Working together to help people drink within the guidelines Alcohol Network stocktake 5 th November 2014 DH – Leading the nation’s health and care Jean Nicol

2 Local areas Promote identification and brief advice (IBA) Deploy alcohol liaison nurses (health workers) in secondary care settings Improve specialist treatment Responsibility Deal Health messages on products, and in on/off trade Comprehensive advertising and marketing regime Promote lower strength and smaller sizes Offer tools to local areas and employers Government Licensing and enforcement Pricing and Taxation Set funding and outcomes framework for public health and the NHS Encourage lower strength and smaller sizes Social Marketing Percentage of products labelled % stores/outlets with health messages Breaches of advertising and marketing rules Sales of lower-strength and non-alcoholic beer/wine Units reduced per drinker from volume and strength measures Schools/workplaces/ local areas using tools Awareness of C4L alcohol health harms campaign Number of IBAs delivered by setting Number in treatment Number of Cumulative Impact Policies (including in the off trade) Improve Unit awareness Awareness of health harms Awareness of harms during pregnancy Self-identification behaviours Reduce Alcohol-related hospital admissions Number of underage purchases Cost to society Cost to NHS Outcomes Outputs Reduce Alcohol fuelled violent crime Percentage believing getting drunk is acceptable Number of adults drinking above lower-risk guidelines Number of adults binge drinking Number of alcohol related deaths Percentage of 15 year olds drinking and the amount they drink Inputs Actions Public health is everyone’s responsibility and there is a role for all of us, working together to help people drink within the guidelines DH – Leading the nation’s health and care

3 3 Highest consuming 10% of the population drinking more than 40% of all alcohol consumed in the UK Policy options for alcohol price regulation: the importance of modelling population heterogeneity, Meier et al, Addiction 105, , 2009 (Supporting evidence for the Strategy)

4 The role of business in helping people to drink within the guidelines  Business is a powerful influence in our lives  Business can reach consumers and deliver information in ways that other organisations cannot  The Responsibility Deal challenges business and other organisations to lead the way in positively shaping and creating an environment that supports people to make informed, balanced choices and help them live healthier lives  Organisations signing up to the Responsibility Deal commit to take action to improve public health  This action is expressed as a series of pledges covering food, alcohol, physical activity and health at work  Over 730 partners have signed up to the Responsibility Deal  Nearly 130 of these companies are alcohol partners DH – Leading the nation’s health and care

5 Alcohol pledges A1. Alcohol labelling Alcohol beverage companies will label their products with unit and health information. A2. Awareness of alcohol units in the on-trade / A3. Awareness of alcohol units, in the off-trade On and off-trade alcohol retailers will provide unit and health information to consumers. A4. Tackling under-age alcohol sales Business will promote and encourage the use of the Challenge 21 and Challenge 25 schemes. A5. Support for Drinkaware Industry will support the Drinkaware Trust through cash and in-kind funding. A6. Advertising and marketing alcohol Industry will follow best practice and adhere to the Code of Practice on the marketing of alcoholic drinks and the new sponsorship code from the Portman Group A7. Community actions to tackle alcohol harm Businesses, local authorities, the police, health providers, licensing authorities and other traders can participate in a recognised local scheme. A8. Alcohol unit reduction As part of action to reduce the number of people drinking above the guidelines, we have already signed up to a core commitment to “foster a culture of responsible drinking which will help people drink within guidelines”. To support this we will remove 1bn units of alcohol sold annually from the market by December 2015 principally through improving consumer choice of lower alcohol products. DH – Leading the nation’s health and care

6 Six new alcohol pledges Collective pledges A7(b) Targeted local action pledge “To support our pledge to provide schemes appropriate for local areas that wish to use them to address issues around social and health harms, we will fund and/or support industry action in Local Alcohol Action Areas, by ensuring that suitable existing partnership schemes are in the process of being rolled out in Local Alcohol Action Areas by March 2015” A8(b) Responsible can packaging pledge “To support our pledge to remove a billion units of alcohol sold annually from the market, we will carry out a review of the alcohol content and container sizes of all alcohol products in our portfolio. By December 2014 we will not produce or sell any carbonated product with more than (4) units of alcohol in a single-serve can” [A9] Lifeskills education and alcohol education in schools pledge “We will financially support the Lifeskills Education and Alcohol Foundation (LEAF) with a minimum of £250,000 as a start-up fund. Subject to favourable reporting and evaluation of delivery, we will seek to increase programme scope through funding from the alcohol industry and others” Individual pledges British Beer and Pub Association (BBPA) individual pledge BBPA and its members will take action to help deliver the pledge to remove a billion units of alcohol sold annually from the market, by the end of 2015 and will report the action taken and progress on delivery to BBPA SABMiller individual pledge We will provide grants to give 10,000 people a qualification that will help enforce responsible drinking, by 2016 Retail of Alcohol Standards Group (RASG) individual pledge We will produce good practice guidance on the responsible retailing of alcohol by 31 December 2014 and keep the guidance up to date and relevant thereafter DH – Leading the nation’s health and care

7 What the alcohol network has achieved The billion unit reduction pledge  Interim monitoring shows a reduction of 253 million units of alcohol which represents a quarter of the billion unit reduction that industry committed to achieve over the four years to end of 2015  Next interim report to be published as national statistics in Nov/Dec Pubs and retailers committed to display unit and health information  Ipsos Mori reported 27% saw BBPA information. 41% year- olds saw at least one BBPA image. 27% saw something similar, but different, to BBPA materials. 52% who saw different materials also saw BBPA materials. Producers pledged to put unit and health info on products  Subject to the final independent report: 79.3% of products provided all three elements correctly DH – Leading the nation’s health and care

8 Where we are now  Alcohol is one of the four biggest lifestyle risk factors for disease and death in the United Kingdom along with smoking, obesity and lack of physical activity  Over 9 million people say they drink above the CMO’s lower-risk guidelines  There were 1.2 million alcohol-related hospital admissions in 2011/12  Estimate that alcohol costs the NHS around £3.5 billion every year  Liver deaths related to alcohol have quadrupled in the last 50 years However:  Alcohol-related deaths down by around 7% over a 5 year period  But there were large variations in deaths, with some deprived communities seeing an increase – 154 (out of 326) local authorities saw an increase in alcohol-related deaths among women in the latest period (2011 to 2012)  Hospital admissions caused by alcohol for under 18s down by 34% over 5 years  Hospital admissions caused by alcohol for adults remain higher than 5 years ago, but fell by 2% in DH – Leading the nation’s health and care

9 We look forward to hearing your views  Further information about the alcohol network, including a full list of all the pledges and of partners can be found at:  us at: DH – Leading the nation’s health and care