The guidance states that: everyone should be provided with verbal and written information about the hospitals smoke-free policy before their appointment, procedure or hospital stay, including short and long-term benefits of stopping smoking and details of the support available to help them stop smoking before, during and after their stay or visit intensive support should be offered for smokers using secondary care services, including discussing past and current smoking behaviour and developing a personal stop smoking plan measurements of exhaled carbon monoxide (CO) should be offered for people using acute, maternity and mental health services, as part of the intensive stop smoking support provided, during each contact, to provide feedback on progress and increase their motivation to stop completely relatives, carers, friends and other visitors should be provided with information about the risks of smoking and secondhand smoke In its The Case for Change report, the British Thoracic Society (BTS) explains how NHS trusts can benefit financially from investing in stop smoking services at a number of levels, including admission avoidance, reducing length of stay and reducing re-admissions

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Reports of the historic dip in smoking didnt come from the U.S
Safely removed from the domestic oversight of home, Civil War soldiers felt free to try forms of tobacco often identified with people they considered beneath them