Intelligent Commissioning in Alcohol Services Beyond the Units

1
Intelligent Commissioning in Alcohol Services
Beyond the Units

• Bradford Airedale Craven Wharfedale Alcohol
  Project BACWAP
• "Data! Data! Data! he cried impatiently
• "I can't make bricks without clay."

2
Declaration of Interests
2013/14

• Current roles and affiliations
• Lead Partner Bradford Student Health Service
  Bradford City CCG
• Bradford Aidedale Clinical Specialities
  Commissioning Lead Drugs Alcohol (Airedale
  Wharfedale Craven CCG, Bradford Districts CCG,
  Bradford Districts CCG, Bradford City CCG
• Specialist GP Drugs Alcohol Bradford District
  Care Trust
• Honoraria Lundbeck Consensus on Commissioning
  Principles for Alcohol Related Harm

3
CCGs Priority reduction in Alcohol related
admissions
4
ALCOHOL FCEs100 alcohol attributable
5
ALCOHOL FCEsA bigger problemlt100
attributable-Chronic
6
ALCOHOL FCEsA bigger problemlt100 attributable
Acute
7
The Treatment Gap
8

• SHA stated objective was Industrialising
  Alcohol Screening in Primary Care.
• An ad hoc approach in the context of a routine
  consultation is more cottage industry.

9
Radically Obvious Principles of Intelligent
Alcohol Commissioning

• If we know alcohol abuse is associated with so
  much morbidity then commissioning just for less
  drinking is
• silo thinking
• blinkered vision
• hit hope
• Well hit the problem and keep our
• fingers crossed that all those associated
• conditions get better

10
Really Intelligent Commissioning in Alcohol
Services

• Integrated Care /Service delivery interface
• Addressing 100 and lt 100 and even non-causal
  physical morbidity
• Dual Diagnosis District-Wide Register
• Alcohol is the most commonly misused drug in
  patients with SMI
• SAFEGUARDING Adult Child
• Dont just commission for fewer units!

11
Where is the patient in all of this?
12
Data Data Data