Services

Find information below, including costs and referral information, for services run by the Pan-London Substance Misuse Programme

Addiction Clinical Care Suite at Guy and St Thomas’ NHS Hospital

Provided by Guy’s and St Thomas’ NHS Foundation Trust at St Thomas’ Hospital, the Addiction Clinical Care Suite (ACCS) treats people dealing with alcohol and/or drug dependency in a hospital-based setting by providing a wide range of specialist care to treat a complexity of health problems. ACCS provides a holistic support programme with access to specialist medical care, psychiatry, and psychology to help those treated to begin recovery.

For London residents with co-occurring physical and mental health needs such as:

  • severe alcohol and/or polydrug dependence.
  • diagnosed severe and enduring mental health illness.
  • a history of multiple detoxifications and relapse.
  • alcohol-related liver disease.
  • alcohol-related brain damage (ARBD).
  • chronic obstructive pulmonary disease (COPD).

In addition to supporting people to safely withdraw from alcohol and drugs as part of the first steps in a treatment journey, ACCS will provide peer support and activities alongside a range of other health promotion which will focus on stopping smoking, healthy eating, essential health screening, vaccinations, and mental well-being. 

How to refer

Referrals to ACCS will be made by a lead contact within each London Local Authority substance misuse team. Outreach teams and other providers who are aware of a person who is sleeping rough or at risk of sleeping rough can contact the relevant lead contact listed in this spreadsheet and discuss the referral with them. Please note: Lead Contacts in each Local Authority will have approval to make referrals and agree on funding packages.

Local Authorities will need to ensure that people who are admitted to ACCS have an onward discharge plan identified prior to admission.

Costs

ACCS is funded through a combination of a government grants and Local Authority treatment budgets. Local Authorities will contribute £250 a night to the cost of the service with a minimum charge of 3 days.

Intermediate Rehabilitation Beds

Referrals for Intermediate Rehabilitation beds are made by the Lead Contact within each Local Authority substance misuse team. Lead Contact details are listed in this spreadsheet. Please note: Lead Contacts in each Local Authority will have approval to make referrals and agree on funding packages.          

How to refer 

Stabilisation-based beds provided by The Mildmay Hospital

As with access to the ACCS, referrals for the Intermediate Rehabilitation beds are made by the Lead Contact within each Local Authority substance misuse service. Copy in: admissions.mildmay@nhs.net to your In-Patient Detoxification (IPD) referral to ACCS or another IPD provider.

The Mildmay Mission Hospital Admissions Officer (Direct telephone line: 020 7613 6347) will liaise with the Lead Contact and ACCS or other IPD to facilitate a timely and seamless transfer of care.

Costs

Intermediate Rehabilitation beds are funded through a combination of a government grants and Local Authority treatment budgets.

Local Authorities contribute £800 a week to the cost of the service with a minimum charge of 3 days.

Regional homeless Engagement Substances Team:

RhEST work across the London boroughs with individuals who are or have been sleeping rough and require support to access drug and alcohol treatment:

  • Assertively engage with individuals through outreach and in-reach.
  • Assess barriers to drug and alcohol treatment for everyone.
  • Deliver focused, time-limited interventions that improve access to services.
  • Collaborate with a range of agencies to improve outcomes.

How to refer

To refer a client to RhEST, complete this referral form

 

Additional information 

No Recourse to Public Funds

Any person classes as a non-UK national that is eligible for free secondary care services can be referred to ACCS and Intermediate Rehabilitation beds through the pathway. Unclear entitlement of a non-UK national to access free secondary care must not be a barrier to consider a referral to ACCS. Please see below information to help identify whether someone may be eligible for free secondary care:

For further information refer to UK Government Guidance NHS entitlements: migrant health guide

Other resources

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