Alcohol: public health challenge public health challenge Clive - PowerPoint PPT Presentation

Alcohol: public health challenge public health challenge Clive Henn Senior Policy Manager, Alcohol Team, Health and Wellbeing Directorate Public Health England Corinne Harvey Head of Alcohol and Drugs, Yorkshire & the Humber Public Health England

NO ORDINARY NO ORDINARY COMMODITY Alcohol 2

Current levels of consumption come at a significant cost to: • Individuals • Children and families • Others and society Alcohol 3

Alcohol harms health 4 PHE Priorities for Alcohol

6 PHE Priorities for Alcohol

Harms in 15 & 16 year olds Alcohol 7

8 PHE Priorities for Alcohol

The more alcohol consumed, the more harms are experienced: Annual Alcohol Consumption per UK Resident 1900-2010 12 Pure Alcohol (litres) 10 8 Coolers/FABs 6 6 Spirits Wine 4 Cider Beer 2 0 1930 1935 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000 2005 2010 1900 1905 1910 1915 1920 1925 Sources: 1. HM Revenue and Customs clearance data 2. British Beer and Pub Association 3. Office for National Statistics mid-year population estimates Alcohol 9

Affordability and availability are key drivers to increased consumption: Alcohol 10

Drinking “At Risk” groups Source: General Household Survey 2009 & mid-2009 population estimates (ONS) & Adult Psychiatric Morbidity Survey 2007 Alcohol 11

Prevention Harms are complex and it needs a multi layered Harms are complex and it needs a multi layered cross-organisation response to prevent and reduce harm 12 PUBLIC HEALTH ENGLAND’S PRIORITIES FOR ALCOHOL

What works – policy options & evidence (WHO) Harm focus: Consumption focus: • Drink driving laws (***) • Pricing (***) • Server liability (***) • Treatment (***) • No sale to intoxicated (* if enforced) • No sale to intoxicated (* if enforced) • Screening & advice (***) • Screening & advice (***) • Legal drinking age (*** if Awareness Campaigns enforced) • Marketing controls (**) Source: Babor et al Alcohol: No • Availability controls (**) Ordinary Commodity, 2nd Ed, 2010 *-*** increasingly effective Alcohol 13

Who needs to do what To deliver, we will need action from: • Public and opinion forming Government • Local Authorities • NHS • Voluntary Sector • Industry Alcohol 14

What are our objectives for Alcohol? A. Create an environment that supports lower-risk drinking for those who choose to drink B. Increase the identification of those drinking above lower risk levels and the provision of appropriate interventions risk levels and the provision of appropriate interventions C. Improve the identification and delivery of interventions to those experiencing alcohol-related harm D. Improve access, quality of treatment and recovery for dependent drinkers Alcohol 13

T o support objectives: Data: • Local Alcohol Profiles for England (LAPE): http://www.lape.org.uk/ • National Drugs Treatment Monitoring System: https://www.ndtms.net/default.aspx Evidence/skilled workforce: • Alcohol Learning Resource website: www.alcohollearningcentre.co.uk Tools: • Alcohol stocktake self-assessment tool: http://www.alcohollearningcentre.org.uk/_library/Alcohol_stocktake_self -assessment_tool_2013.docx. Alcohol 16

Creating an environment to support lower risk drinking for those who choose to drink: • Promoting evidence: - Make the case for the introduction of Minimum Unit Pricing - Alcohol advertising and sponsorship • Licensing • Produce a report for Government on the public health impacts of alcohol and on possible evidence-based solutions by the end of March 2015 • Data sharing • Social marketing The effective use of restrictions on the sale, promotion and the supply of alcohol • • We want to see a reduction in the number of children and young people at risk of harm. • Alcohol 17

Increase the identification of those drinking above lower risk levels and the provision of appropriate interventions: • Support the implementation of IBA: - Directed Enhanced Service (DES) - Directed Enhanced Service (DES) - NHS Health Check - Making Every Contact Count (MECC) Alcohol 18

Improve the identification and delivery of interventions to those experiencing alcohol-related harm: • Develop and promote evidence-based specialist alcohol • Develop and promote evidence-based specialist alcohol provision • Support the implementation of a co-ordinated system to identify and respond to alcohol harm in the hospital setting Alcohol 19

Improve access, quality of treatment and recovery for dependent drinkers: • Improving accessibility and capacity to match need • Improving quality (NICE) • Mutual Aid Alcohol 20

Having the conversation locally: How can alcohol interventions support: • Reducing health inequalities • Reducing premature deaths • Improving health and wellbeing • Reducing avoidable attendances at A&E • Reducing alcohol-related hospital admissions • Reducing alcohol-related hospital admissions • Reducing anti-social behaviour • Reducing crime • Supporting ‘Troubled Families’ • Reducing barriers to employment • Supporting individuals to maintain their housing • Creating a diverse Night Time Economy Alcohol 21

Cost of alcohol in York: £77.26m annually NHS: £13.17m 5.5% 17.0% CRIME AND LICENSING: £23.38m WORKPLACE: £37.52m 48.6% 28.8% SOCIAL SERVICES: £4.28m TOTAL COST + : £77.26m + Total cost excludes crime related healthcare costs 22 PHE Priorities for Alcohol

How we spend the Substance Misuse Budget in York Drugs Alcohol

How we spend the Alcohol Budget in York Treatment Prevention