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Collaboration for Leadership in Applied Health Research (CLAHRC)

The CLAHRC is a collaborative partnership between universities and surrounding NHS organisations, focused on improving patient outcomes through the conduct and application of applied health research. The work of the CLAHRC South London is funded for five years (from 1st January 2014), by the NIHR (National Institute for Health Research). 

Alcohol projects 

Within the CLAHRC South London there are nine themes of research, of which Alcohol is one. Within the Alcohol theme of the CLAHRC there are two projects: 

Implementation of Alcohol Brief Interventions 

This is one of the key prevention efforts that the NHS and others can implement. The evidence for effectiveness for SBI (screening and brief intervention) is strong, however, implementation continues to be a challenge. Improved methods of delivery, in particular, technological platforms, have the potential to improve delivery of SBI. 

This project is developing electronic screening and brief intervention (eSBI) phone apps to be delivered in different populations and settings (including non-healthcare settings). 

This method of delivering SBI will be developed and evaluated. The implementation of eSBI as a means of broadening access to SBI will also be evaluated. 

Management of alcohol-related frequent attenders (ARFAs) to accident and emergency (A&E) 

This is an area of cost to the NHS and of high harm to the individuals involved. There is significant scope to manage these attendances better, providing additional and appropriate support. 

Find out more about CLAHRC South London alcohol theme adopted studies

Collaborating organisations 

  • Guy’s and St Thomas’ NHS Foundation Trust 
  • Health Innovation Network (the NHS England-funded academic health science network in South London) 
  • King’s College London Hospital NHS Foundation Trust 
  • King’s College London 
  • King’s Health Partners 
  • St George’s University Hospitals NHS Foundation Trust 
  • University of London 
  • South London and Maudsley NHS Foundation Trust 
  • The CLAHRC is also working closely with GPs, local authorities (responsible for public health) and commissioners of health services in South London 


This project aims to find out more about ARFAs (who they are and what their needs are), the best way of identifying ARFAs, and to evaluate how effective assertive outreach is in improving outcomes for this group of patients.