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

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

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 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

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

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 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

  • 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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