1. SATOD: Another form filling exercise? Fay Watson, Tobacco Control Programme Manager Tobacco Free Lancashire

2. People usually only find form filling important when they know: 1. Why they’re doing it 2. The reason why is good enough to justify their time 3. The data should be needed A note about form filling…

3.  The background to SATOD and why it is important  What is collected and how  Why we can’t rely on data from Stop Smoking Services  The future of SATOD

4. The background to Smoking At Time of Delivery (SATOD) and why it is important  The Scientific Committee on Tobacco on Health (SCOTH), said in 1998: ‘Smoking in pregnancy causes adverse outcomes, notably an increased risk of miscarriage …and perinatal death’.

5. Smoking at time of delivery rates should help to indicate: 1. Asthma and respiratory problems in young children 2. Glue ear infection rates in children 3. Social deprivation and health inequalities 4. The success of public health initiatives to support pregnant women to stop smoking

6. Three figures required by PCT: 1. Number of maternities 2. Number of women known to have been smoking at time of delivery (any woman who smokes at all) 3. Number of women known not to have been smoking at time of delivery (any woman who does not smoke at all) But Not known should not be included as non-smokers If a woman intends to stop smoking after delivery but has been smoking, then she is still ‘known to have been smoking at time of delivery’ What is collected and how?

7. The study found data collected on a compulsory screen in the maternity unit was of better quality than data obtained from a manual collection. Their conclusion was that there should be ‘a compulsory screen installed in all maternity unit patient administration systems.’ Pilot Study by West Midlands Regional Office, 1997/98

8. How is SATOD collected?

9. Why can’t we rely on the data available on the number of pregnant women quitting with Stop Smoking Services?  Only 5-10% of the population use a stop smoking service

10. “ Reduce smoking during pregnancy in England: To 11 per cent or less by the end of 2015 (measured at time of giving birth)”. The Future of SATOD

11. The future of SATOD: How can we make it a useful indicator in the new public health system?  The White Paper’s ‘health premium’  What meaning will PCT aggregated data have for local councillors and local authorities?  What local level proxy measures can we use to give us a better community level perspective on what is actually happening?

12. Thank You