Alcohol Services in Greenwich A commissioning perspective

1
Alcohol Services in Greenwich A commissioning
perspective

• Presenter Davey Thomason
• Alcohol Strategy Coordinator

2
Content

• Services available
• QEH Service
• Challenges
• Opportunities
• GP Liaison post
• Challenges
• Opportunities
• Conclusion

3
QEH Accident and Emergency

• Substance misuse liaison team - Team of three
• Team leader, band 6 nurse and a specialist
  alcohol worker
• The team operate six days per week, covering
  shift 8am until 7pm. Twilight shifts Friday and
  Saturday, 6pm until 2am.
• Work with Drug and Alcohol 20/80 ratio
• Project initially funded by NR to establish
  prevalence of health inequality in LBG.
• Greenwich Teaching PCT picked up funding for 2
  years following bid by DAAT Alcohol Strategy
  Coordinator.

4
AE Challenges

• AE staff not completing PAT. Only the obvious
  drinkers are picked up.
• Training to all staff problematic due to staff
  movement.
• Often alcohol users are in poor health once
  admitted.

5
A E Opportunities

• Able to introduce detoxification regime within
  hospital
• Improved access/care-pathways to community
  treatment
• Good partnership working
• Earlier identification of those drinking at
  harmful/hazardous levels
• Data approximately 850 patients screened, ABI
  and approximately 170 drugs and 680 alcohol

6
GP Liaison Post

• Initially funded via NR. Post sat in Tier 3 day
  programme/counselling service.
• Attached to 3 GP surgerys with high prevalence
  of alcohol misuse. Delivering 11 hours of SABI
  and Extended ABIs.
• Delivering training and information to GP
  practices and practice nurses.
• Providing intervention tools.

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Challenges GP Liaison

• Proportion of GP practices identifying clients
  via Single Screening Question
• On how many occasions have you used drank more
  than 6-units Women and 8-units for Men
• Mainstreaming service so that SSQ occurs in other
  surgerys reaching a wider demographic
• Data collection

8
GP Liaison Alcohol, Opportunities

• Introduction of DES all newly registered
  patients 16 should have a short audit completed
  if positive GP to deliver 5 minute brief
  intervention.
• Basic and advanced training available to GPs and
  practice nurses
• Distribution of intervention tools
• Clear care pathway (see slide
• Data 506 slots per year offered, for SABI and
  Extended ABI, (up to 3 sessions) across three
  sites approximately 60 attendance and 70
  referral rate.

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Conclusion

• SABIs will enable clearer care pathways for
  treatment naïve service users
• Growth of knowledge among non-specialist alcohol
  workers, e.g. Tier 1.
• Need support from partnerships, e.g. resources,
  agreements re PAT
• Look for what is working dont reinvent the
  wheel

10
Thank you!
davey.thomason_at_greenwich.gov.uk