performance Framework which was launched in June 2018. Instead a new national indicator on ‘health risk behaviours’ which includes being a current smoker, is included in the new National Performance Framework. The prevalence of smoking continues to be reported in the Scottish Health Survey.

The Scottish Government remains committed to achieving its vision of a smoke free Scotland by 2034. The emphasis is on supporting people who want to quit smoking by delivering effective cessation services and preventing smoking uptake amongst young people. NHS Boards will continue to deliver a universal smoking cessation service, though the emphasis of this target is on helping people in deprived areas where smoking prevalence is highest.

Performance against this standard

The standard is to sustain and embed successful smoking quits, at 12 weeks post quit, for people residing in the 40 per cent most-deprived datazones (60% for island health boards) in the NHS Board (i.e. two most-deprived local quintiles (three most deprived local quintiles for island health boards)). NHSScotland is to deliver at least 7,500 successful quits, at 12 weeks post quit, over the year ending March 2019.   

In the year ending March 2019 there were 31,434 quit attempts in the most deprived areas, 7,206 were still not smoking at three months, a ‘quit rate’ of 22.9%, similar to the overall Scotland quit rate of 23.6%. This is below the LDP standard target of 7,568 three month quits in the most deprived areas.

NHS Board level performance is shown for the most recent financial year in the table below.

The table below shows the number of successful 12 weeks post quit smoking deliveries, by NHS Board, for 2018/19.

NHS Board 2018/19 Target 2018/19
NHS AYRSHIRE & ARRAN 456 575
NHS BORDERS 103 132
NHS DUMFRIES & GALLOWAY 200 175
NHS FIFE 434 490
NHS FORTH VALLEY 357 353
NHS GRAMPIAN 815 919
NHS GREATER GLASGOW & CLYDE 2,008 1,655
NHS HIGHLAND 271 320
NHS LANARKSHIRE 977 1,299
NHS LOTHIAN 869 1,018
NHS ORKNEY 20 19
NHS SHETLAND 22 46
NHS TAYSIDE 626 519
NHS WESTERN ISLES 48 48
NHSSCOTLAND 7,206 7,568

Source: The national smoking cessation database. The annual performance was published on 22/10/2019. 

Further information

ISD Scotland publishes a quarterly release of health board and national performance against the Local Delivery Plan (LDP) for Smoking Cessation.

The dashboard includes national summary information relating to performance against the Local Delivery Plan (LDP) Standard. Data are shown at Scotland and NHS Board level, for financial years 2014/15 to 2018/19 (Q4), broken down by quarter.

Users are advised to view these statistics as providing a useful insight on activity levels, which when taken together with ISD’s annual report, provide a balanced package of timely and comprehensive statistics.

Please note that due to a change in methodology and the exclusion of prisons, the 2018/19 LDP Standard is 7,568. This compares to the previous year (2017/18) which was 9,404.

The most recent quarterly report showed that during financial year April 2018 to March 2019:

  • NHS Scotland achieved 95.2% (7,206 out of 7,568 self-reported twelve-week quits) of the required annual LDP Standard.
  • There is wide variation between NHS Boards: whilst six NHS Boards met or exceeded the target number of successful twelve-week quits, the other eight NHS Boards achieved less than 90%. 
     

Further information

NHS Smoking Cessation Services Local Delivery Plan Standard Performance - annual and quarterly reporting - dashboard

Raising Scotland's tobacco-free generation : our tobacco control action plan 2018

Creating a Tobacco Free Generation - A Tobacco Control Strategy for Scotland

New National Performance Framework (launched in June 2018)

Health risk behaviours - National Indicator (based on new National Performance Framework)

Smoking prevalence - National Indicator (based on old National Performance Framework)

NHS Smoking Cessation Services Statistics

Tobacco use: smoking attributable deaths (ScotPHO)

Scottish Health Survey

Page updated : 23 October 2019