ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2016
Provision of smoking cessation support in UK primary care: impact of the 2012 QOF revision.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Effect of UK Quality and Outcomes Framework pay-for-performance programme on quality of primary care: systematic review with quantitative synthesis.BMJ (Clinical research ed.) · 2025Pooled it
- Strategies to improve the implementation of preventive care in primary care: a systematic review and meta-analysis.BMC medicine · 2024Pooled it
- Implementation strategies to increase smoking cessation treatment provision in primary care: a systematic review of observational studies.BMC primary care · 2023Pooled it
- Use of interrupted time series methods in the evaluation of health system quality improvement interventions: a methodological systematic review.BMJ global health · 2020Pooled it
- System change interventions for smoking cessation.The Cochrane database of systematic reviews · 2017Pooled it
- Investigating attitudes and framing moral responsibility in healthcare professionals for smoking cessation interventions.British journal of health psychology · 2025Trial
- The old and familiar meets the new and unknown: patient and clinician perceptions on e-cigarettes for smoking reduction in UK general practice, a qualitative interview study.Addiction (Abingdon, England) · 2022Trial
- Effect of the English National Enhanced Service on weight management referral rate: an interrupted time-series analysis.BMJ open · 2026Article
- Article
- Investigating the association between recorded smoking cessation interventions and smoking cessation in people living with cardiovascular disease using UK general practice data.BMC primary care · 2025Article
- Effect of the National Enhanced Service for weight management on the content of annual review consultations for patients living with obesity and hypertension and/or diabetes.Clinical obesity · 2025Article
- A movement for movement: an exploratory study of primary healthcare professionals' perspectives on implementing the Royal College of General Practitioners' active practice charter initiative.BMC primary care · 2024Article
- Prevention in practice: why is it neglected and what can we do?The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- Article
- The impact of cigarette smoking on life expectancy in schizophrenia, schizoaffective disorder and bipolar affective disorder: An electronic case register cohort study.Schizophrenia research · 2021Article
- Assessment of the Effectiveness and Cost-Effectiveness of Tailored Web- and Text-Based Smoking Cessation Support in Primary Care (iQuit in Practice II): Protocol for a Randomized Controlled Trial.JMIR research protocols · 2020Article
- An observational study of system-level changes to improve the recording of very brief advice for smoking cessation in an inpatient mental health setting.BMC public health · 2020Observational
- Article
- Article
- OpenPrescribing: normalised data and software tool to research trends in English NHS primary care prescribing 1998-2016.BMJ open · 2018Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundBefore 2012, UK GPs were paid only to offer cessation advice to smokers and only to those with smoking-related disease, a minority of all smokers. From 2012, GPs are now paid to offer all smokers referral for behavioural support and medication to assist cessation at least once every 2 years.
aimTo quantify the impact of this new recommendation and payment on indicators of smoking cessation activity. DESIGN AND
settingInterrupted time series analysis of data from general practices in England contributing data to The Health Improvement Network (THIN).
methodData were extracted on monthly rates of recorded delivery of smoking cessation advice, referral to NHS Stop Smoking Services, and prescription of smoking cessation medications, among an average of 3.3 million patients aged >16 years registered each month in THIN. ARIMA models were used to quantify changes in rates of cessation activity after the 2012 Quality and Outcomes Framework (QOF) revision compared with beforehand.
resultsThe proportion of patients each month with a record of advice to quit smoking increased by 19.6% (95% CI = 7.9 to 31.4) in the year after the introduction of payments compared with the 8 years beforehand; the recording of referral to Stop Smoking Services increased by 38.8% (95% CI = 15.2 to 62.4). There was no significant change in prescription of smoking cessation medication, -7.7% (95% CI = -21.6 to 6.2).
conclusionPaying GPs to intervene with all smokers and offer support rather than just advice to quit is associated with an increase in recording of advice and referring patients for behavioural support to stop smoking, but no change in prescribing pharmacotherapy for cessation.
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