Exploring the management of alcohol problems in Deep End practices in Scotland

Abstract

A new study shows the effectiveness of specialist addictions nurses in general practices in the most disadvantaged areas of Glasgow in treating alcohol problems. The study was conducted by researchers at the University of Dundee and University of Stirling and explored healthcare professionals’ and patients’ experiences and perceptions of the management of alcohol problems in Deep End general practices in Scotland. In 2015, a new model to address alcohol dependence in primary care was piloted in Deep End practices in Scotland, which combined specialist skills with a primary care setting. The pilot was successful and was extended for a further three years. The service was renamed ‘Primary Care Alcohol Nurse Outreach Service’ or PCANOS, and had an Addictions Nurse located within GP practices. The primary aim of this service was to engage patients with alcohol problems who have either not engaged with or have low engagement with specialist community alcohol services, and to refer them on to mainstream alcohol services upon discharge. This unique Addictions Nurse service focuses on individuals who haven’t otherwise engaged with alcohol treatment services. The research showed that the service was viewed positively by both practice staff and patients due to its ‘person-centred approach’, flexible nature, and ability to be tailored to support specific individuals. The study also found that the model enabled collaborative working between practice staff because of the Addictions Nurse being situated within the practice, leading to faster referrals and coordinated care between services and with wider community services after discharge by the Addictions Nurse.