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Tobacco: Preventing Uptake, Promoting Quitting and Treating Dependence NICE Guideline NG209 ( Summary )

The National Institute for Health and Care Excellence (NICE) guideline NG209, originally published on November 30, 2021, and updated on February 4, 2025, provides a comprehensive, evidence-based framework for reducing tobacco use and dependence in the UK. This updated guidance emphasizes the importance of preventing tobacco uptake, promoting smoking cessation, and effectively treating nicotine dependence across various demographics. It highlights emerging research and innovative approaches—such as digital health tools—to augment established treatment options, from pharmacotherapy to behavioral support.


The update also underscores the need for targeted strategies for high-risk groups, including young people, pregnant women, and those with mental health challenges. Additionally, it reaffirms the value of robust tobacco control policies—taxation, smoke-free environments, and restrictions on marketing—to protect the wider public and especially younger generations. Overall, NICE guideline NG209 serves as a vital resource for clinicians, public health practitioners, and policymakers, guiding concerted efforts to decrease tobacco-related harm across the country.



Quick Summary Table – Section 1.11: Identifying and Quantifying Smoking


Topic Summary
Routine Enquiry Ask about smoking status at every opportunity; repeat at next contact.
Advice to Smokers Advise stopping completely, tailored to preferences; explain benefits and support options.
Assessing Use Discuss previous quit attempts and nicotine products used....

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