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Reducing Alcohol Harm & Violence: Sharing ED Data

Reducing Alcohol Harm & Violence: Sharing ED Data. Clare Charlton, Project Manager, Violence and Alcohol Harm Reduction, Department of Health - London. The London Experience. Basis for the Model: London Drink Debate Healthcare Led Models Policing Led Models CSP Led Models

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Reducing Alcohol Harm & Violence: Sharing ED Data

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  1. Reducing Alcohol Harm & Violence: Sharing ED Data Clare Charlton, Project Manager, Violence and Alcohol Harm Reduction, Department of Health - London

  2. The London Experience • Basis for the Model: • London Drink Debate • Healthcare Led Models • Policing Led Models • CSP Led Models • Joint working! • Making it work for London

  3. “There’s a lot of violence on the streets now, with drunk people coming out of pubs and clubs looking for aggro” LDD Attendee, December 2009 • “I live in Fulham and Friday and Saturday night you are dodging drunks and piles of vomit and it isn’t nice. I’d like to see more police on the beat at those times, alongside people who can help those who have a real problem with alcohol” • LDD Attendee, December 2009 “I’d like to see the police and local authorities working much more closely together on things like licensing, so we don’t get the situation where there are too many pubs and clubs clustered in one place.” LDD Attendee, December 2009

  4. ED Data Sharing and beyond: • Responding to London People; • Acting on needs; • Reviewing what works for different parts of London; • Local strategies based on Local Problems; • Pan-London Data Sharing • Problem solving locally with regional implication;

  5. Local Councils Acute NHS Trusts Alcohol Harm, Serious Youth Violence and Violence against the Person LHO Local PCT’s BTP & City of London Police

  6. ED Data Sharing: Implementation • Make Contact! • Establish what you want, what you need, and what you can live without! • How often do you need the data? • How will you close the information loop? • Build a project team • ED Staff Members • CSP Analysts • Police / Police Analysts • PCT Public Health – Alcohol Lead

  7. Implementation: Best Practice? • Clear Policy Agenda – Mixed messages don’t help • Be clear on what you want, don’t ask for too much, just what you are going to use! • Funding: Can Help, Can Hinder; • Get support from local partners where needed; • Get Clinical support; • Offer feedback to the hospital / PCT (close the loop); • DON’T PANIC!

  8. Licensing Committee: • Licence & Opening hours • Reduce happy hours, increase • lager price • Soft drinks & ‘cooling down’ period • Door Supervisors & staff training • Alcohol Disorder Zones • Toughened bottles & glasses • Public awareness posters Drinks Industry: • Local sponsorship • Policy & Staff training • Social Responsibility Standards ED and Health: • Routine enquiry re alcohol & • violence: A&E, MH, 1° Care • Record location & time • Of violent injuries • Share Anonymous • Information with CDRP • DV support Nurse • Alcohol Brief Interventions: • A&E, GUM, PHC • Embed Protocols & Training • Alcohol & Violence • Support/ info leaflets • Police direct phone in • A&E Waiting area • Ambulance forensic blankets • Referral pathways to GUM/ SARC, • GP, Drug Services, MH & VCS LSP- LAA Priority, CDRP ensures Action Children & YP: • Parenting Skills • Violence Prevention skills • Schools & high risk groups • School Bullying Policy • CAMHS: Conduct Disorder • Child Protection- • Health & SS Prevent Violence -Crime Reduction -Safer Communities -Improving Health VCS Support Ensure sufficient Capacity, Resources & Standards Local Authority: • Workplace violence & • Bullying policies • Housing & support for • Offenders & drug misuse • Improve Street Lighting • Night time public transport • Disperse fast food venues • & Taxi ranks • Reduce litter & graffiti • Night time litter collection • Increase Pedestrian Areas • Alcohol Misuse Enforcement • Campaigns Promote Social Well-Being Police: • Increase Reporting of Crime • Analyse police & A&E • data to inform activity • Inform location of CCTVs • Share data with CDRP • Refer Child Protection & DV unit • Refer Victim Support • Fixed Penalty Notices, ASBOs & • Drink Banning Orders Shepherd J, Sheehan D & Nurse J, 2005

  9. Attendances by Day of Week • As expected the highest attendances were on Fri night/Sat morning & Sat night/ Sun morning. Attendances during this time almost doubled compared with the same time on any other day.

  10. Ethnicity breakdown • English make up 17% of assault patients closely followed by Eastern Europeans 14%.

  11. Different Boroughs, Different Models

  12. And Finally... • Clare Charlton • Project Manager, Violence and Alcohol • Regional Public Health Group - London • 5th Floor, Riverwalk House, • 157-161 Milbank • London, SW1P 4RR • T: 0207 217 3040 • M: 07766 298 014 • E-Mail: Clare.Charlton@dh.gsi.gov.uk • www.londondrinkdebate.co.uk

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