accident and emergency dept. data sharing to reduce alcohol- related violence and violent crime

Accident and Emergency Dept. Data Sharing to Reduce Alcohol- Related Violence and Violent Crime

Objectives:

• Why use A&E Data?• The Process of Data Sharing;• Partnership working;• London so far…..• Learning: Is there more we can do?• Looking to the Future: Local Strategies for

Local Needs!

Local Strategies for London:

• Create a “London Model” to tailor data sharing for a city with variable needs;

• Locality Specific to demands;• Develop community safety dependent on

local problems;• Overall: Create a safer community for living

and working!• Reduce Alcohol related hospital admissions;• Reduce Alcohol related violence on the

streets;• Reduction of violent crime.

London So Far:

• Ten NHS Trusts are sharing data;

• Further three to go live by mid-October;

• All local boroughs engaged;

What Data Are We Sharing?

NEW DATA - ESSENTIAL

Assault Type

Assault location

Body PartWeaponPushedUnknown

Body Part

FistFeetHeadOther

Weapon

GlassBottleKnifeBlunt objectGunOtherBar/pub

ClubStreetOwn homeSomeone else’s homeWorkplaceOther

Free text facility to give specific details of location

EXISTING DATAAge & gender

Postcode of Residence

Incident Type Assault Date & time of assault

Why Use A&E Data?

• A&E’s see more assaults than are reported;• A&E’s can spot trends in injury data before other

authorities;• Enable targeted policing and community safety

initiatives’• De-personalised data allows for analysis of trends in

the location of assaults;• Potential to build into Safeguarding procedures;• Build safer communities – clinical engagement with

the Community Safety Partnerships

Case Study: The Cardiff Model

• Data Sharing Model presented here is based on Cardiff

• Lead by Professor Jonathan Shepherd• Data collected in A&E’s lead to identification

of troublesome hotspots of crime and disorder the police formally were unaware of;

• Identified repeat attendees to the department;• Result: Overall reduction of hospital

attendances in Cardiff;• Reduction of crimes related to alcohol in the

city centre

Community Safety:

• Improve the design of licensed premises and management;• Replace glass bottles with plastic ones;• Appropriate staff training to encourage responsible drinking and

customer care;• Safer outside environments;• CCTV, numbers of bars in one area, food outlets, street lighting;• Traffic light system with local alcohol outlets to reduce problem

establishments;• Work along side police teams to monitor the night time economy

and episodes of violent assaults.

How do we ‘use’ or ‘want’ to use the data?

St Thomas

The Virtuous Circle

Police Action / Targeted

Intervention

Alcohol-Related Assault

Community Safety

Data Collected in Emergency Department

Identify

Share Information

Data Matching

and Analysis

Solution to cause – crime reduction