public health liverpool
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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. - PowerPoint PPT PresentationTRANSCRIPT
Public Health Liverpool
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