Combating tobacco consumption is a WHO public health priority and a criterion for hospital accreditation from the Joint Commission on Accreditation of Healthcare Organisations (JCAHO) in many countries. Present legislation in Spain permits smoking in healthcare centres only in designated areas (Decrees 20/85 and 10/91). Hospital de la Santa Creu i Sant Pau has joined the Smoke-Free Hospital Project which promotes a smoke-free workplace and fosters the smoke-free message among the population.