Developing and Implementing Local Treatment pathways- The Good, the Bad and the Ugly! Confessions from Mark Holmes Last Orders Nottingham
Alcohol support in Nottingham:Where do I go? Where do I refer? Last Orders Michael Varnham House (Framework) APAS Mimosa BACIN The Priory NHS Substance Misuse Service Double impact AA Adept Mary Magdalene Sanctuary Alcohol Liaison Team We need The pathway!
The Good Has allowed us to map the aforementioned services available- huge breadth of services. Self referrers and referrers can see where they can go - Increases choice The service users have less duplication/ bounced around services - ‘Assessed ‘ til death’ Gate keeping- For example GP’s referring into tier 4 services now have to follow the pathway As a service reminds us of our partner agencies A reminder of what your core business should be and what you are commissioned to do! Co-ordination of information - can see which leaflets should be used where The planning allows partnership work We are putting our most experienced staff at the front door of services Can see what we are lacking - Map against High Impact Changes- arrest referral
The Bad Service users can’t be pigeon holed or ‘Tiered’! A4 - ‘it doesn’t fit on the paper’ we will leave it off Processes do not account for blockages Can be time consuming if not chaired adequately
And The Ugly Credit crunch! We await the axe wielding! Long debates and arguments
Remember A Treatment pathway is not just for Christmas. Needs to be a continuous process