AE data sharing

Reducing Alcohol Harm & Violence: Sharing ED Data : 

Reducing Alcohol Harm & Violence: Sharing ED Data Clare Charlton, Project Manager, Violence and Alcohol Harm Reduction, Department of Health - London

The London Experience : 

The London Experience Basis for the Model: London Drink Debate Healthcare Led Models Policing Led Models CSP Led Models Joint working! Making it work for London

Slide 4: 

“I live in Fulham and Friday and Saturday night you are dodging drunks and piles of vomit and it isn’t nice. I’d like to see more police on the beat at those times, alongside people who can help those who have a real problem with alcohol” LDD Attendee, December 2009 “There’s a lot of violence on the streets now, with drunk people coming out of pubs and clubs looking for aggro” LDD Attendee, December 2009 “I’d like to see the police and local authorities working much more closely together on things like licensing, so we don’t get the situation where there are too many pubs and clubs clustered in one place.” LDD Attendee, December 2009

Slide 5: 

ED Data Sharing and beyond: Responding to London People; Acting on needs; Reviewing what works for different parts of London; Local strategies based on Local Problems; Pan-London Data Sharing Problem solving locally with regional implication;

Slide 6: 

Alcohol Harm, Serious Youth Violence and Violence against the Person Local Councils Local PCT’s Acute NHS Trusts LHO BTP & City of London Police

ED Data Sharing: Implementation : 

ED Data Sharing: Implementation Make Contact! Establish what you want, what you need, and what you can live without! How often do you need the data? How will you close the information loop? Build a project team ED Staff Members CSP Analysts Police / Police Analysts PCT Public Health – Alcohol Lead

Implementation: Best Practice? : 

Implementation: Best Practice? Clear Policy Agenda – Mixed messages don’t help Be clear on what you want, don’t ask for too much, just what you are going to use! Funding: Can Help, Can Hinder; Get support from local partners where needed; Get Clinical support; Offer feedback to the hospital / PCT (close the loop); DON’T PANIC!

Slide 9: 

Prevent Violence Promote Social Well-Being -Crime Reduction -Safer Communities -Improving Health LSP- LAA Priority, CDRP ensures Action ED and Health: Routine enquiry re alcohol & violence: A&E, MH, 1° Care Record location & time Of violent injuries Share Anonymous Information with CDRP DV support Nurse Alcohol Brief Interventions: A&E, GUM, PHC Embed Protocols & Training Alcohol & Violence Support/ info leaflets Police direct phone in A&E Waiting area Ambulance forensic blankets Referral pathways to GUM/ SARC, GP, Drug Services, MH & VCS Local Authority: Workplace violence & Bullying policies Housing & support for Offenders & drug misuse Improve Street Lighting Night time public transport Disperse fast food venues & Taxi ranks Reduce litter & graffiti Night time litter collection Increase Pedestrian Areas Alcohol Misuse Enforcement Campaigns Police: Increase Reporting of Crime Analyse police & A&E data to inform activity Inform location of CCTVs Share data with CDRP Refer Child Protection & DV unit Refer Victim Support Fixed Penalty Notices, ASBOs & Drink Banning Orders Licensing Committee: Licence & Opening hours Reduce happy hours, increase lager price Soft drinks & ‘cooling down’ period Door Supervisors & staff training Alcohol Disorder Zones Toughened bottles & glasses Public awareness posters VCS Support Ensure sufficient Capacity, Resources & Standards Children & YP: Parenting Skills Violence Prevention skills Schools & high risk groups School Bullying Policy CAMHS: Conduct Disorder Child Protection- Health & SS Drinks Industry: Local sponsorship Policy & Staff training Social Responsibility Standards Shepherd J, Sheehan D & Nurse J, 2005

Slide 10: 

Attendances by Day of Week As expected the highest attendances were on Fri night/Sat morning & Sat night/ Sun morning. Attendances during this time almost doubled compared with the same time on any other day.

Slide 11: 

Ethnicity breakdown English make up 17% of assault patients closely followed by Eastern Europeans 14%.

Slide 12: 

Different Boroughs, Different Models

And Finally... : 

And Finally... Clare Charlton Project Manager, Violence and Alcohol Regional Public Health Group - London 5th Floor, Riverwalk House, 157-161 Milbank London, SW1P 4RR T: 0207 217 3040 M: 07766 298 014 E-Mail: Clare.Charlton@dh.gsi.gov.uk www.londondrinkdebate.co.uk