1. National Support Team: Findings from the first 2 years Katrina Stephens Associate Delivery Manager, Alcohol Harm Reduction National Support Team, Department of Health Alcohol Harm Reduction National Support Team Supporting Local Areas to Reduce Alcohol Related Harm

2. Background Alcohol Harm Reduction National Support Team (AHR-NST) was formed in September 2008, as part of the DH Alcohol Improvement Programme The NST aims to offer free access to expert external support to help diagnose obstacles and opportunities for moving forward, and access to further support for planning and implementation Feedback provided to areas identifies strengths, opportunities for improvement and support that the NST may be able to provide Since September 2008, the AHR-NST has conducted diagnostic visits in 30 PCT areas Alcohol Harm Reduction National Support Team Supporting Local Areas to Reduce Alcohol Related Harm

3. Themes covered in visit reports Vision, strategy and commissioning Data Communication and social marketing Alcohol interventions and treatment Targeted interventions Licensing and availability Workforce training and awareness Children, young people and families Alcohol Harm Reduction National Support Team Supporting Local Areas to Reduce Alcohol Related Harm

4. Most common priority recommendation topics 2009/10 Strategy and performance Alcohol Services Organisational and partnership arrangements Commissioning Vision Data Local leadership Alcohol Harm Reduction National Support Team Supporting Local Areas to Reduce Alcohol Related Harm

5. Key findings & recommendations by topic Alcohol Harm Reduction National Support Team Supporting Local Areas to Reduce Alcohol Related Harm

6. Vision, strategy and performance/ local leadership/ organisational & partnership arrangements Clear vision, shared by the partnership Partnership engagement in alcohol strategies Clear indicators of progress, targets and delivery plans for alcohol strategies Alcohol strategy groups with clear links to LSP boards and their themed partnerships Appropriate representation at, and action stemming from alcohol strategy groups Identifiable champions in each partner organisation Alcohol Harm Reduction National Support Team Supporting Local Areas to Reduce Alcohol Related Harm

7. Commissioning Commission across the alcohol strategy, rather than in silos, ensuring that the partnership understands the level of investment across the agenda Commission against identified need, focusing on populations likely to have the greatest impact on hospital admissions Clear commissioning cycles Service Level Agreements, which include outcome measures, for all commissioned services Utilise commissioning expertise and ensure alcohol commissioners have the relevant competencies Alcohol Harm Reduction National Support Team Supporting Local Areas to Reduce Alcohol Related Harm

8. Data Presentation of data analysis in ways that can be understood by all partners and inform commissioning and activity Involvement of analysts across the partnership to facilitate sharing of data and joint analysis Analyse and understand hospital admissions data, including frequent flyers Alcohol Harm Reduction National Support Team Supporting Local Areas to Reduce Alcohol Related Harm

9. Alcohol Treatment Services Integrated alcohol treatment systems, with clarity about: –The overall model –Pathways –Identification and assessment tool –Capacity in the system Use of Directed and Local Enhanced Services to encourage delivery of interventions in primary care Clarity of models for hospital-based alcohol services and involvement of Acute Trusts Alcohol Harm Reduction National Support Team Supporting Local Areas to Reduce Alcohol Related Harm

10. Questions? Alcohol Harm Reduction National Support Team Supporting Local Areas to Reduce Alcohol Related Harm