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RUH Alcohol Liaison Service

RUH Alcohol Liaison Service. Cathy McMahon, Public Health Carol Stanaway, Substance Misuse Commissioner May 2014. Alcohol Liaison Service. To stem the rise in alcohol related hospital admissions to RUH (average annual rise of 12 %) Short term milestones :

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RUH Alcohol Liaison Service

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  1. RUH Alcohol Liaison Service Cathy McMahon, Public Health Carol Stanaway, Substance Misuse Commissioner May 2014

  2. Alcohol Liaison Service To stem the rise in alcohol related hospital admissions to RUH (average annual rise of 12%) Short term milestones: • To reduce the bed days of high impact users • To reduce the frequency of attendance/admissions of high impact users • To increase the proportion of patients engaging with treatment services • To increase detection of alcohol misuse via ED and across hospital

  3. B&NES Alcohol Specific Admissions • 12/13 765 alcohol specific admissions • 13/14 target to reduce by 5% • Only 25% of client group coded as Alcohol Specific • Increased awareness of alcohol in RUH could lead to improved diagnosis and coding and therefore rise in recorded admissions

  4. To reduce the bed days of high impact users • 312 clients seen to March 2014 • 72% are dependant on alcohol (20+ AUDIT) • 24% are over 60 yrs April – Dec 2013 • Pre contact bed days 1396 • Post contact bed days 523 • Reduction = 873 bed days

  5. To reduce the frequency of attendance/admissions of high impact users April – Nov 2013 • Pre contact spells 488 • Post contact spells 181 • Reduction in spells = 307 • Savings £204,602

  6. Numbers accessing alcohol treatment via DHI in B&NES

  7. To increase the proportion of patients engaging with treatment services • 101 clients referred to B&NES single point of entry • 63 not known to treatment services • 21 engaged with Tier 2 or 3 treatment • 43 facilitated referral to AA

  8. To increase the proportion of patients engaging with treatment services • Community Detox bed developed for RUH clients (Burlington Street) • Pilot running for 3 months so far • 3 clients to date (4 week stays) • Cost £140 per week v £1-2K for RUH/rehab • Bed day savings

  9. To increase detection of alcohol misuse across hospital • Alcohol withdrawal protocol introduced across wards • Screening training for staff across the hospital • Referrals spread across hospital (20% ED) • Successful pilot of ED screening tool – next step roll out screening for all patients in ED • Potential to significantly increase workload for team

  10. Other outcomes from service to date: • Additional funding support from Wiltshire • RUH now funding Hepatology clinics • Regular programme of training for staff • Electronic referral system being developed • Increased communication with GP’s • Increased referrals into treatment from GP’s • Increased referral to mutual aid e.gAA, SMART, Peer Mentors, AGE UK, CAB

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