1. Title slide West Suffolk Hospital Alcohol Project Chris Hill – Senior Matron Lou Bland – Alcohol Liver Disease Nurse Specialist Mario Iannone – Alcohol Liaison Support Worker

2. Background No clear pathway for patients affected by alcohol No defined discharge plans Re-admission problems No health promotion/patient information Poor pro-active detox management of alcohol patients

3. Outline of the project A dedicated post holder based in A&E A specialist post holder working across our acute NHS Trust Alcohol project team – GPs, Psychiatry, Pharmacy, Medical Physicians, Specialist Nurses, Nutritional Specialists

4. Alcohol Liaison Support Worker Funding acquired from RARY Focus of this post holder to screen specific age group with alcohol problems who are attending A&E Screening tool – PAT Data collection looking at age, location, gender and discharge destination

5. Alcohol Liaison Support Worker Paddington Alcohol Tool used in A&E – one minute Brief intervention within A&E Health promotion and support for patients and relatives Sign posting to external agencies for support and advice Working with external partners including Police, voluntary sector, County Council

6. Alcohol Liver Disease Nurse Specialist Funded by grant from EoE office Based within the Medical Directorate within WSH Advising MDT on management plans for inpatients affected by alcohol Pro-active management Reviewing medical treatment for detox Advising MDT on discharge

7. Support for patients and families Working with external partners and support agencies Reducing length of stay Working towards reducing re-admission rates Data collection regarding this client group Development of robust clinical guideline which reflects other acute NHS Trusts Alcohol Liver Disease Nurse Specialist

8. Challenges No previous posts within the Trust Poor compliance with previous clinical guideline Currently no mechanism for follow-up – A&E attendees Inpatient attendees Four hour target No current provision for 24/7 service

9. Positive outcomes Support for patients and relatives Anecdotal patient feedback Support and training for staff in managing this group of patients Reduction in clinical incidents for this patient group Development of robust clinical guidelines and discharge plans

10. Patients screened using P.A.T. November 2009 to the end of April 2010 Patients screened 1,925 454 patients P.A.T. positive

11. Age ranges

12. Headlines 144 females 310 males 358 patients were brought in from home 55 patients from a public place 20 patients from RTCs 19 patients unknown

13. Activity

16. Length of Stay

17. Activity Home Locations of Patients Seen Number of Patients February March April Home Locations of Patients Seen Number of Patients February March April Acton 010 Langham 010 Brandon 694 Lavenham 420 Bury St Edmunds 14199 Mendlesham 001 Clare 070 Mildenhall 054 Diss 302 Newmarket 0100 Essex 001 Norton 001 Eye 003 Norwich 010 Glemsford 031 Rattlesden 120 Great Barton 202 Stanton 001 Great Cornard 100 Stowmarket 5216 Great Waldingfield 040 Sudbury 515 Haverhill 112 Thetford 589 Icklingham 311 Thurston 020 Ipswich 011 Walsham Le Willows 002 Ixworth 010 Woolpit 300 Lakenheath 311

18. Questions?