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Public Health Liverpool

Alcohol: Its Impact & Address 10th May 2014 Ian Canning: Strategic Lead (Alcohol & Drugs) Public Health . Public Health Liverpool . Demographics . Public Health Liverpool . Inequality. Public Health Liverpool . Scale of the Problem. Scale of the Problem.

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Public Health Liverpool

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  1. Alcohol: Its Impact & Address 10th May 2014 Ian Canning: Strategic Lead (Alcohol & Drugs) Public Health Public Health Liverpool

  2. Demographics Public Health Liverpool

  3. Inequality Public Health Liverpool

  4. Scale of the Problem

  5. 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%).

  6. Scale of the Problem

  7. Scale of the Problem

  8. Scale of the Problem

  9. THE FUTURE??

  10. 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

  11. 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

  12. ALCOHOL AND CRIME

  13. ALCOHOL AND CRIME

  14. 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

  15. The Evidence What Works?

  16. 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

  17. Legislative Change • Affordability • Marketing • Licensing

  18. 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

  19. 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

  20. 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)

  21. Thank You

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