1. 12.20 7,50 5.90 8,88 Putting Alcohol in Safer Hands- The East Surrey Picture Dr Joe McGilligan - Chair East Surrey CCG, Co-Chair Surrey Health and Wellbeing Board 1

2. 12.20 7,50 5.90 8,88 12.20 7,50 5.90 8,88 Thank you – Oct 13 – Mar 14  Thank you for attending  We need your support and expertise:  5 months to deliver the 1 st ever CCG Alcohol Integrated Service Spec  Evidence based recommendations for the full life cycle  WHY

3. 12.20 7,50 5.90 8,88 12.20 7,50 5.90 8,88

4. 12.20 7,50 5.90 8,88 12.20 7,50 5.90 8,88 4 Risk in context CONDITION MEN (increases risk by) WOMEN (increased risk) HypertensionFour timesDouble Stoke DoubleFour times Coronary Heart Disease 1.7 times1.3 times PancreatitisTriple Double Liver Disease13 times

5. 12.20 7,50 5.90 8,88 12.20 7,50 5.90 8,88

6. 12.20 7,50 5.90 8,88 12.20 7,50 5.90 8,88

7. 12.20 7,50 5.90 8,88 12.20 7,50 5.90 8,88 What’s the issue? “...the concentration in England on "binge drinking" youngsters and on the antisocial or criminal consequences of heavy drinking.... has allowed politicians to project the problem onto a small minority of the population, missing the point that there are hundreds of thousands of people - the silent majority - who in their own homes are quietly opening a bottle of wine each evening and over the week are unknowingly drinking well over the recommended limits, storing up problems for the future.” Professor Sir Ian Gilmore – commenting on national alcohol policy, February 2010 http://www.smmgp.org.uk/html/newsletters/net028.php#De bate

8. 12.20 7,50 5.90 8,88 12.20 7,50 5.90 8,88 8 In East Surrey: 13,011 alcohol related A&E visits Sources: HES A&E data; MORI (2003); National Schedule of Reference Costs 2011-12 for NHS trusts and NHS foundation trusts

9. 12.20 7,50 5.90 8,88 12.20 7,50 5.90 8,88 9 2,912 alcohol related inpatient admissions Sources: HES 2011/12 & NWPHO 2008

10. 12.20 7,50 5.90 8,88 12.20 7,50 5.90 8,88 10 925 crimes & 685 violent 12 sexual in nature Source: LAPE 2012

11. 12.20 7,50 5.90 8,88 12.20 7,50 5.90 8,88 11 45 people die every year 10 chronic liver deaths per year Source: LAPE 2012

12. 12.20 7,50 5.90 8,88 12.20 7,50 5.90 8,88 12 Societal costsCurrent Criminal justice system£601,763 Workplace & activity£555,510 Wider social costs£638,105 Total£1,795,378 Source: Modelling “The economic and social costs of alcohol-related harm in Leeds 2008-09”