RT Journal Article SR Electronic T1 Managing alcohol-related attendances in emergency care: can diversion to bespoke services lessen the burden? JF Emergency Medicine Journal JO Emerg Med J FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine SP emermed-2016-206451 DO 10.1136/emermed-2016-206451 A1 Andy Irving A1 Steve Goodacre A1 Joanne Blake A1 Davina Allen A1 Simon C Moore YR 2017 UL http://emj.bmj.com/content/early/2017/11/28/emermed-2016-206451.abstract AB Acute alcohol intoxication (AAI) has a long history of burdening emergency care services. Healthcare systems around the world have explored a variety of different services that divert AAI away from EDs to better manage their condition. Little formal evaluation has been undertaken, particularly in the UK where alcohol misuse is one of the highest in the world. In this article, we outline a brief history of diversionary services, introduce the concept of Alcohol Intoxication Management Services (AIMS) and describe examples of AIMS in the UK. We then describe Evaluating the Diversion of Alcohol-Related Attendances, a natural experiment including six cities with AIMS compared with six cities without, that involves an ethnographic study, records patient experiences in both AIMS and EDs, assesses impact on key performance indicators in healthcare and evaluates the cost-effectiveness of AIMS.