Reducing Violence & Alcohol Harm : Sharing ED Data

Reducing Violence & Alcohol Harm : Sharing ED Data Clare Charlton,Project Manager, Violence & Alcohol Harm Reduction, Department of Health – London DI John Cushion, Proactive Team, Metropolitan Police Service, Newham

Aims For Today • Who are we? • National / Regional / Local Strategies • Why Health? Is Violence a problem for Health? • When, Where, Who, and Why? • Examples of where it works

Health • World Health Organisation defines violence as: “The intentional use of physical force or power, threatened or actual, against oneself, another person, or against a group or community, that either results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment or deprivation” WHO (2002), “World Report on Violence and Health” World Health Organisation, Geneva.

Health Implications Using WHO Definition:

National Commitment • The Government’s Coalition Agreement states: “We will make hospitals share non-confidential information with the police so they know where gun and knife crime is happening and can target stop and search in gun and knife crime hotspots.” HM Government (2010) “The Coalition: Our Programme for Government”

“There’s a lot of violence on the streets now, with drunk people coming out of pubs and clubs looking for aggro” LDD Attendee, December 2009 “I live in Fulham and Friday and Saturday night you are dodging drunks and piles of vomit and it isn’t nice. I’d like to see more police on the beat at those times, alongside people who can help those who have a real problem with alcohol” LDD Attendee, December 2009 “I’d like to see the police and local authorities working much more closely together on things like licensing, so we don’t get the situation where there are too many pubs and clubs clustered in one place.” LDD Attendee, December 2009

ED Data Sharing and beyond: • Responding to London People; • Acting on needs; • Reviewing what works for different parts of London; • Local strategies based on Local Problems; • Pan-London Data Sharing • Problem solving locally with regional implication; • Creating a public health response to violence; • Understanding that violence can be treated as a disease;

The London Experience • Basis for the Model: • Started with the Cardiff Model, then….. • RPHG-L lead data sharing development • London Drink Debate • Healthcare Led Models • Policing Led Models • CSP Led Models • Joint working! • Making it work for London, Working together for a safer London

Why Share Data from ED? 1403 (100%) victims 869 (62%) victims 327 (23%) victims 207 (15%) victims HOSPITAL POLICE Violence in Denmark (Faergemann 2006)

Using A and E data Hospital data can supplement police data. For instance not all stabbing incidents are reported to the police Hospital admissions for stab wounds compared with police recorded knife crime incidents Together, hospital data and police data provide a more comprehensive picture of crime than could be obtained from either series alone

EXISTING DATA Age & gender Postcode of Residence Date & time of assault Incident Type Assault NEW DATA - ESSENTIAL Fist Feet Head Other Body Part Body Part Weapon Pushed Unknown Assault Type Glass Bottle Knife Blunt object Gun Other Weapon Bar/pub Club Street Own home Someone else’s home Workplace Other Assault location Free text facility to give specific details of location What data are we sharing?

Targeted Policing Licensing Guidance Tackling under-age sales Tackling Knife sales Identification of hot spots Working with the pubs, clubs and fast food outlets Healthcare and licensing Violence prevention mechanisms (Home and Street Drinking) ASB control and prevention Major Events mapping Anything else? What are we doing with the data?

How do we use the data? Plotting incidents onto a map gives a visual representation of the crimes taking place across an area This can lead to the identification of hotspots This intelligence can help focus resource targeting, such as places that would benefit from CCTV or a stationed police car or paramedic at specific times

Newham After Dark:Policing Perspective

And this is what we can use the data for: Before….. Leads to …..

Following Intervention

The Focus Building / Brimstone House E15 • Previously a crime generator • 210 rooms to house the vulnerable • Partnership approach • Environmental changes • Diversion activity • Suitability to reside Scheme

Results & Activity • Addressing alcohol culture in new communities; • Partnership working, developing new allegiances; • Cumulative Impact Policy In Progress; • One club closed due to potential for gang violence; • Off-licenses tackled • 60 percent reduction in GBH offences directly linked to pubs and clubs year to year • Alcohol related assaults down 52 percent in Hotspots • Back to Basics and Eyes for Detail • Chicken Shops tackled • Troublesome night clubs tackled (e.g. Club Ashiana, the rex) • Action plans for problem premises placed with license holders

Clare Charlton • Project Manager, Violence and Alcohol • Regional Public Health Group - London • 2nd Floor, Long Spur • Richmond House, 79 Whitehall • London, SW1A 2NS • T: 0207 210 6256 • M: 07766 298 014 • E-Mail: Clare.Charlton@dh.gsi.gov.uk Detective Inspector John Cushion Proactive Licensing Team Metropolitan Police Service London Borough of Newham M: 07795 451 766 T: E-Mail: John.Cushion2@met.police.uk

Reducing Violence & Alcohol Harm : Sharing ED Data