P.2 Tobacco - HWB101 - No. of smokers who are receiving online cessation support services
This metric quantifies the number of smokers/tobacco users who are motivated to sign up to the online quitplan (an online quitting tracker) plus or minus a series of email/text or telephone supports to support tobacco cessation. The metric measures those who sign up to the quitplan and activate their account in the reporting period. The quitplan consists of an online personal quitting tracker which measures the users' level of nicotine dependence, their smoking triggers, reasons for quitting and financial savings during their quit attempt. As part of the quitplan sign up the user is encouraged to also avail of a series of other supports including motivational email and/or text based supports as well as the standard telephone support service offered through the national QUITline. The preparatory and motivational emails and texts are sent daily for two weeks before the 'set quit date', on the 'quit date' and for up to one month post the 'set quit date' followed by further less frequent emails for up to 12 months. It is possible that a tobacco user who signs up to the quitplan plus or minus the email or text supports could also be accessing either the face to face support through a HSE stop smoking clinic or group and/or could be in receipt of the standardised schedule of telephone supports. The evidence suggests that those who access a combination of behavioural supports (online/telephone/face to face) and use evidenced based medication have an increased likelihood of a successful quit. The target will not be consistent for each quarter. Activity in cessation services is generally higher in Q1 and Q2, lower in Q3 and rises again in the first half of Q4. A full profile breakdown will be provided.This metric reflects key actions for the HSE as outlined in the governments Tobacco Free Ireland Strategy and Healthy Ireland Strategy.

P.3 Tobacco - HWB26 - % of smokers on cessation programmes who were quit at four weeks
Refers to smokers who have signed up to the standardised HSE tobacco cessation support programme, who have set a quit date and who are quit at 4 weeks. The support programme i.e. structured support provided to smokers prior to their quit date and each week for four weeks following this date. Quit date: The date a smoker plans to stop smoking completely with support from a stop smoking specialist as part of an assisted quit attempt. A self reported 4 - week quitter is a treated smoker who reports not smoking for at least days 15–28 of a quit attempt and is followed up 28 days from their quit date (-3 or +14 days). The -3 or +14 day rule allows for cases where it is impossible to carry out a face-to-face follow-up at the normal four-week point and a self report of quit status is provided (in most cases it is expected that follow-up will be carried out at four weeks from the quit date). This means that follow-up must occur 25 to 42 days from the quit date (Russell Standard). A CO- verified 4 week quitter is a treated smoker who reports not smoking for at least days 15–28 of a quit attempt and whose CO reading is assessed 28 days from their quit date (-3 or +14 days) and is less than 10 ppm. The -3 or +14 day rule allows for cases where it is impossible to carry out a face-to-face follow-up at the normal four-week point (although in most cases it is expected that follow-up will be carried out at four weeks from the quit date). This means that follow-up must occur 25 to 42 days from the quit date (Russell Standard). A treated smoker is a smoker who has received at least one session of a structured, multi-session intervention (delivered by a trained stop smoking advisor) on or prior to the quit date, who consents to treatment and sets a quit date with a HSE trained stop smoking advisor. Smokers who attend a first session but do not consent to treatment or set a quit date should not be counted. A 'smoker' is defined as a person who smokes a smoked product. In adulthood this is defined in terms of daily use, whereas in adolescence (i.e. for those aged 16 or under) it is defined in terms of weekly use).

P.4 Tobacco - HWB27- No. of smokers who received face to face or telephone intensive cessation support from a HSE trained and accredited stop smoking advisor
Intensive stop smoking behavioural support is a consultation of greater than 10 mins (more than a brief intervention) provided by a trained * stop smoking advisor with a person who smokes either in an acute or community setting. It can be delivered in a variety of ways - face to face (one-to-one), group (online or face to face) or via telephone. HSE Stop Smoking advisors are trained to Level 2/NCSCT/HSE standardised training.

P.5 Tobacco - HWB110 - % of smokers engaging with HSE Stop Smoking Services and using recommended Stop Smoking Medicines
The use of stop smoking medicines are a recommended part of good stop smoking care, as outlined in the National Stop Smoking Clinical Guideline (2022). This metric will measure the % of smokers enaging with the HSE Stop Smoking Services for intensive behavioural support and who are also using recommended stop smoking medicines.

P.6 & 7 MECC - HWB111 - No. of HSE Frontline staff, incl. S38 Voluntary Organisations to complete the Making Every Contact eLearning Training
...The training programme consists of 8 eLearning modules, 2 of which are optional. Modules 1-6 below must be completed to obtain certification. 1) Behaviour change module 2) Tobacco 3) Alcohol and substance use 4) Healthy eating 5) Physical activity 6) Behaviour change module - skills into practice 7) Overweight and obesity (optional) 8) Mental health and wellbeing (optional)