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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