Implementing and enforcing a smoke-free policy and by-law on hospital grounds at Central Coast Local Health District.

The introduction of the smoke-free by-law added extra impetus to efforts to reduce smoking on CCLHD hospital grounds by providing the option to fine people who breach the by-law. Smoking in high-profile areas has declined substantially since 2011, and is minimal since the establishment of the smoke-free by-law. SO WHAT?: The experiences of CCLHD in implementing the smoke-free by-law may provide insights for other health services looking to use a similar intervention at their facilities. There are also methodological lessons for other organisations looking to communicate, monitor and enforce smoke-free policies, without enforcing fines.