Introducing the Alcohol Harm Reduction National Support Team Early Implementer Programme 1 st National Workshop Diane

1. Introducing the Alcohol Harm Reduction National Support Team Early Implementer Programme 1st National Workshop Diane Powell Delivery Manager National Support Teams 28th November 2008 Alcohol Harm Reduction National Support Team

2. Format of Presentation • What are NSTs? • Key Features of NST Approach • Who are We? • Format of Visit and Workshops • Interviewing themes • Support and Feedback • Contact Details Alcohol Harm Reduction National Support Team

3. What are National Support Teams? • Commitment from DH as part of delivery arrangements for Choosing Health • Used successfully in relation to improving orthopaedic, Accident & Emergency and cancer waiting times • Provide intensive tailored support for organisations facing the greatest challenge in making progress on one or more deliverables • There are currently seven Public Health NSTs – Childhood Obesity, Health Inequalities, Sexual Health, Teenage Pregnancy, Tobacco Control and Alcohol Harm Reduction, and Infant Mortality team commenced in November 2008 • Alcohol Harm Reduction NST started in September with pilots in Blackpool and Sandwell. Blackburn with Darwin and Lincolnshire have also received visits. Alcohol Harm Reduction National Support Team

4. Key Features of NST Approach Alcohol Harm Reduction National Support Team

5. What We Provide • Provision of support • Professional process with protocol for engagement and standards • Agreed approach regarding assessment and level of support to be offered • Initial visit helps us to understand local context, assess barriers to and opportunities for progress • Focus on reducing the harm caused by alcohol and the PSA target to reduce alcohol related hospital admissions • Chief Executive involvement • Credible expertise in the strategic development, commissioning and provision of alcohol services and interventions (spanning the range of public sector organisations), public health and change management; matching expertise • Use of delivery and diagnostic framework including comparable data • Recommendations based on good practice but with local solutions • Linkage with other national bodies and other support processes Alcohol Harm Reduction National Support Team

6. What We Are and What We Are Not • We are not a “Hit Squad”, an audit or here to performance manage • There is a relationship with performance management. GO and SHA invited to plenary sessions • We are not an inspectorate and our findings do not feed into inspections or audits • Not here to publicly “judge” the PCT, LA or other partners • Discussions we have with you are in confidence - we will not be identifying individuals or their specific comments • We will not import a standard solution but will make suggestions and ideas regarding good practice using our objectivity, knowledge and expertise and based on the information you provide to us Alcohol Harm Reduction National Support Team

7. Selection Criteria for Support • The Alcohol Harm Reduction National Support Team will help the local Partnerships who face the greatest challenge in addressing the alcohol target of reducing hospital admissions for alcohol related harm (Vital Signs Indicator VSC 26, National Indicator Set NI 39 and Public Service Agreement 25.2) and who would most benefit from intensive support • 10 PCT visits will be undertaken by the end of and 8-9 workshops March 2009 • Visits will be offered 12-18 month after a workshop • Areas offered support are selected in consultation and agreement with the DH, Cross-Government Alcohol policy team, Government Offices, SHAs and the relevant Local Authority Chief Executive and PCT Chief Executive. The final say rests with the PCT and LA who are our client Alcohol Harm Reduction National Support Team

8. Benefits of Participation • Free access to expert external support to help diagnose obstacles and opportunities for moving forward and potential access to further support for planning and implementation. A chance to influence national public health policy and the future shape of the NST programme development • Bringing local examples of good practice to national attention and to learn about good practice elsewhere • Can facilitate support and engagement with a wide range of partners to help achieve shared objectives Alcohol Harm Reduction National Support Team

9. Who Are We ? Alcohol Harm Reduction National Support Team

10. Members of the Alcohol Harm Reduction National Support Team • Cathy Hamlyn Director NST • Diane Powell Delivery Manager, AHR NST • Matt Hennessey Delivery Manager, AHR NST • Katrina Stephens Associate Delivery Manager, AHR NST • Sean Meehan Associate Delivery Manager, AHR NST • Edwin Pereira Project Officer, ANR NST • Matthew Phelan Project Officer, AHR NST • Lucy Gate Associate Delivery Manager, HI NST • Consultant GP and Nurse • Plus support from NST data analyst • Partnership with GO and SHA • We will work closely with CSIP in the design and delivery of the post-visit support Alcohol Harm Reduction National Support Team

11. Format of Visits and Workshops Alcohol Harm Reduction National Support Team

12. Typical process - Visit • Identification and Engagement • Diagnosis & Assessment • Pre-visit collection of key documents and data. • Visit to understand local culture and delivery environment. • Presentation of report including strengths and opportunities, recommendations and support offered. • Follow Up and Support • Review Alcohol Harm Reduction National Support Team

13. Visiting Schedule Alcohol Harm Reduction National Support Team

14. Interviewing Themes • Vision, Strategy and Commissioning • Data • Communication • Alcohol Interventions and Treatment Services • Targeted Interventions • Criminal Justice, Licensing and Availability • Workforce Training and Awareness • Work with Children, Young People and Families • Other Alcohol Harm Reduction National Support Team

15. Typical process - Workshop • ½ day diagnostic workshop developed by NST Health Inequalities in consultation with AHR team • Considers a strategic approach to population (e.g. Labelling & availability and personal health interventions (e.g. alcohol treatment services) encompassing both a provider and a population focus for optimal alcohol harm reduction • Pre-visit collection of key documents and data • Presentation of report including strengths and opportunities, recommendations and support • Follow up and support • Review Alcohol Harm Reduction National Support Team

16. Feedback & Support • No formal written report – the NST will provide a PowerPoint presentation of findings which will then be annotated and provided to participants • Feedback will identify strengths, opportunities for improvement and support that the NST may be able to provide • The LA PCT and local partnerships are our client. This report remains confidential to the local area. It will not be published or disseminated by the NST. The local area may use/disseminate this as they see fit • Process does not finish after the visit – the NST will discuss nature of ongoing support with the PCT/LA if the PCT/LA local partners wishes to access this support Alcohol Harm Reduction National Support Team

17. Alcohol Harm Reduction National Support Team Contacts Alcohol Harm Reduction National Support Team