Table 4 Example of current practice on which to build

For me, it [alcohol] features quite highly, especially when … doing the DOAC reviews [direct oral anticoagulants], I found we hadn’t updated people’s alcohol status for aeons, and … if somebody’s … poorly controlled hypertensive and they’re drinking … in excess of 30, 40 units a week … alcohol we know has a negative direct correlation into hypertension control. So addressing that definitely helps rather than just giving them add on treatment and add on therapies over and over again … it has a massive impact on … not only a patient’s weight, but … overall longer term liver complications and also it can affect how certain drugs work in the system, because it’ll affect the pharmacokinetic properties of certain drugs, so it’s really, really important for me to address that … particularly in the elderly population, because they are on multiple drugs, lots of polypharmacy, and if they’re used to having a little tipple every night, well, by the end of the week, that’ll easily build up, so it’s again useful to educate them around having sort of alcohol free days and things like that, just to allow for things to recover. Most of them are probably like, ‘oh love, you know, I’m 85 now, love, am I really going to change?’ I don’t know, but you still have to have that conversation, and do it repeatedly to see if that will eventually sink in [X8]