(精选)ALCOHOL NICE a rapid overview.pptVIP

Trevor McCarthy January 2014 NICE: Alcohol Use Disorders:Diagnosis, assessment and management of harmful drinking and alcohol dependence NICE Clinical Guideline 115 Published February 2011 Comprehensive treatment recommendations 6 research recommendations CG 115: PRINCIPLES OF CARE Building a trusting relationship and providing information Working with and supporting families and carers All interventions for people who misuse alcohol should: Be delivered by appropriately trained competent staff Be the subject of routine outcome monitoring … to inform decisions about continuing psychological pharmacological treatments. ALCOHOL NICEa rapid overview Trevor McCarthy January 2014 New Commissioning Arrangements Public Health England Health and Well Being Boards Aspiration to align NHS + Public Health + Social Care outcomes Public Health have not been involved in drug commissioning (untainted) Alcohol is a Top 3 priority for Public Health (after smoking obesity) NICE NICE NICEso good they named it 3 times (so far) New Labour 1st policy white paper: The New NHS: Modern, Dependable 1997 1999: National Institute for Clinical Excellence? 1 April 2005 + Health Development Agency → National Institute for Health Clinical Excellence? Health and Social Care Act 2012 → 1 April 2013: National Institute for Health and Care Excellence (new responsibilities for social care) Understanding the evidence base … science isn’t hard – academics around the world explain hugely complicated ideas to ignorant eighteen-year-olds every September – it just requires motivation. BEN GOLDACRE Bad Science 2009 What are guidelines? Clinical guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. Guidelines provide recommendations for effective practice in the management of clinical conditions where variations in practice are known to oc