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Summary of Results

Health Topic:   Mental health and behavioural conditions
Guidance:   Alcohol dependence and harmful alcohol use
Description:   The summary of the published clinical guideline on Alcohol dependence and harmful alcohol use. It links to the published guidance and key documents.

NICE implementation uptake reports

Implementation uptake report Assessment Published Date Coverage

External literature

External literature Assessment Coverage

Mitchell, L. et al (2011) Screening for alcohol use disorders in a genitourinary medicine setting. International Journal of STD & AIDS. 22(11):682-3, 2011 Nov.

Description: This study explored genitourinary (GU) medicine clinics screening for, and giving advice on, harmful drinking as recommended in NICE guidance. All first attendees to the Northumberland GU Service in April 2010 were given a questionnaire on arrival. Of the 256 attendees only 11 (4.3%) declined completing the questionnaire. The findings from the completed questionnaires highlighted the link between alcohol and poor sexual health.

Practice appears to be in line with guidance Local

Health and Social Care Information Centre (2013) Statistics on Alcohol: England, 2013

Description: This report provides data from the Prescribing Analysis and Cost Tool (PACT) system. In 2012 there were 178,247 prescription items prescribed for the treatment of alcohol dependence in primary care settings or NHS hospitals and dispensed in the community. Acamprosate calcium continues to account for the majority of the items, with 67% prescribed in primary care for alcohol dependence and NHS hospitals in 2012. More recently 51% of these items prescribed in hospitals in 2012 were for Disulfiram.

Doubts about or mixed impact in practice National

National Confidential Enquiry into Patient Outcome and Death (2013) Measuring the Units. A review of patients who died with alcohol-related liver disease

Description: This report highlights the quality of care provided to patients who died with a diagnosis of alcohol-related liver disease (ARLD). The study presented examines aspects of the care of 385 patients who died in hospitals across England, Wales, N. Ireland, the Channel Islands and the Isle of Man between 01/01/2011-30/06/2011. Findings show that nutritional assessments were not made for 239/368 (65%) patients and for 167/351 (48%) patients, no appropriate nutritional plan was documented.

Doubts about or mixed impact in practice National

Patton, R / Alcohol Research UK (2012) The 2nd National Emergency Department Survey of Alcohol Identification and Intervention activity.

Description: A survey of all 187 Emergency Departments (EDs) in England was carried out to determine the extent to which recommendations for the provision of alcohol screening and brief advice have been adopted by EDs. Of 187 contacted, 151 (81%) departments responded to the survey. Findings include 98.7% indicated that they asked adult patients about their alcohol consumption. Of these, almost half asked such questions routinely (47.7%), and used a standardised screening tool (51.7%).

Doubts about or mixed impact in practice National

Public Health England (2013) Alcohol Statistics from the National Drug Treatment Monitoring System (NDTMS) 1 April 2012 to 31 March 2013

Description: The data in this report shows how the specialist treatment system for alcohol in England performed in 2012-13. There are also comparative figures for the four years prior. It contains figures reported by treatment services to the National Drug Treatment Monitoring System (NDTMS). Results found that the treatment that most people received in 2012-13 was a structured psychosocial intervention, normally consisting of ?talking therapies? such as cognitive behavioural therapy.

Doubts about or mixed impact in practice National

This page was last updated: 01 October 2013

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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.