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Focus on Alcohol - national and regional context

Focus on Alcohol - national and regional context. Cathy Wynne Associate Director of Public Health, NHS Cumbria Chair of Cumbria Alcohol Strategy group. Alcohol Harm Reduction Strategy for England (2004).

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Focus on Alcohol - national and regional context

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  1. Focus on Alcohol - national and regional context Cathy Wynne Associate Director of Public Health, NHS Cumbria Chair of Cumbria Alcohol Strategy group

  2. Alcohol Harm Reduction Strategy for England(2004) First cross-government statement on alcohol harm, shared analysis and programme of action to respond, including • Better education & communication • Improving health & treatment services • Combating alcohol related crime & disorder • Working with the alcohol industry

  3. Progress since 2004.......but • Despite violent crime falling by 43% since 1995, public perception of crime and disorder is that it is rising • Numbers of young people 11-15 drinking alcohol seems to have fallen, but those who drink are drinking more and more often, and higher consumption is linked to other risk behaviours • Rate of decline in drink driving casualties has slowed • Deaths caused by alcohol consumption have doubled in past 20 years, with more people becoming ill and dying younger • People may be drinking more than they think

  4. Safe, Sensible, Social next steps in the National Alcohol Strategy (2007) BUILD ON foundations laid and lessons learned since 2004 GOAL: To minimise the health harms, violence and antisocial behaviour associated with alcohol, whilst ensuring that people can enjoy alcohol safely and responsibly. TARGETS: Minority of drinkers who cause or experience the most harm to themselves, their communities and their families: • Young people under 18 years who drink • 18 – 24 year olds who binge drink • Hazardous drinkers

  5. Safe, Sensible, Social next steps in the National Alcohol Strategy (2007) • Sharpened criminal justice for drunken behaviour • Review of NHS alcohol spending • More help for people who want to drink less • Toughened enforcement of underage sales • Trusted guidance for parents and young people • Public information campaigns to promote a new sensible drinking culture • Public consultation on alcohol pricing and promotion • Local alcohol strategies (by April 2008)

  6. Safe, Sensible, Social next steps in the National Alcohol Strategy (2007) • Sharpened criminal justice for drunken behaviour • Review of NHS alcohol spending • More help for people who want to drink less • Toughened enforcement of underage sales • Trusted guidance for parents and young people • Public information campaigns to promote a new sensible drinking culture • Public consultation on alcohol pricing and promotion • Local alcohol strategies (by April 2008)

  7. CMO guidelines January 2009 5 point plan for an alcohol-free childhood- now out to consultation until 23 April • Establish family values on alcohol • Educate and inform • Set boundaries • Encourage positive alternatives • Challenge stereotypes

  8. Safe, Sensible, Social next steps in the National Alcohol Strategy (2007) • Sharpened criminal justice for drunken behaviour • Review of NHS alcohol spending • More help for people who want to drink less • Toughened enforcement of underage sales • Trusted guidance for parents and young people • Public information campaigns to promote a new sensible drinking culture • Public consultation on alcohol pricing and promotion • Local alcohol strategies (by April 2008)

  9. …….and hot off the press……….CMO annual report 2009 Passive drinking: the collateral damage from alcohol • Alcohol consumption fallen since 1970 in many EU countries, but in England has risen by 40% • Consequences go far beyond individual • Success in reducing smoking but relentless rise in alcohol • No stated national consensus that we need to substantially reduce consumption • Price and availability of alcohol affects its consumption and the damage it causes

  10. CMO Report – recommended actions • Develop national consensus that we need to substantially reduce consumption • Passive drinking acknowledged as key issue • Licensing laws to reflect full impact of passive drinking • Immediate priority: government to introduce minimum pricing per unit, proposing a 50 pence minimum price per unit of alcohol • Particular impact on “own brand” and “value pack” beers and ciders

  11. NW Regional Action on Alcohol Harm • Established NW Alcohol Forum, with sub-regional representation and all key stakeholders involved -– Chaired by Home Office lead • Influencing national alcohol strategy development and implementation • Engagement with Beverley Hughes, Regional Minister for the North West on the alcohol agenda • Regional team established to support sub-regional strategy groups, provide links to national policy work and lead on campaigns and programmes • Established Our Life as agent for change, starting with the Big Drink Debate

  12. Big Drink Debate On 9.30am Thursday 23rd April at Rheged, Penrith

  13. Current Activity– NW regional tier • GONW identified health inequalities one of top priorities with alcohol harm reduction a key theme • Evidence base and date collection supported through NW Public health Observatory • GONW/regional scrutiny process to assess and benchmark local areas with regard the misuse of alcohol leading to a robust challenge process where Local Alcohol Strategies are failing • LAAs will be encouraged to prioritise alcohol harm reduction as a cross cutting theme where it has been identified as local priority

  14. Cumbria’s Local Area Agreement • NI 39 To reduce the increase in alcohol related hospital admissions • NI 170 Hospital admissions for unintentional and deliberate injuries to children 0 to 17 years • NI 41 Perceptions of drunk or rowdy behaviour as a problem • NI 112 Under 18 conception rate • NI 47 People killed or seriously injured in road traffic accidents

  15. Alcohol also contributes to: • NI 65 Percentage of children becoming the subject of a Child Protection Plan for a second or subsequent time • NI 19 Rate of proven re-offending by young offenders • NI 20 Assault with injury crime rate • NI 30 Re-offending rate of prolific and priority offenders • NI 32 repeat incidents of domestic violence • NI 195 Improved street and environmental cleanliness

  16. Local Indicators in LAA • LI 6 Reduce health inequalities between local authority area and England • LI 7 Reduce health inequalities within the local area in all age, all cause mortality Contribute to: LI 1 Reduce incidence of referrals for child protection, repeat referrals and repeat incidence of abuse of children

  17. Stretch Targets in LAA • SI 7 The number of domestic violence incidents in Cumbria • SI 9 The percentage of recorded domestic violence that are repeat incidents • SI 10 The percentage of prolific offenders who re-offend • SI 11 The number of first time entrants into the Youth Justice System Contribute to: • SI 2 – 16 to 18 yr olds who are NEET • SI 13 Number of deaths and injuries arising from accidental fires • SI 14 To hold the number of KSIs in which a driver aged 16 -20 was involved tom a 5 year average

  18. Safe, Sensible, Social next steps in the National Alcohol Strategy (2007) • Sharpened criminal justice for drunken behaviour • Review of NHS alcohol spending • More help for people who want to drink less • Toughened enforcement of underage sales • Trusted guidance for parents and young people • Public information campaigns to promote a new sensible drinking culture • Public consultation on alcohol pricing and promotion • Local alcohol strategies

  19. Big Drink Debate On 9.30am Thursday 23rd April at Rheged, Penrith

  20. Scotland’s Alcohol Plan includes…….. • End irresponsible drinks promotions (eg 2 for1), below-cost sale in licensed premises, marketing by “was 5.99 now £2.99” offers • Pursue establishment of minimum price per unit of alcohol • Duty on licensing boards to consider raising age of sales to 21 in all or part of their areas, and give Chief Constable right to request review of licensing board’s policy • Place “ social responsibility fee” on some retailers to help deal with adverse consequences of alcohol • Introduce legislation to require licensed premises to offer 125ml wine and 25ml spirits • Tougher enforcement, review of test purchasing

  21. Patterns of Drinking in the NW

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