Nw regional alcohol screening brief intervention service in community pharmacies
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NW Regional Alcohol Screening & Brief Intervention Service in Community Pharmacies. Liz Stafford NHS Liaison Manager Rowlands Pharmacy & NW SHA community pharmacy lead [email protected] 07795-037677.

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NW Regional Alcohol Screening & Brief Intervention Service in Community Pharmacies

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Nw regional alcohol screening brief intervention service in community pharmacies

NW Regional Alcohol Screening & Brief Intervention Service in Community Pharmacies

Liz Stafford

NHS Liaison Manager Rowlands Pharmacy

& NW SHA community pharmacy lead

[email protected]

07795-037677


Working with drink wise north west nw director of public health nw community pharmacy network

Working with Drink Wise North West & NW Director of Public Health& NW Community Pharmacy Network

Alcohol Screening & Brief Intervention Service

[ or Identification and Brief Advice (IBA) Service ]

  • NW SHA has the worst alcohol statistics of all SHAs

  • 10 people a day die in NW due to alcohol related illness.

  • 1 person every 7 minutes is admitted to hospital in NW for alcohol- related reasons (6% nationally-and rising)

  • More than 73,000 recorded crimes in NW were alcohol related and 50,000 were violent.

  • Cost to NHS –around £2.7 billion per year (nationally)


Working with drink wise north west nw director of public health nw community pharmacy network1

Working with Drink Wise North West & NW Director of Public Health & NW Community Pharmacy Network

Business Case :

  • Based on DH ready reckoner tool www.alcohollearningcentre.org

  • Assumes that 1 in every 4 screens identifies at “risk drinking”

  • Which results in cost savings due to A & E and hospital admissions

  • Based on each pharmacy delivering 2 IBA’s per week :

    100 pharmacies – net cost saving to NHS is £215,107 per annum

    1000 pharmacies – net cost saving to NHS is £2,151,067 per annum

    1,574 (total pharmacies in NW ) – net cost saving to NHS is £3,385,779


Working with drink wise north west nw director of public health nw commmunity pharmacy network

Working with Drink Wise North West & NW Director of Public Health & NW Commmunity Pharmacy Network

Commissioning Pack –business case, template SLA and SOP,and links to training and accreditation :

- Accreditation (pharmacy module) on DH alcohol website www.alcohollearningcentre.org

- CPD module on www.pm-modules.co.uk (no.172)

- CPPE module and “local training solutions”

  • RPSGB web based tool to collate pharmacy data and audits.

  • Evaluation – AERC bid -part of MRC framework to develop a large study controlled trial in 2012.


Working with drink wise north west nw regional director public health nw community pharmacy network

Working with Drink Wise North West & NW Regional Director Public Health & NW Community Pharmacy Network

Communications :

  • LPCs

  • PCO commissioners , public health leads , DAATs

  • SHA clinical leaders network –GPs

  • Pharmacy clinical leaders in other regions.

  • DH Alcohol Policy Team

  • DH Pharmacy /Public Health Leadership Forum

  • Royal Pharmaceutical Society

  • University of Central Lancashire (UCLAN) and Liverpool John Moores University are partners in research bids (multi-disc team)


Working with drink wise north west nw director of public health nw community pharmacy network2

Working with Drink Wise North West & NW Director of Public Health & NW Community Pharmacy Network

Current position & early results :

  • 46 pharmacies in NHS Wirral - Nov 2007

  • 10 pharmacies in NHS Blackpool – April 2010

    Results at 6 months – 39% identified at increasing or high risk

    Potential cost savings may be greater than DH business

    case which estimates 1 in 4 (25%) will be identified.

    Average audit result 8; low 84; increasing 50; high 4

  • Rolling out in NHS Knowsley, Oldham, Liverpool, Warrington

  • By 2011, there could be 200 pharmacies in this large scale project including PCOs in other regions e.g. Portsmouth, IOW.


Working drink wise north west nw regional director public health nw community pharmacy network

Working Drink Wise North West & NW Regional Director Public Health & NW Community Pharmacy Network

  • Pharmacy service can target potential high risk people e.g. those who come for “hang over” remedies, EHC, gastric problems, falls, vulnerable groups, hypertension, etc.

  • Pharmacy sees different people from those who may visit a GP practice , especially in areas of health inequality.

  • There may be a link in that local people may be more open to disclosing their true behaviour to their peers (pharmacy staff )


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