1. Developing Evidence based Strategy to tackle smoking in pregnancy using views of service users Research(Need to increase sizeof top left quadranti.e. Promote stop smoking and increase engagement with service) Strategy (Tactical and operational details to be developed from stakeholder views)

2. Women’s Experience of Smoking Cessation Support during Pregnancy A Modi,1 L Wilkins,1 B Hanratty2 1. NHS Oldham 2. University of Liverpool a.modi@nhs.net

3. Closely associated with health inequalities Significant modifiable cause of adverse pregnancy outcomes Smoking cessation programmes in pregnancy known to be effective but uptake poor NHS Oldham sponsored research to develop strategy to reduce the proportion of pregnant women who smoke using the views of service users Smoking in Pregnancy

4. Assess experiences, perceptions and expectations of women who smoked during pregnancy of the stop smoking support in Oldham and use this information to improve recruitment and quit rates in the service? Literature review Three focus groups Analysed using Grounded theory Aim and methods

5. Results (Data display : Green- Core category, Red- Themes, Blue- Selected Codes)Early pregnancy------late pregnancy

6. Conclusion Conflicting influences around stopping smoking and engaging with services Personalised care and empathy Barriers Wider determinants Disillusionment Rationalisation Inflexibility of services Lack of choice

7. Recommendations Choice of NICE recommended interventions Personalised individual care pathways Data collection about service offered and service user feedback Develop guidelines on how to engage with disillusioned women

8. Qualitatively assess the population's heath needs that relates to the determinants of health and allows development of effective action Assess the evidence relating to the effectiveness of health interventions, programmes and services, and apply this to improve services Influence the development of policies, implement strategies to put the policies into effect Public Health Research Public Health competencies