Commissioners must meet with those providing To create guidance that speaks to a range of front line care to understand the gaps in care and commissioners and encourages integrated the care providers needs delivery Need nurses to be able to develop strategy, lead and Encourage Local Authorities and CCGs to make argue upwards links and look at joint commissioning Use business cases using data/evidence when Transparency of costs and money spent – trying to get money Look at creating more teams (multi-disciplinary) Transparency and open access to structures of as these are beneficial services in different boroughs and counties Create better links with CCGs and Health and PHE need to influence more collaborative Wellbeing Boards opportunity with CCGs Local delivery planning workshops After the lunch break, Adrian Brown, Alcohol Liaison Nurse at Northwick Park hospital, presented a comprehensive generic care pathway covering the range of hospital and community services and interventions which should ideally be coordinated within a local system. The delegates then discussed the strengths and weaknesses of the local pathways in their relative hospitals. Some of the strengths identified Some of the weaknesses identified on on the tables include: the tables include: - Good links with aftercare services, community - staffed and high pressures teams, mutual aid and mental health services - Limited outpatient services - Proven outcomes! - No ambulatory detox - ACT has contributed to a reduced A+E unplanned - Seems to be a Lottery’ ‘Postcode attendances - Weak engagement from CCGs - ACT is made up of passionate staff who go - Regular retendering and short term contracts above and beyond to make a difference - Incomplete alcohol screening in A&E alcohol teams reduce A&E attendance, admissions & bed nights - “Integrated ” ” - Good protocols and coverage for IBA - Lack of assertive outreach to work with frequent - Good relationships with doctors; consultants who attenders champion alcohol - Lack of access to community services after 5pm and at weekends
Commissioners must meet with those providing front line care to understand the gaps in care and the care providers needs To create guidance that speaks to a range of commissioners and encourages integrated delivery Need nurses to be able to develop strategy, lead and argue upwards Encourage Local Authorities and CCGs to make links and look at joint commissioning Use business cases – using data/evidence when trying to get money Transparency of costs and money spent Look at creating more teams (multi-disciplinary) as these are beneficial Transparency and open access to structures of services in different boroughs and counties Create better links with CCGs and Health and Wellbeing Boards PHE need to influence more collaborative opportunity with CCGs Local delivery planning workshops After the lunch break, Adrian Brown, Alcohol Liaison Nurse at Northwick Park hospital, presented a comprehensive generic care pathway covering the range of hospital and community services and interventions which should ideally be coordinated within a local system. The delegates then discussed the strengths and weaknesses of the local pathways in their relative hospitals. Some of the strengths identified on the tables include: Some of the weaknesses identified on the tables include: - Good links with aftercare services, community teams, mutual aid and mental health services - Proven outcomes! - ACT has contributed to a reduced A+E unplanned attendances - ACT is made up of passionate staff who go above and beyond to make a difference - Good protocols and coverage for IBA - Good relationships with doctors; consultants who champion alcohol - staffed and high pressures - Limited outpatient services - No ambulatory detox - Seems to be a ‘Postcode Lottery’ - Weak engagement from CCGs - Regular retendering and short term contracts - Incomplete alcohol screening in A&E - Lack of assertive outreach to work with frequent attenders - Lack of access to community services after 5pm and at weekends “Integrated alcohol teams reduce A&E attendance, admissions & bed nights - ” ”