And perhaps the issue of him feeling more ‘browbeaten’ than understood will continue to work against him stopping. I also wonder about why he tried to quit last year and we’ve only just advised him about supportive therapy. 

There perhaps needs to be a speedier or timelier referrals for smokers to my clinic, I’ll speak to Dr Smith and his team about this. And perhaps there needs to be some information or a chance to discuss smoking for the relatives of smoker too. I’ll do some research about the effectiveness of this, to see if we can’t help Mr Phillips and his wife understand and support each other better, it may increase the effectiveness of therapy. I’ll look at how other smoking cessation clinics work to see if they include families or maybe if there’s a separate meeting for them.