ASH Daily News for 21 January 2019



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UK

  • Local government defends role in delivering public health services
  • Integrated health care systems to be rolled out by 2021
  • Ealing council to end stop smoking services

International 

  • Altria invests in edible nicotine
  • Canada: Quebec kicks of annual tobacco free week

UK

Local government defends role in delivering public health services

The NHS has been accused of attempting to lobby the Treasury for control of the public health grant paid to councils for running local public health services. NHS England officials are reported to have questioned the success of local government prevention services and proposed a stronger role for the NHS in the recently released long term plan.

However, the Association of Directors of Public Health (ADPH) argues that councils are performing well on public health, despite real term cuts over nearly £7 million. President Jeanelle de Gruchy said: “The focus should be on the significant additional financial resources needed for public health in local government and delivering the positive shift in the long-term plan towards prevention and health inequalities – rather than top-down reorganisations.”

Public Health England chief executive Duncan Selbie has insisted that the rational for councils to lead on public health remains unchanged. He said long-term plan referred to a joint review between local government and the NHS which would aim to achieve a better, more connected approach to public health.

Source: Local Government Chronicle, 16 January 2019

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Integrated health care systems to be rolled out by 2021

According to the NHS long term plan, integrated health systems (ICSs) are to be rolled out across the country by 2021. The plan states that ICSs will emerge from current sustainability transformation partnerships and will have a key role in working with local authorities at ‘place’ level. This means that commissioners will be able to make shared decisions on how to use resources and design services to improve the populations health.

The plan outlines that each ICS area will have one clinical commissioning group (CCG), which will support providers to partner with local government and other community organisations on public health.  Each ICS will have a single partnership board which will represent commissioners, trusts and primary care networks as well as councils, and the voluntary and community sector.

Source: Local Government Chronicle, 7 January 2019

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Ealing council to end stop smoking services

Ealing Council has announced that it will stop its smoking cessation service at the end of March this year. The service is reported to have been cancelled due to a lack of funding over the next two years. The council stated it had “no option” but to find savings where it could. Help to quit will still be available through pharmacists and GPs in Ealing.

Ealing Clinical Commissioning Group said it was worried cutting the service would increase demand for prescribed interventions from GPs but without providing the “specialist training, support and remuneration provided to practices by the [cessation service] for this activity”.

Source: HSJ, 18 January 2019

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International 

Altria invests in edible nicotine

Lexaria Nicotine LLC, a division of Lexaria BioScience and a subsidiary of Altria Group, Inc. have announced a new funding agreement. Altria’s new investment will fund research in regulatory compliant oral forms of nicotine and has granted them exclusive rights to new technology, DehydraTech, which is aimed at commercialising oral nicotine.

The nicotine delivery process in development is a non-combustion-based, non-inhalation-based method. It involves a dehydration process to combine nicotine with simple ingredients to form a substance that can then be ingested. It promises a faster delivery system compared to existing gums or lozengers.

Source: Forbes, 20 January 2019

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Canada: Quebec kicks of annual tobacco free week

Sunday marked the start of Quebec province’s annual week-long stop smoking campaign, which this year focuses on respiratory conditions. Titled “Stop before you suffocate” the campaign focuses on diseases such as chronic bronchitis and emphysema which are the third largest causes of death in the province with 85% of cases caused by smoking.

Council Director Marc Drolet said “We always try to have a subject that is powerful enough to [make smokers] want to stop smoking, because it is difficult.” He added that it was never to late to quit, even for lifelong smokers.

Source: CBC News, 20 January 2019

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