Specialist alcohol inpatient treatment admissions and non-specialist hospital admissions for alcohol withdrawal in England: an inverse relationship-Reference-Cited by-同舟云学术

Specialist alcohol inpatient treatment admissions and non-specialist hospital admissions for alcohol withdrawal in England: an inverse relationship

Published:2020-09-04 Issue:1 Volume:56 Page:28-33
ISSN:0735-0414
Container-title:Alcohol and Alcoholism
language:en
Short-container-title:

Author:

Phillips Thomas¹²^ORCID,Huang Chao³,Roberts Emmert²⁴^ORCID,Drummond Colin²⁴

Affiliation:

1. Institute for Clinical and Applied Health Research, Allam Medical Building, University of Hull, Cottingham Road, Hull HU6 7RX, UK

2. National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, 4 Windsor Walk, London SE5 8AF, UK

3. Hull York Medical School, Allam Medical Building, University of Hull, Cottingham Road, Hull HU6 7RX, UK

4. South London and the Maudsley NHS Foundation Trust, Bethlem Royal Hospital, Monks Orchard Road, Beckenham BR3 3BX, UK

Abstract

ABSTRACT Aims We assessed the relationship between specialist and non-specialist admissions for alcohol withdrawal since the introduction of the UK government Health and Social Care Act in 2012. Methods Using publicly available national data sets from 2009 to 2019, we compared the number of alcohol withdrawal admissions and estimated costs in specialist and non-specialist treatment settings. Results A significant negative correlation providing strong evidence of an association was observed between the fall in specialist and rise in non-specialist admissions. Significant cost reductions within specialist services were displaced to non-specialist settings. Conclusions The shift in demand from specialist to non-specialist alcohol admissions due to policy changes in England should be reversed by specialist workforce investment to improve outcomes. In the meantime, non-specialist services and staff must be resourced and equipped to meet the complex needs of these service users.

Publisher

Oxford University Press (OUP)

Subject

General Medicine

Link

http://academic.oup.com/alcalc/article-pdf/56/1/28/38756212/agaa086.pdf

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