1. Country presentation England Dr Eileen Kaner University of Newcastle upon Tyne

2.  Newcastle upon Tyne Newcastle upon Tyne

3. Advances in implementing alcohol- interventions in PHC since 2000 Publication of a National Alcohol Harm Reduction Strategy But a consultation exercise only Strong focus on young drinkers Strong criminal justice slant Under emphasis on health, hazardous drinkers, alcohol-related problems in mainstream population

4. Barriers to implementing evidence- based alcohol intervention in PHC The strong alcohol lobby in the UK A glut of health initiatives in PHC Low morale of PHC professionals – recruitment & retention problems Lack of incentives for alcohol-related work Over-focus on alcohol dependence by PHC professionals

5. Key advances that would help … A comprehensive national alcohol strategy Top-down endorsement of alcohol-related intervention work Financial or professional incentives for alcohol-related work Recognition of the full range of alcohol- related problems A balance in focus on illicit drugs versus alcohol

6. What needs to change in England Government will Recognition of the issue Confidence to act Money for alcohol-related intervention & research