Navigation

Outcomes monitoring

Quality statement

People receiving specialist treatment for alcohol misuse have regular treatment outcome reviews, which are used to plan subsequent care.

Quality measure

Structure

a) Evidence of local implementation of the Alcohol Use Disorders Test (AUDIT) and the Alcohol Problems Questionnaire (APQ) for outcome monitoring in specialist alcohol services.

b) Evidence of local arrangements to ensure that interventions for people receiving specialist treatment for alcohol misuse are the subject of routine outcome monitoring.

c) Evidence of regular local audit of case files in specialist alcohol services to ensure that people receiving treatment for alcohol misuse have an individualised care plan that is frequently reviewed and revised based on treatment outcomes

Process: Proportion of people receiving specialist treatment for alcohol misuse who have a current individualised care plan.

Numerator - the number of people in the denominator with a current individualised care plan.

Denominator - the number of people receiving specialist treatment for alcohol misuse.

Outcome

Proportion of people accessing specialist alcohol services who achieve their treatment goals.

Numerator - the number of people in the denominator achieving their treatment goals.

Denominator - the number of people accessing specialist alcohol services.

Description of what the quality statement means for each audience

Service providers ensure systems are in place for the regular review of treatment outcomes in people receiving specialist treatment for alcohol misuse, and for individualised care plans to be based on outcome reviews.

Health and social care professionals ensure they regularly review treatment outcomes in people receiving specialist treatment for alcohol misuse, and maintain care plans to be individualised and current based on outcome reviews.

Commissioners ensure they commission specialist alcohol services that review regularly treatment outcomes in people receiving specialist treatment for alcohol misuse, and maintain care plans to be individualised and current based on outcome reviews.

People receiving specialist treatment for alcohol misuse have their treatment reviewed regularly and have the opportunity to be involved in planning further care, based on these reviews.

Source clinical guideline references

NICE clinical guideline 115 recommendations 1.2.1.4, 1.3.1.5 (key priority for implementation), 1.3.1.6 and 1.3.2.3.

Data source

Structure

a), b) and c) Local data collection.

Process

Local data collection for the numerator. The National Alcohol Treatment Monitoring System (NATMS) collects data on the number of people receiving specialist alcohol treatment.

Outcome

Local data for detail on achievement of specific treatment goals. The NATMS collects data on the number of people receiving specialist alcohol treatment and discharge status.

Definitions

NICE clinical guideline 115 recommends that all interventions for people who misuse alcohol should be the subject of routine outcome monitoring and that this be used to inform decisions about continuation of both psychological and pharmacological treatments. If there are signs of deterioration or no indications of improvement, consideration should be given to stopping the current treatment and the care plan reviewed.

The AUDIT tool may be used as a routine outcome measure for drinking-related outcomes and the APQ may be used for monitoring changes in alcohol-related problems.

This page was last updated: 25 August 2011

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.

Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.