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Changing Scotland’s Relationship with Alcohol – A Framework for Action

Changing Scotland’s Relationship with Alcohol – A Framework for Action. Mike Palmer Deputy Director, Public Health Scottish Government. Consequences?. Harms from drunkenness. “Warning of more murders if teenagers' drinking goes unchecked”.

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Changing Scotland’s Relationship with Alcohol – A Framework for Action

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  1. Changing Scotland’s Relationship with Alcohol – A Framework for Action Mike Palmer Deputy Director, Public Health Scottish Government

  2. Consequences? Harms from drunkenness “Warning of more murders if teenagers' drinking goes unchecked” “Mother describes family's torment over festive season killing” Harms from sustained long-term misuse Not a marginal problem – population-wide approach required

  3. Challenges • “Yes, but I’m not part of the problem - don’t penalise the majority for the sins of the minority” • Intrusion on personal freedoms • Successful Scottish industry • £4.0bn exports • 10,000 directly employed • Credit crunch

  4. Integrated alcohol policy Stronger Healthier Safer & Reducing Consumption Supporting Families & Communities Positive Attitudes, Positive Choices Fairer Effective Support & Treatment Smarter Wealthier &

  5. Reducing Consumption • Action on promotions, deep discounting and below cost-selling (eg. 3 for 2) • Proposals for a minimum pricing scheme – based on price per unit • Require licensed premises to offer 125ml of wine

  6. Price & Consumption Trends

  7. Reduction in consumption (%)

  8. Reduction in consumption by drinking group (%)

  9. Reduction in alcohol-related deaths in year 10

  10. Supporting Families & Communities • LAs to consider increasing age limit to 21 (off-sales only) • ‘Social Responsibility’ levy • Review advice to parents & carers • Education • Diversionary activities • Licensing measures • Call for reduced UK drink driving limit

  11. Positive attitudes, Positive choices • Improve public awareness • information & education campaigns • improve labelling • Tighten restrictions on alcohol advertising in relation to young people • Limit promotional material in-store

  12. Effective Support & Treatment • Developing alcohol workforce • Tackling mental health & substance misuse • Offenders • Enhancing & capacity building in screening, brief interventions and treatment services

  13. Investment in Effective Support & Treatment • Record investment = Total almost £120m over 3 years • First call - early brief interventions in primary care, A&E/acute & ante-natal • Majority of funding - prevention & treatment services (working through local partnerships)

  14. Achieving culture change • Importance of ‘cultural capital’ – attitudes, values, aspirations (family, peers, communities) • Encourage – eg. drive behavioural change through legislation/regulation & enforcement • Enable – e.g. inform, build skills and capacity • Engage – e.g. communities, media, social marketing • Exemplify – consistency, credibility

  15. Ensuring Delivery & Sustaining Effort • Short term action + long-term culture change • Whole population approach + targeted actions • Delivery – in partnership • 10-20 years? • Maintain consistency of message • Milestones? • Building & sustaining momentum • Feedback on achievements – motivating

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