NHS England and NHS Improvement (NHSE&I) commissioned the NCSCT to develop competency frameworks to support the training and development of NHS staff.

The competency frameworks, initially developed by the NCSCT and adapted following further internal consultation with subject matter experts, are applicable to:
• Delivering very brief advice on smoking (VBA+)
• Providing bespoke, in-depth tobacco dependence treatment intervention
• Leadership

Appendix A: NHSE Competency Frameworks Overview

Appendix B: Behaviour change techniques for smoking cessation

Appendix C: Template competency framework for recommending, prescribing and dispensing stop smoking medications

Competency Framework Inpatients

Fully updated competency framework for tobacco dependence treatment of inpatients of acute hospitals to reflect new terminology and the launch of the complete set of NHSE training resources.

Competency framework for tobacco dependence treatment: inpatients of acute hospitals (2025)

NHSE Competency frameworks for tobacco dependence treatment in secondary care

Appendix A: NHSE Competency Frameworks Overview

Appendix B: Behaviour change techniques for smoking cessation

Appendix C: Template competency framework for recommending, prescribing and dispensing stop smoking medications

Competency Framework Inpatients

Competency Framework Learning Disability

Competency Framework Maternity

Competency Framework Mental Health

Competency Framework Outpatients