Introducing the

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• Introducing the
• Alcohol Harm Reduction
• National Support Team
• Early Implementer Programme 1st National Workshop
• Diane Powell Delivery Manager
• National Support Teams
• 28th November 2008

Alcohol Harm Reduction National Support Team
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Format of Presentation

• What are NSTs?
• Key Features of NST Approach
• Who are We?
• Format of Visit and Workshops
• Interviewing themes
• Support and Feedback
• Contact Details

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What are National Support Teams?

• Commitment from DH as part of delivery
  arrangements for Choosing Health
• Used successfully in relation to improving
  orthopaedic, Accident Emergency and cancer
  waiting times
• Provide intensive tailored support for
  organisations facing the greatest challenge in
  making progress on one or more deliverables
• There are currently seven Public Health NSTs
  Childhood Obesity, Health Inequalities, Sexual
  Health, Teenage Pregnancy, Tobacco Control and
  Alcohol Harm Reduction, and Infant Mortality team
  commenced in November 2008
• Alcohol Harm Reduction NST started in September
  with pilots in Blackpool and Sandwell. Blackburn
  with Darwin and Lincolnshire have also received
  visits.

Alcohol Harm Reduction National Support Team
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• Key Features of NST Approach

Alcohol Harm Reduction National Support Team
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What We Provide

• Provision of support
• Professional process with protocol for engagement
  and standards
• Agreed approach regarding assessment and level of
  support to be offered
• Initial visit helps us to understand local
  context, assess barriers to and opportunities for
  progress
• Focus on reducing the harm caused by alcohol and
  the PSA target to reduce alcohol related hospital
  admissions
• Chief Executive involvement
• Credible expertise in the strategic development,
  commissioning and provision of alcohol services
  and interventions (spanning the range of public
  sector organisations), public health and change
  management matching expertise
• Use of delivery and diagnostic framework
  including comparable data
• Recommendations based on good practice but with
  local solutions
• Linkage with other national bodies and other
  support processes

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What We Are and What We Are Not

• We are not a Hit Squad, an audit or here to
  performance manage
• There is a relationship with performance
  management. GO and SHA invited to plenary
  sessions
• We are not an inspectorate and our findings do
  not feed into inspections or audits
• Not here to publicly judge the PCT, LA or other
  partners
• Discussions we have with you are in confidence -
  we will not be identifying individuals or their
  specific comments
• We will not import a standard solution but will
  make suggestions and ideas regarding good
  practice using our objectivity, knowledge and
  expertise and based on the information you
  provide to us

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Selection Criteria for Support

• The Alcohol Harm Reduction National Support Team
  will help the local Partnerships who face the
  greatest challenge in addressing the alcohol
  target of reducing hospital admissions for
  alcohol related harm (Vital Signs Indicator VSC
  26, National Indicator Set NI 39 and Public
  Service Agreement 25.2) and who would most
  benefit from intensive support
• 10 PCT visits will be undertaken by the end of
  and 8-9 workshops March 2009
• Visits will be offered 12-18 month after a
  workshop
• Areas offered support are selected in
  consultation and agreement with the DH,
  Cross-Government Alcohol policy team, Government
  Offices, SHAs and the relevant Local Authority
  Chief Executive and PCT Chief Executive. The
  final say rests with the PCT and LA who are our
  client

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Benefits of Participation

• Free access to expert external support to help
  diagnose obstacles and opportunities for moving
  forward and potential access to further support
  for planning and implementation. A chance to
  influence national public health policy and the
  future shape of the NST programme development
• Bringing local examples of good practice to
  national attention and to learn about good
  practice elsewhere
• Can facilitate support and engagement with a wide
  range of partners to help achieve shared
  objectives

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• Who Are We ?

Alcohol Harm Reduction National Support Team
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Members of the Alcohol Harm Reduction National
Support Team

• Cathy Hamlyn Director NST
• Diane Powell Delivery Manager, AHR NST
• Matt Hennessey Delivery Manager, AHR NST
• Katrina Stephens Associate Delivery Manager, AHR
  NST
• Sean Meehan Associate Delivery Manager, AHR NST
• Edwin Pereira Project Officer, ANR NST
• Matthew Phelan Project Officer, AHR NST
• Lucy Gate Associate Delivery
  Manager, HI NST
• Consultant GP and Nurse
• Plus support from NST data analyst
• Partnership with GO and SHA
• We will work closely with CSIP in the design and
  delivery of the post-visit support

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• Format of Visits and Workshops

Alcohol Harm Reduction National Support Team
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Typical process - Visit

• Identification and Engagement
• Diagnosis Assessment
• Pre-visit collection of key documents and data.
• Visit to understand local culture and delivery
  environment.
• Presentation of report including strengths and
  opportunities, recommendations and support
  offered.
• Follow Up and Support
• Review

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Visiting Schedule
Alcohol Harm Reduction National Support Team
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Interviewing Themes

• Vision, Strategy and Commissioning
• Data
• Communication
• Alcohol Interventions and Treatment Services
• Targeted Interventions
• Criminal Justice, Licensing and Availability
• Workforce Training and Awareness
• Work with Children, Young People and Families
• Other

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Typical process - Workshop

• ½ day diagnostic workshop developed by NST Health
  Inequalities in consultation with AHR team
• Considers a strategic approach to population
  (e.g. Labelling availability and personal
  health interventions (e.g. alcohol treatment
  services) encompassing both a provider and a
  population focus for optimal alcohol harm
  reduction
• Pre-visit collection of key documents and data
• Presentation of report including strengths and
  opportunities, recommendations and support
• Follow up and support
• Review

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Feedback Support

• No formal written report the NST will provide a
  PowerPoint presentation of findings which will
  then be annotated and provided to participants
• Feedback will identify strengths, opportunities
  for improvement and support that the NST may be
  able to provide
• The LA PCT and local partnerships are our client.
  This report remains confidential to the local
  area. It will not be published or disseminated by
  the NST. The local area may use/disseminate this
  as they see fit
• Process does not finish after the visit the NST
  will discuss nature of ongoing support with the
  PCT/LA if the PCT/LA local partners wishes to
  access this support

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Alcohol Harm Reduction National Support Team
Contacts
Alcohol Harm Reduction National Support Team