Transcript Feedback to Bury from Childhood

Alcohol in Blackpool
Stephen Morton
Alcohol Harm Reduction Policy Officer
NHS Blackpool
The Social Impact
• Alcohol
related crime
• Violent crime
• Street
drinking
• Domestic
abuse
• Hen/Stag
Nights
• Litter
• Anti Social
Behaviour
• Unemployment
claimants
• Family
breakdown
• Deters visitors
returning
The Health Impact
• Highest number of months of life
lost attributable to alcohol
• Highest number of alcohol specific
mortality
• Highest rate of mortality from
chronic liver disease
• 26th highest number of alcohol
attributable hospital admissions
• Sexual health impact
The Statistics
Targets Performance
Completions for inpatient and domiciliary
detoxifications
Completions in alcohol counselling course
and successful discharge
Training in Brief Interventions
Number of licensees, licensing and
Magistrates trained in alcohol harm reduction
Number of Underage sales (test purchase)
Increasing the amount of licencing reviews
submitted
Number of off-licences (Revocations
achieved)
Commitment
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Strong sense of commitment to the agenda by all key
public sector organisations
Evident commitment and engagement at senior officer
and membership level of Blackpool Council, NHS
Blackpool and Lancashire Constabulary with respect to
alcohol harm reduction exemplified by the arrangements
for BSafe Blackpool
Lots of enthusiasm and passion in relation to reducing
alcohol harm in Blackpool
Alcohol Harm Reduction has been included as one of the
top World Class Commissioning priorities by NHS
Blackpool
Commitment
• NHS Blackpool has agreed investment of £1m in
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alcohol initiatives in 2007-08, 2008-09 and the
following year with an intention to increase
investment from 2009/10.
Created a small multi-agency team focused on
Alcohol Harm based at NHS Blackpool
There has been national recognition for the
ALTN8 campaign for the partnership of NHS
Blackpool, Blackpool Council, the Lancashire
Constabulary and the Fire and Police Authority –
with further plans being prepared.
Partnership Working
• There are Joint Commissioning arrangements for
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community services
There are good examples of collaboration between
BFW Hospitals NHS Foundation Trust and NHS
Blackpool and NHS Blackpool’s Medical Director
and DPH regularly attend BFW Hospital’s Clinical
Directors meeting.
At operational level there are examples of good
nationally recognised partnerships, eg Multi
Agency Risk Assessment Committee (MARAC)
and NightSafe .
Progress
Workforce Training
• This is the second year of a programme to train front line staff in
brief interventions. 850 staff were trained last year.
Secondary Care
• Resources have been committed and two alcohol liaison nurses
appointed to work in the Gastroenterology Department within the
BFW Hospitals NHS Foundation Trust
• There is an intention to appoint a Public Health facilitator who will
have public health champions and link personnel across
departments in the BFW Hospitals NHS Foundation Trust. The work
of the facilitator will be informed by phase one of a training needs
analysis across the Trust.
• A substance misuse mid-wife works across the BFW Hospitals NHS
Foundation Trust and is focused on high need areas.
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There is a generic Paediatric link between A&E and the acute
inpatient wards which provides opportunities for screening and brief
interventions with respect to alcohol.
There is routine data sharing between the A and E Department and
BSafe Blackpool through the Trauma and Injury Intelligence Group
(TIIG).
Progress
Primary Care
• Investment in Tier 2 workers in primary care.
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Specific outreach services to recruit hard to reach groups into
treatment services
Three new Primary Care Centres are planned, to incorporate
Alcohol Services, with plans for an Urgent Care Centre providing
potential to integrate alcohol interventions
Intensive support programme for homeless people ‘The Bridge
Project’. This includes health professional clinics with the ability to
pick up and provide interventions with respect to alcohol misuse.
Children and Families
• Multi-agency Springboard team which focuses on 5% of the most
complex families, with opportunities to pick up alcohol issues.
• Easy access to and clear pathways for young people with substance
misuse issues with little waiting time. This service is offered up to
the age 21 for existing service users.
• Children of substance misuse parents ‘Cosmic’ programme.
Overall Strengths
Licensing and the Criminal Justice System
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There is a robust commitment to enforce legislation and adherence
to the Licensing Act by the Police and Trading Standards.
Blackpool has the highest number of prosecutions in the country for
Licensing breaches, with a targeted and systematic approach by the
Council in conjunction with the Police and other partners. This is
complemented by a number of enabling schemes including training
for Licensees and Door Staff, regular mail shots, Proof of Age Cards
and Forums for both on and off–licence premises.
An arrest referral function is in place to divert young people with
alcohol problems into treatment from the Criminal Justice system
Head cameras have been introduced for the Police, with the
objective of increasing convictions and improving behaviour.
Overall Strengths
Communications
• NHS Blackpool’s communication strategy includes
alcohol.
• The Council, NHS Blackpool and the Police produce a
regular joint newsletter “Your Blackpool” which is
distributed to every house hold in Blackpool.
• There have been a number of awareness arising
campaigns including ALTN8, MEASURE, Think B4 U
Drink, Blackpool Life Rise to the Challenge.
• NHS Blackpool are developing a social marketing
strategy including alcohol.
Good/Innovative Practice
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Programme to train front line staff in brief intervention with 850 staff trained
last year.
Specific outreach service delivery to recruit hard to reach groups into
treatment services
Three new Primary Care Centres incorporating Alcohol Services
Above and beyond support programme for homeless people, ‘The Bridge
Project’ . This includes health professional clinics with the ability to pick up
and provide interventions with respect to alcohol misuse.
Multi-agency Springboard team which focuses on 5% of the most complex
families with opportunities to pick up alcohol issues.
Easy access to and clear pathways for young people with substance misuse
issues with little waiting time. This service is offered up to the age 21 for
existing service users.
Training for Licensees and Door Staff, regular mail shots, Proof of Age Cards
and Forums for both on and off–licence premises.
Modern Apprenticeship Scheme for non-clinical roles within the PCT
Priority Actions
Strategy
• The strategy should be underpinned by a delivery plan, to
include delivery of a reduction in the rate of alcohol-related
hospital admissions with a number of characteristics as
outlined in the main body of the report.
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There needs to be explicit, quantified assumptions about the
impact expected on alcohol-related hospital admissions and
alcohol-related crime from the many developments and
initiatives already implemented and planned.
Priority Actions
Commissioning
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It is recommended that the development and commissioning of an
integrated local treatment system through the tiered framework of
provision:
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The system should be navigated through the medium of
clearly identified and
published pathways describing entry points and the routes
through, dependent on
the needs of individuals. The components for this exist but
we believe that further
support could help to consolidate and clarify how the
system operates.
The pathway should be evidenced based and desired
outcomes
Priority Actions
Communication
• Develop a bespoke MOSAIC map and analysis for
Blackpool. This should be used as the basis of developing a
Customer Access Strategy
• We believe there needs to be further analysis with respect to
the population that make up the greatest proportion of
alcohol related admissions. These are likely to be older
rather than younger residents.
Other
• The NST believes that efforts to increase alcohol free zones
and reduce the number of trading licensed premises has the
potential to contribute to the regeneration of Blackpool and
the reduction of alcohol harm to Blackpool’s population, to
both adults and children
Summary
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Good Progress on strategy targets
Some targets need adapting
Achieving LAA targets
NHS Blackpool has set Alcohol as
one of its priorities for the next 5
years
• A positive and useful National
Support Team visit