1. http://www.cambridge-news.co.uk/Home/Video/Judge-speaks-out-as-gang-spared-jail.htm

2. Information Sharing from Emergency Departments to Prevent Alcohol Related Assaults Dr Adrian Boyle Consultant in Emergency Medicine, Addenbrookes Hospital

4. How much of a problem is it?

7. Not just assaults Incapable 9% Assault 27% Accident 40% Self harm 8% Other 16%

8. Assaults POLICE EMERGENCY DEPARTMENT

9. The ‘Cardiff Model’ ED Reception Collected Data –Location of assault –Date / Time of assault –Weapon Used Anonymous, monthly sharing of this data with CSP ED Consultant involvement with CSP Information point to increase crime reporting

12. Specimen data Saturday31/01/200900:4716MalePrivate TransportOUTSIDE H+M CITY CDIS Saturday31/01/200909:1042MalePrivate TransportMILL ROADDOP Saturday31/01/200903:3325MaleTaxiCOTTENHAMDNW Saturday31/01/200903:3932MalePrivate TransportFOUNTAIN CAMBRIDGEDGP Sunday11/10/200901:3018MalePoliceOUTSIDE BALLAREDIS Sunday11/10/200904:0819MaleAmbulanceROSE CRESCENTDIS Sunday11/10/200905:3444MalePrivate TransportLEISURE PARKDIS Sunday11/10/200908:1021MalePrivate TransportREFUSED TO SAYDIS Sunday11/10/200911:2120MalePrivate TransportOUTSIDE BALLAREM5 Sunday01/02/200900:5418MaleTaxiBALLAREDOP

13. Does this work?

17. The TKAP project Enhanced use of this model to tackle knife crime Evidence of effect is weak

18. Eastern Region? 2008 2009 Addenbrooke’s Bedford Hinchingbrooke Luton Peterborough Southend West Suffolk James Paget Basildon Kings Lynn Ipswich Norfolk and Norwich Chelmsford Harlow Stevenage / Welwyn Garden City Colchester

19. Barriers to Implementation IT infrastructure Hospital IT Governance Emergency Department Receptionist Emergency Medicine Consultant

20. Solutions Usually modest Guidance from Information Commissioner Cake / Self worth Evidence / Guideline IT infrastructure Hospital IT Governance Emergency Department Receptionist Emergency Medicine Consultant