Three Schools- Drugs and Alcohol- Improving the Health of People with Drug and Alcohol Dependencies in Liverpool by Delivering Multi-specialty Long Term Conditions Clinics in the Community

People with drug and alcohol problems often face serious physical health issues like heart, lung, kidney disease, or diabetes, but many struggle to access care due to stigma, mental health challenges, housing instability, and difficulty attending appointments. In Liverpool, a new approach places “one-stop” health clinics inside drug and alcohol treatment centres—safe, familiar environments patients already use. These clinics, led by specialist nurses with support from doctors across various fields, screen and treat patients for physical health issues on-site, making care easier to access. This research aims to evaluate whether these integrated clinics are effective in improving health outcomes, increasing attendance compared to traditional healthcare settings, and reducing emergency care use. It also seeks to understand patient and staff experiences and whether the model is cost-effective. Researchers will gather insights through interviews, observations, and analysis of clinical and financial data. If the model proves successful, it could lead to a significant shift in how healthcare is delivered for vulnerable populations—bringing vital services into the community in settings that reduce barriers to care. The findings could support the expansion of similar clinics across the UK, helping more people with complex needs receive timely treatment and improving long-term health and wellbeing.