Difference between revisions of "Alcohol:UK Policy"

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Misuse of alcohol costs the NHS around £1.7Bn a year. Binge drinking in particular in younger age brackets is a major problem. In the UK 24% repeatedly have more than 5 drinks when they do drink and a further 25% have between 3-4. <ref> European Commission Website [http://ec.europa.eu/health/ph_determinants/life_style/alcohol/documents/ebs272_en.pdf European Commission: Attitudes Towards Alcohol] Accessed 24.03.08 </ref> In addition to this 'almost half of victims of violent crime believe the offender to be under the influence of alcohol and just over a quarter of all people think that drunk and rowdy behaviour is a problem in their area' <ref> Jacqui Smith Safe.Sensible.Social - Alcohol Strategy (keynote speech delivered 20th February 2008)[http://www.lga.gov.uk/lga/core/page.do?pageId=198576  Jacqui Smith Safe.Sensible.Social] Accessed 24.03.08 </ref> Much of this misuse is preventable. <ref> Sir Liam Donaldson [http://www.nwph.net/alcohol/alcohol_indications_summary.pdf Sir Liam Donaldson in Association of Public Health Observatories: Indications of Public Health in English Regions: Alcohol]  Accessed 24.03.08 </ref> For this reason the UK Alcohol Policy exists.
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Alcohol is a socially accepted and culturally significant commodity in the UK; the 1996 Health Survey for England found only a minority permanently abstained from drinking alcohol, 4% of men and 7% of women. High levels of alcohol consumption, unsurprisingly, result in increased rates of alcohol related harm.  In the UK rates of alcohol consumption have risen steadily, with per capita rates of consumption more than doubling between 1950 and 2000. 
 +
Alcohol Table <ref> Cancer Research UK, [http://info.cancerresearchuk.org/cancerstats/types/oral/riskfactors/oral-cancer-risk-factors  Alcohol Consumption in the UK 1900-2000, per capita consumption of 100 per cent alcohol] accessed 10th June 2012 </ref>
 +
After 2000 consumption rates continued to rise and in 2004 peaked at 9.4 litres of pure alcohol before showing a small decline to 8.9 litres in 2006. <ref>Lesley Smith & David Foxcroft (2009) [http://www.jrf.org.uk/sites/files/jrf/UK-alcohol-trends-FULL.pdf Drinking in the UK: An exploration of the Trends] accessed 10th June 2012 </ref> 
 +
Alcohol Related Harm
 +
Misuse of alcohol costs the NHS around £1.7Bn a year. Binge drinking, in particular in younger age consumers, is seen as a major problem. In the UK 24% repeatedly have more than 5 drinks when they do drink; and a further 25% have between 3-4 drinks in one sitting. <ref> European Commission Website [http://ec.europa.eu/health/ph_determinants/life_style/alcohol/documents/ebs272_en.pdf European Commission: Attitudes Towards Alcohol] Accessed 24.03.08 </ref>  
 +
In addition to this 'almost half of victims of violent crime believe the offender to be under the influence of alcohol and just over a quarter of all people think that drunk and rowdy behaviour is a problem in their area' <ref> Jacqui Smith Safe.Sensible.Social - Alcohol Strategy (keynote speech delivered 20th February 2008)[http://www.lga.gov.uk/lga/core/page.do?pageId=198576  Jacqui Smith Safe.Sensible.Social] Accessed 24.03.08 </ref> Much of this misuse is preventable. <ref> Sir Liam Donaldson [http://www.nwph.net/alcohol/alcohol_indications_summary.pdf Sir Liam Donaldson in Association of Public Health Observatories: Indications of Public Health in English Regions: Alcohol]  Accessed 24.03.08 </ref> However liberalisation of alcohol regulations and the increasing affordability of alcohol have serious undermined UK alcohol control policy. 
 +
== UK Alcohol Policy ==
 +
In order to reduce alcohol related harms there is clear evidence that controlling the price and availability of alcohol and restricting marketing and promotion are the most effective measures.  <ref> Tom Babor (et al 2010) Alcohol No Ordinary Commodity, 2nd edition, Oxford University press, England ISBN 978-0-19-955114-9 </ref> Licensing and taxation are part of UK alcohol control alcohol, however, licensing has been dramatically liberalised and according to Scottish Health Action on Alcohol Problems (SHAAP) alcohol has become dramatically more affordable:
 +
:“Between 1980 and 2005 the price of alcohol increased by 22% more than prices generally.  However because disposable income has increased by :97% in real terms (Between 1980 and 2005), alcohol was 62% more affordable in 2005 than in 1980” <ref>SHAAP 2007:11 [http://www.shaap.org.uk/UserFiles/File/Price%20Report%20-%20Full%20report.pdf Alcohol: Price, Policy and Public Health] </ref>
 +
Responsibility for developing and implementing alcohol policy is spread across a range of stakeholders.  The Home Office has responsibility for licensing, in England and Wales, for policing and for the 2012 alcohol strategy consultation which considers the merits of a minimum price for alcohol. <ref> Home Office [http://www.homeoffice.gov.uk/drugs/alcohol-strategy/ Alcohol Strategy 2012] accessed 11th June 2012 </ref> Scotland has devolved responsibility on most alcohol related issues with the exceptions of labelling, age restrictions, advertising and taxation. 
 +
The Treasury has responsibility for setting the duty rates applied to alcohol for the whole of the UK, the ministry for justice, Department of Health, Department for Environment Food and Rural Affairs, Department for Work and Pensions are among the twenty government departments with an interest in alcohol policy.  Some ministerial departments have an interest in reducing the harm caused by excessive alcohol consumption; while others have an interest in promoting alcohol for economic ends.
  
== UK policy responses ==
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==Non-Elected Stakeholders==
 
+
Alcohol advertising regulations are overseen by the [[Advertising Association]] and the [[Portman Group]] both represent the interests of commercial actors.  Increasing the [[Department of Health]] has invited stakeholders from the alcohol industry and other commercial sectors to become involved in reducing alcohol related harm.  The [[Responsibility Deal Alcohol Network]] has become a platform within the health strategy to deal with alcohol related issues.  Critics have argued that the Network is skewed in favour of commercial interests and gives little scope for effective action on health. 
There are several main policies undertaken in the UK. These typically focus upon reduction, containment, or the displacement of alcohol related problems. Examples of these problems would be such things as excessive noise, antisocial behaviour, underage drinking to name but a few. Reduction of such problems could be dealt with by the enforcement of an age limit for drinkers. Also such short term action as police cracking down on youth drinking by confiscating alcohol on the street is a form of reduction. Containment would be the licensing of outdoor beer gardens in pubs and at events that allows authorities to keep a certain degree of control over drinkers. An example of displacement would be the introduction of the Alcohol Bylaw that forbids people from drinking in public places. When this is enforced it makes sure that people can only drink in private or licensed premises, thus keeping alcohol-related problems to a minimum in the public domain.<ref> Bromley and Nelson [http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6V68-44DYDK1-1&_user=875629&_coverDate=05%2F31%2F2002&_alid=708137116&_rdoc=2&_fmt=full&_orig=search&_cdi=5808&_sort=d&_docanchor=&view=c&_ct=2&_acct=C000046979&_version=1&_urlVersion=0&_userid=875629&md5=16e8e6e0fd28ef7f1ff24cf3b909a7ab#toc11 Alcohol-Related Crime and Disorder Across Urban Space and Time, Geoforum, Volume 33, Issue 2, May 2002, Pages 239-254 ] Accessed 18.03.08 </ref>.
+
UK alcohol licensing and social disorder policies typically focus on reduction (immediate or short term for example confiscation of alcohol by police), containment or the displacement of alcohol related problems. Priorities include controlling excessive noise, antisocial behaviour, or underage drinking.  Containment aims to control the drinking environment for example in the licensing of outdoor beer gardens in pubs and at events that allows authorities to keep a certain degree of control over drinkers. Displacement includes actions such as the introduction of the Alcohol Bylaws that forbid people from drinking in public places. <ref> Bromley and Nelson [http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6V68-44DYDK1-1&_user=875629&_coverDate=05%2F31%2F2002&_alid=708137116&_rdoc=2&_fmt=full&_orig=search&_cdi=5808&_sort=d&_docanchor=&view=c&_ct=2&_acct=C000046979&_version=1&_urlVersion=0&_userid=875629&md5=16e8e6e0fd28ef7f1ff24cf3b909a7ab#toc11 Alcohol-Related Crime and Disorder Across Urban Space and Time, Geoforum, Volume 33, Issue 2, May 2002, Pages 239-254 ] Accessed 18.03.08 </ref>.
 
 
== Targeting underage drinking ==
 
 
 
Underage drinking is one of the largest problems faced by the WHO and EU along with the alcohol industry a whole. EU member states are given a certain degree of freedom when it comes to their national alcohol policy. The best example of this would be the differences in age limits to drink in different European countries. The UK is forced to enforce its miniumum drinking age limit every day whether in pubs and club or through high street shops.
 
 
 
These are not the only channels for underagers to get hold of alcohol however. An often overlooked method for procuring alcohol is through irresponsible adults buying it for underage drinkers. Jacqui Smith in her address on the 20th of February 2008 drew to attention the fact that it is not just older teenagers that are buying for younger drinkers but also that parents are actively supplying their children with alcohol. She suggested that legislation must be passed to combat this tricky subject.
 
 
 
In the Autumn of 2007 the UK police ran a half term campaign against underage drinkers in 23 local areas. This purge led to the confiscation of approximately 3,700 litres of alcoholic beverages. Building on the success of this campaign the Police are currently undertaking an identical project in 173 local areas across the UK in the Spring half term of 2008. Campaigns such as this are expected to convey a strong message to underage drinkers and people of the UK as a whole that the problem of underage drinking is being firmly tackled. <ref> Jacqui Smith Safe.Sensible.Social - Alcohol Strategy (keynote speech delivered 20th February 2008)[http://www.lga.gov.uk/lga/core/page.do?pageId=198576  Jacqui Smith Safe.Sensible.Social] Accessed 25.03.08 </ref>
 
 
 
==Regional issues==
 
 
 
At a local level, Glasgow City had the highest alcohol-related death rate among both men and women in 1998-2004. Fifteen of the 20 UK local areas with the highest male alcohol-related death rates were in Scotland. The increase in alcohol-related mortality may be linked to changing consumption patterns such as ‘binge drinking’, changes in the type of alcohol consumed and changing drinking patterns in the young. The increase in the overall level of alcohol consumption between 1991 and 2004 average per capita consumption rose by a quarter, from 9.3 to 11.6 litres of pure alcohol. The new analysis shows a strong association between alcohol death rates and measures of social and economic deprivation. While the analysis was only undertaken in relation to England and Wales, its conclusions are consistent with previous research and the factor of economic deprivation is probably one of the main explanations of the higher alcohol mortality in parts of Scotland, particularly Glasgow. <ref> IAS 2007 [Institute of alcohol Studies, 2007: Issue 1.] </ref>
 
  
 
== Discrepancies in datasets ==
 
== Discrepancies in datasets ==
 +
The two main sources of information for UK national alcohol statistics are the Office for National Statistics in the Household Survey and Her Majesty's Revenue and Customs excise data. Unfortunately there are vast discrepancies in data gathered on identical subjects between the two sources. <ref> Association of Public Health Observatories Website [http://www.nwph.net/alcohol/alcohol_indications_summary.pdf Association of Public Health Observatories: Indications of Public Health in English Regions: Alcohol] Accessed 24.03.08 </ref> In fact alcohol purchases recorded in HM Revenue and customs data are nearly double those in the Office for National Statistics in the Household Survey.<ref>Association of Public Health Observatories Website [http://www.nwph.net/alcohol/alcohol_indications_summary.pdf Association of Public Health Observatories: Indications of Public Health in English Regions: Alcohol (Page 7 Inconsistencies in Datasets)] Accessed 24.03.08 </ref> There are a plethora of further datasets on alcohol consumption and related health problems. However, determining precision in alcohol statistics is a complicated procedure and often contested by some groups. 
  
The two main sources of information for UK national alcohol statistics are the Office for National Statistics in the Household Survey and Her Majesty's Revenue and Customs excise data. Unfortunately there are vast discrepancies in data gathered on identical subjects between the two sources. <ref> Association of Public Health Observatories Website [http://www.nwph.net/alcohol/alcohol_indications_summary.pdf Association of Public Health Observatories: Indications of Public Health in English Regions: Alcohol] Accessed 24.03.08 </ref> In fact alcohol purchases recorded in HM Revenue and customs data are nearly double those in the Office for National Statistics in the Household Survey.<ref>Association of Public Health Observatories Website [http://www.nwph.net/alcohol/alcohol_indications_summary.pdf Association of Public Health Observatories: Indications of Public Health in English Regions: Alcohol (Page 7 Inconsistencies in Datasets)] Accessed 24.03.08 </ref> There are a plethora of further datasets on alcohol consumption and related health problems. However, these too are rather inaccurate.
+
In addition there is the problem of differing uses of terminology and the confusion this casts across survey samples. This, of course, subsequently affects the analysis of the data. In addition to this the constant shift of responsibility for recording data with regard to alcohol consumption means that it is almost impossible to see any trends emerging. Despite this, however, some good information does exist.
 
 
In addition there is the problem of differing uses of terminology and the confusion this casts across survey samples. This, of course, subsequently affects the analysis of the data. In addition to this the constant shift of responsibility for recording data with regard to alcohol consumption means that it is almost impossible to see any trends emerging. Despite this, however, some good information does exist on a regional scale.
 
  
 
==Related pages==
 
==Related pages==
 
+
*The [[Portman Group]]
 +
*[[Drinkaware Trust]]
 
*[[Brewers of Europe]]
 
*[[Brewers of Europe]]
 
*[[Diageo]]
 
*[[Diageo]]

Revision as of 11:15, 11 June 2012

Alcohol badge.jpg This article is part of the Spinwatch public health oriented Alcohol Portal project.

Alcohol is a socially accepted and culturally significant commodity in the UK; the 1996 Health Survey for England found only a minority permanently abstained from drinking alcohol, 4% of men and 7% of women. High levels of alcohol consumption, unsurprisingly, result in increased rates of alcohol related harm. In the UK rates of alcohol consumption have risen steadily, with per capita rates of consumption more than doubling between 1950 and 2000. Alcohol Table [1] After 2000 consumption rates continued to rise and in 2004 peaked at 9.4 litres of pure alcohol before showing a small decline to 8.9 litres in 2006. [2] Alcohol Related Harm Misuse of alcohol costs the NHS around £1.7Bn a year. Binge drinking, in particular in younger age consumers, is seen as a major problem. In the UK 24% repeatedly have more than 5 drinks when they do drink; and a further 25% have between 3-4 drinks in one sitting. [3] In addition to this 'almost half of victims of violent crime believe the offender to be under the influence of alcohol and just over a quarter of all people think that drunk and rowdy behaviour is a problem in their area' [4] Much of this misuse is preventable. [5] However liberalisation of alcohol regulations and the increasing affordability of alcohol have serious undermined UK alcohol control policy.

UK Alcohol Policy

In order to reduce alcohol related harms there is clear evidence that controlling the price and availability of alcohol and restricting marketing and promotion are the most effective measures. [6] Licensing and taxation are part of UK alcohol control alcohol, however, licensing has been dramatically liberalised and according to Scottish Health Action on Alcohol Problems (SHAAP) alcohol has become dramatically more affordable:

“Between 1980 and 2005 the price of alcohol increased by 22% more than prices generally. However because disposable income has increased by :97% in real terms (Between 1980 and 2005), alcohol was 62% more affordable in 2005 than in 1980” [7]

Responsibility for developing and implementing alcohol policy is spread across a range of stakeholders. The Home Office has responsibility for licensing, in England and Wales, for policing and for the 2012 alcohol strategy consultation which considers the merits of a minimum price for alcohol. [8] Scotland has devolved responsibility on most alcohol related issues with the exceptions of labelling, age restrictions, advertising and taxation. The Treasury has responsibility for setting the duty rates applied to alcohol for the whole of the UK, the ministry for justice, Department of Health, Department for Environment Food and Rural Affairs, Department for Work and Pensions are among the twenty government departments with an interest in alcohol policy. Some ministerial departments have an interest in reducing the harm caused by excessive alcohol consumption; while others have an interest in promoting alcohol for economic ends.

Non-Elected Stakeholders

Alcohol advertising regulations are overseen by the Advertising Association and the Portman Group both represent the interests of commercial actors. Increasing the Department of Health has invited stakeholders from the alcohol industry and other commercial sectors to become involved in reducing alcohol related harm. The Responsibility Deal Alcohol Network has become a platform within the health strategy to deal with alcohol related issues. Critics have argued that the Network is skewed in favour of commercial interests and gives little scope for effective action on health. UK alcohol licensing and social disorder policies typically focus on reduction (immediate or short term for example confiscation of alcohol by police), containment or the displacement of alcohol related problems. Priorities include controlling excessive noise, antisocial behaviour, or underage drinking. Containment aims to control the drinking environment for example in the licensing of outdoor beer gardens in pubs and at events that allows authorities to keep a certain degree of control over drinkers. Displacement includes actions such as the introduction of the Alcohol Bylaws that forbid people from drinking in public places. [9].

Discrepancies in datasets

The two main sources of information for UK national alcohol statistics are the Office for National Statistics in the Household Survey and Her Majesty's Revenue and Customs excise data. Unfortunately there are vast discrepancies in data gathered on identical subjects between the two sources. [10] In fact alcohol purchases recorded in HM Revenue and customs data are nearly double those in the Office for National Statistics in the Household Survey.[11] There are a plethora of further datasets on alcohol consumption and related health problems. However, determining precision in alcohol statistics is a complicated procedure and often contested by some groups.

In addition there is the problem of differing uses of terminology and the confusion this casts across survey samples. This, of course, subsequently affects the analysis of the data. In addition to this the constant shift of responsibility for recording data with regard to alcohol consumption means that it is almost impossible to see any trends emerging. Despite this, however, some good information does exist.

Related pages

References

  1. Cancer Research UK, Alcohol Consumption in the UK 1900-2000, per capita consumption of 100 per cent alcohol accessed 10th June 2012
  2. Lesley Smith & David Foxcroft (2009) Drinking in the UK: An exploration of the Trends accessed 10th June 2012
  3. European Commission Website European Commission: Attitudes Towards Alcohol Accessed 24.03.08
  4. Jacqui Smith Safe.Sensible.Social - Alcohol Strategy (keynote speech delivered 20th February 2008)Jacqui Smith Safe.Sensible.Social Accessed 24.03.08
  5. Sir Liam Donaldson Sir Liam Donaldson in Association of Public Health Observatories: Indications of Public Health in English Regions: Alcohol Accessed 24.03.08
  6. Tom Babor (et al 2010) Alcohol No Ordinary Commodity, 2nd edition, Oxford University press, England ISBN 978-0-19-955114-9
  7. SHAAP 2007:11 Alcohol: Price, Policy and Public Health
  8. Home Office Alcohol Strategy 2012 accessed 11th June 2012
  9. Bromley and Nelson Alcohol-Related Crime and Disorder Across Urban Space and Time, Geoforum, Volume 33, Issue 2, May 2002, Pages 239-254 Accessed 18.03.08
  10. Association of Public Health Observatories Website Association of Public Health Observatories: Indications of Public Health in English Regions: Alcohol Accessed 24.03.08
  11. Association of Public Health Observatories Website Association of Public Health Observatories: Indications of Public Health in English Regions: Alcohol (Page 7 Inconsistencies in Datasets) Accessed 24.03.08