NURSING STANDARD

NURSE AWARDS 2014

PUBLIC HEALTH NURSING AWARD Sponsored by Public Health England

NURSING STANDARD

Team rise in alcohol-related admissions N U addressed RSE AWARDS

The Hospital Alcohol Liaison Service (HALS) at Lancashire Teaching Hospitals NHS Foundation Trust was set up in 2013 following concern about the rising number of admissions for alcohol-related liver disease. Nurse specialists Kerry Anderson, Keighley Allan, Angela Platt and Emma Dermody take referrals seven days a week across two hospital sites. The HALS team developed an assessment tool to identify types, level and severity of alcohol dependency and associated physical, social and psychological needs. It introduced hospital   and community referral pathways and changed existing screening tools and patient advice leaflets.

JOHN HOULIHAN

Enabling early intervention

From left: Kerry Anderson, Angela Platt, Emma Dermody and Keighley Allan

The team also organised   teaching sessions with staff to disseminate its work. Clinical lead Emma said: ‘Analysis of the database we set up helped us identify the top 50 most frequent attendees at the emergency department due

Duo answer demand for treatment service

Nurse-led day care detox

CHRIS BALCOMBE

Alcohol detoxification nurse Anya Farmbrough and nurse consultant for homelessness and health inequality Pamela Campbell are central to the Alcohol Day Detoxification Service in Solent NHS Trust. The project arose when they were working for the Homeless Healthcare Team in Southampton where, in 2010, all residential alcohol detoxification had closed. While the service was Pamela’s idea, Anya worked

Anya Farmbrough, left, and Pamela Campbell

91 PER CENT RATED THE SERVICE AS GOOD OR VERY GOOD

to alcohol misuse, and we have been able to organise and attend case management meetings, see people who are drinking harmfully but who are not yet dependent, and deliver brief interventions to reduce the risk of escalating alcohol consumption.’ Emma had a surprising answer when asked what challenges the

WE CAN REDUCE THE RISK OF ESCALATING ALCOHOL CONSUMPTION alcohol liaison team had faced. ‘Nurses can be frightened of   asking questions about drinking; some drink a lot themselves   and are reticent to judge others,’ she said. She added: ‘So we are really proud of our manager, who allowed us to make this service   a great success.’

exclusively on the initiative with a GP and a business manager. The team trialled the scheme in the homelessness service before promoting it to commissioners, and it is now a nurse-led service employing support workers and an administrator. ‘The project coincided with a trial of personal health budget, so our clients can now “buy” services based on need and choice – and that choice has been expanded to include the community detoxification service,’ explained Pamela. ‘We worked hard to convince referrers that nurses can run this service,’ Anya told the judges. ‘We have detoxed 339 patients since November 2010, of which 93 per cent were successful,’ she said. ‘Of 196 patients completing a questionnaire, 91 per cent rated the service as good or very good.’

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Enabling early intervention.

The Hospital Alcohol Liaison Service (HALS) at Lancashire Teaching Hospitals NHS Foundation Trust was set up in 2013 following concern about the risin...
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