West Suffolk Hospital Alcohol Project

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

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Outline of the project

• A dedicated post holder based in AE
• A specialist post holder working across our acute
  NHS Trust
• Alcohol project team GPs, Psychiatry, Pharmacy,
  Medical Physicians, Specialist Nurses,
  Nutritional Specialists

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Alcohol Liaison Support Worker

• Funding acquired from RARY
• Focus of this post holder to screen specific age
  group with alcohol problems who are attending AE
• Screening tool PAT
• Data collection looking at age, location, gender
  and discharge destination

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Alcohol Liaison Support Worker

• Paddington Alcohol Tool used in AE one minute
• Brief intervention within AE
• 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

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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

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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

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Challenges

• No previous posts within the Trust
• Poor compliance with previous clinical guideline
• Currently no mechanism for follow-up AE
  attendees
• Inpatient attendees
• Four hour target
• No current provision for 24/7 service

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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

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Patients screened using P.A.T.

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

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Age ranges
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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

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Activity
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Activity
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Activity
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Length of Stay
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Activity
Home Locations of Patients Seen Number of Patients February March April Number of Patients February March April Number of Patients February March April Home Locations of Patients Seen Number of Patients February March April Number of Patients February March April Number of Patients February March April
Acton 0 1 0 Langham 0 1 0
Brandon 6 9 4 Lavenham 4 2 0
Bury St Edmunds 14 19 9 Mendlesham 0 0 1
Clare 0 7 0 Mildenhall 0 5 4
Diss 3 0 2 Newmarket 0 10 0
Essex 0 0 1 Norton 0 0 1
Eye 0 0 3 Norwich 0 1 0
Glemsford 0 3 1 Rattlesden 1 2 0
Great Barton 2 0 2 Stanton 0 0 1
Great Cornard 1 0 0 Stowmarket 5 2 16
Great Waldingfield 0 4 0 Sudbury 5 1 5
Haverhill 1 1 2 Thetford 5 8 9
Icklingham 3 1 1 Thurston 0 2 0
Ipswich 0 1 1 Walsham Le Willows 0 0 2
Ixworth 0 1 0 Woolpit 3 0 0
Lakenheath 3 1 1        
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• Questions?