Table 3 Synthesis of what is required to conduct a successful integrated clinic based smoking cessation program in Aboriginal Community Controlled Health Services

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Rationale: worth investing in more than other programs as it is self-sustaining [36]

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Need significant level of support from governance structure and senior staff

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At least medium term funding (e.g., 5 years)

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Responsive to community needs and priorities

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Health service operations

▪ At least one person dedicated to smoking cessation ‘Program Driver’

▪ Environment – e.g., appropriate visual reminders in clinic for staff and patients

▪ Clinic routine – document status and extent of smoking

▪ Reasonable data collection requirements & frequent feedback highlighted at regular clinic meetings

▪ Clear protocols for program: clinic operations; medication management; and ongoing support for prospective and recent quitters

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Role clarification for staff

▪ All staff (both non-smokers and smokers) have practical training to have a brief discussion of smoking and provide appropriate encouragement and support (locally targeted brief intervention)

▪ Several clinic staff trained as expert quit smoking workers (balance of gender, seniority, cultural considerations)