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Yerger also noted the need for investments to address the underlying barriers that contributed to people smoking

These measures could be used, alongside national guidance from NICE, PHE and NHS England, in assessing progress: universal recording of patients smoking status on admission to acute mental health services (45% of trusts in 2019) the provision of treatment and behavioural support for tobacco dependence to inpatients of acute mental health services (93% of trusts in 2019) the offer within acute services of the choice of combination NRT or varenicline (47%) reduction of the frequency of smoking incidents within private bedrooms and adult mental health wards to less than once a week (52% of trusts in 2019) investment in stop smoking support within community mental health services (62% of trusts in 2019)