The Fitzwilliam Centre Alcohol: A Local Response to the National Agenda Chris Wood – Service Manager, The Fitzwilliam Centre Copyright Sheffield Health and Social Care NHS Foundation Trust
The Fitzwilliam Centre 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
The Fitzwilliam Centre FWC Services overview Our favorite drug Copyright Sheffield Health and Social Care NHS Foundation Trust
The Fitzwilliam Centre The good Copyright Sheffield Health and Social Care NHS Foundation Trust
The Fitzwilliam Centre The bad Copyright Sheffield Health and Social Care NHS Foundation Trust
The Fitzwilliam Centre So why do we continue to drink? The ugly Gynaecomastia Ascites Copyright Sheffield Health and Social Care NHS Foundation Trust
The Fitzwilliam Centre Even the queen drinks Copyright Sheffield Health and Social Care NHS Foundation Trust
The Fitzwilliam Centre ,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
The Fitzwilliam Centre 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
The Fitzwilliam Centre 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
The Fitzwilliam Centre 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
The Fitzwilliam Centre 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
The Fitzwilliam Centre Binge drinking young woman Young man using drugs recreationally …often starts like this Copyright Sheffield Health and Social Care NHS Foundation Trust
The Fitzwilliam Centre Copyright Sheffield Health and Social Care NHS Foundation Trust
The Fitzwilliam Centre 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
The Fitzwilliam Centre 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
The Fitzwilliam Centre Copyright Sheffield Health and Social Care NHS Foundation Trust
The Fitzwilliam Centre 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
The Fitzwilliam Centre 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
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
The Fitzwilliam Centre ? Questions Copyright Sheffield Health and Social Care NHS Foundation Trust
The Fitzwilliam Centre Contact Deborah Cundey Chris Wood Contact Details Fitzwilliam Centre: (0114) Copyright Sheffield Health and Social Care NHS Foundation Trust