Alcohol Payment by Results/Improvement in alcohol treatment deliveryBest Packages of CareImplementing NICE guidelinesDr Tanzeel Ansari; Consultant Psychiatrist Richard Gray; Nurse SpecialistNottinghamshire Healthcare NHS Trust The context 2 Payment by Results (PbR) introduced for acute sector 2 0 0 3 /0 4 Mental Health PbR began 2 0 0 5 . Alcohol PbR seen as a natural progression as specialist alcohol treatment often delivered through mental health contracts. Alcohol PbR started summer 2 0 1 1 , end April 2 0 1 2 4 pilot sites Wakefield, Middlesbrough, Rotherham, Nottingham Suggested packages of Care via NICE CG1 1 5 (analysis continuing) Clustering Four clusters identified, can be loosely correlated with mental health clusters1. Harmful SMART recovery/Positive Outcomes (local self help group ex Oxford Corner clients). NHCT recovery college, Access 2 Recovery 1 day Yellow Timeline for treatment Summary Care Packages as a Model Easily adapted Already established treatment pathway Services restructured to optimise provision Measuring Outcomes Feedback from clients Effective crystallisation of treatment Useful agent of change 。
