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Alcohol Improvement Programme Heart of Birmingham PCT, NHS South Birmingham, Birmingham DAAT Max Vaughan Alcohol Commis PowerPoint Presentation
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Alcohol Improvement Programme Heart of Birmingham PCT, NHS South Birmingham, Birmingham DAAT Max Vaughan Alcohol Commissioning Manager Birmingham DAAT. METHODS The approach incorporated the following components: Review of the available literature Analysis of management information

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Presentation Transcript
slide1

Alcohol Improvement Programme

Heart of Birmingham PCT, NHS South Birmingham, Birmingham DAAT

Max Vaughan

Alcohol Commissioning Manager

Birmingham DAAT

slide3
METHODS

The approach incorporated the following components:

  • Review of the available literature
  • Analysis of management information
  • Interviews with stakeholders
  • Physical and environmental assessment of alternative venues
available evidence
Available Evidence
  • Quality of data
  • Do interventions in A&E, impact on NI39 ?
  • Women increase
  • Poly drug use increase
  • Related Blood Borne diseases increase
  • WMPHO – HES data
frequent fliers
Frequent Fliers
  • Admissions increase = acute issues increase
  • Operational tracking data better than systems data
  • Staff ‘fatigue’
  • Case management techniques needed
  • Older age group
  • Mental Health issues
  • Homelessness
options for alcohol improvement programme investment
Options for Alcohol Improvement Programme Investment !
  • Brief interventions
  • External diversion
  • Internal diversion
option 1 brief interventions
Option 1BRIEF INTERVENTIONS

“a treatment strategy in which a short, structured therapy is offered (between 5 minutes and 2 hours) and typically on a single occasion. Aimed at helping a person stop or reduce their substance misuse”

(Cochrane Drug and Alcohol Group,

http://www.cdag.cochrane.org/en/glossary.htm

barriers to brief interventions
Barriers to Brief Interventions
  • Alcohol misuse can be perceived as having a lower significance in comparison to illicit substance misuse.
  • A lack of willingness or awareness from clinical staff Poor liaison between the acute sector and services in the community
  • Cultural issues of operating in a hospital environment relating to a lack of support from clinicians
  • Practical issues relating to delivering BI including ensuing adequate time to access patients in a positive environment
alcohol liaison nurse
Alcohol Liaison Nurse
  • Screening at A&E and on key wards
  • Links to community based provision
  • Clinical services
option 2 external diversion
Option 2 External diversion

Key service delivery issues for diverting alcohol-related patients to a non-acute clinic

option appraisal
OPTION APPRAISAL
  • Appropriateness
  • Feasibility
  • Desirability
  • Sustainability
the task
The Task !
  • Complete the tables in groups
the scores
The Scores!
  • Alcohol Liaison Nurses 127
  • External diversion 73
  • Internal diversion 103
the proposed approach
The Proposed Approach

The study suggests that there are financial gains to the NHS by employing two ALNs in a single hospital.

The Proposed Model

  • 1. two ALNs within each acute setting.
  • 2. enhanced brief interventions through their “treatment journey”
  • 3. track patients from the MAU
  • 4. following-up patients at discharge
  • 5. (a) screening and brief interventions and (b) clinical management
  • 6. Times ALNs are employed need to be defined
  • 7. Work force Planning
  • 8. Clinical governance
  • 9. Data capture and evaluation – assess the effectiveness
  • 10. “tracking” patients