Alcohol - Where are we now?

Helen Onions

Consultant in Public Health

Telford & Wrekin Council

Local Authority Public Health Services

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Trends in Early Death Rates (<75 years): Telford & Wrekin

Trends in Early Deaths from Preventable Liver Disease: Telford & Wrekin

2001

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2002

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2003

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2004

- 06

2005

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2006

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2007

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2008

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2010

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2011

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Telford & Wrekin England

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(average annual deaths in 2011-13 = 29)

A few more facts and figures...

Nationally, alcohol consumption more than doubled between the mid-1950s - late 1990s

Alcohol consumption in T&W (over 16s):• Binge drinkers 8.7% - circa 24,300

• Increasing risk drinkers 19.7% - circa 25,600

• Higher risk drinkers 6.5% - circa 8,400 of which 4,000 are dependant

T&W patients admitted to hospital with alcohol-related conditions• 4,155 men and 2,172 women in 2012/13

• Rates worse than England average for men

NHS Health Check

Everyone attending a NHS Health Check should have their alcohol consumption risk assessed

Where the full AUDIT score is 8+ individuals will be given brief alcohol advice

A referral to alcohol services should be considered for those individuals scoring 20 or more on AUDIT

Interestingly ....during April –Dec 2014 of the 3,062 Health Checks completed in T&W:

• 9.6% reported being teetotal • ~1% had an AUDIT score of 8-15 “increasing risk” or

20+ indicating “possible dependency”• None were recorded in the “higher risk” category

Telford and WrekinDrug and Alcohol Strategy

2014/15 – 2016/17

Strategy framework

Local Authority Responsibilities

Coordination – Drug & Alcohol Action Team DAAT Board reporting to Community Safety Partnership up to the Health & Wellbeing Board

PH Commissioning & Prevention agenda: • Reducing alcohol harm in the population• NHS Health Check - AUDIT tool• Alcohol treatment interventions Tier 1 – 4

Public Protection:• Licensing – Statement of Licensing Policy• Night Time Economy work