1. The Fitzwilliam Centre. 0114 30 50 500 Alcohol: A Local Response to the National Agenda Chris Wood – Service Manager, The Fitzwilliam Centre Copyright Sheffield Health and Social Care NHS Foundation Trust

2. The Fitzwilliam Centre. 0114 30 50 500 So what’s the problem? Binge drinking is a serious problem, not a fringe issue. Dependency? The majority of people who drink do so in a responsible manner. Don’t worry though, because... National Alcohol Strategy 2012 Copyright Sheffield Health and Social Care NHS Foundation Trust

3. The Fitzwilliam Centre. 0114 30 50 500 FWC Services overview Our favorite drug Copyright Sheffield Health and Social Care NHS Foundation Trust

4. The Fitzwilliam Centre. 0114 30 50 500 The good Copyright Sheffield Health and Social Care NHS Foundation Trust

5. The Fitzwilliam Centre. 0114 30 50 500 The bad Copyright Sheffield Health and Social Care NHS Foundation Trust

6. The Fitzwilliam Centre. 0114 30 50 500 So why do we continue to drink? The ugly Gynaecomastia Ascites Copyright Sheffield Health and Social Care NHS Foundation Trust

7. The Fitzwilliam Centre. 0114 30 50 500 Even the queen drinks Copyright Sheffield Health and Social Care NHS Foundation Trust

8. The Fitzwilliam Centre. 0114 30 50 500 93,00057,400 Sheffield 9,000 dependent drinkers 69%18% 13% 126,000 binge drinking Do we drink that much? Copyright Sheffield Health and Social Care NHS Foundation Trust

9. The Fitzwilliam Centre. 0114 30 50 500 Vulnerable children? Research findings Pregnancy and early years Health risks – Ingestion, SUDI, FAS Impaired parenting capacity Exposure Impact on education (silent voices 2012) Financial impact Disrupted households (Troubled Families?) Impact on emotional development, attachment Over represented in LAC, NEET, YOT, homeless Copyright Sheffield Health and Social Care NHS Foundation Trust

10. The Fitzwilliam Centre. 0114 30 50 500 National Message Services have been slow to react to problems associated with alcohol misuse. – 1 in 5 (2.5 million) children live with at least 1 increasing risk drinker. – 26,000 babies living with a dependent drinking parent ( Silent Voices 2012) – Locally alcohol misuse features highly in cases discussed at MARAC. Copyright Sheffield Health and Social Care NHS Foundation Trust

11. The Fitzwilliam Centre. 0114 30 50 500 2369 referrals into Single Entry & Access Point for Alcohol Services in 2011/12 Represents 1.5% of those ‘eligible’ for referral (high & increasing risk, dependent drinkers) Referrals Copyright Sheffield Health and Social Care NHS Foundation Trust

12. The Fitzwilliam Centre. 0114 30 50 500 2 young children subject to a child protection plan An alcohol dependent mother Partner of a man with a history of mental health problems Multiple domestic violence incidents What ends like this… Copyright Sheffield Health and Social Care NHS Foundation Trust

13. The Fitzwilliam Centre. 0114 30 50 500 Binge drinking young woman Young man using drugs recreationally …often starts like this Copyright Sheffield Health and Social Care NHS Foundation Trust

14. The Fitzwilliam Centre. 0114 30 50 500 Copyright Sheffield Health and Social Care NHS Foundation Trust

15. The Fitzwilliam Centre. 0114 30 50 500 Identification and referral Pathways are not clear Misconception that it takes a long time to get into alcohol treatment Lack of time Reluctance to be referred Problems with identification Asking the wrong questions Copyright Sheffield Health and Social Care NHS Foundation Trust

16. The Fitzwilliam Centre. 0114 30 50 500 How to screen I haven’t got a clue! What’s a unit? About 10 a week How many units do you drink every week? Copyright Sheffield Health and Social Care NHS Foundation Trust

17. The Fitzwilliam Centre. 0114 30 50 500 Copyright Sheffield Health and Social Care NHS Foundation Trust

18. The Fitzwilliam Centre. 0114 30 50 500 In Sheffield Community Pharmacies Social Care Children & Families Teams GP Practices IAPT and Mental Health Services Health Visitors SEAP (Open Access Alcohol Services, SHSC) Copyright Sheffield Health and Social Care NHS Foundation Trust

19. The Fitzwilliam Centre. 0114 30 50 500 Is this a good idea? National NTA regional leads leading to DH & PHE National Children's Commissioner Out of area substance misuse commissioners Local Sheffield Safeguarding Children's Board DAAT Alcohol Planning & Commissioning Group Hidden Harm Implementation Group GP Commissioning Groups Designated Safeguarding officers for H&SC in Sheffield Copyright Sheffield Health and Social Care NHS Foundation Trust

20. Key Benefits Correct pathway into services Delivery of brief intervention Enables provision of service user specific information Identification via screening Quick, easy and engaging format for service user Dispenses with scoring and unit calculations Removes non value adding steps Referral Supports simple, secure referral 24/7 Re-enforces local pathways User recognition – promotes appropriate tools, pathway entry points and offers configurability for user by ‘occupation’ or role Copyright Sheffield Health and Social Care NHS Foundation Trust

21. The Fitzwilliam Centre. 0114 30 50 500 ? Questions Copyright Sheffield Health and Social Care NHS Foundation Trust

22. The Fitzwilliam Centre. 0114 30 50 500 Contact Deborah Cundey Chris Wood Contact Details deborah.cundey@shsc.nhs.uk christopher.wood@shsc.nhs.uk Fitzwilliam Centre: (0114) 3050500 Copyright Sheffield Health and Social Care NHS Foundation Trust