Smoking has been identified as one of the major causes of cardiovascular disease (CVD), and smokers are almost twice as likely to have a myocardial infarction compared to non-smokers This article, a JCN Writing Award entry, will analyse the smoking-related disease process associated with nicotine. An appraisal of the cost of smoking prevalence on the National Health In relation to government strategy, an exploration of its efficacy, cost and uptake of the programme across the socioeconomic groups will be analysed.

Emma Sadler RGN, Staff Nurse, Leighton Hospital, Crewe