Addictions and the Liver 2014

Presented by Dr Adam Brodie Consultant Psychiatrist/Clinical Director for Addictions on behalf of Dr Harpreet S Kohli Director of Public Health Addictions and the Liver 2014

Dalziel Park, Tuesday 25 March 2014

09:00 – 09:30 Registration and refreshments 09:30 – 09:45 Welcome and introduction  Dr Harpreet Kohli, Director of Public Health, NHS

09:45 – 10:15 Alcohol and Health in : Why All The Fuss?  DPeteRiceDr Peter Rice, MB ChB , FRCPs ych ch, FRCPE Chair of Scottish Health Action on Alcohol Problems (SHAAP) 10:15 – 11:00 Pathophysiology  Dr Beth Reed, Consultant Gastroenterologist, NHSL 11:00 – 11:30 Refreshments and poster presentations/stalls 11:30 – 12:15 Alcoholic Liver Disease Disease– Detection, diagnosing and and treating treating  Gillian Mulholland, Consultant Gastroenterologist, NHSL 12:15 – 12:35 Benefits of a Substance Misuse Liaison Nurse Service + case study  Pauline Izat, Team Leader – Substance Misuse Liaison Nurse Service, NHS La narkshire 12:35 – 13:00 Q&A Session 13:00 – 13:45 Lunch and poster presentations/stalls 13:45 – 14:00 Welcome back  John Logan, Public Health Consultant, NHSL 14:00 – 14:30 Hepatitis C  Stewart Campbell, Consultant Gastroenterologist, NHSL 14:30 – 14:45 Benefits of the Gastro/Hepatitis C Nurse Service  David Wilson, Liver/BBV Clinical Nurse Specialist, NHSL 14:45 – 15:15 Dietary Management of Hepatitis C  Mary Hood, Dietician BBV Service 15:15 – 15:55 Liver Transplant  Dr Roger Smyth, Consultant Psychiatrist, Scottish Liver Transplant Unit 15:55 – 16:15 Q&A Session 16:15 – 17:00 Refreshments and poster presentations/stalls

Source: Leon et al., Lancet 2006 CLD Mortality by Deprivation

Source: Leyland et al., 2007

Averaggye Weekly Consump tion – Adults in Lanarkshire and Scotland 2008/09 Adults Drinking more than Recommended Limits - Lanarkshire and Scotland 2008/09

Alcohol-related Deaths per 100,000 population

Alcohol-related deaths (any mention 1) North LanarkshireLanarkshire CHP CHP South, South Lanarkshire Lanarkshire CHP CHP Lanarkshire, Lanarkshire 2 and ScotlandScotland Rates per 100,000 population 3

90

80 70 Males rate

60 Scotland erage a vv 50 LkhiLanar kshire 40 North moving South 30 Females year ‐

33 20 10

0

1 Deaths where an alcohol-related condition is coded as either the underlying or contributory cause of death. 2 The combinedcombined area area of of North Lanarkshire CHP CHP and Southand South Lanarkshire Lanarkshire CHP CHP . 3 Age standardised rate per 100,000 population (using the European standard population). 3-year moving average.

Data source: National Records of Scotland Alcohol-related Deaths <75 by Deprivation per 100 ,000 population Hepatitis C Virus

Scale = 50 nanometres