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NHS Quit Smoking

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Written by Daniel Warner

NHS Quit Smoking

The NowPatient NHS Quit Smoking service is a series of consultations offering a free NHS funded personal quit plan which includes both support and medication.

Eligibility

You may qualify for this service if you:

  • Are aged 18 or over

  • Are registered with the NHS in England

  • Have been referred by an NHS hospital or NHS Trust tobacco dependency team

  • Started smoking cessation treatment during a hospital stay and wish to continue after discharge

Important: This service is commissioned by NHS England and is only available to patients in England. It is not available in Scotland, Wales, Northern Ireland, or outside the UK. The service requires a hospital referral. You cannot self-refer.

A 12-week Quit Smoking programme

The programme consists of four consultation stages, each delivered via remote video consultation. Your clinician will provide ongoing behavioural support, monitor your progress, and prescribe medication as needed throughout.

Stage 1: Initial consultation

Book this within 5 days of receiving your hospital referral. During this consultation, the clinician will:

  • Verify the details from your hospital referral

  • Confirm whether you received any smoking cessation medication on discharge

  • Assess your suitability for treatment options

  • Discuss available treatments and agree on a plan with you

  • Issue a prescription order if treatment is appropriate

With your consent, the clinician will inform your GP of the treatment prescribed. We recommend agreeing to this, as your GP is responsible for your overall care. The clinician may also offer advice on healthy living and practical guidance related to your therapy.

Stage 2: Interim consultation (1 week after initial)

One week after your initial consultation, your clinician will:

  • Check in on your progress and smoking status

  • Provide ongoing behavioural support

  • Discuss any challenges or side effects you are experiencing

  • Prescribe additional medication if needed

Stage 3: 4-week consultation

Four weeks after your initial consultation, this is a key milestone. Your clinician will:

  • Assess your smoking status at the 4-week mark

  • Record your 4-week quit outcome

  • Discuss continuing treatment to help prevent relapse

  • Prescribe additional medication if needed

Why 4 weeks matters: Research shows that if you can stay smoke-free for 4 weeks, you are 5 times more likely to quit for good.

Stage 4: 12-week consultation (final)

Twelve weeks after your initial consultation, your clinician will:

  • Assess your final smoking status

  • Record your 12-week quit outcome

  • Provide advice on staying smoke-free long-term

  • Notify your GP of the outcome

  • Inform the hospital tobacco dependency team of your progress

  • Discharge you from the service

How it works

Follow these steps to book your initial consultation through NowPatient:

  • Go to the NHS Quit Smoking Service Card. Find it in the 'NHS Hub' section of your account homepage. Select 'Check Eligibility' from the Options Menu.

  • Complete the eligibility quiz. Answer the screening questions to confirm you qualify. If you do not qualify, we will signpost you to the right NHS care provider or service.

  • Book your consultation. If you qualify, click the 'Book Consultation' button to proceed.

  • Choose a date. Select your preferred consultation date. You can add notes to help the clinician prepare. Click 'Continue'.

  • Choose a time. Select your preferred time and click 'Continue'.

  • Choose a clinician. Browse available clinicians. You can filter by gender and spoken languages. Click 'Continue'.

  • Review your booking. Check the booking summary and read the 'Pre-consultation Requirements' for preparation tips. Click 'Continue'.

  • Provide safety information. Enter your consultation address and emergency contact details. Opt in to an SMS reminder 30 minutes before your appointment if you wish.

  • Confirm your booking. Click 'Confirm Booking'. You will see a confirmation pop-up and receive in-app and push notifications.

Follow-up consultation reminders

You do not need to track your follow-up dates yourself. NowPatient will send you reminders 7 days before each planned follow-up consultation via push and in-app notifications.

Medications prescribed

Your Stop Smoking Practitioner will recommend the most suitable option based on your medical history, previous quit attempts, nicotine dependence level, and personal preferences. Combination therapy (for example, patches plus a fast-acting product like lozenges or gum) may be recommended for heavier smokers.

Prescription medications

Nicotine Replacement Therapy (NRT) - Patches

24-hour patches:

16-hour patches:

Nicotine Replacement Therapy (NRT) - Other forms

Lozenges:

Gum:

Oral spray:

Inhalator:

Nasal spray:

Sublingual tablets:

How to complete your order after treatment is prescribed

If your clinician prescribes treatment during a consultation, follow these steps to checkout:

  1. Go to your Cart. Use the account navigation to open your Cart.

  2. Complete the NHS Exemption Declaration. A pop-up will appear for each NHS item. Confirm whether you are exempt from paying the NHS prescription charge.

  3. Select 'Checkout'. Proceed from the Cart to the checkout process.

  4. Choose your delivery address. Select or add the address for your medication delivery.

  5. Choose your delivery method. Select from available delivery options.

  6. Confirm your billing address. Review and confirm your billing details.

  7. Review your order. Check the order summary.

  8. Submit payment. Complete payment on our secure banking page. NowPatient never handles your payment details.

  9. Order confirmed. You will see a confirmation screen and be redirected to your homepage.

Costs

The consultations are completely free of charge. If your clinician prescribes medication and you are not exempt from NHS prescription charges, you will pay a single NHS prescription charge. If you are exempt (for example, you receive Income Support or are aged over 60), there is no charge at all. You will confirm your exemption status at checkout.

Consent

During the virtual consultation, we will ask for your consent to provide the service. This is required so we can communicate with your GP and share information with NHS England, NHS Improvement, and the NHS Business Services Authority (NHSBSA) if needed.

Your clinician

NowPatient's clinicians are board-certified pharmacists qualified to prescribe selected medications for smoking cessation, as outlined by the NHS.

Every clinician is registered with the appropriate regulatory body. For example, pharmacists and pharmacy technicians are registered with the General Pharmaceutical Council (GPhC).

All clinicians undergo thorough background checks, including a Disclosure and Barring Service (DBS) check, and a comprehensive licence verification process.

When you book an appointment, you can view the clinician's full name, licence number, and any specialist credentials.

The medications our clinicians can prescribe are strictly governed, risk-assessed, and regularly reviewed in line with NHS guidelines. The service is delivered via remote video consultations (synchronous consultations) to help ensure clinical safety and appropriate prescribing.

Please note: Medication is not guaranteed and is provided only at the discretion of the assessing clinician and based on NHS eligibility criteria.

Data Security

NowPatient operates from a HIPAA, DTAC, and Cyber Essentials Plus certified compliant platform. This ensures the highest levels of information security and allows us to safely handle Patient Health Information (PHI). Clinicians access our systems on a zero-trust basis, backed by single sign-on (SSO) technologies.

Medication advice and counselling

NowPatient's pharmacists provide medication advice and counselling across all dispensing services. If you have any questions about your smoking cessation medication, our pharmacists are available to help.

Delivery

Delivery areas serviced

We deliver to all postcodes in England. Some rural areas may experience slightly longer delivery times. Delivery is free for all NHS Quit Smoking orders.

Packaging

All orders are shipped in discreet, unmarked packaging, suitable for delivery to your home, workplace, or a neighbour's address. For temperature-sensitive items, we use cold chain-validated packaging to maintain product quality, safety, and efficacy. You will normally receive an estimated delivery window from the courier on the day of delivery.

First order restriction: For your protection, your first order can only be delivered to the address registered with NowPatient. Future orders can be delivered to any other address, such as your workplace.

Delivery options and timescales

We aim to dispatch all orders placed Monday to Friday before 3pm on the same day. Orders placed after 3pm or on weekends are dispatched the next working day. Deliveries are shipped by Royal Mail (Monday to Saturday).

  • Royal Mail Standard Tracked & Signed (NHS prescriptions): 2 to 3 day delivery (normally 48 hours)

  • Royal Mail Special Delivery: Next working day (guaranteed before 1pm)

What to do if your order has not been delivered

You can check your tracking details in the 'Notification Feed' section of your dashboard at any time after dispatch. If your delivery has not arrived within 10 days of the dispatch, please get in touch.

Order status updates

NowPatient keeps you informed at every stage. You will receive status update notifications through:

  • Email

  • In-app notifications

FAQ

Find answers to common questions about NowPatient’s NHS Quit Smoking service, including eligibility, the 12-week programme, medications, consultations, and delivery.

What is the NHS Quit Smoking service on NowPatient?

NowPatient’s NHS Quit Smoking service is a free 12-week programme that helps you continue your quit smoking journey after a hospital stay. Qualified Stop Smoking Practitioners provide behavioural support and prescribe medication through remote video consultations, so you do not need to visit your GP.

How long does the programme last?

The programme runs for 12 weeks from your initial consultation. It includes four consultation stages: an initial assessment, a 1-week interim check-in, a 4-week milestone consultation, and a final 12-week consultation where you are discharged from the service.

Is the NHS Quit Smoking service really free?

The consultations and delivery are completely free. If your clinician prescribes medication and you are not exempt from NHS prescription charges, you will pay a single prescription charge. If you are exempt (for example, you are over 60 or on Income Support), there is no charge at all.

Is this service available outside England?

No. The service is commissioned by NHS England and is only available to patients registered with a GP in England. It is not available in Scotland, Wales, Northern Ireland, or outside the UK.

Who is eligible for the NHS Quit Smoking service?

You may qualify if you are aged 18 or over, registered with the NHS in England, and have been referred by an NHS hospital or NHS Trust tobacco dependency team. The service is for patients who started smoking cessation treatment during a hospital stay and wish to continue after discharge.

Can I self-refer to this service?

No. You need a referral from an NHS hospital or NHS Trust tobacco dependency team. You cannot access this service without one. If you are looking for smoking cessation support without a hospital referral, contact your GP or local stop smoking service.

What happens if I do not pass the eligibility screening?

If you do not qualify, NowPatient will signpost you to the right NHS care provider or service so you can still get the support you need.

What happens at the initial consultation?

Your clinician will verify your hospital referral details, confirm whether you received medication on discharge, assess your suitability for treatment, and agree on a treatment plan with you. If appropriate, a prescription will be issued. You should book this within 5 days of your referral.

What happens at the interim consultation (1 week)?

Your clinician checks in on your progress and smoking status, provides behavioural support, discusses any challenges or side effects, and prescribes additional medication if needed.

What happens at the 4-week consultation?

This is a key milestone. Your clinician assesses your smoking status, records your 4-week quit outcome, and discusses continuing treatment to prevent relapse. Research shows that staying smoke-free for 4 weeks makes you 5 times more likely to quit for good.

What happens at the 12-week consultation?

Your clinician assesses your final smoking status, records your 12-week quit outcome, provides advice on staying smoke-free long-term, notifies your GP and the hospital tobacco dependency team of your progress, and discharges you from the service.

How do I know when to book my follow-up consultations?

NowPatient sends you reminders 7 days before each planned follow-up consultation via push and in-app notifications. You do not need to track the dates yourself.

Will my GP be informed about my treatment?

With your consent, your clinician will inform your GP of the treatment prescribed at each stage. We recommend agreeing to this, as your GP is responsible for your overall care and should have a record of your consultations and medication.

How do I book my initial consultation?

Log in to your NowPatient account and go to the NHS Quit Smoking Service Card in the NHS Hub. Select ‘Check Eligibility’, complete the screening quiz, and if you qualify, follow the prompts to choose your date, time, and clinician.

Can I choose which clinician I see?

Yes. During booking, you can browse available clinicians and filter by gender and spoken languages. You can view each clinician’s name, licence number, and credentials before selecting.

How should I prepare for my video consultation?

After booking, you will see ‘Pre-consultation Requirements’ with preparation tips. You will also be asked to provide your consultation address and emergency contact details. You can opt in to an SMS reminder 30 minutes before your appointment.

What medications can be prescribed through the service?

Your clinician may prescribe Cytisinicline tablets, Varenicline tablets (Champix), or a range of Nicotine Replacement Therapy (NRT) products including patches (24-hour and 16-hour), lozenges, gum, oral spray, inhalator, nasal spray, and sublingual tablets. The choice depends on your medical history, dependence level, and preferences.

Can I use more than one NRT product at the same time?

Yes. Combination therapy — for example, patches plus a fast-acting product like lozenges or gum — may be recommended for heavier smokers. Your clinician will discuss the best approach with you.

Is medication guaranteed after a consultation?

No. Medication is provided only at the discretion of the assessing clinician and based on NHS eligibility criteria. Your clinician will prescribe treatment only if it is safe and suitable for you.

Can I get medication advice from NowPatient?

Yes. NowPatient’s pharmacists provide medication advice and counselling across all dispensing services. If you have questions about your smoking cessation medication, our pharmacy team is available to help.

How do I complete my order after treatment is prescribed?

After your consultation, go to your Cart, complete the NHS Exemption Declaration for each item, choose your delivery address and method, confirm your billing address, review your order, and submit payment. Delivery is free.

Do I need to pay for my medication?

If you are not exempt from NHS prescription charges, you will pay a single prescription charge. If you are exempt, there is no charge. You confirm your exemption status during checkout.

What are NHS Prescription Exemption Categories?

You may be entitled to free NHS prescriptions if you meet specific eligibility criteria. To claim exemption, the appropriate category must be selected on the prescription form and valid evidence may be required. The exemption categories are listed below:

Age-Related Exemptions

  • A: Aged 60 or over, or under 16 (unless date of birth is printed on the form)

  • B: Aged 16, 17, or 18 and in full-time education

Certificate-Based Exemptions

  • D: Maternity exemption certificate

  • E: Medical exemption certificate

  • F: Prescription prepayment certificate

  • W: HRT-only prescription prepayment certificate

  • G: Ministry of Defence prescription exemption certificate

  • L: HC2 (full help) certificate

Benefit-Related Exemptions

  • H: Receiving Income-related Employment and Support Allowance (ESA)

  • S: Receiving Pension Credit Guarantee Credit (including partners)

  • U: Receiving Universal Credit and meeting eligibility criteria (Earnings ≤ £435, or ≤ £935 [if UC includes child element or limited capability for work)], in most recent assessment period)

Important

You must only claim an exemption if they are entitled to it. Incorrect claims can result in penalty charges. Proof of eligibility should be provided if requested when collecting medication.

Prescription Item Level Exemptions

You may be entitled to certain medication items for free as listed below. Make sure you declare this when you checkout your prescription order.

  • For Contraceptive Use

  • For STI (Sexually Transmitted Infection) Treatment

  • For latent or active Tuberculosis (TB) or to treat adverse effects of TB treatment

Check if you have an exemption from paying NHS costs

You can check your exemption status by clicking below

Who are the clinicians providing this service?

Our clinicians are board-certified pharmacists and pharmacy technicians registered with the General Pharmaceutical Council (GPhC). All undergo DBS background checks and licence verification. The medications they prescribe are strictly governed and reviewed in line with NHS guidelines.

Is the NHS Quit Smoking service safe?

Yes. The service is classified as a Class I medical device under UK MDR 2002 regulations. It complies with NHS standards DTAC, DCB 0160, and DCB 0129. Consultations are delivered via live video to ensure clinical safety.

Is my personal health information secure?

Yes. NowPatient operates from a HIPAA, DTAC, and Cyber Essentials Plus certified platform with the highest levels of information security. Clinicians access systems on a zero-trust basis with single sign-on (SSO) technology.

Can the clinician access my GP records?

Yes. As an NHS patient, our clinicians can access your GP record, including medications, observations, and investigations. This helps them assess your condition safely and make appropriate prescribing decisions.

Do I need to give consent before the consultation?

Yes. During the consultation, we will ask for your consent to provide the service. This allows us to communicate with your GP and share information with NHS England, NHS Improvement, and the NHS Business Services Authority (NHSBSA) when required.

Where does NowPatient deliver Quit Smoking prescriptions?

We deliver to all postcodes in England. Some rural areas may experience slightly longer delivery times. Delivery is free for all NHS Quit Smoking orders.

How is my medication packaged?

All orders are shipped in discreet, unmarked packaging. Temperature-sensitive items are sent in cold chain-validated packaging to maintain product quality and safety.

What delivery options are available?

We offer Royal Mail Standard Tracked & Signed (2–3 days) and Royal Mail Special Delivery (next working day, guaranteed before 1pm). Orders placed before 3pm Monday–Friday are dispatched the same day.

Can I choose where my order is delivered?

Your first order must be delivered to the address registered with NowPatient. After that, you can choose any delivery address, including your workplace or a neighbour’s address.

What should I do if my order has not arrived?

Check the tracking details in the ‘Notification Feed’ section of your dashboard. If your delivery has not arrived within 10 days of dispatch, contact us and we will work to resolve the issue.

What order status updates will I receive?

NowPatient sends status updates by email and in-app notifications at every stage of your order.

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