Identifying and supporting people most at risk of dying prematurely (PH15)
Fast, easy summary view of NICE guidance on 'smoking'
Reducing the rate of premature deaths from cardiovascular disease and other smoking-related diseases: finding and supporting those most at risk and improving access to services
This guidance aims to help NHS and other staff identify and provide services for people who are disadvantaged and most at risk of dying early from heart disease. Disadvantaged people include those who are living on a low income, those who are homeless and people with disabilities.
The risk of dying early could be reduced by providing services to help people stop smoking and treatment for high cholesterol and other conditions that increase the risk of heart disease.
NICE recommendations include the following advice:
- GPs and other NHS staff working outside hospitals, and local authorities should set up systems to identify people who are disadvantaged and at high risk of heart disease.
- NHS organisations and local authorities should work together to provide flexible services to improve the health of these people. This might include advice and help offered in drop-in clinics and other places people can get to easily, at times that suit them. Information should be provided in a language people understand.
- The NHS and local authorities should ensure services aiming to improve the health of people who are disadvantaged are coordinated and that there are enough people trained to run them.
This guidance has been incorporated into the following NICE Pathways, along with other related guidance and products.
Visit the NICE Pathway: smoking
This page was last updated: 08 April 2014
Implementation tools and resources
- Costing report
- Slide set
- Integrated commissioning for the prevention of cardiovascular disease commissioning guide
- Tobacco control return on investment tool for local government
See this guidance in practice
The summary of the key recommendations in the guidance written for patients, carers and those with little medical knowledge and may be used in local patient information leaflets.
Quick Reference Guide
The quick reference guide presents recommendations for health professionals
The published NICE clinical guidance, contains the recommendations for health professionals and NHS bodies.
The published full clinical guidance for specialists with background, evidence, recommendations and methods used.