1. Service design: increasing capacity and effectiveness: Treatment delivery and design in Stoke-on-Trent Suzie Kelly, Alcohol Programme Lead, Stoke-on-Trent Safer City Partnership

2. Increasing capacity timeline Service specifications developed PCT agreed additional AOP funding for alcohol services Alcohol Delivery Plan approved City council Area Based Grant money approved Written confirmation of PCT/ Area Operational Plan money Written confirmation of City Council Area Based Grant money Expanded community alcohol services Alcohol Delivery Plan developed Alcohol 2009 Needs Assessment February 2009 August 2009 November 09 – March ‘10

3. Expansion of treatment services

4. Existing alcohol services Before:

5. Case study 1 Attend drop-in at community alcohol service, city centre Triage assessment Placed on waiting list for structured psychosocial intervention Referral to clinic for further assessment Placed on waiting list (12 week wait) Admitted in to inpatient service Discharged Limited onward referral to relapse prevention groups at community alcohol service

6. Expanded treatment system After:

7. Case study 2 Screened for alcohol misuse in universal services and referred to community alcohol services Comprehensively assessed by community alcohol service at neighbourhood centre (within 3 days) Commence structured psychosocial intervention with named keyworker (within 21 days) Clinical/home assessment by community detoxification nurse Aftercare plan developed by named caseworker Community detoxification planned to enable smooth and timely transition into structured relapse prevention

8. Discussion Improving treatment access Key issues to consider

9. Contact details E-mail: Suzie.Kelly@stoke.gov.ukSuzie.Kelly@stoke.gov.uk Telephone: 01782 236317