1. A&E liaison via PAT Includes CDU, Douglas & Joseph Toynbee ward Ward referrals can be made directly Alcohol withdrawal management St Mary’s alcohol guidelines being reviewed Advice & support for ward staff Psychiatric liaison Where dual diagnosis is an issue Brief assessment of substance misuse Referral to community alcohol services ALCOHOL HEALTH WORK

2. PAT pathway

3. Referral & Reduction For every two (hazardous/harmful drinking) patients referred for AHW there will be one less re-attendance within the next 12 months. Crawford MJ et al, Lancet, 2004;364:1334-39

4. ST. MARY’S HOSPITAL: IMPACT OF ALCOHOL HEALTH WORK 2004/5 540 patients accepted referral, and 119 attended their AHW appointment (22% of referrals). 2005/6 973 patients accepted referral, and 453 attended their AHW appointment (46% of referrals). 2005/6 1083 patients accepted referral, and 593 attended their AHW appointment (55% of referrals).