Time to Call Time

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Time to Call Time

• A Strategy for tackling alcohol related harm in
  Cumbria 2008-11
• Paul Musgrave Cumbria DAAT General Manager

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The Cumbrian Response

• The second major alcohol strategy in Cumbria
• Carlisle State Management Scheme 1917 -1971
• Supply side restrictions - product strength,
  availability, age restrictions
• Very successful scheme

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Complex problems require well designed solutions
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Complex problems require well designed solutions

• Demand must not be under estimated
• nor should the power of the industry
• 35 billion industry
• 200 million on advertising
• 800 million
• 88 of 10-13 year olds and 96 of 14-17 year olds
  aware of alcohol advertising
• 76 of these could identity 3 or more adverts
  when the brand name was masked

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If all you have is a hammer
.then everything looks like a nail
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Why an alcohol strategy

• Scale and seriousness across many agencies
• Better co-ordination, use of resources, spreading
  good practice
• National Alcohol Strategy
• LAA and Community Strategy

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Harms to Children and Young People in Cumbria

• There are approximately 9,000 children of problem
  drinkers in Cumbria
• In Cumbria 35 of case conferences on children
  involve substance misuse
• Under 19 year olds commit 26 of alcohol related
  crime in Cumbria
• Alcohol specific hospital admissions in Cumbria
  for under 18s are above the regional and national
  average
• 9 of Year 10 boys in Cumbria report drinking in
  licensed premises in the last week, compared to
  only 4 nationally

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Health Harms to Adults in Cumbria

• On average men in Cumbria lose 10 months of life,
  and women 4.5 months, directly attributable to
  alcohol
• 13 of all premature deaths in Cumbria between
  2002/03 and 2006/07 were attributable to alcohol
• Each death attributable to an alcohol specific
  condition in Cumbria between 2002/03 and 2006/07
  lost on average 21 years of life
• In Cumbria there has been a 49 rise in hospital
  admissions for alcohol specific conditions from
  1,761 in 2002/03 to 2,619 in 2006/07
• In 2006/07 an average of 37 hospital beds were
  permanently occupied by people recovering from
  alcohol specific conditions

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Crime and Disorder Harms in Cumbria

• In Cumbria over 30 of violent crime is recorded
  as alcohol related
• In Cumbria over 50 of domestic violence victims
  and offenders are problem drinkers
• In Cumbria 25 of people report that drunkenness
  and rowdiness in public places is a significant
  problem

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Economic and Social Harms

• Nationally 17 million working days are lost
  annually to alcohol misuse
• Nationally over 38,000 people claim Incapacity
  Benefit because of alcohol problems
• The overall annual cost of productivity lost as a
  result of alcohol misuse is estimated to be
  6.4bn per annum
• Nationally 50 of homeless people are dependent
  on alcohol

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REDUCE THE HARM TO HEALTH

• Key Commitment 1 Implement an effective
  Communication Plan
• Key Commitment 2 Deliver Brief Intervention
  Training
• Key Commitment 3 Increase Capacity and Efficacy
  of Behaviour Modification and Treatment
• Key Commitment 4 Pathways from Hospital
  Presentations

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REDUCE ALCOHOL RELATED CRIME AND ANTI-SOCIAL
BEHAVIOUR

• Key Commitment 1 Support local Crime and
  Disorder Reduction Partnerships (CDRPs) to
  deliver evidence based interventions to reduce
  alcohol related crime and improve community
  safety
• Key Commitment 2 Increase the number of alcohol
  misusing offenders supervised by the
  Probation Service who access effective
  treatment services
• Key Commitment 3 Develop pathways to treatment
  services for alcohol using offenders at an
  early stage of the criminal justice system

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SAFEGUARD CHILDREN AND YOUNG PEOPLE

• Key Commitment 1 Increase support to parents
• Key Commitment 2 Provide more support to alcohol
  misusing families through Childrens Centres
• Key Commitment 3 Deliver a significant reduction
  in failed test purchases
• Key Commitment 4 Deliver effective, age
  appropriate treatment services for young
  people

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REDUCE ECONOMIC AND SOCIAL HARMS

• Key Commitment 1 Enable people to obtain and
  sustain accommodation
• Key Commitment 2 Support organisations in
  developing workforce policies

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The Co-ordinated Cumbrian Response

• Domestic Violence
• Road Safety
• Substance Misuse
• etc
• ..why not alcohol