Alcohol Toolkit for Primary Care

Practical Evidence-Based Toolkit


Supporting primary care teams to confidently identify people at risk of alcohol-related harm and provide timely advice and support. In line with national guidance and best practice, the toolkit promotes a consistent and effective approach to alcohol care.

Best Practice Reference Guide

This guide has been clinically developed, and is intended to be used by professionals who wish to discuss alcohol during consultations and offer help to patients with increased risk of alcohol harm or who are already experiencing harm. It is based on current evidence and established best practice.

The guide covers the following areas:
  • Background
  • About Alcohol Identification and Brief Advice (IBA)
  • Identification (Screening and Assessment)
  • Management
  • Brief Advice
Please click here to download a full copy of the Best Practice Reference Guide. 

For direct access to education and training resources, please visit: Boost | Learning Academy

GP Practice Resources

The resources are designed to build confidence, reduce stigma, and support teams to have timely, supportive discussions with patients about alcohol use.
Alcohol Let's Talk
A suite of resources aimed at primary care staff to encourage and support staff to have routine conversations with their patients about alcohol.
Includes posters, postcards, email banners and screens.

Click here to access the resources.
MECC

Making Every Contact Count (MECC) is an approach to behaviour change that uses everyday conversations to support improvements in health and wellbeing. These conversations are brief, opportunistic moments that can help someone take a small step from where they are now towards where they would like to be.

Alcohol is not always an issue in isolation and is often part of a wider picture and for many people, alcohol use is linked to other factors. A MECC conversation provides an opportunity to explore these wider influences in a supportive and non-judgemental way, recognising that even small changes can make a meaningful difference.

If alcohol comes up in conversation with a patient or colleague, the MECC Gateway can help guide a brief intervention and support appropriate signposting. Alongside alcohol-specific resources, the gateway also provides information on a wide range of local and national services that may support an individual’s wider needs: https://www.meccgateway.co.uk/nenc/services/Alcohol

To find out more about MECC in the North East and North Cumbria please visit www.meccgateway.co.uk or contact [email protected]

You can watch our short film below:

Reducing Stigma
Our attitudes to addiction, and the ways we think about people living with addiction, can affect how people access and experience our care.

Stigma Kills is a digital campaign by the NHS Addictions Provider Alliance that challenges stigma around addiction. It encourages health and social care workers, and the public, to “see the person, hear their story.”

As part of this work, we have developed a new resource for primary care in our region, bringing together local voices and lived experience to help challenge stigma and support more compassionate, person-centred care.

Watch: Stigma Kills – Personal experiences from GPs and citizens


In this video, GPs and people with lived experience from our region share their personal experiences and explain why we need to tackle stigma around alcohol use.

Their insights highlight the impact stigma can have on people seeking care, and the importance of using non-stigmatising language and approaches in practice.

Stigma Kills: Personal experiences from GPs and citizens

The campaign also includes resources that provide guidance, tools, and lived experience insights to promote understanding, compassionate care, and non-stigmatising language.

RAIDR
Primary care professionals in the North East & North Cumbria can use the RAIDR Primary Care Dashboard to identify potential high risk drinkers who could benefit from screening, brief intervention or referral.

This short video on the Boost Learning Academy demonstrates how.

Patient Information Resources

This section provides trusted, evidence-based resources to help patients understand alcohol-related health risks and make informed choices.
Units and Low Risk Drinking Guidance
Tips for Cutting Down
If you regularly drink more than 14 units of alcohol a week, try these simple tips to help you cut down.
Alcohol Free Childhood
“What’s the Harm?” is a campaign platform aimed at parents and families focusing on the risks of alcohol during childhood. It aims to create a discussion around alcohol and help delay the age children start to drink.
Alcohol in Pregnancy
View this Boost module, where Dr Lou Millington talks about Alcohol in Pregnancy and specifically Fetal Alcohol Spectrum Disorders (FASD).

Drymester was designed to inspire and support patients to go alcohol free when pregnant or planning a pregnancy. Please see a range of resources that can be used in primary care here.
Alcohol and the Liver
  • British Liver Trust - Alcohol-Related Liver Disease Factsheet. This factsheet sets out how alcohol damages the liver, how patients can prevent the damage from getting worse, what happens following an ARLD diagnosis and links to further support.
  • British Liver Trust – Further Resources for Patients. We know that 9 in 10 patients will look for more information after their appointment. Sharing these resources means you can be sure they find accurate information.
Patient UK
Patient UK provides trustworthy information and advice about Alcoholism and problem drinking. All content is checked be Healthcare Professionals ensuring accuracy, authority and it being up to date.
Alcohol - Not just the Liver
Alcohol is linked to a range of health conditions. The resources below explain how drinking can affect your risk of cancer, stroke, mental health, and heart disease, and provide practical advice and support for reducing these risks.

Alcohol and Cancer
Alcohol and Stroke
  • The Stroke Association explains here how alcohol can affect your risk of stroke and offers practical advice on reducing that risk.
Alcohol and Mental Health
  • Here, the Mental Health Foundation explains how alcohol and mental health are connected, how drinking can affect emotional well‑being, and what support is available if there are concerns about drinking.
Alcohol and Heart Disease
  • The British Heart Foundation explains here how drinking alcohol can affect your heart and circulation, the risks it poses to heart health, and why reducing intake can help lower those risks.

Support services

This section provides an overview of the different support services available to help individuals, families and staff manage their drinking. Each option offers tailored assistance, from community-based treatment and mutual aid groups to crisis intervention and confidential helplines. Explore the categories below to find the support that best meets your needs.
Community Treatment
Alcohol Community Support Services will accept any referral if a person would like help, advice and support for their alcohol use.

You should also refer if the person:

  • is a High Risk Drinker (males drinking over 50 units/week, females drinking over 35 units/week)
  • scores 10+ on AUDIT C Screening or 20+ on full AUDIT screening
  • or scores lower on AUDIT Screening but a Health Professional identifies specialist support is needed
A referral is preferable to signposting.

To make a referral, you should email your local Community Treatment Service. As a minimum the following should be provided:
  • Name
  • D.O.B
  • Address
  • Contact telephone number
  • Confirmation of consent
  • Any immediate safeguarding or risks should be highlighted
Peer Support

Alcoholics Anonymous


Alcoholics Anonymous, or AA, is a community of people who come together with one aim: to stay sober, and help other alcoholics seeking help to stop drinking.

It doesn’t cost anything to attend AA meetings. To be a member, all that’s required is a desire to stop drinking.

Call free 0800 917 7650, email [email protected] or visit the AA website.

Recovery Connections


Recovery Connections offer recovery support groups for people living in Middlesbrough, Stockton, Darlington, Redcar, Hartlepool, Gateshead and Sunderland.

Attendence is free, you dont need a diagnosis or referral.

To get in touch, call 01642 351976, email [email protected] or fill in this form: Contact Us - Recovery Connections

Carers Support

Alcohol Change UK


Supporting a loved one experiencing problems with alcohol.

Al-Anon


Al-Anon Family Groups UK & Eire is for anyone whose life is or has been affected by someone else’s drinking.

Some Local Authorities provide Carers Support Services. Click here to check availability in your area.
Crisis Support
People who find themselves in a mental health crisis can now get urgent NHS support by TEXT. Text 'CALMER' to 85258, for free, confidential, 24/7 text support if you are struggling to cope. This service is for anyone in the North East and North Cumbria region experiencing anxiety, stress, loneliness, depression, self-harm, suicidal thoughts, or other mental health challenges.

People can also get urgent help by calling NHS 111 and selecting the mental health option, where they will be connected to a trained professional. This service is available 24 hours a day, 7 days a week. For those who are deaf or have hearing loss, they can use NHS 111 – SignVideo or the 18001 111 Relay UK app.


Samaritans is a charity that prevents suicide by connecting people in crisis with trained volunteers who will always listen. Call 116126 to speak to someone, 24hours 365 days a year or see https://www.samaritans.org/ for more information.
Staff Support
Take the DrinkCoach Alcohol Test – Quick and Confidential — DrinkCoach.

DrinkCoach is FREE and available to health and social care staff working in the North East and North Cumbria region. This service provides access to a confidential online portal and free 1:1 personalised online coaching sessions with a qualified alcohol treatment specialist.
Mental Health and Alcohol – No Wrong Door
If a patient is experiencing both mental health and alcohol-related difficulties, they can be referred to either mental health or alcohol support services – both pathways can provide appropriate help and support. Interventions should focus on effective and proactive engagement regardless of the point of entry, alongside coordinated management between Mental Health and Addiction services.
Try Dry® app
The free Try Dry® app from Alcohol Change can help patients cut down on their drinking, or go totally alcohol-free. See here.
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Training and Further Learning

This section highlights opportunities for personal and professional development through training and educational resources.
Alcohol and Primary Care video

This video highlights the growing impact of alcohol-related harm - particularly in the North East - where deaths and hospital admissions are rising and disproportionately affect more deprived communities, despite similar levels of consumption. It explores how alcohol contributes to a wide range of physical and mental health conditions, while awareness of these risks remains low among the public.

The video also emphasises the crucial role of primary care, where simple, non-judgemental Identification and Brief Advice (IBA) conversations can be a highly effective, evidence-based way to help people reduce their drinking and improve health outcomes, yet are currently underused.

Watch it here: Introduction to alcohol in primary care

Boost Learning Academy

The Programme for Alcohol Studies is now available on the Boost Learning Academy, serving as a key resource for training and development on the prevention and management of alcohol related harm. The learning academy offers a wide range of learning opportunities, all designed to support our commitment to delivering the highest standards of care to the population we serve.

To help you identify the modules most relevant to your role, we have developed a Learning Recommendations Tool (https://boost.org.uk/download/182/alcohol-studies/11858/alcohol-matrix.pdf).

Virtual Patient
NENC ICB Alcohol Prevention Programme has partnered with Geeky Medics to develop an Alcohol Brief Intervention virtual patient. This allows healthcare students and professionals to practice and refine their interactions in a safe, controlled environment. You can speak directly to the virtual patient, and they will respond like a real person, in real-time.

Guidance

This section brings together guidance from leading health organisations and professional bodies. This provides evidence-based information to support decision-making, improve care standards, and promote consistent approaches across services.
NICE

NICE Guidelines

NICE Clinical Knowledge Summaries

NICE Quality Standards

Set out priority areas for quality improvement. They highlight areas with identified variation in current practice.

NICE Indicators

Measure outcomes that reflect the quality of care, or processes linked by evidence to improved outcomes.

Department of Health & Social Care Clinical Guidelines

Clinical guidelines for alcohol treatment


https://www.gov.uk/guidance/clinical-guidelines-for-alcohol-treatment

UK clinical guidelines recommending interventions for people with harmful patterns of drinking and alcohol dependence, supporting and promoting good practice.

Section 15 focuses on Primary care and community health services and outlines how primary and community health services can routinely identify health risk from alcohol use and respond appropriately.

 

Other OHID Guidance

OHID Research & Analysis

  • Alcohol’s harm to others - An evidence review of the harm caused by alcohol to the people around those who are drinking. Published 12 June 2019. Alcohol’s harm to others - GOV.UK
British Society of Gastroenterology (BSG) / British Association for the Study of the Liver (BASL)
British Liver Trust
British Medical Association (BMA)
About the Toolkit
The Primary Care Alcohol Toolkit has been developed to support primary care teams in identifying, advising, and supporting patients who may be at risk of, or are experiencing, alcohol-related harm.

Recognising the pivotal role that primary care plays in early identification and intervention, this toolkit was co-produced in collaboration with colleagues from Primary and Secondary Care, local Public Health Teams, Specialist Alcohol Services, and people with lived experience. Their collective expertise has helped to shape a toolkit that is both clinically relevant and responsive to the needs of real-world practice.

The toolkit aligns with key national guidance, including NICE PH24 (Alcohol-use disorders: prevention), which recommends screening and brief interventions in primary care settings, and NICE CG115 (Alcohol-use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence). It also echoes the World Health Organization (WHO) recommendations on the use of brief advice and structured interventions in non-specialist settings to reduce alcohol-related harm. Drawing on this robust evidence base, the toolkit brings together practical resources, referral pathways, and training links to help streamline and strengthen alcohol care across primary care services.

Designed for flexible use during consultations, multidisciplinary team (MDT) meetings, or as part of follow-up planning, this toolkit enables clinicians to respond confidently - whether initiating a brief intervention or exploring specialist support options. It serves as a one-stop resource to enhance proactive alcohol care and support more consistent, coordinated responses to alcohol-related health issues within primary care.

For any queries, comments, or feedback regarding this toolkit, or to suggest additional resources for inclusion, please contact:

[email protected]

Screenshot-from-2023-10-16-13-32-39

Contact


Pemberton House, Colima Avenue Sunderland Enterprise Park Sunderland, SR5 3XB

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