Over 200,000 children in England are living with Dependent Drinkers!

New figures released today reveal that over 200,000 children in England are living with dependent drinkers who could benefit from receiving specialist alcohol treatment.

The data from Public Health England estimates that there are 600,000 dependent drinkers who would benefit from treatment, yet only just over 100,000 are currently receiving the help they need.

These figures only cover adults who are most seriously dependent on alcohol. It is currently estimated that around 1.5 million adults in England and Wales have some form of alcohol dependence, and that there are 2.5 million children living with an adult drinking at risky levels.

The PHE data is released alongside a report from the Department for Work and Pensions (DWP) focused on improving the life chances and job prospects of the least well-off. The Department has said it will increase access to grant funding and introduce peer mentors for those in alcohol treatment to help them get back into work.

The report comes at a time when politicians are increasingly recognising the harm cheap alcohol is doing to the most vulnerable in society. The March budget included a consultation on the introduction of a new tax band designed to increase the price of strong white cider, a product which is predominantly consumed by children and heavy drinkers.

And earlier today a report published by the House of Lords Licensing Committee following an enquiry into the operation of the 2003 Licensing Act recognised the damage being done by cheap alcohol. The report calls for the introduction of a minimum unit price (MUP) for alcohol across the UK if it is introduced in Scotland and proves to be successful. Its introduction is being stalled by legal action being taken by sections of the alcohol industry. The report also calls for an end to multi-buy deals such as three for the price of two, a measure which has proved to be successful in Scotland.

Alcohol health experts welcomed the measures announced by the DWP today and the focus on the most vulnerable and lowest paid, pointing to studies which have shown that the least well off are around five times more likely to die from alcohol-related causes than those at the top of the income bracket.

Experts also called, however, for a wider, population-level approach to improving life and employment opportunities for dependent drinkers alongside greater support for individuals.

Liver physician Professor Sir Ian Gilmore, chair of the Alcohol Health Alliance UK (AHA), said:

“We welcome the Government’s recognition that cheap alcohol is damaging some of the most vulnerable groups in society. The revelation that 200,000 children in England are living with adults in need of specialist help is deeply worrying. We need to make sure people get the support they need once they have a problem with alcohol, for their own sakes and for the sake of their children. But people don’t set out to become dependent drinkers and we need to stop more people from reaching that stage.

“For the greatest impact, the measures announced today should be combined with
measures like minimum unit pricing of alcohol. Studies have shown that setting a minimum price for alcohol would reduce unemployment and bring substantial numbers of unemployed drinkers back into the workforce.

“The government is already taking steps to tackle alcohol dependence in this broader way, with the recent announcement that it will be consulting on increasing the tax on high- strength ciders, drinks which are known to be drunk by the most vulnerable and do disproportionate harm.

“Studies also indicate that MUP would help address health inequalities, with over 80 per cent of lives saved coming from the lowest income groups. At the same time, the measure would not increase the price of alcohol sold in pubs and clubs.”

The Public Health England figures can be found here.
The DWP report, entitled Improving Lives: helping workless families, is available here.


About the Alcohol Health Alliance UK
The Alcohol Health Alliance UK (AHA) is a group of 50 organisations including the Royal College of Physicians, Royal College of GPs, British Medical Association, Alcohol Concern and the Institute of Alcohol Studies. The AHA works together to:
– Highlight the rising levels of alcohol-related health harm
– Propose evidence-based solutions to reduce this harm
– Influence decision makers to take positive action to address the damage caused by alcohol misuse

“Government has ‘no sense of direction’ in reducing devastating alcohol harm” | Lord Brooke

After Welfare, the cost of Health is the second biggest charge which Chancellors of the Exchequer have to deal with. Yet if one examines Budget speeches it rarely gets a mention, although in fairness to Phillip Hammond it did this year because of the crisis in Care which is directly linked to Health.

Health costs continue to grow at around 4% per annum but the economy is down around 2%. So with an aging population,the ‘health service car crash’ as one recent ex health service minister described it, every action must be taken or at least explored to avoid further injury or collapse.

That is what is at the heart of my debate – seeking changes that will reduce not only burgeoning public health costs but lead to healthier, happier and longer lives. As part of that, the Government must confront the stark challenge that alcohol abuse presents for the NHS in terms of financial costs, resources and impact on staff time and welfare.

Alcohol is estimated to cost the NHS around £3.5bn per year, which amounts to £120 for every taxpayer!

Even though drinking has declined marginally, there is a growing burden of alcohol related admissions and “activity” as our NHS tries to deal with the consequences of harmful drinking. This is not surprising when Public Health (England) recently reported:-

  • Alcohol is now the leading cause of death among 15 to 49 year olds.
  • There are now more than a million alcohol-related hospital admissions a year.
  • Alcohol caused more years of life lost to the workforce than from the 10 most cancers.
  • In England more than 10 million are drinking at levels that increase the risk of harming health.

There are 23,000 deaths related to alcohol in England each year, meaning that alcohol accounts for 10% of the UK burden of disease and death and is one of the three biggest avoidable risk factors of them.

Evidence indicates that the ease of access, availability and persistently cheap alcohol perpetuates these problems with deprivation and health inequalities particularly prevalent amongst men from lower socio-economic groups.

Alcohol is 60% more affordable today than it was in 1980. Affordability is one of the key drivers of consumption and harm: cheaper alcohol invariably leads to higher rates of death and disease.

David Cameron and the Coalition Government recognised this back in 2012 when they produced their progressive Alcohol Strategy. In its foreword he wrote”..and a real effort to get to grips with the root cause of the problem.That means coming down hard on cheap alcohol”

That hasn’t happened. Other aspects of the strategy have disappeared. There seems to be a vacuum with no discernible sense of direction. I will be pressing for one – the NHS certainly needs it.

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Lord Brooke of Alverthorpe is a Labour peer in the House of Lords.

Original post here: Politics Home

Experts call for action on HIGH STRENGTH CIDER to protect the homeless and the vulnerable.

The Alcohol Health Alliance and Thames Reach, the homelessness organisation, are today calling for duty increases on high-strength cider, which is a leading cause of death and ill-health among the homeless.

Experts will present evidence on this issue at an event taking place in the House of Commons today, sponsored by David Burrowes MP, aimed at highlighting the impact of alcohol on the homeless and vulnerable.

High-strength ciders, including products like Frosty Jack’s and White Ace, are nearly all drunk by homeless and dependent drinkers, and studies show these ciders are a favourite among children receiving treatment for alcohol dependence. Studies have found that 75-85% of high-strength cider drinkers choose it because of its low price. At typically 7.5% ABV, three-litre bottles of these ciders, which contain the same amount of alcohol as 22 shots of vodka, can be bought for as little as £3.49. This equates to just 16p per unit.

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The calls will put further pressure on the government to act on cheap, high-strength ciders in the budget in March.

In December, 43 organisations and experts from drinkingthe health, homelessness, children’s and religious sectors wrote to the Chancellor urging him to increase the duty on cider, and earlier this month polling was released which showed that 66% of the public back a cider tax. In addition, the Institute for Fiscal Studies has previously called for reform to address “the very low levels of duty charged on strong cider”.

Professor Sir Ian Gilmore, chair of the Alcohol Health Alliance, said:

“A can of 500ml cider at 7.5% is taxed less than a third of the amount taxed on a can of beer the same size and strength. There can be no justification for the low rates of tax on high-strength cider.

“Our calls today are not about the drinks consumed by moderate drinkers. Dependent and vulnerable drinkers account for nearly all sales of high-strength ciders, meaning increased duty would be targeted at them. Indeed, we know that 80% of total cider sales would be left unaffected by duty increases on these high-strength ciders.

“The budget in March represents an ideal opportunity for the government to protect the homeless and vulnerable through increased cider duty.”

Jeremy Swain, Chief Executive of Thames Reach, said:

“98% of the homeless people we work with who have alcohol problems primarily drink bottles and cans of these high-strength ciders and super-strength beers, which are far stronger than regular and premium drinks. A survey of deaths among hostel residents over the past year showed that 10 out of 16 were directly attributable to high and super-strength drinks. This is not a one-off figure. An earlier survey showed 11 out of 14 deaths (78%) were caused by high and super-strength drinks.

“By increasing the tax on these high-strength and dangerous products, the harm done to the vulnerable people we work with will diminish, and the opportunity to reduce, and ultimately end, dependence on alcohol will increase.”

David Burrowes MP is sponsoring the event in Parliament and has long-campaigned locally and nationally about the harms of alcohol. Mr Burrowes said:

“The government has rightly put social justice at the heart of everything they do, and this commitment should extend to preventing the damage done by cheap, high strength drinks, which blight the lives and health of those who need our support – the homeless and vulnerable.

“An increase in the duty on high strength cider at the upcoming budget would represent a step in the right direction to tackling the burden of cheap alcohol on some of our most vulnerable communities.”

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About the Alcohol Health Alliance UK

The Alcohol Health Alliance UK (AHA) is a group of 50 organisations including the Royal College of Physicians, Royal College of GPs, British Medical Association, Alcohol Concern and the Institute of Alcohol Studies.

The AHA works together to:

  • Highlight the rising levels of alcohol-related health harm
  • Propose evidence-based solutions to reduce this harm
  • Influence decision makers to take positive action to address the damage caused by alcohol misuse

For further information, please contact Matt Chorley, the AHA’s Policy and Communications Officer, at matt.chorley@rcplondon.ac.uk.

About Thames Reach

Thames Reach is one of the UK’s leading homelessness charities. Its vision is to end street homelessness and its mission is to provide decent homes, encourage supportive relationships and help people lead fulfilling lives.

Thames Reach runs a range of services in London including street outreach services helping people sleeping rough escape homelessness, a variety of hostels and supported housing projects, and schemes which prevent homelessness and help people develop new skills, re-engage with family and friends, and get back into work.

Thames Reach has been campaigning for over a decade to raise taxation on the dangerous high-strength ciders and super-strength beers – all the major studies on alcohol indicate the price is one of the key factors in influencing what people drink – and have also called on the drinks industry to behave more responsibly.

Successes include the consumption of 9% super-strength beer falling by a quarter in the UK, after we successfully lobbied the Government to create a higher band of duty in 2011, while the drinks manufacturer Heineken removed all of its high-strength cider from sale in the UK after visiting one of our hostels.

See thamesreach.org.uk For further details, contact Thames Reach communications manager, Mike Nicholas, on mike.nicholas@thamesreach.org.uk.

 

 

Thinking about Drinking: A Year in the Life of an Alcohol Researcher at Stirling

Niamh was active in helping the media understand the implications of theniamhfitzgerald 2016 new alcohol guidelines. In this blog post she discusses what happened as a result of the publication of the new guidelines and how the media portray the facts in their own way.

By Niamh Fitzgerald, Research Profile, @NiamhCreate

Journalists love a good alcohol story, especially at this time of year, and January 2016 gave them the ideal ammunition with the publication of new advice from the UK’s Chief Medical Officers (CMOs) designed to provide people with ‘accurate information and clear advice about alcohol and its health risks’.  For the first time, the guidance advised that ‘no level of regular drinking can be considered completely safe’ and advised the same limit for both men and women – not to regularly drink above 14 units of alcohol (about 1 and a half bottles of wine) per week, at the same time moving away from the previous daily limits.  The guidance was based on a lengthy process involving experts from around the UK including Prof. Gerard Hastings (from Stirling) and followed emerging evidence on the links between alcohol and cancer – kicking off a furore of media coverage.

Media coverage following the publication of the new guidelines

The Daily Mail led with the news that the guidelines would ‘put a stop to the belief that red wine is good for you in moderation, while the Sun also focused on this ‘plonk lovers’ shock’ as the CMO’s ‘rubbished’ the supposed health benefits of wine.

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Others focused on the cancer risk, with the Scotsman leading with ‘drinkers at risk of cancer from single glass of wine’; whereas the Telegraph headline was ‘health chiefs attacked for nanny state alcohol guidelines’.  It was a frantic week for colleagues and I at the Institute for Social Marketing (ISM) as we sought to capture all of the newspaper, television and radio coverage for future analysis.  As Lecturer in Alcohol Studies at ISM, and lead for teaching and public engagement on alcohol for the UK Centre for Tobacco and Alcohol Studies (UKCTAS), I was interviewed about the new guidelines on BBC News for their ‘Ask This’ feature, which takes questions from viewers.  I also had a comment piece published in The Scotsman. Continue reading

Kettil Bruun Society 43rd Annual Alcohol Symposium | Sheffield 5-9th June, 2017

The 43rd annual symposium of the Kettil Bruun Society is hosted by the School of Health and Related Research (ScHARR) at the University of Sheffield. The symposium will be held in the Inox Dine area of the Student’s Union building.

For information about the Kettil Bruun Society, the Symposium, and to register, submit abstracts and book social tours, please click here.

To go straight to registration, please click here.

The conference is generously supported by the Insitute for Alcohol Studies, Alcohol Research UK, and the Society for the Study of Addiction.

The Kettil Bruun Society (KBS):

The principal aims of the Kettil Bruun Society (KBS) are to investigate social, epidemiological and cross-cultural research on alcohol use, to promote the exchange of scientific knowledge and experiences among researchers from various disciplines and to encourage international collaboration. The comparison of social and epidemiological developments found in different countries makes it possible to disentangle major trends from underlying patterns of alcohol use. This is particularly useful for the development of effective strategies to regulate alcohol use – an aspect which is of great interest to many countries.

The Symposium:

The primary purpose of the symposium is to provide a forum for researchers involved in studies on alcohol to exchange ideas about their ongoing research. The scope of the symposium includes studies of determinants and consequences of drinking, drinking culture and drinking patterns, social and institutional responses to drinking related harms, prevention and care. Empirical research, theoretical papers and reviews of the literature are welcome. Social and epidemiological studies have to be interpreted in a broad context as they include research in a variety of disciplines, such as psychology, sociology, criminology, economics, history and other sciences. Papers on other forms of substance use such as tobacco and drugs are also accepted, particularly papers considering the way they relate to alcohol use.

The symposium focuses on the discussion of papers that are pre-circulated electronically on this website. The author introduces the paper in a 10-minute segment, followed by prepared comments from a discussant and general audience participation. Any person submitting a paper may be asked to be a discussant or chair of a session.

Abstracts:

Please submit an abstract by 20 January 2017. The word limit for the abstract is 250 words and you should also include a conflict of interest statement and a maximum of three keywords (these are not included in the word count). For reports of empirical research, the abstract should be structured into sections: introduction, methods, results and conclusion.

All abstracts must include a conflict of interest statement. This should identify any author who has a relationship (financial or otherwise) which could be viewed as presenting a potential conflict of interest and give a full disclosure of this relationship.  If there are no conflicts of interest to report, please write ‘None’.

If you know in advance that you will only be able to attend the conference on certain days then please use the option in the submission form to indicate this and we will try to accommodate you when scheduling sessions.

 

UKCTAS welcome today’s ruling to introduce a minimum unit price in Scotland!

Plans to set a minimum price for alcohol in Scotland have been backed by the Scottish courts.

The Court of Session in Edinburgh ruled against a challenge by the Scotch whisky industry, who claimed the plans were a breach of European Law. The ruling now paves the way for the Scottish government to implement its policy, passed by MSPs in 2012.

Under the plans, a price of 50p per unit of alcohol would be set, taking a bottle of spirits to at least £14. The Scottish government, health professionals, police, alcohol charities and some members of the drinks industry believe minimum pricing would help address Scotland’s “unhealthy relationship with drink”.

Sir Ian Gilmore responding to the ruling made today in the Scottish courts in relation to minimum unit pricing in Scotland:

“We welcome this court ruling, and hope to see minimum unit pricing speedily implemented in Scotland. Now is the time to act, even if the global alcohol producers, prioritising commercial interests over Scotland’s health, try to delay further by another appeal.

Now is also the time for England and Wales to follow suit and introduce MUP. The UK government committed to introducing MUP in 2012, and the public support the measure. Government-commissioned research estimates that in the first year following the implementation of MUP in England, there would be nearly 140 fewer crimes per day.

MUP leaves pub prices untouched, and targets the cheap alcohol which is preferentially consumed by children and dependent drinkers. Recent AHA research has found that alcohol is being sold for as little as 16p per unit, with 3 litre bottles of white cider, which contain the same amount of alcohol as 22 shots of vodka, available for just £3.49.

MUP would also be of greatest benefit to those on low income, with 8 out of 10 lives saved coming from the lowest income groups, and greater harm reductions felt by these groups. The government has spoken of its commitment to even out life chances, and MUP would go a long way in furthering this agenda.”

Dr John Holmes from the University of Sheffield said:

“The policy would mainly affect harmful drinkers, and it is the low income harmful drinkers—who purchase more alcohol below the minimum unit price threshold than any other group—who would be most affected. Policy makers need to balance larger reductions in consumption by harmful drinkers on a low income against the large health gains that could be experienced in this group from reductions in alcohol-related illness and death.”

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Modelling by the University of Sheffield estimates that a 50p MUP in Scotland would have the following effects after one year:

· 60 fewer deaths

· 1,300 fewer hospital admissions

· 3,500 fewer crimes

According to the modelling, the health gains will continue to increase over 20 years. At this time, in Scotland there would be an estimated:

· 120 fewer deaths due to alcohol each year

· 2,000 fewer hospital admissions due to alcohol each year

Work commissioned by the Government from the University of Sheffield revealed that 1 year after introducing an MUP in England there would be:

· 50,700 fewer crimes

· 376,600 fewer days absent from work

· 192 fewer deaths

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Professor Petra Meier, Director of the Sheffield Alcohol Research Group, and another author of the study, added:

“Our study finds no evidence to support the concerns highlighted by Government and the alcohol industry that minimum unit pricing would penalise responsible drinkers on low incomes. Instead, minimum unit pricing is a policy that is targeted at those who consume large quantities of cheap alcohol.

“By significantly lowering rates of ill health and premature deaths in this group, it is likely to contribute to the reduction of health inequalities.”

Minimum pricing for alcohol effectively targets high risk drinkers, with negligible effects on moderate drinkers with low incomes – Research report from the University of Sheffield.

Press summary of the Opinion of the Court in the reclaiming motion by the Scotch Whisky Association and others against the Lord Advocate and the Advocate General for Scotland

 

Cheap alcohol: the price we pay and the road to Minimum Unit Pricing!

It has been five years since alcohol partners from across the UK carried out their last comprehensive price survey. A lot has happened in that time. The Coalition Government committed to introduce a minimum unit price (MUP) to tackle the harm caused by the cheapest alcohol. Then, with encouragement from sections of the alcohol industry, they decided to postpone its introduction until the outcome of a legal challenge to minimum unit pricing in Scotland had been resolved. The alcohol duty escalator – which increased duty by 2% above inflation – was scrapped. Wider duty rates were cut. And alcohol harm continued to rise.

Four member organisations of the Alcohol Health Alliance (AHA) – the Institute of Alcohol Studies; Alcohol Focus Scotland; Balance, the North East Alcohol Office; and Healthier Futures – decided to check how those changes had affected the price of alcohol that is available in communities across England and Scotland.

As part of the survey, the partners visited a range of off-sales premises looking for the nation’s cheapest booze. Almost 500 products were examined and the conclusion is clear – alcohol continues to be sold at pocket money prices in supermarkets and off-licences across the UK.

Chairman of the AHA and former president of the Royal College of Physicians, Professor Sir Ian Gilmore, said:

“In spite of a government commitment to tackle cheap, high-strength alcohol, these products are still available at pocket money prices. Harmful drinkers and children are still choosing the cheapest products – predominantly white cider and cheap vodka.

We need to make excessively cheap alcohol less affordable through the tax system, including an increase in cider duty. It’s not right that high strength white cider is taxed at a third of the rate for strong beer. 

In addition, we need minimum unit pricing. This would target the cheap, high strength products drunk by harmful drinkers whilst barely affecting moderate drinkers, and it would leave pub prices untouched.”

Each year, there are almost 23,000 deaths and more than 1 million hospital admissions related to alcohol in England.

More than two-thirds of alcohol sold in the UK is purchased in supermarkets and off-licences.

Headline Findings

  • Alcohol continues to be sold at pocket money prices, with white cider dominating the market for cheap, high-strength drinks.
  • High-strength white cider products, which are predominantly drunk by dependent and underage drinkers, are sold for as little as 16p per unit of alcohol.
  • For the cost of a standard off-peak cinema ticket you can buy seven and a half litres of 7.5% ABV white cider, containing as much alcohol as 53 shots of vodka.
  • Recent cuts in alcohol taxes allow shops and supermarkets to sell alcohol at pocket money prices but have done little to benefit pubs and their customers.
  • High-strength white cider is taxed at the lowest rate of all alcohol products. A can of 7.5% ABV white cider attracts less than one-third of the duty on a can of beer that is the same strength.

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Recommendations

The Government needs to:

  1. Increase duty on high-strength cider
  2. Reinstate the alcohol duty escalator
  3. Upon leaving the EU, tax all alcoholic drinks categories in proportion to strength
  4. Implement a minimum unit price for all alcoholic drinks.

Minimum unit pricing and tax – dispelling the myths

A minimum unit price would only target the highest strength drinks that cause the most harm. There are many myths surrounding minimum unit pricing, which the alcohol industry uses to dissuade people from supporting it. We have included here just a few of those myths and our responses.

Myth: An MUP would affect moderate drinkers too.
Moderate drinkers would experience very little impact from minimum unit pricing, which makes it one of the most effective measures, as it only targets the most harmful drinks of the kind deliberately sought out in this survey. The price of a pint of beer in a pub, for example, would not be affected by minimum unit pricing.
Myth: Taxation would be more effective than an MUP.
Recent research from the University of Sheffield found that, to achieve the same level of impact as an MUP of 50p, a 28% increase in all alcohol duty would be needed, which is outside the realms of possibility when it comes to what the Government will do. Everyone would be affected by these measures, whereas minimum unit pricing only targets the cheapest, strongest drinks.
Myth: Tax and minimum unit pricing cannot be used together.
Increasing duty and introducing an MUP are often presented as alternative solutions, when they can in fact be used to complement each other. Minimum unit pricing is targeted at the cheapest alcohol that is consumed by the most harmful drinkers but there are limits to its impact on wider population alcohol consumption and health, which increases to duty overall would help to tackle.

Tax rises and tougher rules on alcohol promotions work well,
but they will always work better when combined with minimum unit pricing.

Read the full report here.