PhysioUpdate 21st June 2022


Every contact 'vital' in tobacco addiction, say Rachael Moses, Ema Swingwood and Rachael Colclough

A trio of leading respiratory physiotherapists has responded to evidence suggesting that healthcare professionals are missing opportunities to reach out and offer support to hospital patients who smoke.

The evidence that too little is being done came in a report – titled National Smoking Cessation Audit 2021 – that was released earlier this month by the British Thoracic Society (BTS). The BTS, which conducted a UK-wide audit involving 120 acute hospitals and more than 14,000 patient records, raised concerns that the NHS was apparently falling to fulfil its commitment to help all hospitalised patients who smoke to quit by 2023-2024.

Society president Rachael Moses exclusively told PhysioUpdate: ‘The concept of “making every contact count” couldn’t be more useful than when we interact with patients with tobacco addition.'

Physiotherapists are 'extremely well placed' to contribute to smoking cessation efforts

Offering support is 'vital'

As therapists we often have conversations with our patients about behaviour and lifestyles to support their self-management and offering support for their tobacco addiction is a vital aspect of this [Rachael Moses]

Ms Moses, who is also a prominent consultant respiratory physiotherapist, said: ‘As therapists we often have conversations with our patients about behaviour and lifestyles to support their self-management and offering support for their tobacco addiction is a vital aspect of this.’

While acknowledging that the BTS audit found that some ‘modest improvements’ had occurred since it conducted similar audits in 2016 and 2019, Ms Moses pointed out that the evidence demonstrated that more efforts had to made to support in people in hospitals with ‘tobacco addiction’.

Ema Swingwood and Rachael Colclough's comment 

Ema Swingwood and Rachael Colclough argued that physiotherapists have the potential to have a greater impact on this issue. Ms Swingwood is a Bristol-based respiratory physiotherapist who sits on the BTS’s education and training committee, while Ms Colclough is a Birmingham-based respiratory physiotherapist who chairs the Association of Chartered Physiotherapists in Respiratory Care.

They told PhysioUpdate: ‘The BTS National Audit Report on smoking cessation highlights that we still have important work to do. Physiotherapists are extremely well placed to contribute to this important work and already do so.

‘As physiotherapists we work in a range of care settings – the community and GP practices through to acute hospitals, across a spectrum of clinical specialties. This enables us to link with patients at different time points of their care both in and outside of a respiratory setting, rather than limiting such important conversations to a GP practice or when a patient is in hospital acutely unwell.'

Scope for improvement

Strong clinician-patient relationships often develop during pulmonary rehabilitation programmes and could offer opportunities to introduce health promotion and behaviour change components in a collaborative way, the pair suggested.

‘Though physiotherapists are educated about smoking cessation at undergraduate level, enabling them to complete the important ‘Very Brief Advice’ conversation, they have, in many cases, the skills to do more,' Ms Swingwood and Ms Colclough added. ‘In addition, a growing number of physiotherapists have completed additional training to become independent prescribers.'

What did the 2021 BTS audit find?

The recording of patients’ smoking status remained below target – with 79 per cent of people admitted to hospital having had their smoking status recorded (compared to a figure of 77 per cent logged in 2019)

Of the people that were identified as smokers

  • less than half (45 per cent) were provided very brief advice (VBA) to quit.
  • four in 10 (40 per cent) were offered a referral to a tobacco dependency service (down from 44 per cent in 2019)
  • about one in 10 (9 per cent) were seen by a tobacco dependency practitioner while in hospital
  • one in 20 (5 per cent) were provided with the most effective interventions recommended by the National Institute for Health and Care Excellence (nicotine replacement therapy, varenicline – a medicine that reduces cigarette cravings – and vaping)

On the plus side, the number of smokers admitted to hospital declined slightly (21 per cent of acute patients smoked in 2021 compared to 24 per cent in 2019). About one in seven (15 per cent) of patients who smoked were referred to a hospital or community-based smoking cessation service, compared to about one in eight (12 per cent) in 2019 and one in 12 (8 per cent) in 2016

The trio of PhysioUpdate contributors urged colleagues to investigate the ‘incredible resources’ that are freely available on the BTS’s respiratory futures site. For more information, visit: https://www.respiratoryfutures.org.uk/programmes/tobacco-dependency-project

For more information on the BTS audit, visit: https://www.brit-thoracic.org.uk/news/2022/bts-audit-of-hospital-based-tobacco-dependency-treatment-services-finds-modest-improvement-since-2019/

To find out more about the British Thoracic Society, visit: https://www.brit-thoracic.org.uk

To find out more about Rachael Moses' role, visit: https://www.physioupdate.co.uk/news/rachael-moses-makes-history-as-the-first-physio-to-be-president-of-the-british-thoracic-society

To find out more about the Association of Chartered Physiotherapists in Respiratory Care, visit: https://www.acprc.org.uk



Physio Grace O'Malley says childhood obesity needs multidisciplinary response after paper published
Grace O'Malley: childhood obesity is a chronic disease needing a multidisciplinary response

Read More


Oxford Brookes University offers 'exciting opportunities' to become a professor of rehabilitation
Oxford Brookes University runs a 'highly popular' BSc (Hons) course in physiotherapy

Read More


Want to receive newsletters?


FREE membership

Join Us

Sign up today for membership and get...

✓ Regular newsletters
✓ Full website access
✓ Sponsor Benefits

We’ll keep you connected so you’ll NEVER MISS AN UPDATE!

Join Here

Previous newsletters


PhysioUpdate Supplier News 23rd June 2022
PhysioUpdate 16th June 2022
PhysioUpdate 7th June 2022
PhysioUpdate Supplier News 6th June 2022
PhysioUpdate 1st June 2022
PhysioUpdate 24th May 2022
PhysioUpdate 19th May 2022
PhysioUpdate 17th May 2022
PhysioUpdate 12th May 2022
PhysioUpdate 10th May 2022
PhysioUpdate Supplier News 5th May 2022
PhysioUpdate 3rd May 2022
PhysioUpdate Supplier News 28th April 2022
PhysioUpdate 26th April 2022
PhysioUpdate 19th April 2022
PhysioUpdate 14th April 2022
PhysioUpdate 12th April 2022
PhysioUpdate Supplier News 7th April 2022
PhysioUpdate 5th April 2022
PhysioUpdate 31st March 2022
PhysioUpdate 29th March 2022
PhysioUpdate 22nd March 2022
PhysioUpdate Supplier News 17th March 2022
PhysioUpdate 15th March 2022
PhysioUpdate 8th March 2022
PhysioUpdate 3rd March 2022
PhysioUpdate 1st March 2022
PhysioUpdate 22nd February 2022
PhysioUpdate 17th February 2022
PhysioUpdate 15th February 2022
PhysioUpdate Supplier News 10th February 2022
PhysioUpdate 8th February 2022
PhysioUpdate 3rd February 2022
PhysioUpdate 1st February 2022
PhysioUpdate 25th January 2022
PhysioUpdate Supplier News 20th January 2022
PhysioUpdate 18th January 2022
PhysioUpdate Supplier News 13th January 2022
PhysioUpdate 11th January 2022
PhysioUpdate 28th December 2021
PhysioUpdate 21st December 2021
PhysioUpdate Supplier News 16th December 2021
PhysioUpdate 14th December 2021
PhysioUpdate Supplier News 9th December 2021
PhysioUpdate 7th December 2021
PhysioUpdate 30th November 2021
PhysioUpdate Supplier News 25th November 2021
PhysioUpdate 23rd November 2021
PhysioUpdate Supplier News 18th November 2021
PhysioUpdate 16th November 2021
PhysioUpdate Supplier News 11th November 2021
PhysioUpdate 9th November 2021
PhysioUpdate 2nd November 2021
PhysioUpdate Supplier News 28th October 2021
PhysioUpdate 26th October 2021
PhysioUpdate Supplier News 21st October 2021
PhysioUpdate 19th October 2021
PhysioUpdate Supplier News 14th October 2021
PhysioUpdate 12th October 2021
PhysioUpdate Supplier News 7th October 2021
PhysioUpdate 5th October 2021
PhysioUpdate 28th September 2021
PhysioUpdate 21st September 2021
PhysioUpdate Supplier News 16th September 2021
PhysioUpdate 14th September 2021
PhysioUpdate Supplier News 9th September 2021
PhysioUpdate 7th September 2021
PhysioUpdate Supplier News 2nd September 2021
PhysioUpdate 24th August 2021
PhysioUpdate Supplier News 19th August 2021
PhysioUpdate 17th August 2021
PhysioUpdate 3rd August 2021
PhysioUpdate 27th July 2021
PhysioUpdate 20th July 2021
PhysioUpdate Supplier News 15th July 2021
PhysioUpdate 13th July 2021
PhysioUpdate 6th July 2021
PhysioUpdate 29th June 2021
PhysioUpdate 22nd June 2021
PhysioUpdate Suppliers News 18th June
PhysioUpdate 15th June 2021
PhysioUpdate 8th June 2021
PhysioUpdate 2nd June 2021
PhysioUpdate 4th May 2021
PhysioUpdate 27th April 2021
PhysioUpdate Supplier News 22nd April
PhysioUpdate 6th April 2021
PhysioUpdate 30th March 2021
PhysioUpdate Supplier News 25th March
PhysioUpdate 23rd March 2021
PhysioUpdate Supplier News 18th March 2021
PhysioUpdate 16th March 2021
PhysioUpdate 9th March 2021
PhysioUpdate 2nd March 2021
PhysioUpdate Supplier News 25th February
PhysioUpdate Supplier News 18th February
PhysioUpdate 16th February 2021
PhysioUpdate 2nd February 2021
PhysioUpdate Supplier News 21st January
PhysioUpdate 19th January 2021
PhysioUpdate 5th January 2021
PhysioUpdate 22nd December 2020
Industry News
9 December 2020
By using our site, you acknowledge that you have read and understand our Cookie Policy and Privacy Policy.