The NHS Operating Framework 2012/13 was recently published and sets out business planning arrangements and national priorities for the year ahead. The framework contains a number of 'Domain areas' within which there is scope to consider implications for alcohol harm reduction.
Domain One is prevention of premature death, which strongly advocates the early recognition and treatment of chronic conditions. The document supports better outcome development and includes the prevention of cancers - relevant since 40% of common cancers are preventable through lifestyle changes.
Domain Two is the enhancement of quality of life in long term conditions. Alcohol adversely affects hypertension, diabetes, medicines compliance and overall recovery from conditions. As reflected in the mental health strategy No Health without Mental Health, the improvement of access to services is important, alongside targeted support for the most vulnerable adults and young people at risk.
Domain Three concerns recovery from episodes of ill health/injury. Supporting patients to reduce alcohol related harms can improve recovery and reduce emergency re-admissions. Domain Four sets out the need for a positive experience of care for patients, via integrated and co-ordinated services whilst Domain Five includes the safeguarding of patients from avoidable harms.
The Operating Framework includes QIPP as a driver of good practice, and there are many examples of Quality (for example NICE Guidance adherence), Innovation (the Rapid Assessment, Interface and Discharge model operating at Birmingham City Hospital or other initiatives), Productivity (such as role appraisal and better integration of services) and Prevention (the IBA agenda), where the alcohol field is making achievements.
Central to the Government's reforms are the new Health and Well-being Boards which will support Joint Strategic Needs Assessments (JSNAs). It is hoped that the new joint health and well-being strategies, with their focus on shared priorities, seamless care, improved outcomes and reduced health inequalities, will similarly highlight alcohol harm reduction as necessary for the fulfillment of their aims.
The Public Health Outcomes Framework is expected next year following consultation responses. Also expected in early 2012 is a new national alcohol strategy. For analysis of the health reforms and wider implications try the King's Fund or the Nuffield Trust.
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