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Int J Environ Res Public Health. 2015 Dec 21;12(12):16157-67. doi: 10.3390/ijerph121215048.

Views from the Coalface: What Do English Stop Smoking Service Personnel Think about E-Cigarettes?

Author information

Department of Health, University of Bath, Bath BA2 7AY, UK.
UK Centre for Tobacco and Alcohol Studies (UKCTAS), Nottingham NG5 1PB, UK.
UK Centre for Tobacco and Alcohol Studies (UKCTAS), Nottingham NG5 1PB, UK.
School of Health Sciences, University of Stirling, Stirling FK9 4LA, UK.
Action on Smoking and Health (ASH), Suites 59-63, 6th Floor, New House, 67-68 Hatton Garden, London EC1N 8JY, UK.
Public Health England, Skipton House, 80 London Road, London, SE1 6LH, UK.
Stop Smoking Service Leicester City Council, Leicester LE1 6TH, UK.
UK Centre for Tobacco and Alcohol Studies (UKCTAS), Nottingham NG5 1PB, UK.
National Centre for Smoking Cessation and Training (NCSCT), 1-6 Yarmouth Place, LondonW1J 7BU, UK.


The UK Stop Smoking Services (SSS) are a source of information and advice on e-cigarettes for smokers and thus it is important to understand the knowledge of, and attitudes towards, e-cigarettes held by stop smoking practitioners. The datasets were English SSS quarterly monitoring returns (n = 207,883) and an online survey of English SSS practitioners, managers, and commissioners between 26th November and 15th December 2014 (n = 1801). SSS monitoring data suggested 2% of clients were using e-cigarettes to quit with SSS and that clients using e-cigarettes had similar quit rates to clients using Varenicline. Most SSS personnel are waiting for licenced e-cigarettes to become available before they will recommend them to clients. However, less than a quarter view e-cigarettes as "a good thing". Managers and commissioners were more positive than practitioners. SSS personnel working for the NHS (hospitals and GP surgeries) were less positive about e-cigarettes than those employed elsewhere. E-cigarettes were cited as the most important reason for the recent decline in service footfall. Thus dissemination of information about e-cigarettes needs to be examined and services should address their stance on e-cigarettes with some urgency.


cessation; e-cigarettes; harm reduction; stop smoking services

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