1. Intelligent Commissioning in Alcohol Services Beyond the Units… Bradford Airedale Craven & Wharfedale Alcohol Project – BACWAP "Data! Data! Data!” he cried impatiently "I can't make bricks without clay."

2. Declaration of Interests 2013/14 Current roles and affiliations Lead Partner Bradford Student Health Service – Bradford City CCG Bradford & Aidedale Clinical Specialities Commissioning Lead Drugs & Alcohol (Airedale Wharfedale & Craven CCG, Bradford Districts CCG, Bradford Districts CCG, Bradford City CCG Specialist GP Drugs & Alcohol Bradford District Care Trust Honoraria Lundbeck – ‘Consensus on Commissioning Principles for Alcohol Related Harm’

3. CCGs’ Priority – reduction in Alcohol related admissions

4. ALCOHOL FCEs 100% alcohol attributable

5. ALCOHOL FCEs A bigger problem: <100% attributable- Chronic

6. ALCOHOL FCEs A bigger problem: <100% attributable Acute

7. The Treatment Gap

8. SHA stated objective was ‘Industrialising’ Alcohol Screening in Primary Care. An ad hoc approach in the context of a routine consultation is more cottage industry.

9. Radically Obvious Principles of Intelligent Alcohol Commissioning If we know alcohol abuse is associated with so much morbidity then commissioning just for ‘less drinking’ is: silo thinking blinkered vision ‘hit & hope’ ‘We’ll hit the problem … and keep our fingers crossed that all those associated conditions get better…’

10. Really Intelligent Commissioning in Alcohol Services Integrated Care /Service delivery interface Addressing 100% and < 100% and even non-causal physical morbidity Dual Diagnosis District-Wide Register Alcohol is the most commonly misused drug in patients with SMI SAFEGUARDING – Adult & Child Don’t just commission for fewer units!

11. Where is the patient in all of this?

12. ‘Data Data Data…’