NW Regional Alcohol Screening & Brief Intervention Service in Community Pharmacies

1. NW Regional Alcohol Screening & Brief Intervention Service in Community Pharmacies Liz Stafford NHS Liaison Manager Rowlands Pharmacy & NW SHA community pharmacy lead lstafford@rowlandspharmacy.co.uk 07795-037677

2. Working with Drink Wise North West & NW Director of Public Health& NW Community Pharmacy Network Alcohol Screening & Brief Intervention Service [ or Identification and Brief Advice (IBA) Service ] • NW SHA has the worst alcohol statistics of all SHAs • 10 people a day die in NW due to alcohol related illness. • 1 person every 7 minutes is admitted to hospital in NW for alcohol- related reasons (6% nationally-and rising) • More than 73,000 recorded crimes in NW were alcohol related and 50,000 were violent. • Cost to NHS –around £2.7 billion per year (nationally)

3. Working with Drink Wise North West & NW Director of Public Health & NW Community Pharmacy Network Business Case : • Based on DH ready reckoner tool www.alcohollearningcentre.org • Assumes that 1 in every 4 screens identifies at “risk drinking” • Which results in cost savings due to A & E and hospital admissions • Based on each pharmacy delivering 2 IBA’s per week : 100 pharmacies – net cost saving to NHS is £215,107 per annum 1000 pharmacies – net cost saving to NHS is £2,151,067 per annum 1,574 (total pharmacies in NW ) – net cost saving to NHS is £3,385,779

4. Working with Drink Wise North West & NW Director of Public Health & NW Commmunity Pharmacy Network Commissioning Pack –business case, template SLA and SOP,and links to training and accreditation : - Accreditation (pharmacy module) on DH alcohol website www.alcohollearningcentre.org - CPD module on www.pm-modules.co.uk (no.172) - CPPE module and “local training solutions” • RPSGB web based tool to collate pharmacy data and audits. • Evaluation – AERC bid -part of MRC framework to develop a large study controlled trial in 2012.

5. Working with Drink Wise North West & NW Regional Director Public Health & NW Community Pharmacy Network Communications : • LPCs • PCO commissioners , public health leads , DAATs • SHA clinical leaders network –GPs • Pharmacy clinical leaders in other regions. • DH Alcohol Policy Team • DH Pharmacy /Public Health Leadership Forum • Royal Pharmaceutical Society • University of Central Lancashire (UCLAN) and Liverpool John Moores University are partners in research bids (multi-disc team)

6. Working with Drink Wise North West & NW Director of Public Health & NW Community Pharmacy Network Current position & early results : • 46 pharmacies in NHS Wirral - Nov 2007 • 10 pharmacies in NHS Blackpool – April 2010 Results at 6 months – 39% identified at increasing or high risk Potential cost savings may be greater than DH business case which estimates 1 in 4 (25%) will be identified. Average audit result 8; low 84; increasing 50; high 4 • Rolling out in NHS Knowsley, Oldham, Liverpool, Warrington • By 2011, there could be 200 pharmacies in this large scale project including PCOs in other regions e.g. Portsmouth, IOW.

7. Working Drink Wise North West & NW Regional Director Public Health & NW Community Pharmacy Network • Pharmacy service can target potential high risk people e.g. those who come for “hang over” remedies, EHC, gastric problems, falls, vulnerable groups, hypertension, etc. • Pharmacy sees different people from those who may visit a GP practice , especially in areas of health inequality. • There may be a link in that local people may be more open to disclosing their true behaviour to their peers (pharmacy staff )