This project has achieved what it set out to achieve: an evidence-based integrated care pathway for a group of patients for whom care had been less than optimal, resulting in
repeated detoxification and poor outcomes.
The cost savings, both in terms of inpatient
stay and drug use, are quantifiable. The
potential benefits of fewer repeat episodes of
detoxification and the revolving-door effect, as
well as the greater patient satisfaction, are less
easy to quantify, but doing so remains an aim
for future work.
Excessive drinking is currently the second
greatest risk to public health in developed
countries (Kaner, 2010). Although most ofthat
risk is avoidable, the risk is clearly apparent
with the large number of hospital admissions
every year. As many as one in three A&E
attendees have consumed alcohol immediately
before their presentation and more than two
in three entries after midnight may be alcohol
related (Williams et al, 2005). The focus on alcohol is becoming more
apparent. Initiatives such as the Commissioning
for Quality and Innovation (CQUIN)
payment framework enable commissioners to
reward excellence by linking a proportion of
healthcare income to the achievement of the
local quality improvement goals. The fact that
alcohol is such a major problem for patients,
but is also now linked to financial gain for
trusts, makes it even more imperative that
treatment is timely and effective. This project
demonstrates one such method.
This project has achieved what it set out to achieve: an evidence-based integrated care pathway for a group of patients for whom care had been less than optimal, resulting in
repeated detoxification and poor outcomes.
The cost savings, both in terms of inpatient
stay and drug use, are quantifiable. The
potential benefits of fewer repeat episodes of
detoxification and the revolving-door effect, as
well as the greater patient satisfaction, are less
easy to quantify, but doing so remains an aim
for future work.
Excessive drinking is currently the second
greatest risk to public health in developed
countries (Kaner, 2010). Although most ofthat
risk is avoidable, the risk is clearly apparent
with the large number of hospital admissions
every year. As many as one in three A&E
attendees have consumed alcohol immediately
before their presentation and more than two
in three entries after midnight may be alcohol
related (Williams et al, 2005). The focus on alcohol is becoming more
apparent. Initiatives such as the Commissioning
for Quality and Innovation (CQUIN)
payment framework enable commissioners to
reward excellence by linking a proportion of
healthcare income to the achievement of the
local quality improvement goals. The fact that
alcohol is such a major problem for patients,
but is also now linked to financial gain for
trusts, makes it even more imperative that
treatment is timely and effective. This project
demonstrates one such method.
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