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Home > Improving the delivery of the alcohol direct enhanced service. A step-by-step guide for commissioners, primary care practitioners and practice managers.

Pechey, Laura [HAGA] . (2011) Improving the delivery of the alcohol direct enhanced service. A step-by-step guide for commissioners, primary care practitioners and practice managers. London: Haringey Drug and Alcohol Action Team, Public Health Directorate; and Department of Health 2011. 49 p.

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Alcohol DES is not a data collection exercise but rather an attempt to identify and support people to make positive changes to their drinking. Alcohol screening and intervention at point of entry to primary care is an exercise in prevention, early identification and early intervention.

Identification and Brief Advice (IBA)—also known as Screening and Brief Interventions (SBI)—boasts a persuasive and ever-growing evidence base (see page 25). This is recognised by its prominence in the latest alcohol-related National Institute of Clinical Excellence (NICE) guidance (NICE 2010; 2011).

Following our Step-by-Step Guide—which is based on our review findings and HAGA’s years of experience in delivering IBA projects—will help practices to maximise their income, whilst also offering better healthcare for patients. This guide updates and collates various guidance documents on the alcohol DES and IBA in primary care, so that you can get all the information you need in one place.


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