%0 Journal Article %A Matthew Evison %A Cheryl Pearse %A Freya Howle %A Monique Baugh %A Helen Huddart %A Eileen Ashton %A Michael Rutherford %A Carol Kearney %A Lyn Elsey %A Darren Staniforth %A Kathryn Hoyle %A Murugesan Raja %A Julie Jerram %A David Regan %A Richard Booton %A John Britton %A Claire O'Rourke %A David Shackley %A Liz Benbow %A Andrea Crossfield %A Jayne Pilkington %A Mandy Bailey %A Richard Preece %T Feasibility, uptake and impact of a hospital-wide tobacco addiction treatment pathway: Results from the CURE project pilot %D 2020 %R 10.7861/clinmed.2019-0336 %J Clinical Medicine %P 196-202 %V 20 %N 2 %X Introduction Providing comprehensive tobacco addiction treatment to smokers admitted to acute care settings represents an opportunity to realise major health resource savings and population health improvements.Methods The CURE project is a hospital-wide tobacco addiction treatment service piloted in Wythenshawe Hospital, Manchester, UK. The core components of the project are electronic screening of all patients to identify smokers; the provision of brief advice and pharmacotherapy by frontline staff; opt-out referral of smokers to a specialist team for inpatient behavioural interventions; and continued support after discharge.Results From 01 October 2018 to 31 March 2019, 92% (13,515/14,690) of adult admissions were screened for smoking status, identifying 2,393 current smokers. Of these, 96% were given brief advice to quit by the admitting team. Through the automated ‘opt-out’ referral process, 61% patients completed inpatient behavioural interventions with a specialist cessation practitioner (69% within the first 48 hours of admission). Overall, 66% of smokers were prescribed pharmacotherapy. Over one in five of all smokers admitted during this pilot reported that they were abstinent from smoking 12 weeks after discharge (22%) at a cost £183 per quit.Discussion National implementation of this cost-effective programme would be likely to generate substantial benefits to public health. %U https://www.rcpjournals.org/content/clinmedicine/20/2/196.full.pdf