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

2. Public Health Liverpool Demographics

3. Public Health Liverpool Inequality

4. Scale of the Problem

5. 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

10. THE FUTURE??

11.  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

12. 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

13. ALCOHOL AND CRIME

15. 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

16. The Evidence What Works?

17. 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

18. Legislative Change Affordability Marketing Licensing

19. 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

22. 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

23. 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)

25. Thank You