Transcript LCAS Away Day - Home - The Family Doctor Association

Liverpool
Community
Alcohol
Services
0151 – 259 – 4504
www.liverpoolalcoholservice.nhs.uk
FACTS
According to Drink Wise , In 2012 the North West had
the highest number of alcohol-related deaths in the
country (more than 3,000 annually!)
Alcohol consumption can contribute to acute (sudden)
deaths, such as from accidents, violence and suicide.
It can also contribute to the development of potentially
fatal chronic diseases, including liver disease,
hypertension, stroke, cardiovascular disease and
cancers of the breast and gastrointestinal tract.
Only 1 in 18 people who misuse alcohol receive
treatment.
TOP THREE FACTS FROM THE NORTH WEST
Every four minutes someone is admitted to
hospital in the North West because of alcohol.
The North West has the highest number of
alcohol related deaths in England.
1 in 5 adults in the North West drink at levels
likely to pose significant risk to their health.
Population
• CCG Registered 493k, resident estimated at
466k
• Similar to national except for 20-24 & 25-29
which reflect students and young
professionals, increased notably since 2002
• Projected to increase age significantly over the
next 20 years
• 65+ population to increase by a third
• Small but growing BME population (9%)
Alcohol plays a part in more than 1 in 5 accidental deaths.
The North West issues more prescriptions for alcohol
dependence than anywhere else in England
– almost 23,000 a year.
A man regularly drinking more than two pints of lager a
day is three times more likely to have a
stroke and three times more likely to get mouth cancer.
A woman regularly drinking two glasses of wine or more
a day is 50% more likely to get breast cancer and twice as
likely to have high blood pressure which could lead to a
stroke or a heart attack.
Alcohol is the second biggest cause of cancer
(after smoking) in people aged 35 years or older.
RISK
Deaths due to alcohol-related liver disease
are reported to account for approximately
one quarter of all alcohol-related deaths.
In the UK, the peak age bracket for alcoholrelated deaths is 45 to 65, and alcohol is a
contributing factor in over a quarter of all
deaths in men aged 16 to 24 years.
Services
 Confidential service to motivate patients to reduce / stop
their alcohol use safely.
 Assess and refer patients to Ambulatory / Inpatient Detox.
 Signpost / refer patients to peer support services within
Liverpool’s recovery community.
 Signpost / refer onto counselling.
 Signpost / refer onto family support services & advice centres.
 Referral onto Intuitive Recovery Courses.
 Facilitate up to 8 x Brief Intervention Sessions.
 Care Plan at assessment & regularly updated.
 Patients seen at local GP surgeries / Health Centres –
Minimising travel.
REFERRING TO LCAS
Referrals accepted from GP’s and all Health Care
Professionals.
Referral forms can be faxed direct to LCAS.
(FAX: 0151 529 4506)
Patients can Self Refer by Phone.
(Tel: 0151 529 4504 - we will call patients back if requested)
Structure
• LCAS present in 2 Acute trusts and
Community.
• Any inpatient in acute hospital is seen on a
ward or in A&E by an alcohol specialist nurse.
• A referral to be seen in the service users own
community setting across Liverpool.
• No waiting time ensures continuity from
hospital to community agency to enable
recovery journey to begin.
Easy access
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By operating in a multitude of settings.
Ease of access in the 75 clinics across the city.
Choice of treatment pathways:
Inpatient detox
Community ambulatory
Continued management of advance liver
disease in an acute setting
LCAS- Key issues
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High rates of emergency admissions
High use of A&E
Rising cause of mortality
Evidence of variation in awareness in general
practice
• Public awareness of Alcohol related injury and
illness
How much should I be drinking?
The NHS and Department of Health (DH) advise that:
 Adult women should not regularly drink more than two to
three units of alcohol a day.
 Adult men should not regularly drink more than three to
four units of alcohol a day.
 “Regularly” means drinking on most days of the week or on
every day of the week. The DH also advises taking a 48hour break from alcohol after a heavy drinking session to
allow your body to recover.
Liverpool Community Alcohol Services
TELEPHONE
0151 – 529 – 4504
FAX
0151 – 529 – 4506
WEBSITE
www.liverpoolalcoholservice.nhs.uk