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West Suffolk Hospital Alcohol Project

Title slide. West Suffolk Hospital Alcohol Project. Chris Hill – Senior Matron Lou Bland – Alcohol Liver Disease Nurse Specialist Mario Iannone – Alcohol Liaison Support Worker. Background. No clear pathway for patients affected by alcohol No defined discharge plans Re-admission problems

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West Suffolk Hospital Alcohol Project

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  1. Title slide West Suffolk HospitalAlcohol Project Chris Hill – Senior Matron Lou Bland – Alcohol Liver Disease Nurse Specialist Mario Iannone – Alcohol Liaison Support Worker

  2. Background • No clear pathway for patients affected by alcohol • No defined discharge plans • Re-admission problems • No health promotion/patient information • Poor pro-active detox management of alcohol patients

  3. Outline of the project • A dedicated post holder based in A&E • A specialist post holder working across our acute NHS Trust • Alcohol project team – GPs, Psychiatry, Pharmacy, Medical Physicians, Specialist Nurses, Nutritional Specialists

  4. Alcohol Liaison Support Worker • Funding acquired from RARY • Focus of this post holder to screen specific age group with alcohol problems who are attending A&E • Screening tool – PAT • Data collection looking at age, location, gender and discharge destination

  5. Alcohol Liaison Support Worker • Paddington Alcohol Tool used in A&E – one minute • Brief intervention within A&E • Health promotion and support for patients and relatives • Sign posting to external agencies for support and advice • Working with external partners including Police, voluntary sector, County Council

  6. Alcohol Liver Disease Nurse Specialist • Funded by grant from EoE office • Based within the Medical Directorate within WSH • Advising MDT on management plans for inpatients affected by alcohol • Pro-active management • Reviewing medical treatment for detox • Advising MDT on discharge

  7. Alcohol Liver Disease Nurse Specialist • Support for patients and families • Working with external partners and support agencies • Reducing length of stay • Working towards reducing re-admission rates • Data collection regarding this client group • Development of robust clinical guideline which reflects other acute NHS Trusts

  8. Challenges • No previous posts within the Trust • Poor compliance with previous clinical guideline • Currently no mechanism for follow-up – A&E attendees • Inpatient attendees • Four hour target • No current provision for 24/7 service

  9. Positive outcomes • Support for patients and relatives • Anecdotal patient feedback • Support and training for staff in managing this group of patients • Reduction in clinical incidents for this patient group • Development of robust clinical guidelines and discharge plans

  10. Patients screened using P.A.T. • November 2009 to the end of April 2010 • Patients screened 1,925 • 454 patients P.A.T. positive

  11. Age ranges

  12. Headlines • 144 females • 310 males • 358 patients were brought in from home • 55 patients from a public place • 20 patients from RTCs • 19 patients unknown

  13. Activity

  14. Activity

  15. Activity

  16. Length of Stay

  17. Activity

  18. Questions?

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