Integrated Treatment for ARLD: making it happen Dr Julia Sinclair Dr Leonie Grellier, Clinical Leads, Reducing Harm from Alcohol Programme

The Programme so far…

Launched in 2014

“To lead the way in developing a new paradigm for how the health system manages the harms of

alcohol consumption on health, in order to improve patient outcomes”

Focus

• Map the baseline

• Up skill the workforce

• Engaging with CCGs

• Developing a Brief Treatment Pathway (Lundbeck)

• Working with Soberistas’

• Accelerator grant supporting work with Helen Hamlyn Design Project

Successes: Mapping the Baseline

http://cisdata.co.uk

Successes: Soberistas’

Lucy Rocca – Founder ‘Soberistas’ Launched 2013 21K subscribers in the first year

http://wessexahsn.org.uk/projects/38/our-work-with-soberistas

Successes: Soberistas

http://wessexahsn.org.uk/projects/38/our-work-with-soberistas

1. Sinclair JMA, Chambers SE, Manson CC (2016) Internet Support

for Dealing with Problematic Alcohol Use: A Survey of the

Soberistas Online Community. Alcohol and Alcoholism. doi:

10.1093/alcalc/agw078

2. Chambers SE, Canvin K, Baldwin DS, Sinclair JMA. Using online

mutual aid to address problematic alcohol consumption:

A qualitative study of identity transformation

(Drugs and Alcohol Dependence Jan2017)

Successes: Drink Informed Project

Challenges • Low levels of alcohol specific health literacy in

the work force Know Your Numbers Training:

UHS training outcomes: Staff able to correctly estimate alcohol content of drinks increased from 2.5% to 72.7%

Challenges

Who pays for the health costs of alcohol?

2016 Re-Focus

• Bringing together what we had learnt • Refining the task • Pathways for Alcohol Related Liver Disease

How we can improve patient pathways?

Acute admission liver disease data for 6 Wessex Acute Trusts: Wessex wide and specific Trust packs

Packs sent to: Acute Trust CEOs CCG Leads Trust Clinical Leads For follow up and action Request for all Trusts to complete

Your work is a fabulous foundation for getting conversations going between us and the

trust

CCG Medical Director:

How we can improve patient pathways : Opportunities for research and PPI

Alcohol-related Liver Disease

Platform of Clinical leads, and research expertise to

apply for NIHR funding

And so today….. • This Morning

• This Afternoon