Job Description

An exciting opportunity has arisen for a highly motivated and experienced individual to join us as Lead Tobacco Dependence Advisor (TDA), supporting the delivery of the new Emergency Department Stop Smoking Service across Norfolk's three acute hospital Trusts. While based at Norfolk and Norwich University Hospital, the role will involve regular travel to James Paget University Hospital and Queen Elizabeth Hospital to coordinate and support service delivery across all sites.



As Lead TDA, you will proactively engage adult smokers, including patients and accompanying adults, delivering brief interventions, advice, vape kits, and evidence-based support to help individuals start their journey toward stopping smoking.



You will provide day-to-day leadership and operational oversight, ensuring consistent, high-quality tobacco dependence treatment. Working closely with Tobacco Dependence Advisors and clinical teams, you will implement best-practice interventions, manage complex cases, and support the development of effective pathways across all sites.



A key aspect of this role is contributing to the establishment, growth, and ongoing expansion of the service, shaping pathways, building effective working relationships, and supporting successful implementation across the acute Trusts.



If you are passionate about reducing health inequalities, confident in leading and shaping service delivery, and motivated by improving patient outcomes, we encourage you to apply.



As part of the Provide management team, proactively organise the Tobacco Dependency Advisors and assist with the mobilisation and implementation of the new service across the three hospital sites.

Line manage Norfolk Emergency Department Stop Smoking Service Tobacco Dependency Advisors (TDA) across the acute trusts.

Support programme phases such as planning, design, implementation and evaluation.

Be responsible for liaising with the provider of vape starter kits, ensuring correct data entries on the order platform and clear communication with participants in terms of accessing top-up e-liquid for vaping.

Reduce smoking prevalence and smoking-related health inequalities by providing evidence-based smoking cessation support to adult smokers attending Emergency Departments (EDs) in Norfolk.

Reduce future Emergency Department attendances and hospital admissions linked to smoking-related conditions.

Increase the number of quit attempts and successful smoking cessation outcomes.

Contribute to improved population health outcomes and reduced burden on the NHS through early intervention.

Support the Government's ambition for Smokefree communities by 2030.

Reduce inequalities in smoking prevalence and tobacco-related harm among disadvantaged populations.

Embed the smoking cessation offer as part of a whole-system approach in collaboration with acute, community, and public health partners.



Provide is a Community Interest Company (social enterprise). We deliver a broad range of health and social care services in the community, and are committed to making sure that they are safe, responsive and of high quality. Provide is owned by its employees and has primarily social objectives. Any profits we make are reinvested into the local community or back into delivering services.



We work from a variety of community settings, such as community hospitals, community clinics, schools, nursing homes and primary care settings, as well as within people's homes to provide more than 40 services to children, families and adults across Essex, Dorset, East Anglia and the North of England.



A highly respected, award winning health and social care provider. We expect our staff to demonstrate and uphold our values at all times:

Vision:

Transforming Lives

Values:

Care, Innovation and Compassion

Mission:

An ambitious, employee owned social enterprise, growing in size and influence. We transform lives by treating, caring and educating people.



Provide is an equal opportunity employer committed to building a team that represents a variety of backgrounds, perspectives and skills, proud to have LGBT+, Ethnic Minority and Men's Networks.



We welcome applicants from underrepresented groups. If you have the skills and experience for the job, please apply regardless of your background.



To promote the new service in Norfolk Acute Trusts.

Proactively identify and engage with adult patients and accompanying adults attending the three Emergency Departments in Norfolk who smoke, and deliver Very Brief Advice (VBA) informing and encouraging them to engage with the smoking cessation services on offer.

Providing immediate, evidence-based, non-judgemental advice and support using brief intervention models tailored to the Emergency Department setting.

Offering free vape starter kits to support immediate quit attempts.

Recording engagement, quit attempts, and referrals to inform performance monitoring, service evaluation, and reporting.

Maintaining contact with the patient, contacting them within 48 hours of initial engagement and at least once a week prior to the 28-day quit date and up to 6 weeks.

Working to monthly targets to ensure that KPIs are met and adapt and target delivery in line with projected outcomes for long term success.

Undertake analysis, interpretation and presentation of data and information to support planning and decision making for the Emergency Department Stop Smoking Service as well as for formal reporting requirements.

Maintain a strategic overview in order to manage a timely flow of all information, identifying action points in relation to the new service, and update Provide management on a regular basis.

Identify and resolve issues by implementing actions/plans as required

Monitor progress against milestones to ensure the programme delivers on time; also monitor and evaluate risks and issues

Work with a highly proactive approach, using initiative to ensure a quality service is delivered to achieve focused outcomes

Contribute to ensuring there are processes in place for spreading and sharing learning and outcomes and identify further opportunities to improve the Emergency Department Stop Smoking Service based on learning.

Be an active team member with joint responsibilities for providing a high-quality Stop Smoking Service.

Using techniques such as motivational interviewing and Making Every Contact Count (MECC) to support sustained behaviour change.

Ensuring inclusive engagement with individuals and communities experiencing the highest burden of smoking-related harm.

Working collaboratively with acute trusts, local authority public health teams, and community partners to develop and strengthen local cessation pathways.

Ensure patients requiring Stop Smoking support are seen in a timely manner, and patients are fully informed of follow up care/appointments, taking responsibility for the referral as well as follow-up calls to ensure that these take place.

Where vaping is not deemed appropriate for the patient, establishing alternative support in the community.

Patients that require alternative pharmacotherapy or more intensive support will be referred to the appropriate service.

Recording the details of those using the service by completing the documentation supporting the project in accordance with agreed SOPs.

Maintain accuracy and completeness of all electronic records, following policies and procedures including data protection for the recording of data on all the patient electronic record system

Inputting patient data onto local system and PharmOutcomes, ensuring all data is input accurately and thereby monitoring and auditing reports.

Working as part of the wider team with other TDAs, health professional and ED Smoking champions.

To maintain professional working relationships within Norfolk Acute Trusts and other relevant organisations.

To be responsible for continuous professional development, maintaining up-to-date knowledge of evidence-based practices, techniques, and emerging guidance (including NICE). Complete all mandatory Trust training and NCSCT modules as required and proactively engage with ongoing learning relevant to the service.

To be responsible for managing own daily timetable of delegated tasks including time for supervision and training.

Carry out administrative duties as required by the role.