►
Description
AGENDA
1. Declarations of Interest
2. Minutes
3. Public Participation
4. Nicotine Replacement Therapy / Varenicline
5. Urgent Business
For full agenda, attendance details and supporting documents visit:
http://democracy.york.gov.uk/ieListDocuments.aspx?CId=740&MId=9923
A
A
B
Thank
you
before
I
hand
over
to
Fiona
to
take
you
through
the
detail
of
the
report
in
the
papers
we
have
this
afternoon.
I
thought
it
would
be
helpful
to
explain
some
of
the
history
and
broader
context,
tu-tu-tu-tu-tu-tu
the
report
and
also
briefed
you
on
some
of
the
wider
discussions
that
have
been
taking
places
as
well
around
this.
B
Nevertheless,
what
the
report
that,
because
smoking
prevalence
in
particular,
is
much
higher
in
the
more
deprived
communities
in
York.
We
couldn't
say
that
the
report
that
the
policy
wouldn't
have
an
impact
on
on
health
inequalities
in
in
fact,
I
think
our
concern
was
that
it
would
disadvantage
those
those
residents
more
so
scrutiny
at
that
time
made
a
resolution
that
a
greater
number
of
recommendations
really
and
one
of
those
which
led
to
the
report
today
miss
Burton
yourself
as
the
executive
member
for
adult
social
care
and
health
review.
B
When
a
subsequent
report
went
back
to
scrutiny,
a
June
on
the
20th
of
June
of
this
year
and
I
think
some
of
the
discussion,
that's
happened
and
more
stantly
is
around
the
depth
of
that
discussion.
So
I
wasn't
at
that
meeting,
but
I
have
watched
the
webcast
and
I
think
that
it's
fair
to
say
that
councilor
bars
in
particular,
but
not
all
of
the
members.
B
So
there
was
some
discussion
in
scrutiny
committee
about
about
the
the
committee
making
a
policy
recommend.
The
decision
to
remove
50,000
from
that
budget
would
would
be
reversed,
and
there
was
some
discussion
about
that
at
the
meeting.
However,
the
resolution
from
not
meeting
that
is
recorded
in
the
official
minutes
of
that
meeting
on
the
20th
of
June,
uses
the
word
with
you
and
asks
you
as
executive
member
to
to
review
the
council's
position
on
energy
and
chantix,
and
so
that's
the
report
that
you
have
in
front
of
you
in
your
papers
this
afternoon.
B
B
I
would
like
to
propose
a
chair
that
you
make
a
decision
on
that
paper
and
this
afternoon
to
allow
us
to
go
ahead
and
introduce
that
change
to
the
policy,
but
given
the
concerns
of
scrutiny
committee
and
they
drop
off
in
referrals
or
the
numbers
of
people
access.
So
this
is
subsequently
quitting.
You
may
wish
to
receive
a
more
detailed
report
on
the
broader
stop
smoking
service,
the
effectiveness
of
that.
B
So
that
is
how
how
it's
working
and
perhaps
I
mean
Fiona,
together
with
the
manager
for
the
your
well-being
service,
would
be
able
to
present
a
further
report
to
give
you
some
assurance
and
allow
you
to
do
a
more
in
depth.
Challenge
of
the
stop
smoking
service
that
those
would
allow
you
to
dig
into
that
cinema
in
a
bit
more
detail.
A
C
Okay,
Thank
You
Chad,
so
oh
and
just
go
back
to
this
pay
phone
and
go
through
that.
For
you
soon.
What
paper
really
sets
out
is
going
back
to
look
at
what
the
evidence
tells
us
about
how
we
can
best
support
people
to
start
smoking
and
have
the
best
outcomes.
So
we
know
from
all
of
that
evidence
that
behavioral
support,
plus
a
combination
of
that
with
pharmacotherapies,
really
gives
people
the
best
support
and
it's
more
likely
to
lead
to
them
being
able
to
stop
smoking.
C
So
that's
really
led
us
to
review
that
really.
The
gap
that
we
have
in
York
is
showing,
as
previously
mentioned,
is
that
access
to
Verna
Klein,
and
so
what
what
we've
looked
to
do
is
to
do
some
work
to
see
how
we
could
make
that
available
within
York,
because
we
have
recognized
that
is
a
gap
and
we're
not
following
best
practice
guidance
when
it
comes
to
how
we
best
support
people
to
stop.
C
So
what
we
currently
offer
in
York
is
we
offer
that,
through
our
your
well-being
service,
we
offer
the
behavioral
support
through
our
trained
advisors
and
currently
any
woman
who
is
pregnant
and
is
making
we
offer
them
that
behavioral
support
along
with
NRT
nicotine
replacement
therapy
and
for
those
who
are
in
financial
hardship.
We
offer
to
pay
for
the
first
two
weeks
of
NRT
so
option.
One
that's
laid
out
in
the
report
is
that
we
just
continue
offering
that
same
level
of
service.
C
However,
as
I've
said
that
doesn't
provide
the
option
of
access
to
the
Rannoch
line,
say:
option
two,
which
is
a
recommended
option,
is
really
to
look
at
how
we
could
and
provide
that
access
to
varenik
line.
Do
that
in
the
same
way
as
we
do
for
NRT,
so
it's
not
a
great
period.
It
doesn't
affect
that
part
of
the
service.
It's
not
recommended
for
use
in
that
case.
So
it's
only
for
non
pregnant
people.
We
would
propose
that
offering
to
pay
for
those
people
were
financed
as
a
barrier.
C
What
they've
found
is
that
when
people
realize
that
they
have
to
pay
for
the
nicotine
replacement
therapy
themselves,
it
really
does
make
people
think
about
am
I
committed.
Is
now
the
right
time
to
stop,
because
actually
I'm
going
to
have
to
commit
something
here.
So
it
almost
becomes
like
a
contract
between
the
service
and
the
individual
and
that
they
know
they.
They
will
get
something
from
the
service.
C
They
will
get
that
expert
support
and
advice
and
guidance,
but
they
will
have
to
make
a
commitment
themselves
and
actually
what
the
service
are
finding
is
that
they
are
getting
a
much
more
sort
of
considered
approach
into
the
service
and
people
are
coming
in
when
it's
the
right
time
when
they
know
that
actually,
their
chances
of
stopping
a
hi
and
actually
the
quick
way
in
the
service
is
good.
And
people
are
sticking
with
the
program
and
actually
having
good
outcomes
and
on.
B
B
B
The
surface
and
but
the
quick
weight
wasn't
necessarily
always
that
that
that
good,
because
many
people
will
make
numerous
attempts
to
to
to
quit
so
it's
early
days,
which
is
why
you
know
you
you,
you
may
wish
to
take
that
that
further
detail
outlook
but
I
miss
taking
a
while
for
the
service
to
establish
itself.
But
what
we're
seeing
is
a
higher
number
of
people,
sticking
with
the
program
who
are
determined
to
to
quit.
The
issue
I
think
is
fueling
surge.
Is
there's
not
putting
barriers
in
place
to
people
from.
C
I
think
just
really.
In
conclusion,
the
option
3
that
was
put
into
the
report
was
to
on
a
universal
level,
to
fund
nicotine
replacement
therapy
and
varenik
line
for
everybody
for
an
initial
period,
but
based
on
those
discussions
with
the
service
and
live
some
of
the
day
to
around
the
quit
rates
for
the
investment
that
that
would
require.
We
don't
feel
that
it
would
give
you
that
added
benefits
in
terms
of
whether
you
get
successful,
quits
and
actually
get
those
better
health
outcomes.
A
I
also
said
in
the
meeting,
which
was
slightly
different,
I
think,
but
for
me,
I
really
do
need
to
know
he's
working
and
so
I
think.
Your
suggestion
for
a
further
report
is
very
small.
The
tribal
take
forward.
One
of
the
things
I
really
want
to
see
is
the
reports
up
to
normal
in
service,
because
I
think
any
service
which
is
very
accessible
to
everybody,
which
is
one
of
the
things
that
certain
years
actually
looking
at
is,
is
absolutely
crucial.
A
I
think
that
the
issue
there's
another
issue
here,
which
I
don't
quite
understand,
which
is
that
certainly
Redis
appropiate
nationally
either
report
comes
back.
I
want
to
know
what
sort
of
the
problem
is
here
with
Christ,
very
safe
routes
or
agendas
or
whatever
it
is
so
I
think,
there's
more
information
to
be
woven
into
whatever
changes.
A
Although
I'm
very
happy
to
make
a
change
today,
it
may
be.
There's
a
survey
states.
We
we
make
further
changes.
That
may
well
mean
case.
I
was
also
interested
to
eating
that
if
people
never
stop
serving,
it's
the
first
always
told
me
the
facts
crucial
and
if
they
manage
to
stop
smoking
for
those
four
weeks
which
our
funding
would
apply
there,
the
name
itself
smoking
after
that
and
that's
encouraging
them
to
do.
I
was
so
pleased
that
we
continue
to
offer
meeting
blessing
therapy
to
me
because.
A
A
B
A
A
B
A
B
Certainly
bring
a
report
forward
which
gives
a
good
picture
I
think
for
members,
not
just
yourself,
but
other
members,
which
you
know
could
be
shared
with
members
of
scrutiny
committee
about
the
service.
What
are
your
well-being
services
to
help?
People
have
a
better
understanding
of
the
changes
that
have
been
made.
B
What
an
integrated
well-being
services
we
don't
have
a
separate
stop
smoking
service
anymore,
but
also
perhaps
skips
some
assurance
around
the
fact
that
we're
not
we're
not
just
resting
on
our
laurels
here
and
we're
constantly
evaluating
what
what
we're
doing-
and
we
have
got
data,
certainly
from
the
last
since
the
beginning
of
the
year
and
live
information
and
case
histories
of
people
who
have
benefited
from
the
service
so
pushing
stop
smoking
within
that
broader
context.
Doing
well
in
your
service
would
probably
be
really
help.
Yeah.
C
Another
thing:
that's
one
thing:
I
guess
if
we
wanted
to
look
at
the
how
implementing
this
option
pears,
because
what
we've
got
at
the
minute
is
when
we're
trying
to
compare
the
numbers
access
in
the
service
with
the
service
that
was
very
different.
Previously
zooms,
we've
got
seven
months
now,
since
the
service
has
been
operational,
not
following
this
policy.
So
if
we
were
to
allow
a
similar
period
operating
this.
B
An
interim
report
and
an
annual
reports,
which
ones
actually
gave
detailed
picture
of
what's
happened,
what's
happened
with
the
service,
which
can
also
include
details
of
the
system-wide
working,
the
partnership
working,
that's
something
around
the
broader
tobacco
agenda,
not
just
stop
smoking.
This
is
a
priority
for
us.
You
know
it's
not
going
to
stop
being
a
priority
for
us
so
that
the
focus
stop.
Smoking
is
certainly
good.