Overview
An increasing emphasis is being placed on responding to the use of alcohol. For example responding to the misuse of alcohol costs the NHS approximately £2.7bn a year. However the alcohol industry is said to contribute up to £28.6bn to GDP.
Responding to this issue relates to three key themes; the collection of data from Accident and Emergency Departments, developing partnership responses and the delivery of local alcohol services.
We assist you with effective work in all three of these themes. To download our service brochure for our alcohol consultancy services please click here:
We deliver the following services:
2021 National Drugs Strategy - 'From Harm to Hope'
In addition the 2021 Drugs Strategy provides further context and was described by Government as providing a different, longer-term (in this instance 10 year) approach. Its approach was also said to be different in that it provided a focus for action across government with a range of government departments having responsibility for action. In particular the strategy set out three broad themes namely:
• Breaking drug supply chains;
• Delivering a world-class treatment and recovery system;
• Achieving a generational shift in the demand for drugs.
It further recognises that a range of other partners and partnerships to government need to be involved in delivering the aims of the strategy. Local government within these being identified as being of critical importance.
The need for further investment and performance measures to indicate whether this has been successful. The development of a National Outcomes Framework is a fundamental aspect of this process.
We can also develop work as you respond to this strategy translating it into local work. This can include needs assessments, evaluation of local practice and review of performance frameworks used locally.
We were commissioned by Sandwell Council to undertake a Review of Lived Experience Mechanisms/Effectiveness in Sandwell and of the wider recovery support available.
The review had the aim of judging the level of involvement and recovery support available. This was especially within the context of the Government’s most recent drug’s strategy ‘From Harm to Hope’ which includes the desire to increase user involvement in services.
The central component of the research was undertaking a series of consultations with people with lived experiences of substance use. We consulted with a range of local stakeholders to gain their views on the current state of substance misuse provision in Sandwell and opportunities for development. We also spoke with representatives from organisations in a range of other areas identified from our literature review.
The final report contained analysis of relevant data and models of practice along with outlining a number of barriers and themes. These were identified especially from the consultations with those with lived experiences. It then moved on firstly to assess the current situation locally against the ladder of engagement before moving onto recommendations which could be adopted to move higher up this ladder incorporating a number of models for enhancing lived experiences and practical measures which could improve support provided.
All these had the aim of developing local policy and practice.
We have developed a package of support for A&E (Emergency) Departments and Minor Injuries Units with the aim of capturing data on assaults and alcohol related presentations. This has involved creating a user-friendly Access database (ARID). This database includes gathering information on the locations of incidents, including licensed premises, time of incident, weapons used and the relationship of the patient to the assailant. This information is then used to target partner agency resources towards problematic locations, times and groups of people. The locational information has been highlighted by our clients as being the critical success factor of our system.
In addition to our bespoke ARID programme we can use data from the Emergency Department Core Dataset which all departments have to collect. Where this is done we extract the relevant data into our ARID system to ensure that you receive specific geographic and temporal intelligence.
We train reception staff both on how to use the database and collecting precise data but also the reason why the information is being collected. In addition we provide regular feedback to staff on how the data is being used. We train analysts on using the data in the most effective way.
This package is currently being delivered in Devon and Cornwall, Shropshire and Telford and Wrekin. In these areas we provide a county-wide programme of support. In Devon and Cornwall we are also running the programme successfully with selected Minor Injuries Units.
Our system exceeds the requirements covered in guidance from the College of Emergency Medicine and the Home Office along with the relevant fields from the core dataset. In particular our system meets the requirements of the Department of Health's Information Standard in relation to sharing of this data with community safety partnerships. A critical aspect of our package is the quality of the data especially in relation to providing accurate location data ready for GIS analysis to be used to deploy resources.
For more details about our package of support please click here to download our service brochure.
We have undertaken work for both Birmingham and Sheffield Drug and Alcohol Action Teams to develop each respective city's alcohol strategy.
In both areas we followed a multi-methodological approach which included engaging with a wide range of stakeholders across the cities. This broad consultation base ensured the creation of a strategy which was wide-ranging and reflected the priorities of the Sheffield First Partnership and Birmingham's Health and Wellbeing Board. We undertook a thorough data and document review which supported the consultation and option appraisal process. This ensured that the strategy was robust and was owned by all partner agencies.
The strategies drew on a wide evidence base including local and national best practice to ensure that the strategy recognised the need for alcohol to contribute towards developing a vibrant, managed economy whilst responding to excessive use. We devoted much time towards negotiating between partner agencies achieving consensus on themes, targets and the implementation framework. This resulted in the final strategy including actions on developing a vibrant economy, developing and enforcing a responsible drinking culture and reducing the harm from alcohol use.
A copy of Birmingham's strategy can be downloaded here: Birmingham Strategy
A copy of Sheffield's strategy can be downloaded here: Sheffield Strategy
We have undertaken evaluations into the impact of schemes and initiatives, highlighting critical success factors and providing recommendations for the future. We also have developed a practical 4 stage approach to undertaking needs assessments. These four stages being measurement, mapping, assessment and reconfiguration.
Throughout our evaluation work we balance a robust data and document analysis process with quantitative techniques. These include survey design and analysis, one-to-one consultations, focus groups and interactive workshops.
Examples of our work include undertaking a needs assessment of the needs of carers of substance users. This was undertaken for Birmingham DAAT. Our work refreshing the Joint Strategic Needs Assessment for Bury MBC included extensive analysis of substance misuse issues.
Our evaluation of the
community safety schemes relating to Newcastle City Centre also focussed upon the effective management of the night time economy in particular relating to alcohol related crime and disorder reduction.
We undertook an evaluation of a National Lottery funded Safer Drinking Scheme in the Erdington area of Birmingham. This evaluation included assessing performance data including that submitted to external funders along with related crime and health data. In addition we undertook an extensive consultation process involving key stakeholders (service provider staff, partner agencies and funders) along with beneficiaries (drinkers and ex-drinkers).
The report provided an assessment of delivery of objectives along with recommendations for future implementation of similar schemes.
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