smoking health patients great important care confidence increase professionals services support Tobacco status evidence expect educate aware absolutely access contact conversation information knowledge guidance effects healthcare local point provided open practice role talk talking conditions teach teams Routine supporting surrounding treatment tweetchat types University UoN walks wanting years Yep prepare prevent previously priority opens overstep package quitting realise related resources points promote stop stopping straight Stub success suited simply smoke smoker smokers society speak speaking specialised specific start started stats Lorna lots mark means members million models module move NCSCT negative NHS nicely Nottinghams numbers nursing offer hear hitting idea embed ensure caught cessation effective confident consequences exposed fab families finish forget friends frontline giving Gov Bridget attributed approaches approach appointments answer amount agree affect direct dependency deaths days costs corresponds conversations interventions interesting insight life learning Leaflets lead latest