Lose Lose to Win Win Community Based Partnership Working

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Lose - Lose to Win - Win Community Based
Partnership Working
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Why have a project?

• The annual cost of alcohol misuse is up to 25bn
  per annum and includes
• 1.2m violent incidents (around half of all
  violent crimes)
• At peak times, up to 70 of all admissions to AE
  departments
• Cost of alcohol-related crime and disorder in
  England is 7.3bn
• 21,700 hospital admissions for alcoholic
  poisoning
• 360,000 incidents of domestic violence (1/3 of
  the total)
• 5p in the 1 on the basic rate of income tax
• Source Cabinet Office, Prime Ministers Strategy
  Unit
• Alcohol Harm Reduction Strategy for England 2004

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A Night on the Town
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Who is affected by an assault?
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Route 50 Model

• Based on the work carried out in 1990s by Prof.
  Harold Holder et. al.
• The key was to use several mutually reinforcing
  strategies
• Each was distinct but interlinked
• Moving from purely legalistic / enforcement
  approach to prevention and early intervention
• Holistic in its approach

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Multi-component Working

• Based on the idea of systems
• The system is dynamic
• The entire system is used to deliver change
• Aims to change social norms and beliefs as well
  as the social, cultural and physical environment
  

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Components Education, Support and Enforcement

• Community Involvement and Education
• Greater Enforcement and Support
• Test Purchasing
• Media
• Responsible Service of Alcohol Training
• Transport

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Project Partners

• West Midlands Police
• Birmingham City Council
• Trading Standards
• Licensing Authority
• Technology Innovation Centre, U.C.E
• Community and Neighbourhood Forums
• Local Business / Licence Trade
• British Beer and Pub Association
• Local Radio and Print Media
• UnSuitable (PR Agency)
• Transport Police, West Midlands Travel, Taxi
  Association

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Project Challenges

• Lack of funding and resource
• No pre-existing network dealing with alcohol
  harms
• Preconceptions of project
• Suburban community vs. city centre
• Sustainability

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Overcoming Challenges

• Beg, borrow and charm
• Must be win / win for all
• Be optimistic yet pragmatic
• Develop relationships and demonstrate need
• Develop similar structure but understand local
  needs
• Be the honest broker
• Encourage solution focus mentality

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Community Groups

• Residents wanted and asked
• To know about their rights under the new
  Licensing Act 2003 and how to use them
• To know more about alcohol
• To have a better relationship with the trade

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Enforcement
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Enforcement Success

• Now have a better relationship with trade
• More communication between different enforcement
  agencies
• Sharing of workload
• 21 reduction in PSA1 crimes
• 25.8 reduction in PPW

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Test Purchasing

• Sites given advice visits
• Asked to sign code of conduct
• Given point of sales materials
• Given refusals books
• RBS training offered
• Informed that test purchased would happen
• Test purchases happened
• Careful consideration should be given to the
  scheduling of law enforcement operations

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Media and PR

• Press releases
• Poster campaigns
• Radio campaigns
• Taxi campaigns
• Radio interviews
• TV

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Underage Drinking Campaign

• text

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Christmas Campaign
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Server Training Successes

• Training was seen to be effective
• 95 of participants finding it useful or very
  useful
• Staff now more confident in carrying out legal
  obligations
• Less turnover of staff
• Less pressure on managers

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Reality

• Jug of Ale, Ann Garfield, Owner
• Selling to underage people is something we
  have to always be careful about. Now my staff
  have been on the course they understand why and
  do their jobs with confidence without constant
  support from me. Therefore I have more peace of
  mind regarding staying with in the law. Being
  involved in the project has only been positive.

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Project Successes

• Improved communication between licence premises
  and between publicans and statutory / enforcement
  agencies
• Higher retention of bar staff and increased
  ability to reduce conflict
• Direct communication between local community and
  trade avoiding crisis point and legal action

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Further Successes

• 20 increase in self referrals to alcohol service
  (Aquarius)
• Further projects funded in Birmingham as a result
  of AERC research

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Key Learning

• Adequate start up time required for needs
  assessment and identifying project champions
• An independent honest broker
• Matching incentives with enforcement
• Convincing licensees that participation is in
  their commercial interest
• Trust between partners
• Duration of project should be long enough for
  project to bed down

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Making a Hash of it?

• The weakness of the evidence base on addiction
  and drug abuse is a severe hindrance to effective
  policy making
• We have concluded that the current
  classification system is not fit for purpose and
  should be replaced with a more scientifically
  based scale of harm decoupled from penalties for
  possession and trafficking
• House of commons Science and technology Committee
  
• Drug Classification making a hash of it?
• Fifth Report of Session 2005 -06 18th July 2006
  pg 3

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How harmful is it?

• Class A
• cocaine heroin methadone other opiates in
  pure form amphetamines in injectable form
  alcohol
• Class B
• amphetamines other than injectable barbiturates
  buprenorphine codeine ecstasy and ecstasy-type
  drugs LSD tobacco Class C
• cannabinol and cannabinol derivatives
  benzodiazepines cannabis
• Source Runciman Report, police foundations 2000
  Chapter 3, para 24

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Sensible Drinking

• Just think, secretly guzzling from your gazongas
  means no more queuing up and forking out for
  overpriced drinks at festivals, gigs and games.
  The savings you'll make at just one event will
  pay for your WineRack and still leave you with
  enough change to buy some nuts - not that you'll
  be buying anything for yourself with a chest this
  impressive.

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• Made up of an insulated neoprene sling and a
  polyurethane bladder connected to a drinking
  tube, the Beerbelly holds up to 2.3 Litres (over
  four pints) of amber nectar and it will stay cold
  for hours with the optional freezer pack.
  Brilliant, eh? Okay, so you'll look a bit podgy
  when wearing it, but who gives a XXXX when you
  can surreptitiously swig your favourite brew
  wherever you may roam.