, ,88 Alcohol in Safer Hands – A Joint Working case study Integrated Care Service Specification Project Dr Joe McGilligan

, , , ,88 2 Joint Working Project  This project is a joint working initiative between East Surrey CCG and Lundbeck Ltd  It is bound by a Joint Working Agreement and Project Initiation Document (PID) including terms of reference for an assignment role  Project Reporting lines:  Project Executive / Sponsor: Dr Joe McGilligan  Clinical Lead (advisory/support role): Dr Jill Rasmussen  CCG Overseeing Manager: Hayley Bath, Engagement & Delivery Manager  Alcohol Project Manager - Assignment: Allister Upton from Lundbeck  See

, , , ,88 What’s the issue? “...the concentration in England on "binge drinking" youngsters and on the antisocial or criminal consequences of heavy drinking.... has allowed politicians to project the problem onto a small minority of the population, missing the point that there are hundreds of thousands of people - the silent majority - who in their own homes are quietly opening a bottle of wine each evening and over the week are unknowingly drinking well over the recommended limits, storing up problems for the future.” Professor Sir Ian Gilmore – commenting on national alcohol policy, February bate

, , , ,88 4 Above DoH Guidelines? Risk in context CONDITION MEN (increases risk by) WOMEN (increased risk) HypertensionFour timesDouble Stoke DoubleFour times Coronary Heart Disease 1.7 times1.3 times PancreatitisTriple Double Liver Disease13 times

, , , ,88 5 In East Surrey: 13,011 alcohol related A&E visits Sources: HES A&E data; MORI (2003); National Schedule of Reference Costs for NHS trusts and NHS foundation trusts

, , , ,88 6 2,912 alcohol related inpatient admissions Sources: HES 2011/12 & NWPHO 2008

, , , ,88 Why? Alcohol Impact Model: ES CCG Type of cost (£000s)Actual or modeled dataE Surrey 1. Alcohol-related inpatient admissions: Diagnosis codes Wholly attributableActual data£1,249,000 Partly attributableActual data£5,239,000 External Cause codes Wholly attributableActual data£0.0 Partly attributableActual data£230, Alcohol-related outpatient visitsModeled data£1,275, Alcohol-related A&E attendancesModeled data£1,506, Alcohol-related emergency ambulance journeysModeled data£1,659, Alcohol-related GP consultationsModeled data£305, Alcohol-related practice nurse consultationsModeled data£42, Alcohol dependency-prescribed drugsActual data£3, Specialist alcohol treatment servicesModeled data£199, Other alcohol-related healthcare usageModeled data£243,000 Aggregated data Total cost (£000s)Various£11,949,000 Adult population (16+)Actual data136,985 Cost per adult (£)Various£87

, , , ,88 SCN grant to fund gaps in service  Bid to gain funding to pump prime T1 service interventions  Locally commissioned service proposal  Telephone helpline delivering confidential screening & signposting  Practice & Pharmacy based “Healthy Living Clinic” to deal with increasing and high risk drinkers  Bolster Alcohol Liaison Services in Acute Trust  Deliver T1 point of contact for those identified or motivated to seek help  £182k to fund identification, screening and advice to reduce drinking risk

, , , ,88 9 What are main parts of the new pathway?  The 4 work streams have evolved into 4 pathway segments: 1.Prevention – whole life cycle proposed  Scratch cards, simple screening with all health and social care partners signposting into telephone support/services 2.Screening and early identification  Telephone line, Alcohol Liaison and HCPs directing people into the HEALTHY LIVING CLINIC 3.Diagnosis, Support and Risk Management  Diagnosis and treatment in primary care or signposting to specialist services 4.Specialist Treatment  Awareness and making the most of PH funded services

, , , ,88 Interactive Tool

, , , ,88 Questions