• 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 WORKALCOHOL HEALTH WORK

PAT pathway

Referral & ReductionReferral & Reduction

For every two (hazardous/harmful drinking) patients referred for AHW

there will be one less re-attendancewithin the next 12 months.Crawford MJ et al, Lancet,

2004;364:1334-39

ST. MARY’S HOSPITAL:ST. MARY’S HOSPITAL:IMPACT OF ALCOHOL HEALTH WORKIMPACT OF ALCOHOL HEALTH WORK

2004/5540 patients accepted referral, and 119 attended their AHW appointment (22% of referrals).

2005/6973 patients accepted referral, and 453 attended their AHW appointment (46% of referrals).

2005/61083 patients accepted referral, and 593 attended their AHW appointment (55% of referrals).