TY - JOUR T1 - Understanding the enablers and barriers to implementing smoke-free NHS sites across acute care trusts in Greater Manchester: results of a hospital staff survey JF - Future Healthcare Journal JO - Future Healthc J SP - e676 LP - e682 DO - 10.7861/fhj.2020-0243 VL - 8 IS - 3 AU - Hannah Clegg AU - Freya Howle AU - Kathryn Groom AU - Ryan Moore AU - Lynn Hryhorskyj AU - Seamus Grundy AU - Alex Tempowski AU - Beth Turnpenny AU - Hou Law AU - Ram Sundar AU - Al-Tahoor Butt AU - Muntasir Abdelaziz AU - Sanjay Agrawal AU - Jane Coyne AU - Andrea Crossfield AU - Matthew Evison Y1 - 2021/11/01 UR - http://www.rcpjournals.org/content/8/3/e676.abstract N2 - Introduction The current study aims to identify enablers and barriers to implementing smoke-free NHS hospital grounds through a hospital staff survey.Methods Staff members from eight acute care NHS trusts in Greater Manchester were invited to complete a 15-minute web-based questionnaire.Results Five-hundred and eighty-eight participants completed the questionnaire. Nineteen per cent (114/588) of respondents were current smokers and 10% (61/588) were currently vaping. Sixty per cent (68/114) smoked at work and 66% (40/61) vaped at work. Sixty-seven per cent (314/468) supported dedicated on-site tobacco addiction treatment services for hospital staff with specific support for drop-in clinics and free pharmacotherapy for staff. Sixty-one per cent (290/477) and 67% (318/477) strongly agreed / agreed that patients/visitors and staff, respectively, should not smoke on hospital grounds. Seventeen per cent (83/484) had received training in very brief advice. Thirty-five per cent (190/547) felt vaping was less harmful than smoking, 19% (92/472) felt exhaled vapour was likely to be safe to bystanders, 36% (172/475) would support vaping-friendly hospital grounds and 31% (37/120) felt confident in discussing vaping.Discussion Enablers to a smoke-free NHS site include dedicated tobacco addiction services for staff and empowering staff through appropriate training to support smokers on the hospital grounds. Barriers include the lack of awareness and support for the harm reduction benefits of vaping. ER -