public health liverpool alcohol: its impact & address 10th may 2014 ian canning: strategic lead...

Public Health Liverpool

Alcohol: Its Impact & Address10th May 2014 Ian Canning: Strategic Lead (Alcohol & Drugs) Public Health

Alcohol: Its Impact & Address10th May 2014 Ian Canning: Strategic Lead (Alcohol & Drugs) Public Health

Public Health Liverpool

Demographics

Public Health Liverpool

Inequality

Scale of the Problem

Drinking Category Population Numbers

Increasing Risk Drinkers 82,433

Higher Risk Drinkers 29,502

Dependent Drinkers 20,292

Binge Drinkers 97,934

Scale of the Problem

• More ‘white’ people compared to BME (60% compared to 30%);• More F/T and P/T workers - compared to non-workers (67% and

60% respectively compared to 49%);• More owner occupiers and private renters compared to social

renters (61% and 57% respectively compared to 48%);• More smokers (daily, occasionally, or ex-smokers) compared to

never smoked (58%, 70% and 66% respectively compared to 53%)

• More people who describe their general health as being good compared to those who consider it bad (60% compared to 38%).

Scale of the Problem

Scale of the Problem

Scale of the Problem

THE FUTURE??

THE FUTURE??

Approximately 23,400 children are living with

adults who are binge drinkers

Approximately 17,160 children are living with

adults who drink at increased risk

Approximately 1,950 children are living with

adults who are higher risk drinkers

ALCOHOL AND CRIME

Alcohol-related crime is a ‘popular’ rather than a legal term. It is used to refer to two types of criminal offence:• Alcohol-defined offences such as drunkenness

offences or driving with excess alcohol • Offences in which the consumption of alcohol

is thought to have played a role (offender under the influence of alcohol at the time

ALCOHOL AND CRIME

ALCOHOL AND CRIME

WHAT IT COSTS?

NHS: £45.35m

CRIME AND LICENSING: £73.00m

WORKPLACE: £71.34m

SOCIAL SERVICES: £16.80m

TOTAL COST+: £203.97m

• +Total cost excludes crime

related healthcare costs to avoid

double counting

The Evidence

What Works?

Guidance Documents

• NICE PH 24: Alcohol Use Disorders – preventing harmful drinking

• NICE CG 115: Alcohol Use disorders:, diagnosis, assessment & management of

harmful drinking and alcohol dependence

• NICE CG 100: Alcohol use disorders: diagnosis and clinical management of alcohol

related complications

• Nice PH7: Schools based interventions on alcohol

• DH: Signs for Improvement: Commissioning interventions to reduce alcohol related

harm

• DH: Models of care for alcohol misusers

• National Social Marketing Centre: Planning guide and toolkit

Legislative Change

• Affordability

• Marketing

• Licensing

Prevention

• Provide Identification and Brief Advice

• Provide Extended Brief Advice (as appropriate)

• Profile and segment population to inform targeting of

population advice & guidance

• Amplify key messages using social marketing techniques

• Target alcohol information to young people early (10/11

years) and include the family

Treatment

• Improve effectiveness and capacity of specialist treatment

• Position an Alcohol Liaison Nursing Service in the A&E Departments of hospitals

• Define and implement robust treatment pathways

• Provide treatment to young people in setting appropriate to their age and circumstances

Control

• Reduce the availability of alcohol• Use licensing powers (Late Night Levies,

Conditions on applications)• Detailed analysis of hotspots & information

sharing with licensed trade• Routine implementation of Alcohol Treatment

Referrals (ATRs)

Thank You