X - Tameside Strategic Partnership
X - Tameside Strategic Partnership
X - Tameside Strategic Partnership
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TAMESIDE ALCOHOL HARM<br />
REDUCTION STRATEGY<br />
2007-2010
Contents<br />
1. Executive summary PAGE 4<br />
2. Introduction 8<br />
3. Drinking styles 12<br />
4. Growth in Consumption and Availability 14<br />
5. Thematic overview: Safer Stronger Communities 17<br />
6. Thematic overview: Children and Young People 27<br />
7. Thematic overview: Healthier Communities and Older People 33<br />
8. Thematic overview: Economic Development 42<br />
9. National Strategy Outcomes 45<br />
Appendices; 1. Next steps in the National Alcohol Strategy 2007 46<br />
2. Review of the Literature 47<br />
3. LAA Matrix of Cross Cutting Themes 48<br />
4. Alcohol Strategies Key Activities 57
1. Executive Summary<br />
1. Background<br />
This strategy is the second multiagency Alcohol Strategy for the<br />
borough. The strategy has been revised on production of a new<br />
national alcohol strategy. From April 2008 the production of a local<br />
alcohol strategy will be compulsory. Crime and Disorder <strong>Partnership</strong>s<br />
will be required to lead on the development and review of a local<br />
strategy. Government Offices for the Regions will be responsible<br />
for ensuring this is met and a form of self-evaluation may also be<br />
developed. This strategy aims to further develop local interventions that<br />
have been developed since the fi rst strategy was launched in 2003; to<br />
continue in reducing alcohol related harms in addition to refl ecting key<br />
national developments.<br />
The <strong>Tameside</strong> Local Area Agreement recognises the impact of alcohol<br />
upon all of the four thematic blocks of the LAA namely; safer stronger<br />
communities; healthier communities and older people; economic<br />
development and children and young people and the majority of<br />
the LAA indicators. In view of this an Alcohol subgroup has been<br />
established which comprises of representatives from each of the LAA<br />
thematic partnerships.<br />
The LAA Alcohol subgroup will be responsible for ensuring alcohol<br />
is mainstreamed into the work of the LAA, to highlight alcohol as<br />
a factor in achieving LAA indicators and to monitor and review the<br />
implementation of the Alcohol Strategy and related indicators and<br />
sub indicators. The strategy was initially developed with support from<br />
the LAA Alcohol subgroup followed by a period of consultation with<br />
stakeholders and local <strong>Partnership</strong>s.<br />
Each of the four themes of the alcohol strategy has an action plan,<br />
which builds on existing and developing areas of work. Each action<br />
plan will be progressed over the next three years and will be constantly<br />
reviewed though both the LAA Alcohol subgroup and other existing<br />
partnership groups such as the Violent Crime Steering Group and<br />
Alcohol Treatment Service Improvement Group. This strategy will be<br />
reviewed at one yearly interval by the LAA Alcohol subgroup, or upon<br />
any signifi cant changes in legislation or Government policies and<br />
strategies. This review process will include consultation with partner<br />
agencies.<br />
2. Introduction<br />
Alcohol is consumed by 90% 1 of the adult population and plays a<br />
signifi cant part of our social, economic and cultural life, however<br />
increases in alcohol related harms to both individuals and society is<br />
of signifi cant concern both nationally and locally. Both nationally and<br />
locally the encouragement of drinking safely and sensibly is a priority.<br />
Alcohol related harm impacts on individuals and society in the following<br />
ways:<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
An estimated 23,000 alcohol related incidents take place in Britain<br />
each week<br />
An estimated 60 deaths a day in England are alcohol related<br />
1 in 11 children in the UK are living with parents who misuse<br />
alcohol<br />
1 in 3 fi re deaths are alcohol related, each serious dwelling fi re<br />
has an economic cost of £25,000<br />
Up to 70% of men who assault their partners do so under the<br />
infl uence of alcohol<br />
70% of accident and emergency admissions at peak times are<br />
alcohol related<br />
1<br />
National Alcohol Strategy 2004<br />
4
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
50% of the rough sleeper population are alcohol reliant<br />
After drinking 1 in 7 16-24 year olds have had unprotected sex<br />
61% of the population perceive alcohol related violence as<br />
worsening<br />
Alcohol is implicated in 1 in 3 suicides in older people<br />
Up to 40% of all violent crime is alcohol related<br />
Alcohol fi gures in 30% of all fatal car accidents where men are the<br />
victims<br />
38% of convicted offenders thought that alcohol was a predictive<br />
factor in their risk of reoffending<br />
Up to 17 million working days are lost each year through alcoholrelated<br />
work absence<br />
Alcohol is estimated to contribute to over half of youth related<br />
arson incidents<br />
6. To reduce young people’s consumption of alcohol and associated<br />
negative consequences on health and crime and disorder<br />
7. To prevent neglect, emotional and physical harm to children as a<br />
result of their parents drinking<br />
8. To reduce alcohol related harm upon the local economy and<br />
workplaces<br />
9. To establish an effective alcohol data collection and monitoring<br />
system in relation to the impact alcohol has on health, crime,<br />
disorder and anti social behaviour<br />
10. To reduce the number of alcohol related fi re deaths and incidents<br />
in the home<br />
11. To reduce alcohol related road traffi c collisions and road deaths<br />
12. To research the links between alcohol consumption and<br />
homelessness<br />
3. <strong>Tameside</strong> Alcohol Strategy 2007-2010<br />
The aim of the strategy is: to reduce alcohol related harms through<br />
partnership working and to promote sensible drinking.<br />
Key Priorities:<br />
The <strong>Tameside</strong> Alcohol Strategy addresses the following key priorities:<br />
1. To reduce alcohol related crime, disorder and anti social behaviour<br />
2. To reduce the negative impact of alcohol upon the health of<br />
individuals and communities<br />
3. To reduce the impact alcohol misuse has on families and<br />
communities<br />
4. To improve the range, accessibility and quality of alcohol<br />
treatment services<br />
5. To protect people of all ages from all alcohol-related harm through<br />
the education of alcohol sensible drinking and safety messages<br />
5<br />
Key Themes:<br />
The four themes of the strategy and action plans are:<br />
1. Safer, Stronger Communities<br />
2. Children and Young People<br />
3. Healthier Communities and Older People<br />
4. Economic Development<br />
4. Safer, Stronger Communities<br />
Alcohol related crime, disorder and anti social behaviour is not only<br />
a huge burden on public resources (estimated as 7.3 bn a year 2 ),<br />
but also a huge impact upon communities. Alcohol consumption<br />
has an impact upon levels of violent crime, domestic violence, anti<br />
social behaviour, criminal damage, rape and sexual assaults, arson,<br />
accidents, road traffi c collisions and fi res.<br />
Local research on domestic violence, found that 70% 3 of respondents<br />
2<br />
National Alcohol Strategy 2004<br />
3<br />
Despair to repair 2001- <strong>Tameside</strong> Domestic 2 National Alcohol Strategy 2004
indicated that their partners were under the infl uence of alcohol before<br />
the attacks. Violent crime is associated with alcohol consumption; the<br />
hotspot for public order offences coincides with the nighttime economy<br />
in both Ashton and Stalybridge with a peak in offences committed at<br />
weekends at 4am. National estimates indicate that 1 in 3 fi re 4 deaths<br />
are alcohol related this is refl ected locally with increases in the number<br />
of alcohol related fi res in ‘hazardous drinkers’.<br />
Key activities for Safer Stronger Communities action plan:<br />
● Develop local data collection and monitoring system of alcohol<br />
related crime, disorder and anti social behaviour<br />
● Concerted local effort on enforcement and prevention of drink<br />
driving, particularly with identifi ed high risk groups<br />
● Develop a local implementation plan for new alcohol related<br />
powers of the Violent Crime Act 2006<br />
● Review approaches of under age sales enforcement<br />
● Develop a challenge 21 scheme or equivalent<br />
● Develop a local system of alcohol screening and interventions<br />
within criminal justice system<br />
● Create opportunities to develop targeted fi re and alcohol safety<br />
awareness campaigns and interventions<br />
Key indicators for the Safer Stronger Communities action<br />
plan:<br />
● Proportion of alcohol related fi res and fi re deaths<br />
● Proportion of police alcohol markers and related hotspots<br />
● Proportion of drink driving offences<br />
● Test purchasing operations and prosecutions<br />
● Proportion of alcohol related violent offences<br />
5. Children and Young People<br />
Young people are beginning to consume alcohol with their friends at<br />
4<br />
Greater Manchester Fire and Rescue Service annual plan.<br />
6<br />
an earlier age from the age of 11 (previously age 13 5 ). Those that are<br />
consuming alcohol are now consuming double the units and on a more<br />
frequent basis.<br />
Recent surveys indicate that the majority of young people in <strong>Tameside</strong><br />
have started drinking with their friends by the age of 13 (75%) with<br />
48% are consuming alcohol frequently -at least once a week. Recent<br />
North West research highlights young people in <strong>Tameside</strong> to be ‘binge<br />
drinkers’ with many consuming in excess of the adult sensible drinking<br />
guidelines.<br />
In addition 29% while under the infl uence of alcohol have indicated that<br />
they are aggressive and violent; 16% have broken the law and 11%<br />
had unprotected sex. Referrals into the anti social behaviour team for<br />
young people consuming alcohol has doubled over the last 12 months 6 .<br />
Key activities for Children and Young People action plan:<br />
● Develop local systems of disseminating sensible drinking<br />
guidance to parents<br />
● Develop targeted early alcohol interventions with young people at<br />
risk<br />
● Develop systems of referral from hospital to alcohol treatment<br />
services<br />
● Review underage sales enforcement<br />
Key indicators for Children and Young People action plan:<br />
● Proportion of year 10’s say they drink alcohol frequently (once a<br />
week)<br />
● The age young people started to drink with friends<br />
● Proportion of parents sent a alcohol related incident letter from<br />
ASBO team<br />
● Proportion of young people referred to Branching Out from the<br />
hospital<br />
● Proportion of test purchasing failures<br />
5<br />
Safe Sensible Social National Alcohol Strategy 2007<br />
6<br />
Health Related Attitudes Year 10 Survey, <strong>Tameside</strong> 2006
6. Healthier Communities and Older People<br />
Alcohol has a major impact upon the health and wellbeing of<br />
individuals and costs the Health service £1.7bn a year 7 . It is predicted<br />
that alcohol related health harms are currently underestimated and<br />
in the future will contribute signifi cantly to premature death rates in<br />
addition to the progression of cancer, heart disease, osteoporosis<br />
and strokes. Consumption levels overall have doubled over the last<br />
ten years and this will only add to increasing future health problems<br />
within communities. The prevalence of hospitalised admission (for<br />
alcohol specifi c conditions and all conditions attributable to alcohol)<br />
and the number of months of life lost attributable to alcohol amongst<br />
both males and females have all witnessed increases in <strong>Tameside</strong>.<br />
Referrals into local treatment services have increased year on year.<br />
Alcohol harms among older people is often described as a neglected<br />
area. The number of older people exceeding the sensible drinking<br />
guidelines has increased. Such excessive drinking puts older people at<br />
risk of stroke; depression, falls and can contribute towards dementia.<br />
Key activities for Healthier Communities and Older People<br />
action plan:<br />
● Develop a multiagency screening and brief alcohol interventions<br />
training programme<br />
● Develop an alcohol hospital liaison service<br />
● Investigate the potential for alcohol projects to be developed<br />
within priority neighbourhoods<br />
● Review the accessibility of local alcohol treatment<br />
● Promote sensible drinking guidelines within health promotion<br />
campaigns<br />
7<br />
National Alcohol Strategy 2004<br />
7<br />
Key indicators for Healthier Communities and Older People<br />
action plan:<br />
● Referrals into alcohol treatment agencies<br />
● Proportion of alcohol related falls in over 65’s<br />
● Proportion of people able to recall sensible drinking guidelines<br />
● Proportion of people able to estimate their own alcohol<br />
consumption in units<br />
● Hospital admissions for alcohol specifi c conditions<br />
● Proportion of people who know where to get advice and support<br />
7. Economic Development<br />
Alcohol consumption affects workers productivity, and can affect the<br />
health, safety and welfare of staff. Alcohol can have an impact on<br />
the workplace in many ways; excessive drinking in leisure time can<br />
impact on productivity and long term performance; drinking before<br />
a shift, during lunch breaks or even work hours to binge drinking at<br />
after work activities. The Government estimate the national annual<br />
cost of performance and productivity lost as a result of alcohol misuse<br />
is calculated as 6.4bn. Up to 17m working days are lost each year<br />
through alcohol-related absence 8 .<br />
Consultation with local businesses has indicated that 40% of local<br />
businesses are considering developing a workplace alcohol or<br />
substance misuse policy 9 .<br />
Key activities for Economic Development action plan:<br />
● Encourage the development of alcohol workplace policies<br />
● Develop a workplace sensible drinking project<br />
● Develop joint activities between job centre plus and treatment<br />
agencies<br />
Key indicator for Economic Development action plan:<br />
● Proportion of businesses with a workplace alcohol policy<br />
8<br />
Safe Sensible Social National Alcohol Strategy 2007<br />
9<br />
Business Survey, <strong>Tameside</strong> 2003
2. Introduction<br />
Alcohol is consumed by 90% of the adult population and plays a<br />
signifi cant part of our social, economic and cultural life, however<br />
increases in alcohol related harms to both individuals and society is of<br />
signifi cant concern both nationally and locally.<br />
Alcohol related harm impacts on individuals and society in the following<br />
ways:<br />
Safe. Sensible. Social. National<br />
Alcohol Strategy 2007<br />
The Government’s Strategy Unit calculated the cost of these<br />
alcohol related harms at 20bn per annum. To tackle these harms<br />
the Government launched the fi rst National Alcohol Harm Reduction<br />
Strategy in 2004. The strategy grouped alcohol related harms into four<br />
key areas:<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
An estimated 23,000 alcohol related incidents take place in Britain<br />
each week<br />
An estimated 60 deaths a day in England are alcohol related<br />
1 in 11 children in the UK are living with parents who misuse<br />
alcohol<br />
1 in 3 fi re deaths are alcohol related, each serious dwelling fi re<br />
has an economic cost of £25,000<br />
Up to 70% of men who assault their partners do so under the<br />
infl uence of alcohol<br />
70% of accident and emergency admissions at peak times<br />
(weekends) are alcohol related<br />
50% of the rough sleeper population are alcohol reliant<br />
After drinking 1 in 7 16-24 year olds have had unprotected sex<br />
61% of the population perceive alcohol related violence as<br />
worsening<br />
Alcohol is implicated in 1 in 3 suicides in older people<br />
Up to 40% of all violent crime is alcohol related<br />
Alcohol fi gures in 30% of all fatal car accidents where men are the<br />
victims<br />
Up to 17 million working days are lost each year through alcoholrelated<br />
work absence<br />
Alcohol is estimated to contribute to over half of youth related<br />
arson incidents 10<br />
●<br />
●<br />
●<br />
●<br />
Harms to family and society<br />
Health harms<br />
Crime and antisocial behaviour<br />
Loss of productivity and profi tability<br />
The strategy aimed to scope out and quantify the impact of alcohol<br />
related harm upon the nation as well as identifying key activities to<br />
minimise the impact of the four key alcohol related harms.<br />
Safe. Sensible. Social. The next steps in the National Alcohol Strategy,<br />
was launched in June 2007. The new strategy seeks to build on the<br />
foundations laid and the lessons learnt since the fi rst strategy was<br />
launched in 2004. It outlines further national and local action to achieve<br />
long-term reductions in alcohol related ill health and crime. The new<br />
strategy promises to:<br />
1. To ensure that licensing and enforcement powers that have been<br />
introduced since the fi rst strategy are being used widely and<br />
effectively;<br />
2. That more focus is given to drinkers who cause most alcohol<br />
related harm such as under 18’s, binge drinkers and harmful<br />
drinkers;<br />
3. That we all work together to promote sensible drinking.<br />
10<br />
National Alcohol Strategy 2004<br />
8
The long-term goal of the Government is:<br />
To minimise the health harms, violence and antisocial<br />
behaviour associated with alcohol, while ensuring that<br />
people are able to enjoy alcohol safely and responsibly.<br />
The next steps for the national alcohol strategy are as follows:<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
Sharpened criminal justice for drunken behaviour<br />
A review of NHS spending<br />
More help for people who want to drink less<br />
Toughened enforcement of underage sales<br />
Development of trusted guidance for parents and young people<br />
Public information campaigns to promote a new sensible drinking<br />
culture<br />
Public consultation on alcohol pricing and promotion<br />
Local alcohol strategies to be made compulsory<br />
<strong>Tameside</strong> Alcohol Strategy<br />
2007-2010<br />
Local stakeholders and partnerships have been well aware of the<br />
increasing issue of alcohol related harm and has been focused in<br />
developing harm reduction activities to counteract alcohol related<br />
crime, disorder and health across the borough. <strong>Tameside</strong> launched<br />
its fi rst multiagency alcohol strategy in November 2003 before the<br />
development of the National Alcohol Harm Reduction Strategy in<br />
March 2004. The local strategy was a compilation of audit fi ndings,<br />
local issues and recommendations. This second strategy develops<br />
further the alcohol related work of local partners whilst incorporating<br />
new national developments and changes in local priorities.<br />
Tackling alcohol related harms is a challenge for all and requires<br />
multiagency enforcement, intervention and prevention measures.<br />
Alcohol issues cut across education, transport, environmental<br />
services, town centre management, policing, health and treatment.<br />
Consequently the alcohol strategy and action plan has been developed<br />
with consultation from the following agencies and partnerships:<br />
<strong>Tameside</strong> Metropolitan Borough Council<br />
Greater Manchester Police<br />
<strong>Tameside</strong> Victim and Witness Support<br />
Greater Manchester Fire Service<br />
Greater Manchester Probation Service<br />
Pennine Care Trust<br />
<strong>Tameside</strong> & Glossop Primary Care Trust<br />
Turning Point<br />
<strong>Tameside</strong> Crime and Disorder <strong>Partnership</strong> Government Offi ce North West<br />
<strong>Tameside</strong> Local Safeguarding Children’s Board Health <strong>Partnership</strong> Board<br />
<strong>Tameside</strong> <strong>Strategic</strong> <strong>Partnership</strong><br />
Lifeline<br />
<strong>Tameside</strong> Children and Young People’s <strong>Partnership</strong><br />
9
Purpose of the Strategy: to reduce alcohol related harms<br />
through partnership working and to promote sensible<br />
drinking.<br />
Key Priorities<br />
The <strong>Tameside</strong> Alcohol Strategy addresses the following key priorities:<br />
1. To reduce alcohol related crime, disorder and anti social behaviour<br />
2. To reduce the negative impact of alcohol upon the health of<br />
individuals and communities<br />
3. To reduce alcohol related falls, illness, injuries and deaths<br />
4. To improve the range, accessibility and quality of alcohol<br />
treatment services<br />
5. To protect people of all ages from all alcohol-related harm through<br />
the education of alcohol sensible drinking and safety messages<br />
6. To reduce young people’s consumption of alcohol and associated<br />
negative consequences on health and crime and disorder<br />
7. To prevent neglect, emotional and physical harm to children as a<br />
result of their parents drinking<br />
8. To reduce alcohol related harm upon the local economy and<br />
workplaces<br />
9. To establish an effective alcohol data collection and monitoring<br />
system in relation to the impact alcohol has on health, crime,<br />
disorder and anti social behaviour<br />
10. To reduce the number of alcohol related fi re deaths and incidents<br />
in the home<br />
11. To reduce alcohol related road traffi c collisions and road deaths<br />
12. To research the links between alcohol consumption and<br />
homelessness<br />
Key Themes<br />
The four themes of the strategy and action plans are:<br />
1. Safer, Stronger Communities<br />
2. Children and Young People<br />
3. Healthier Communities and Older People<br />
4. Economic Development<br />
10
Links to <strong>Tameside</strong> Local Area<br />
Agreement<br />
The <strong>Tameside</strong> Local Area Agreement Steering Group identifi ed some<br />
cross cutting themes which the LAA should focus on, one of these was<br />
identifi ed as: reducing the problems caused by alcohol consumption<br />
(see appendix 1).<br />
To support this an Alcohol LAA subgroup has been formed, this group<br />
is responsible for ensuring alcohol is mainstreamed into the work of the<br />
LAA, to highlight alcohol as a factor in achieving LAA indicators such<br />
as reducing violent crime, school exclusions, fear of crime, teenage<br />
pregnancies and to monitor the impact of the Alcohol Strategy and<br />
related indicators and sub indicators. A representative from each LAA<br />
theme groups form the group’s membership.<br />
Within the main LAA agreement a direct alcohol related indicator<br />
‘the proportion of alcohol related falls in older people (65+) has been<br />
included within the healthier communities and older people block. An<br />
additional subset of alcohol indicators has been developed through<br />
the LAA. The alcohol subgroup and the local strategic partnership will<br />
monitor these.<br />
Links to existing strategies<br />
The ten-year Community Strategy (2003) of which is delivered by<br />
the LAA identifi ed six key priorities namely a safer environment, an<br />
attractive borough, a healthy population, a learning community and a<br />
prosperous society. Alcohol impacts upon these priorities, for example<br />
alcohol consumption levels has a direct impact upon the health of the<br />
population, alcohol related crimes such as violent crime and the fear of<br />
alcohol related crimes have an impact upon how safe residents feel,<br />
however alcohol related businesses in the add to the economy and<br />
achieving a prosperous society.<br />
Alcohol misuse is a priority within the current Crime and Disorder<br />
strategy. The strategy identifi es alcohol misuse as a key risk factor in<br />
offending behaviour for the majority of criminal offences, from assaults,<br />
domestic violence and public order to arson and child abuse.<br />
In addition, the crime and disorder audit identifi ed that alcohol related<br />
harm is also a key priority for the people of <strong>Tameside</strong>. Alcohol related<br />
priorities for the current Crime and Disorder strategy included:<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
To develop alcohol treatment services within the Borough<br />
Implement an education strategy related to health promotion and<br />
harm reduction for alcohol through schools and communities<br />
Identify funding for addressing alcohol misuse<br />
To use the full range of existing and new enforcement powers to<br />
tackle alcohol related nuisance<br />
Support businesses to develop work place policies around alcohol<br />
misuse<br />
Encourage Licensees to join Pub and Club Watch schemes<br />
These priorities will be forwarded within this Alcohol Strategy.<br />
Alcohol consumption and related harms can impact on numerous<br />
other local priorities and consequently impacts upon various strategies<br />
for the borough. The strategy is in line with other local strategies and<br />
action plans such as:<br />
Local Area Agreement 2007 Violent Crime Strategy 2007<br />
Opportunity Strategy 2006 Community Strategy 2003<br />
Anti Social Behaviour Strategy 2007 Crime and Disorder Strategy 2005<br />
Health and Inequalities Strategy 2006 Domestic Violence Strategy 2005<br />
Supporting People Strategy 2005 Licensing Policy 2005<br />
Teenage Pregnancy Strategy<br />
DAAT action plans<br />
Homelessness Strategy 2008-13<br />
11
Equality Impact Assessment<br />
It is accepted that alcohol related harms could affect anyone<br />
irrespective of gender, sexuality, age, class, religion or ethnicity.<br />
Alcohol related harm could affect people either directly or indirectly, for<br />
example even if a person decides not to drink alcohol, family members,<br />
friends or strangers drinking behaviour can still impact upon them.<br />
There are differences within communities regarding the pattern and<br />
level of consumption of alcohol. Age, ethnicity/race, disability, sexual<br />
orientation and gender also affects whether a person decides to drink<br />
and the level and patterns of that drinking.<br />
To comply with the requirements of the Race Relations Amendment<br />
Act 2000 and the Equality Standard for Local Government, the<br />
impact on promoting diversity and on preventing discrimination<br />
was considered whilst drawing up this strategy. An equality impact<br />
assessment was undertaken with the previous alcohol action plan and<br />
its recommendations will now form part of this new strategy and action<br />
plan.<br />
WHAM! BAM! PRAM!<br />
“My mates said I<br />
was asking for it”<br />
ALCOHOL<br />
“He didn't look<br />
pi$$ed”<br />
“I didn't think I'd<br />
go that far....<br />
I wanted to wait”<br />
For support and advice on alcohol and drug issues contact Branching Out on: 0161 343 6481<br />
or contact the FRANK helpline on 0800 77 66 00, www.talktofrank.com<br />
www.ruthinking.co.uk<br />
3. Drinking Styles<br />
Research indicates that some patterns of drinking are more likely to<br />
lead to alcohol related harms, for example binge and chronic drinking<br />
(these are examples and alcohol related harms may be experienced<br />
by others drinking hazardously or vulnerable groups such as street<br />
drinkers).<br />
Sensible Drinking<br />
One Unit<br />
½ Pint 3.5%<br />
Strength Beer,<br />
Lager or Cider<br />
One Unit<br />
Half a<br />
175ml<br />
Glass of Wine<br />
One Unit<br />
One 25ml<br />
Measure<br />
of Spirits<br />
One Unit<br />
One 25ml<br />
Glass<br />
of Sherry<br />
One Unit<br />
One 25ml<br />
Measure<br />
of Aperitifs<br />
Current daily guidelines for sensible drinking<br />
2-3 Units 3-4 Units<br />
Females Males<br />
At least 24hrs alcohol free a week<br />
Sensible drinking<br />
The Government has set daily sensible drinking guidelines (previously<br />
weekly guidelines) to assist in reducing alcohol related harms drinkers.<br />
Consumption of alcohol is measured in units; in the UK a unit is<br />
defi ned as eight grams of alcohol. This is equivalent to: half a pint of<br />
ordinary strength beer, a small glass of wine (125ml at 9% strength) or<br />
one measure of spirits.<br />
Standard health advice is that:<br />
● Men should not drink more than 4 units per day (21 units per<br />
week)<br />
● Women should not drink more than 3 units per day (14 units per<br />
week)<br />
12
●<br />
●<br />
●<br />
●<br />
Pregnant women nothing or no more than 1-2 units a week<br />
Any heavy drinking should be followed by 2 alcohol free days<br />
Consistent drinking at the upper level i.e. men 21, women 14 units<br />
a week is not recommended<br />
Drinking double the daily amounts i.e. women 6 or men 8 in one<br />
session is classed as binge drinking<br />
Binge drinking<br />
Binge drinking is drinking more than twice the daily limits on one<br />
occasion. In the UK around six million people drink heavily on single<br />
occasions, around a fi fth of men and a tenth of women. Young people<br />
aged under 25 more likely to drink to get drunk and drink more than<br />
the daily limits in one single session. Binge drinkers are more likely to<br />
have an accident, be admitted to A & E, be a victim or perpetrator of<br />
violence. It is predicted that approximately 5.9m adults drink above this<br />
limit 11 .<br />
Hazardous drinking<br />
Hazardous drinking is defi ned as regularly drinking above recognised<br />
sensible levels at which alcohol is likely to damage health (22 to 50<br />
units per week for men and 15-35 for women). These drinkers are<br />
more likely to be over 30 years old. They are at increased risk of health<br />
disorders and premature death and are also more likely to commit the<br />
offences of domestic violence, drink driving and have work related<br />
absence. It is predicted that around a quarter of the population drink<br />
above the former weekly guidelines 12 .<br />
Harmful drinking<br />
Harmful drinking is drinking at levels that lead to signifi cant harm<br />
to physical and mental health and at levels that may be causing<br />
substantial harm to others. Harmful drinking is defi ned as drinking over<br />
50 units for a man and 35 units for a woman.Examples include liver<br />
damage or cirrhosis, dependence on alcohol and substantial stress or<br />
11-12<br />
National Alcohol Strategy 2004<br />
13<br />
aggression in the family 13 .<br />
Underage drinking<br />
There has been growing concern in the UK about the increased levels<br />
of alcohol consumption among young people. The numbers of young<br />
people drinking underage has not increased however the level of<br />
consumption has increased, the amount of alcohol consumed by girls<br />
aged between 11-13 has increased by 82.6% between 2000-2006,<br />
while for boys the number has gone up by 43.4% during the same<br />
period 14 . Young people on average are now consuming alcohol with<br />
their friends at the age of 11, only two years ago the average age was<br />
13. There is no safe drinking limit for young people (under 18).<br />
Alcohol and poly drug use<br />
There is growing evidence of a change in people’s drug and alcohol<br />
use. This profi le has been described as ACCE where a mixture of<br />
alcohol, cocaine, cannabis and ecstasy is being used. Cocaine use<br />
itself has risen in the 16-24-age range. Cocaine use sometimes<br />
accompanies binge drinking and can result in erratic and violent<br />
behaviour. A mixture of cocaine and alcohol is the most common twodrug<br />
combination that results in drug-related death 15 .<br />
13-15<br />
National Alcohol Strategy 2004
4. Growth in consumption and<br />
availability<br />
Around a quarter of the population drink above former recommended<br />
weekly guidelines and some 7 million above recommended daily<br />
guidelines. Levels of consumption are continuing to increase; over the<br />
last ten years level of consumption has doubled in both adults and<br />
young people. If present trends continue, the UK will rise to near the<br />
top of the consumption league (European countries) within the next<br />
ten years. Since the introduction of the Licensing Act 2003 there has<br />
been a growth in the availability of alcohol. <strong>Tameside</strong> currently has 679<br />
licensed premises.<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
Supermarkets, Shops & Off Licences 195<br />
Pubs, Nightclubs & Bars 298<br />
Registered Members Clubs 81<br />
Hotels, BB & Restaurants 79<br />
Cinemas, Theatres 6<br />
Village & Community Halls 20<br />
The growth of the late night economy venues and the availability of<br />
alcohol in supermarkets and more premises with licensing has had an<br />
impact on the drinking culture. National research has found increases<br />
in levels of individual’s alcohol consumption increases with the level<br />
of availability. <strong>Tameside</strong> is unique in that it has a number of late night<br />
town centres, currently Stalybridge and Ashton are the main two<br />
drinking town centres, however centres such as Denton and Hyde are<br />
growing in terms of licensed premises and late night economy, this<br />
needs to be taken into consideration when planning future town centre<br />
alcohol related actions.<br />
Nationally alcohol sales have increased and the cheapness and<br />
availability of alcohol has also had an impact on the style of drinking<br />
people are now adopting. Increasing numbers of people are drinking in<br />
the home 51% of residents in <strong>Tameside</strong> now drink in the home rather<br />
than in pubs, clubs or restaurants 17 . It is inevitable that the quantities<br />
of alcohol consumed are signifi cantly different than pub measures.<br />
When drinking at home, people are almost always more generous with<br />
their measures, This increase in people drinking in the home could<br />
contribute to the increasing problems with harms to health, domestic<br />
abuse, drink driving, fire related injuries and deaths, and work absence.<br />
It is predicted that this style of drinking will cause or contribute to<br />
serious health problems in less than 10 years.<br />
It is diffi cult to gain a full picture of the local level of alcohol harms. The<br />
diffi culties lie in the process that data is collated; for example how can<br />
we identify the exact number of alcohol related crime or death if alcohol<br />
recorded fi eld is either not available or used. This is an issue that is<br />
being discussed on a national scale to see how improvements could<br />
be made. Whereas qualitative information about alcohol consumption<br />
has to be taken as an estimate as people sometimes either do not<br />
understand unit calculations or underestimate the amounts they are<br />
17<br />
<strong>Tameside</strong> PCT Lifestyle Study 2006<br />
14
drinking. One of the main priorities of this strategy is to improve local<br />
data collection and identifying methods of collection.<br />
Adults Levels of Consumption<br />
Self reported national data suggests that approximately a quarter of<br />
the drinking population drink over the Department of Health sensible<br />
drinking guidelines, with 34% of men and 20% of women drink over the<br />
daily benchmarks on at least one day a week 18 .<br />
Using the above would indicate that in <strong>Tameside</strong> 30,780 men and<br />
13,152 women have an alcohol use disorder, that 17,010 men and<br />
7,398 women are binge drinkers and that 4,860 men 1,644 women are<br />
alcohol dependent.<br />
The North West Public Observatory produce alcohol profiles for local<br />
authority areas based on 22 alcohol indicators; including alcohol<br />
related hospital admissions; estimates of levels of binge, hazardous<br />
and harmful drinking. <strong>Tameside</strong> has been highlighted as high in<br />
estimates of residents drinking to a harmful level.<br />
The Alcohol Needs Assessment Research Project 2006 (published by<br />
the Department of Health) found that of 16-64 year olds:<br />
●<br />
●<br />
●<br />
38% of men and 16% of women have an alcohol use disorder<br />
21% of men 9% of women are binge drinkers;<br />
6% men and 2% of women are alcohol dependent 19<br />
We can use the profi le of National Statistics using the formula<br />
to estimate local prevalence. This approach does not take into<br />
account potential factors of infl uence, which is the socio-economic,<br />
demographic and deprivation measures of <strong>Tameside</strong> and Glossop<br />
against the national picture, however, in the absence of anything more<br />
robust, this provides us with our best present alcohol-specific guidance.<br />
18<br />
Safe Sensible Social National Alcohol Strategy 2007<br />
19<br />
ANARP 200<br />
15
The chart shows <strong>Tameside</strong>’s measure for each indicator, as well as the regional<br />
and England averages and range of all local authority values for comparison<br />
purposes.<br />
Recent surveys in <strong>Tameside</strong> have also given us an indication of levels<br />
of consumption locally. In regards to adult consumption the <strong>Tameside</strong><br />
PCT Lifestyle study found those who, within the last seven days,<br />
exceeded the recommended weekly amount are most likely to say they<br />
more often drink at home rather than in pubs, bars, clubs or restaurants<br />
(45%). Although those who, within the last seven days, exceeded the<br />
recommended amount for a single session are most likely to say they<br />
drink more often in pubs, bars, clubs or restaurants than at home.<br />
Self reported data compiled from local workplace assessments<br />
found that just over a quarter drink over the recommended sensible<br />
drinking guidelines, in addition to strong correlations between stress<br />
management and alcohol consumption.<br />
Alcohol Consumption in Young People<br />
Nationally, the level of alcohol consumed by young people has<br />
increased alongside the level of frequency. The average weekly<br />
consumption for young people aged 11-15 years has doubled since<br />
1990 from 5 units to 10 units in 2004. The age that young people begin<br />
to drink alcohol with their friends has dropped from and average of 13<br />
years to 11 years.<br />
(Source: NWPHO, Alcohol profi les, 2007)<br />
Local consultation found that 54% of 15 to 16 year olds reported that<br />
they drink alcohol at least once a week; this is 10% higher than the<br />
regional average of 44% (2007) and has increased by 7% in less than<br />
2 years. 40% of 15-16 year olds say they binge drink, which is 11%<br />
over the regional average. By the age of 13 years 75% of <strong>Tameside</strong><br />
young people had started drinking with their friends with 11% doing so<br />
before the age of 11. Although the percentage of young people stating<br />
that they access alcohol from off licences has decreased signifi cantly, a<br />
higher percentage 73% say they have drunk alcohol in pubs and clubs.<br />
16
Whilst under the infl uence of alcohol, 29% indicated that they had<br />
become aggressive or violent, 16% had broken the law and 11% had<br />
unprotected sex 20 .<br />
behaviour, arson and road traffi c offences. Over half of all alcoholrelated<br />
violence occurs in or around on licensed premises with 70%<br />
of incidents occurring at the weekends. Other fl ashpoints for alcoholrelated<br />
violence include taxi ranks and takeaways.<br />
When alcohol consumption is seen as a factor in the committing of<br />
an offence the police use an alcohol marker. For 2006/07 967 crimes<br />
in <strong>Tameside</strong> were alcohol related, an increase of over 9% in previous<br />
years.<br />
“ 22 ” WHERE SHOULD THIS GO?<br />
5. Safer, Stronger Communities<br />
Alcohol related crime is a huge burden on public resources, accounting<br />
for up to 40% of all violent crime and 70% of all weekend hospital<br />
admissions. It is estimated to cost up to 7.3 bn per annum 21 .<br />
Alcohol related crime refers to not only crimes that are alcohol-specifi c<br />
such as drunk and disorderly, but also crimes that are committed while<br />
under the infl uence of alcohol, for example, assault, domestic violence,<br />
rape/sexual assaults, public disorder, criminal damage, anti social<br />
20<br />
Survey of Health Related Attitudes and Behaviours in Year 10’s 2006<br />
21<br />
Safe Sensible Social National Alcohol Strategy<br />
17<br />
In regards to alcohol related violent crime, Ashton Town Centre has<br />
historically been the hotspot however; Stalybridge has seen recent<br />
increases in alcohol related violent crime. Both town centres have<br />
a high concentration of licensed premises and incidents peak on<br />
Saturday/Sundays at 4am. This shows a direct correlation with the<br />
nighttime economy in those town centres.<br />
22<br />
Info from <strong>Strategic</strong> Analyst
Nationally 61% of the population perceive alcohol-related violence<br />
as worsening. This has an impact upon levels of fear of crime within<br />
communities. Local consultation (Citizen 2000) has shown an increase<br />
from 2005, with residents feeling very unsafe in their neighbourhood<br />
after dark. 23<br />
Alcohol consumption exacerbates incidents of domestic violence.<br />
National research identifi es that a third of victims reported their<br />
attackers to have been drinking before any attacks. Victims themselves<br />
can also use alcohol as a coping mechanism whilst in the relationship<br />
or may drink with the perpetrator or adopt a similar drinking style.<br />
Local research found 70% of respondents reported that their partner<br />
was under the infl uence of alcohol whenever the abuse occurred. 24<br />
Since MARAC multiagency risk assessment case conferences were<br />
introduced locally in January 2007 the most high-risk DV victims, a<br />
recurring theme is alcohol misuse by perpetrator and/ or victim.<br />
TAMESIDE PRIVATE HIRE FIRM TELEPHONE TAMESIDE PRIVATE HIRE FIRM TELEPHONE<br />
A1 Private Hire 0161 343 5050 Metro Cars 0161 368 8888<br />
A2B 0161 308 3838 Radio Cars 0161 330 2090<br />
Bridge Cars 0161 304 8000 Ring A Car 0161 339 6001<br />
Call A Car 0161 320 7117 Stamford Radio Cars 0161 339 4411<br />
Cavalier Radio Cars 0161 338 4055 Swift Radio Cars 0161 303 8137<br />
Denton Links 0161 336 2020 <strong>Tameside</strong> Cars 0161 368 9585<br />
<strong>Tameside</strong> Council is responsible for licensing local taxi services Tel: 0161 301 3021<br />
These firms are private hire operators as at 7/11/2007<br />
There are strong links between the level of alcohol consumption and<br />
levels of anti social behaviour. Examples of alcohol related anti social<br />
behaviour ranges from groups of established street drinkers drinking in<br />
an area, to gatherings of underage drinkers in parks and open spaces,<br />
23<br />
Citizen 2000 Survey - 2006<br />
24<br />
Dispair to Repair Local Research Report 2007<br />
18<br />
and drunken rowdy groups causing nuisance and intimidation on a<br />
night out in town. One of the key aims of the Respect agenda is to<br />
tackle the anti-social effects of binge drinking on British society.<br />
Referrals to the <strong>Tameside</strong> Anti Social Behaviour Team have doubled<br />
since 2005. The team send letters to the parents of young people of<br />
who have been found to be in possession of alcohol or in the presence<br />
of a group in possession of alcohol. In 2006 74 parents were sent<br />
a letter; an additional 53 young people received two warning letters<br />
for confi scation of alcohol. Alcohol related referrals into the Early<br />
Intervention Group and Case Intervention group have also increased. 25<br />
A Home Offi ce survey of offenders’ motivation for a range of crimes<br />
found that the highest number of respondents admitted they offended<br />
because they were drunk were those responsible for criminal damage.<br />
Alcohol consumption is a major cause of accidents and accidental<br />
injury. It is estimated that 40% of road traffic accidents, 30% of fatal<br />
road traffi c accidents and 15% of drownings are alcohol related. The<br />
presence of alcohol in the body has also been shown to increase the<br />
severity of injuries from accidents. 25 THERE ARE TWO ” 25 ”s ON<br />
THIS PAGE ! ! !<br />
The consumption of alcohol has an impact upon road safety, research<br />
shows 80% of pedestrian deaths on Friday and Saturday nights are<br />
alcohol-related; 1 in 7 road deaths are caused by drink driving in<br />
the UK and 3500 people are killed or seriously injured in the UK by<br />
drink drivers. 1 in 3 fi res and fi re deaths are estimated to be alcohol<br />
related. Greater Manchester Fire and Rescue service have attended<br />
an increasing number of serious incidents inclusing dwelling fi res and<br />
road traffi c collisions within <strong>Tameside</strong> which have resulted in death<br />
or serious injury, the majority of these incidents have been alcohol<br />
related. An increasing number of deliberate fi res are also linked to<br />
alcohol consumption.<br />
25<br />
Institute of Alcohol Studies Factsheet 2007
Alcohol can also be a factor in causing homelessness and sometimes<br />
a problem exacerbated by homelessness. Nationally it is estimated<br />
that 50% of the rough sleeper population are alcohol reliant. 26 Alcohol<br />
issues can affect access to housing provision, tenancy sustainment<br />
and can lead to homelessness. The Government’s strategy for tackling<br />
homelessness has been set out in the policy documents Sustainable<br />
Communities: Settled Homes; changing lives. The document outlines<br />
how local authorities are expected to work alongside partner’s<br />
agencies to develop early intervention initiatives and plans to prevent<br />
homelessness. <strong>Tameside</strong> Council will be setting out its updated 5- year<br />
homelessness prevention strategy during 2008, which will begin to link<br />
together issues relating to alcohol misuse and homelessness.<br />
The Supporting People programme is a Government initiative that<br />
provides a robust framework to promote, develop and increase the<br />
opportunities available to vulnerable people to improve their quality<br />
of life through the provision of support services, which enable them<br />
to have greater independence and control in making informed<br />
decisions and lifestyle choices. Supporting People can assist with<br />
and contribute to the joint planning, funding and commissioning<br />
of services for vulnerable groups, which includes people misusing<br />
alcohol. In <strong>Tameside</strong> the Supporting People programme jointly<br />
funds and commissions (with Children’s Services and Community<br />
Safety) a support service for families where one or both parents are<br />
substance misusers. This service is intended to help families maintain<br />
their housing and to avoid homelessness related to alcohol use.<br />
The programme also funds an accommodation-based service for<br />
homeless men aged 35+. This service allows service users to drink<br />
on the premises, within agreed limitations. This is in contrast to most<br />
accommodation based services that attempt, for housing management<br />
purposes, to enforce a no drinking on the premises rule. Housing<br />
management reasons for seeking to restrict residents drinking on the<br />
premises relate to the risk of anti-social behaviour, or other risks such<br />
as falls or setting fi re.<br />
26<br />
National Alcohol Strategy 2007<br />
19<br />
There are no accommodation-based services with a focus on alcohol<br />
users for women or men under age 35.<br />
In 2006/7 3.6% (23) of new users of Supporting People funded<br />
services in <strong>Tameside</strong> were recorded with alcohol as their primary need.<br />
There is a similar picture in Greater Manchester with 3.6% (1081)<br />
and England at 3.8% (6940). 27 This data probably under records the<br />
true level of need because many services<br />
will record homelessness as the primary<br />
need, with alcohol appearing as one of up<br />
to three secondary needs. The national<br />
supporting people outcomes framework that<br />
was introduced in 2007/8 will measure the<br />
demand and take up of alcohol treatment<br />
services by SP service users. This will give<br />
us more information on the prevalence of<br />
problem alcohol use among SP service users<br />
and possible barriers to access to treatment.<br />
Anecdotal evidence from Supporting People<br />
providers indicates an increase in people with<br />
alcohol related issues among older people<br />
living in sheltered housing. The eligible age<br />
for sheltered housing in most cases is as<br />
young as 50 or 55 (baby boomers), in some<br />
cases service users may have long term drinking problems.<br />
The 2005 Supporting People strategy identifi ed the need for “wet<br />
house” provision in <strong>Tameside</strong>. A similar need was identifi ed in Oldham,<br />
and initial discussions took place between both authorities on jointly<br />
commissioning such a service. This has not been progressed due to<br />
lack of revenue funding. The SP strategy is now under review and a<br />
regional Supported Housing strategy is in development that will include<br />
proposals for cross authority commissioning.<br />
27<br />
Supporting People Team, TMBC 2007
Since the introduction of the fi rst National Alcohol Strategy in 2004,<br />
additional powers have been introduced to deal with and prevent<br />
alcohol related harms. The Licensing Act 2003 signifi cantly reformed<br />
UK licensing laws and made all licensing authorities have a duty to<br />
promote four licensing objectives:<br />
1. The prevention of crime and disorder<br />
2. Public safety<br />
3. The prevention of public nuisance<br />
4. The protection of children from harm<br />
The act allows residents and local businesses more power to complain<br />
about premises and request a review of a license. The act also gives<br />
the police more powers to deal with such problematic premises for<br />
disorder or excessive noise and disturbance. A local Licensing policy<br />
was developed in 2005 and a Licensing committee set up. The current<br />
local Licensing policy will be reviewed in 2008.<br />
The Violent Crime Act 2006 will also give additional powers to the<br />
police and local authorities to deal with alcohol related crime. The act<br />
brings with it powers to:<br />
●<br />
●<br />
●<br />
Introduce Alcohol Disorder Zones to give local authorities and<br />
police powers to designate areas blighted by serious alcoholrelated<br />
crime and disorder, as a last resort, to ensure those<br />
licenses within the zone contribute to cost of the disorder.<br />
Create a new power to allow police to ban those who represent<br />
a risk to alcohol-related crime or disorder arising or taking place<br />
from a particular locality for up to 48 hours<br />
Create a new offence to give police and trading standards powers<br />
to close a licensed premise persistently selling alcohol to youths<br />
for up to 48 hoursIntroduce Drinking Banning Orders, which will<br />
impose restrictions on those who commit offences under the<br />
infl uence of alcohol for up to two years, including banning them<br />
from licensed premises.<br />
The Violent Crime Act and the Licensing policy will allow for more<br />
targeted local enforcement of alcohol related harms.<br />
What we will do<br />
Licensing<br />
We will review the current Licensing policy and its impact<br />
We will continue to develop the borough wide enforcement panel<br />
Alcohol Related Fires<br />
We will train existing and probationary fi re offi cers in alcohol related<br />
issues<br />
We will train Treatment Agency staff and volunteers in fi re safety<br />
We will develop targeted campaigns and projects to reduce alcohol<br />
related fi re related deaths<br />
Respect<br />
We will develop joint alcohol related and respect activities<br />
We will continue to develop the Town Centre Case Intervention Group<br />
We will look at improving referrals from the Anti Social Behaviour Team<br />
to Treatment Services<br />
Domestic Abuse<br />
We will develop systems to help both victims and perpetrators of<br />
domestic violence to access alcohol treatment services<br />
We will develop joint domestic violence and alcohol awareness<br />
campaigns<br />
20
Enforcement<br />
We will maximise the use of Town Centre Anti Social Behaviour Orders<br />
and existing enforcement procedures<br />
We will improve the use of the alcohol marker and referrals into<br />
treatment agencies<br />
We will develop further the S.T.A.N.D. (Safer <strong>Tameside</strong> Against Night<br />
time Disorder) town centre interventions<br />
Offenders<br />
We will develop an intervention programme for offenders where their<br />
offending behaviour is linked to alcohol<br />
We will improve identifi cation and communication between agencies to<br />
identify troublemakers in town centres<br />
Violent Crime<br />
We will develop a system to respond to the new powers within the<br />
Violent Crime Act<br />
We will review our approach to violent crime and develop an<br />
overarching strategy<br />
We will review the need for a wet house in partnership with Supporting<br />
People Joint Commissioning Group when the Supporting People<br />
strategy is updated and on the publication of the North West strategy.<br />
TAMESIDE COUNCIL, THE POLICE &<br />
THE LICENSED TRADE ARE WORKING<br />
TOGETHER TO ENSURE A GOOD NIGHT<br />
DOESN’T TURN INTO A BAD ONE BY ;<br />
1. Serving drinks not drunks<br />
2. Always asking for and checking ID<br />
3. Searching to prevent entry of drugs & weapons<br />
4. Preventing glassware & bottles being taken<br />
onto the street<br />
5. Managing Queues effectively<br />
6. Ensure people leave safely<br />
7. Don’t allow glass or bottles to be taken outside<br />
8. Prevent drinking on the street<br />
Homelessness<br />
We will develop an understanding of the issues effecting households<br />
where alcohol misuse has led to homelessness<br />
We will work with Housing Strategy and the Supporting People Team to<br />
develop a day centre for homeless people with an alcohol issue can go<br />
for advice and support<br />
Housing<br />
We will continue to provide training and advice to supported housing<br />
staff on working with alcohol users.<br />
We will agree formal protocols on joint working with supported housing<br />
providers to ensure that service users can access treatment and other<br />
support services.<br />
21
Safer Stronger Communities Alcohol Related Performance<br />
Measures<br />
Local Area Agreement<br />
● Reduce overall British Crime Survey Comparator recorded crime (PSA1)<br />
● Reduce Violent Crime including Robbery, Less Serious Wounding and Common Assault<br />
● Reduce the number of incidents reported to the Police involving a victim of domestic abuse<br />
● Reduce the proportion of adult and young offenders and prolifi c and other priority offenders who re-offend.<br />
● The Youth Offending Team to achieve a 5% reduction in the (overall) re-offending rate for 2007-08, when compared with 2002 cohort<br />
● Reduce the rate of crime in Ashton St. Peters including Common Assault and Less Serious Wounding<br />
PSA1:<br />
● Wounding (Serious and Other)<br />
● Common Assault and Assault Against the Police<br />
● Robbery of Personal Property<br />
PSA2<br />
● Improve people’s feelings of safety at night in the town centres<br />
PSA3<br />
● By 2010 reduce the number of accidental fi re related deaths in the home by 20% and the number of deliberate fi res by 10%<br />
National Alcohol Strategy 2007<br />
● A reduction in the proportion of victims of violent crime who perceive the offender(s) to be under the infl uence of alcohol.<br />
● A reduction in the public’s perceptions of drunk and rowdy behaviour<br />
● A reduction in the number of more serious violence against the person offences (excluding threats to kill) and other offences against the person<br />
with injury<br />
● A reduction in the number of violent and disorder offences committed within the context of the night time economy<br />
22
Thematic action plan- Safer Stronger Communities<br />
Priorities<br />
●<br />
●<br />
●<br />
●<br />
To reduce alcohol related crime, disorder and anti social behaviour<br />
To establish an effective alcohol data collection and monitoring system in relation to the impact alcohol has on crime, disorder, anti social<br />
behaviour and health<br />
To reduce the number of alcohol related fi re deaths in the home<br />
To reduce alcohol related road traffi c collisions and road deaths<br />
Indicators<br />
● Proportion of alcohol related fi res and fi re deaths<br />
● Proportion of police alcohol markers and related hotspots<br />
● Proportion of drink driving offences<br />
● Test purchasing operations and prosecutions<br />
● Proportion of alcohol related violent offences<br />
LAA Alcohol sub indicator<br />
● Proportion of alcohol markers and hotspots<br />
Activity Responsible agency Year 1 Year 2 Year 3<br />
PREVENTION<br />
To establish a data action plan for recording, collating, analysing and monitoring alcohol related crime, CDRP<br />
●<br />
disorder and anti social behaviour.<br />
There will be concerted local action to enforce the law on drink driving GMP ● ●<br />
Develop mechanisms for delivering alcohol road safety messages within the community and the Road Safety Unit, TMBC<br />
●<br />
workplace<br />
Ensure alcohol road safety messages are included within existing and planned alcohol PSHE<br />
Education, TMBC<br />
●<br />
education<br />
To develop for on/off licence premises: frequent training seminars, development and dissemination of<br />
guidance and policies and the encouragement of involvement within Pub and Club Watch<br />
Environmental Services TMBC<br />
●<br />
23
Activity Responsible agency Year 1 Year 2 Year 3<br />
INTERVENTION<br />
Research the local picture regarding levels of homelessness and alcohol Housing ●<br />
Develop joint alcohol and fi re safety community awareness campaigns/projects and targeted<br />
GMF&RS<br />
●<br />
interventions<br />
Encourage the extension and use of Nite Net use in the nighttime economy to practitioners, licensees Violent Crime Steering Group ●<br />
and town centre taxi operators<br />
Develop a targeted safety campaign for females- how to make yourself safer, where to seek help, with Violent Crime Steering Group<br />
●<br />
the inclusion of alcohol messages<br />
Alcohol infl uences crime markers- Renewed drive to obtain adherence by reporting offi cers for GMP<br />
endorsement of crime reports<br />
● ●<br />
●<br />
Develop referral pathways from the police and fi re service to alcohol treatment services PCT ●<br />
Develop alcohol awareness training seminars for police offi cers and PCSOs GMP ●<br />
Develop a local alcohol practitioners pack for use with offenders under probation PCT ●<br />
Ensure alcohol interventions are an integral part of violent crime and domestic violence strategies Community Safety Unit TMBC ●<br />
Improve the collection and monitoring of data on alcohol related offending GMP ●<br />
Provide access to supporting people provision to people with alcohol problems Supporting people ● ●<br />
Referral of all drug and alcohol related incidents identifi ed by GM Fire & Rescue Service to DAAT/ GMF&RS<br />
●<br />
appropriate treatment agency<br />
Investigate the potential for town centre assessment facility with links to assessment, referral and PCT<br />
●<br />
advice.<br />
Train all treatment agency teams in fi re safety advice and fi tting of fi re alarms GMF&RS ●<br />
Develop further links between enforcement agencies and treatment agencies Community Safety Unit ●<br />
Investigate the appropriate alcohol interventions for cases discussed at the MARAC<br />
GMP DV unit<br />
●<br />
DV Coordinator TMBC<br />
Investigate the potential of a specialised alcohol/substance misuse post within the independent DV Coordinator TMBC<br />
●<br />
domestic violence advocacy service developed in the borough<br />
Develop access to supporting people services for people who continue to use alcohol Supporting people ●<br />
Investigate the potential for an alcohol wet house with other cross authorities Supporting people ●<br />
Consult treatment service users regarding access to supporting people services, issues regarding DAAT<br />
●<br />
housing, homelessness, tenancy sustainment and exclusion policies<br />
Re-launch Pub and Club Watch Schemes and STAND banning orders Licensing GMP ●<br />
Develop training access for all social RSL in regards to alcohol awareness, agency provision and DAAT<br />
●<br />
access issues<br />
Promote the replacement of glassware and bottles in high risk premises and the use of bottle bins Licensing, TMBC ●<br />
24
Activity Responsible agency Year 1 Year 2 Year 3<br />
ENFORCEMENT<br />
Draw up an implementation plan for local use of the new powers conferred by the Violent Crime Act Tackling Violent Crime Steering<br />
●<br />
including alcohol disorder zones.<br />
Group<br />
Pursue ASBOs and exclusion orders for violence especially related to night-time economy Community Safety Unit TMBC ● ● ●<br />
Use FPN for drunk and disorderly and on adults knowingly buying alcohol for people under the age of GMP<br />
● ● ●<br />
18.<br />
Environmental Services TMBC<br />
Consider the use of surveillance operations where test-purchasing operations have proved negative Environmental Services TMBC ●<br />
despite local intelligence.<br />
Develop the STAND publicity campaign<br />
GMP<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
Include strong messages regarding anti violence and alcohol safety<br />
Ensure STAND campaign materials are distributed across the borough<br />
STAND Meet and Greet operations to include Gtr Mcr Fire and Rescue Service<br />
Evaluate effectiveness of previous STAND campaign<br />
Include sexual health services<br />
Research the local picture regarding levels of homelessness and alcohol Housing ●<br />
Continue joint visits to licensed premises; police, fi re service, SIA and TMBC GMP ●<br />
Ensure alcohol road safety messages are included within existing and planned alcohol PSHE<br />
Education, TMBC<br />
●<br />
education<br />
Investigate the potential for an alcohol arrest referral scheme Community Safety Unit ●<br />
Adoption of Challenge 21 scheme or equivalent within the borough<br />
GMP<br />
Continue visits to known prolifi c domestic violence offenders if alcohol is a factor distribute sensible GMP<br />
●<br />
drinking and alcohol treatment information<br />
Monitor the use of Fixed Penalty Notices<br />
GMP<br />
●<br />
Focus on notices for alcohol related public disorder or violence in town centres. To be used as an<br />
trigger for referral to the Town Centre Case Intervention Group<br />
Monitor use of charges for public order in preference to ‘Breaches of Peace’ or ‘Drunk and Disorderly’ GMP<br />
●<br />
- when arresting<br />
Review licenses as appropriate based on issues raised from residents or responsible authorities Licensing TMBC ●<br />
Create stronger links with PCT to pursue a mobile A&E assessment centre in the town centre at peak PCT<br />
●<br />
time in the year<br />
Cumulative Impact Assessment for Ashton and Stalybridge<br />
Licensing TMBC<br />
●<br />
<strong>Tameside</strong> MBC to review licensing policy and determine if the cumulative impact of alcohol related<br />
disorder in the town centres should be included<br />
Targeted work with off licences and supermarkets to prevent underage sales and adults buying for<br />
minors<br />
TMBC Enviro Services ● ● ●<br />
25
Continue test purchasing at off licences and supermarkets TMBC Enviro Services ● ● ●<br />
Identify locations of discarded bottles:<br />
TMBC Enviro Services<br />
●<br />
Identify hotspot areas for public drinking<br />
Identify which pubs and clubs let people move outside with drinks<br />
Patrollers<br />
Clear up discarded bottles prevent bottles being used as weapons TMBC Enviro Services ●<br />
Set up an intelligence sharing process between the Police and Probation Services concerning known<br />
offenders who have been caught committing acts of crime and disorder in the town centres at night<br />
GMP<br />
●<br />
Increase the percentage of appointments kept at Branching Out of alcohol related referrals made by<br />
the Youth Offending Team<br />
YOT<br />
Branching Out<br />
Activity Responsible agency Year 1 Year 2 Year 3<br />
ENFORCEMENT<br />
Continue test purchasing at off licences and supermarkets TMBC Enviro Services ● ● ●<br />
Identify locations of discarded bottles:<br />
Identify hotspot areas for public drinking<br />
Identify which pubs and clubs let people move outside with drinks<br />
TMBC Enviro Services<br />
Patrollers<br />
Clear up discarded bottles prevent bottles being used as weapons TMBC Enviro Services ●<br />
Set up an intelligence sharing process between the Police and Probation Services concerning known<br />
offenders who have been caught committing acts of crime and disorder in the town centres at night<br />
GMP<br />
Increase the percentage of appointments kept at Branching Out of alcohol related referrals made by YOT<br />
●<br />
the Youth Offending Team<br />
Branching Out<br />
ALCOHOL<br />
●<br />
●<br />
●<br />
WHAM! BAM! PRAM!<br />
“My mates said I<br />
was asking for it”<br />
“He didn't look<br />
pi$$ed”<br />
“I didn't think I'd<br />
go that far....<br />
I wanted to wait”<br />
For support and advice on alcohol and drug issues contact Branching Out on: 0161 343 6481<br />
or contact the FRANK helpline on 0800 77 66 00, www.talktofrank.com<br />
www.ruthinking.co.uk<br />
26
6. Children and Young People<br />
Alcohol use among children and young people is growing faster than<br />
the use of any other drug in the UK and it causes the most widespread<br />
problems. Nationally the average consumption rate for young people<br />
has doubled since 1990. 28 In addition the consumption of spirits by<br />
young people has also risen. The consumption of alcohol in young<br />
people can be linked to unplanned teenage pregnancies, rises in<br />
sexually transmitted diseases and infections, school exclusions,<br />
underachievement, anti social behaviour, accidents, criminal damage,<br />
crime and health problems. Young people report having more risky sex<br />
when they are under the infl uence of alcohol, especially at an early age<br />
or with someone they have not known for very long (Alcohol Concern<br />
2003). In 2003 The Youth Justice Board found that 16% of school<br />
attendees who had committed crime said that they had been under<br />
the infl uence of alcohol at the time the crime was committed. (Youth<br />
Justice Board).<br />
The number of young people choosing to drink has not changed,<br />
however the level of drinking and the style of drinking have changed.<br />
Young people now drink more in one single session and are drinking<br />
on a more regular basis. Parental acceptance of young people drinking<br />
has also increased; with many believing that supplying alcohol to their<br />
child in the home may make them less likely to develop hazardous<br />
drinking styles. The mean weekly alcohol consumption rate for 11-<br />
15 year olds has risen continually from 5.3 units in 1990 to 10 units<br />
in 2004. Nationally the age that young people start to drink with their<br />
friends has decreased with the national average now the age of 11. 29<br />
The North West Trading Standards Survey 54% of <strong>Tameside</strong> found<br />
that 15-16 year olds drink alcohol at least once a week, this is 10%<br />
higher than the regional average of 44%. This is an increase of 6%<br />
from a survey of school students the previous year. By the age of 13<br />
years 75% of <strong>Tameside</strong> young people had started drinking out with<br />
their friends, 11% before the age of 11. 29% had become aggressive<br />
or violent under the infl uence of alcohol and 16% had broken the law,<br />
11% had unprotected sex. 30 Respondents were more likely to get their<br />
alcohol from a licensed premises or friend.<br />
28<br />
Safe Sensible Social National Alcohol Strategy 2007<br />
29<br />
Alcohol Concern Young People’s Factsheet<br />
27<br />
30<br />
Health Related Attitudes Year 10 Survey 2006
The level of adult alcohol consumption has increased, as well as the<br />
level of alcohol consumption in the home. This has an impact on young<br />
people as recent predictions estimate that 1 in 11 young people in the<br />
UK are now caring for parents with alcohol misuse problems. 31 Within<br />
<strong>Tameside</strong> 22.8% of young people on the child protection register are<br />
on the register due to a primary factor of parental alcohol misuse. The<br />
young peoples carers project currently supports 15 young carers of<br />
parents misusing alcohol.<br />
The framework provides a common approach to identifying the needs<br />
of young people for practitioners. Alcohol use can negatively impact<br />
on many of these priority outcomes for young people. In particular<br />
impacting upon the priorities of ‘be healthy- children and young people<br />
live healthy lifestyles, parents provide safe homes and stability and<br />
‘stay safe’ young people are safe from neglect, violence, accidental<br />
injury. Young people’s own alcohol consumption or that of their parents<br />
will impact on young people achieving these priorities.<br />
Factors contributing to regis tration<br />
40<br />
35<br />
30<br />
25<br />
20<br />
15<br />
10<br />
5<br />
0<br />
31/03/200430/06/200430/09/2004 31/12/200431/03/200530/06/2005 30/09/2005 31/12/200531/03/200630/06/2006 30/09/2006 31/12/2006<br />
% of children on the CPR through factors of drug misuse<br />
% of children on the CPR through factors of parental alcohol misuse<br />
% of children on the CPR through factors of parental mental health<br />
A Children’s needs assessment framework has been developed in<br />
<strong>Tameside</strong> to assist young people achieve the fi ve priority outcomes:<br />
●<br />
●<br />
●<br />
●<br />
●<br />
Be Healthy<br />
Stay Safe<br />
Enjoy and Achieve<br />
Make a positive Contribution<br />
Achieve economic well- being<br />
WHERE DOES THIS “ 32 ” GO ?<br />
What we will do<br />
Education<br />
Continue access to alcohol education in school and develop further<br />
links between other PSHE education such as sexual health and<br />
relationships, antisocial behaviour and arson<br />
Develop the school drug policy and referral routes<br />
Create opportunities for alcohol education and awareness raising<br />
within local colleges<br />
Develop further opportunities for alcohol education within primary<br />
schools<br />
Substance misusing parents<br />
We will address the needs of substance misusing parents with the<br />
development action plan based on the recommendations of both the<br />
Hidden Harm report and Turning Point’s Bottling it up report<br />
Develop alcohol consumption awareness raising with parents regarding<br />
the impact their or family members drinking has on their families<br />
Treatment<br />
We will continue to develop the treatment service for young people<br />
Train existing young peoples service staff in screening, support and<br />
referrals<br />
31<br />
Bottling it up, Turning Point 2006<br />
32<br />
<strong>Tameside</strong> Safeguarding Children Board<br />
28
Access to alcohol<br />
We will use the powers under the Licensing Act to revoke licenses of<br />
those that sell alcohol to young people who are underage<br />
Continue with the test-purchasing scheme for alcohol on off licence<br />
premises<br />
We will review enforcement of under age drinking in on licence<br />
premises<br />
Investigate the use of covert actions for targeting licensees that sell<br />
under age<br />
Target education and enforcement at parents who supply alcohol to<br />
underage.<br />
Targeted intervention<br />
Target alcohol interventions at young people at risk of offending due to<br />
their alcohol consumption<br />
Provide tailored alcohol interventions to young people accessing the<br />
Youth Offending Team<br />
29
Children and Young People’s Related Performance Indicators<br />
Young Peoples DAAT group<br />
● Increase the number of young people receiving alcohol information through referral to EIG or when receiving alcohol confi scation letters from<br />
the ASBO team.<br />
● Reduce the availability of alcohol to young people through retail outlets<br />
● To reduce the number of retail outlets who sell alcohol to underage Young People<br />
● Proportion of young people referred to hospital for alcohol related harm<br />
Children and Young People’s action plan<br />
Priorities<br />
● To prevent neglect, emotional and physical harm to children as a result of their parents drinking<br />
● To protect people of all ages from all alcohol-related harm through the education of alcohol safety and sensible drinking messages<br />
● To reduce young people’s consumption of alcohol and associated negative consequences<br />
LAA Alcohol Sub Indicator<br />
● The proportion of Year 10 pupils sampled that say they drink alcohol regularly (at least once a week).<br />
Indicators<br />
● The age young people start to drink with their riends<br />
● Proportion of young people with alcohol confi scation letters<br />
● Proportion of young people referred to hospital for alcohol<br />
● Proportion of test purchasing failures<br />
30
Activity Responsible agency Year 1 Year 2 Year 3<br />
Level one- Universal<br />
Develop an interagency action plan based on both recommendations from Hidden Harm and Bottling it Community Safety Unit TMBC ●<br />
up<br />
Develop a alcohol education strategy to include interventions within primary, secondary schools and<br />
Education TMBC<br />
●<br />
colleges to include future planning and evaluation of projects<br />
Inclusion of alcohol issues within education surrounding sex and relationships, anti social behaviour<br />
Education TMBC<br />
●<br />
and risky behaviour<br />
Discuss the dangers of alcohol whilst undertaking Fire Awareness Child Education visits to young<br />
GMF&RS<br />
●<br />
people who have been involved in accidental and deliberate fi re related incidents<br />
Review the implementation of the Schools Drug Policy in relation to alcohol incidents and referrals to<br />
Education TMBC<br />
●<br />
Branching Out<br />
Link up activities between relevant children and young people strategies including sexual health, Community Safety Unit TMBC ●<br />
teenage pregnancies and parenting strategies<br />
Develop mechanisms for delivering alcohol road safety projects within colleges and further education Road Safety Unit, TMBC ●<br />
Continue to promote the use of the interactive Drug/Alcohol Box in community settings Branching Out ●<br />
Activity Responsible agency Year 1 Year 2 Year 3<br />
Level 2- Lower Level Need<br />
Develop interagency training to enable better screening, recognition and improved interventions with<br />
Branching Out<br />
●<br />
young people misusing alcohol<br />
Identify an alcohol champion within the Local Safeguarding children board to lead on family alcohol Environmental Services TMBC ●<br />
misuse issues<br />
Develop training for practitioners working with young people who live with alcohol misusing parents LSCB ●<br />
Raise awareness within the community of the need to reduce alcohol related harm to children and<br />
LSCB<br />
●<br />
young people<br />
Continue to confi scate alcohol from under 18’s, recording and monitoring the amounts and identifying<br />
GMP ● ● ●<br />
hotspot areas<br />
Continue the monitoring of young people’s alcohol consumption through inclusion of questions in the<br />
year 10 annual school survey<br />
Education ● ● ●<br />
31
Activity Responsible agency Year 1 Year 2 Year 3<br />
Level 3- Additional Need<br />
Further publicity of the Branching Out service to children, parents and young people Branching Out ●<br />
Develop identifi cation and referral pathways from the hospital to Branching Out of young people<br />
Acute Trust<br />
●<br />
admitted for alcohol related incidents<br />
Branching Out<br />
Evaluate short term funded targeted group work to investigate further need<br />
Branching Out<br />
Review alcohol interventions for young people referred to the EIG/ CIG TMBC ●<br />
Develop further the role of the youth service, Connexions and other youth provision in early alcohol<br />
interventions<br />
DAAT<br />
●<br />
Activity Responsible agency Year 1 Year 2 Year 3<br />
Level 4- Higher Level Need<br />
Continually monitor the need for access to Tier 4 alcohol treatment Branching Out ●<br />
Continue to develop the four geographical area approach to supporting young people Branching Out ●<br />
Activity Responsible agency Year 1 Year 2 Year 3<br />
Level 5- Complex Needs<br />
Investigate the possibility of joint work supporting young carers Branching Out ●<br />
Monitor the levels of tier3/4 referrals from PRUs/YOT.<br />
Branching Out<br />
YOT<br />
●<br />
ALCOHOL<br />
STITCH! DITCH! ITCH!<br />
“They said the bruises<br />
would go but the<br />
scar’s there for life”<br />
“It's a long walk<br />
home, I thought I’d<br />
be safer in a car”<br />
“It's so easy to<br />
use a condom –<br />
I wish I had”<br />
For support and advice on alcohol and drug issues contact Branching Out on: 0161 343 6481<br />
or contact the FRANK helpline on 0800 77 66 00, www.talktofrank.com<br />
www.ruthinking.co.uk<br />
32
7. Healthier Communities and<br />
Older People<br />
Alcohol consumption has a signifi cant impact upon the health and<br />
wellbeing of individuals and costs the Health Service 1.7 bn a year. 33<br />
It is estimated that there are up to 60 alcohol related deaths a day<br />
in England and Wales, three times more than drug related deaths. 34<br />
Health related alcohol harms impacts directly upon services within<br />
Primary Care, Hospitals, Accident and Emergency Departments,<br />
Mental Health and Sexual Health Services.<br />
Alcohol misuse is associated with a number of health harms including<br />
cancer, heart disease, strokes, digestive problems and osteoporosis.<br />
1 in 30 cancer deaths are attributable to alcohol; alcohol is the<br />
second most important cause of high blood pressure and every year;<br />
1200 die from strokes linked to alcohol misuse. Much of this harm is<br />
preventable by developing comprehensive local treatment systems<br />
for hazardous, harmful and dependent drinkers, their families and the<br />
wider community. For example, it is estimated suggests that for every<br />
£1 spent on alcohol treatment, the public sector saves £5.<br />
The Alcohol Needs Assessment Research Project 2006 (published by<br />
the Department of Health) found that of 16-64 year olds:<br />
●<br />
●<br />
●<br />
38% of men and 16% of women have an alcohol use disorder<br />
21% of men 9% of women are binge drinkers;<br />
6% men and 2% of women are alcohol dependent<br />
We can use the profi le of National Statistics in the above survey<br />
to estimate local prevalence. This approach does not take into<br />
account potential factors of infl uence, which is the socia-economic,<br />
demographic and deprivation measures of <strong>Tameside</strong> and Glossop<br />
against the national picture, however, in the absence of anything more<br />
robust, this provides us with our best present alcohol-specific guidance.<br />
Using the above would indicate that 30,780 men and 13,152 women<br />
have an alcohol use disorder, that 17,010 men and 7,398 women<br />
are binge drinkers and that 4,860 men 1,644 women are alcohol<br />
dependent.<br />
The North West Observatory (2006) developed a set of annual alcohol<br />
regional indicators. In comparison to other North West PCT’s <strong>Tameside</strong><br />
was ranked high on a number of indicators:<br />
Tackling Health Inequalities is a top priority for the Government; it is<br />
focused on narrowing the health gap between disadvantaged groups<br />
and communities. Drinking over the Department of Health’s sensible<br />
drinking guidelines is more common in areas of high deprivation.<br />
Nationally, for women living in the most deprived areas, alcohol related<br />
death rates are 3 times higher than those living in the most deprived<br />
areas. In comparison for men alcohol related death rates for those<br />
living in the most deprived areas were 5 times higher than for those<br />
living in the least deprived areas.<br />
●<br />
●<br />
●<br />
●<br />
22% prevalence of binge drinking among local adult population<br />
2000-2<br />
Hospital admission for alcohol specifi c conditions amongst males<br />
4.96% and females 2.63% in 2004-5<br />
Prevalence of hospital admission for all conditions attributable to<br />
alcohol amongst males 11.62% and females 6.55% in 2004/5<br />
Average projected estimates of months of life lost for all causes<br />
attributable to alcohol in 2004 for men was 12.75 and women 6.48<br />
33<br />
Safe Sensible Social National Alcohol Strategy 2004<br />
34<br />
Alcohol Cocern Conference Report 2006<br />
33
In comparison to the above statistics in 2005/6 there were 1999<br />
number of patients in alcohol treatment.<br />
Drinking while pregnant has been evidenced to have signifi cant effects<br />
upon the health of the baby resulting in foetal alcohol effects, but<br />
also this has been associated in infants with increased risk of their<br />
maltreatment and sometimes-violent behaviour in later life, including<br />
delinquent behaviour, sexual violence and suicide (Bellis et al 2006).<br />
The Department of Health 2007 has since changed its advice to<br />
pregnant women to encourage an alcohol free pregnancy.<br />
Currently, levels of alcohol misuse are being highlighted within Public<br />
Health as one of two ‘Sleeping Tigers’ of the future. Due to levels of<br />
alcohol misuse and obesity it has been predicted that the generation<br />
of people born between 1985 and 2005 will be the fi rst generation<br />
of people to experience lower life expectancy compared with their<br />
previous generation.<br />
In response to the concerns regarding the impact alcohol consumption<br />
is having upon the health of the nation; alcohol has been included as<br />
one of six priorities of the Choosing Health White Paper. The Choosing<br />
Health White Paper sets out a number of key principles for supporting<br />
the public to make healthier and more informed choices in regards to<br />
their health.<br />
There are six key priorities for Choosing Health:<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
Tackling health inequalities<br />
Reducing the number of people who smoke<br />
Tackling obesity<br />
Improving sexual health<br />
Improving mental health and wellbeing<br />
Reducing harm and encouraging sensible drinking<br />
Alcohol and older people<br />
Alcohol misuse among older people is often described as a<br />
neglected area of research in the UK, it is felt that this area has been<br />
underestimated and in need of further research. Research that has<br />
been carried out identifi es that the number of older people exceeding<br />
the sensible drinking guidelines has increased over recent years.<br />
However, older people’s drinking habits seem to be polarised in that<br />
there are two extremes either abstaining, or drinking on a daily basis.<br />
Older people are less likely to be aware of the DoH sensible drinking<br />
guidelines or how to calculate a unit, in addition they are less likely to<br />
be informed about alcohol related harms and health consequences.<br />
Excessive drinking puts older people at risk of CHD, Hypertension<br />
and Stroke, Memory Loss and depression; it may provoke Parkinsons<br />
Disease and can contribute to dementia.<br />
Patterns of drinking in older people can either be developed early on in<br />
life and are continued into older age or alcohol problems are developed<br />
later in life due to a number of causes/risk factors. These causes and<br />
risk factors have been identifi ed as:<br />
34
●<br />
●<br />
●<br />
●<br />
●<br />
Bereavement<br />
Mental stress<br />
Physical ill health<br />
Loneliness and isolation<br />
Loss of occupation, function, skills, income<br />
its aims namely ‘to better identify and treat alcohol misuse’. MOCAM<br />
provides clear guidance for compiling the framework for health<br />
interventions for the healthier communities and older people action<br />
plan. It delivers a four-tier system of treatment as shown in fi gure 1<br />
below.<br />
Alcohol consumption adds to the risk of older people having falls.<br />
Alcohol consumption has been identifi ed as one of the three main<br />
causes of falls, which are a signifi cant cause of mortality and ill health<br />
in older people. For people over 75 years of age, falls are the leading<br />
cause of injury and death. A majority of older people (8 out of 10 people<br />
over 65) are on prescribed medication of which are contraindicated 35<br />
with alcohol, therefore if alcohol is consumed with the medication there<br />
is an increase risk of falls, drowsiness, dizziness and depression. Even<br />
consuming one unit of alcohol could increase these risks.<br />
The collection of data in regards to alcohol related falls is currently<br />
being developed in the fi rst month 4 falls were identifi ed as alcohol<br />
related. This will increase as alcohol is included within all potential<br />
referrers to the falls project and awareness has been raised within<br />
practitioners.<br />
Older people are also affected by alcohol use of their siblings or<br />
grandchildren. It is estimated that 500,000 of grandparents who are<br />
raising their grandchildren that 10% of these would be because of<br />
parental substance abuse.<br />
Models of Care for Alcohol Misusers 2006 (DoH) provides best practice<br />
for local health organisations and their partners in delivering a planned<br />
and integrated local treatment system for adult alcohol misusers.<br />
The framework aims to provide guidance in commissioning that is<br />
appropriate for alcohol services. MOCAM has been developed from<br />
the fi rst National Alcohol Reduction Strategy (2004) to achieve one of<br />
35<br />
Alcohol Concern Alcohol and Older People Factsheet<br />
35
Models of Care for Alcohol Misuse-<strong>Tameside</strong><br />
Tiers Definition What we need Other agencies<br />
involvement<br />
Tier 0 Provision of General community awareness Tier 1 services such as Police,<br />
community campaigns both national and local Health etc<br />
education Development of workplace alcohol<br />
alcohol policies<br />
issues<br />
Tier 1<br />
Tier 2<br />
Provision of<br />
screening<br />
and<br />
assessment<br />
of<br />
hazardous,<br />
harmful and<br />
dependent<br />
drinkers;<br />
information<br />
on sensible<br />
drinking;<br />
Provision of<br />
open access<br />
facilities and<br />
outreach<br />
that provide;<br />
alcohol<br />
specifi c<br />
advice, info<br />
and support,<br />
extended<br />
brief<br />
interventions,<br />
assessment<br />
●<br />
●<br />
●<br />
●<br />
●<br />
Alcohol advice and information<br />
Targeted screening and<br />
assessment for those drinking in<br />
excess of Guidelines on Safer<br />
Drinking (DH)<br />
Brief interventions training to<br />
front line health and community<br />
workers covering identifi cation,<br />
management and referral of<br />
alcohol related harm especially<br />
for PCT staff.<br />
Provision of simple brief<br />
interventions<br />
<strong>Partnership</strong> or shared care<br />
Open access facilities and<br />
outreach targeting alcohol<br />
misusers which provide:<br />
● Alcohol-specifi c information,<br />
advice and support<br />
● Extended brief interventions<br />
and brief treatment to reduce<br />
alcohol-related harm<br />
● Alcohol-specifi c assessment and<br />
referral of those requiring more<br />
structured alcohol treatment<br />
● <strong>Partnership</strong> or “shared care”<br />
with staff from Tier 3 and<br />
Tier 1 provision can be delivered<br />
by a very wide range of agencies<br />
whose main focus is not alcohol<br />
treatment, such as: primary<br />
healthcare services; acute<br />
hospitals, e.g. A&E departments;<br />
medical & psychiatric services;<br />
social service departments;<br />
antenatal clinics; homelessness<br />
services; general hospital wards;<br />
police, e.g. custody cells; probation<br />
services; prison service; education<br />
and vocational services; and<br />
occupational health services.<br />
Tier 2 provision may be delivered<br />
by the following agencies, if they<br />
have the necessary competence:<br />
specialist alcohol services;<br />
primary healthcare services;<br />
acute hospitals, e.g. A&E and<br />
liver units; psychiatric services;<br />
social services; domestic abuse<br />
agencies; homelessness services;<br />
antenatal clinics; probation<br />
services; prison service; and<br />
occupational health services.<br />
What we have already<br />
S.T.A.N.D/think Safe drink Safe<br />
campaigns<br />
General health promotion<br />
Some partners with alcohol<br />
workplace policies<br />
Training developed<br />
Screening and assessment tool<br />
training for young people’s services<br />
Tier 1 & 2 training for adult<br />
services<br />
Hospital Liaison Post<br />
Training is already available for<br />
community and front line health<br />
workers, but take up is very poor.<br />
Choosing Health money will<br />
be invested in an alcohol brief<br />
intervention training programme<br />
performance managed in relation<br />
to training delivered to primary<br />
health care teams and community<br />
based workers.<br />
Alcohol NES service<br />
Screening and assessment tool<br />
training for young people’s services<br />
Tier 1 & 2 training for adult<br />
services<br />
Potential gaps in service<br />
Targeted community sensible<br />
drinking campaign<br />
Alcohol workplace policies<br />
Agreement to attending training<br />
Practitioners Pack<br />
Inclusion of sensible drinking<br />
guidance and assessment of<br />
alcohol consumption within<br />
PCT Connect 4 health, Lifestyle<br />
clubs/clinics & Health Promotion<br />
activities<br />
Agency attendance to training<br />
patchy. This is to be addressed by<br />
a systematic programme of brief<br />
intervention training for primary<br />
carse. Needs of other agencies<br />
also must be addressed.<br />
If referrals increase from primary<br />
care this may stretch NES<br />
capacity.<br />
36
Tier 3<br />
Tier 4<br />
and referral<br />
of those with<br />
more serious<br />
alcohol<br />
related<br />
Provision of<br />
communitybased<br />
specialised<br />
alcohol<br />
misuse<br />
assessment,<br />
and alcohol<br />
treatment<br />
that is care<br />
co-ordinated<br />
Provision of<br />
residential,<br />
specialised<br />
alcohol<br />
treatments,<br />
which are<br />
care-planned<br />
and coordinated<br />
to ensure<br />
continuity<br />
of care and<br />
aftercare.<br />
4a provision, or joint care of<br />
individuals attending other<br />
services providing Tier 1<br />
provision<br />
● Mutual aid groups, e.g. A.A<br />
● Triage assessment may be<br />
agreed as part of locally agreed<br />
arrangements<br />
● Low threshold prescribing for<br />
assisted withdrawal.<br />
Comprehensive substance misuse<br />
assessment;<br />
● Care planning and review<br />
● Community care assessment<br />
and case management<br />
● A range of evidence-based<br />
prescribing interventions in the<br />
context of a package of care<br />
● A range of structured evidencebased<br />
psychosocial therapies<br />
and support to address alcohol<br />
misuse and address co-existing<br />
conditions<br />
● Structured day programmes and<br />
care-planned day care<br />
● Liaison services, e.g. for acute<br />
medical and psychiatric health<br />
services and social services<br />
● Comprehensive substance<br />
misuse assessment<br />
● Care planning and review<br />
● Care co-ordination<br />
● A range of evidence-based<br />
prescribing interventions, in the<br />
context of a package of care<br />
● A range of structured evidencebased<br />
therapies and support to<br />
address alcohol misuse<br />
● Provision of info, advice, training<br />
and “shared care” to tier ½<br />
services.<br />
Normally delivered in specialised<br />
alcohol treatment services<br />
with their own premises in the<br />
community. Other delivery may be<br />
by outreach. Some may be based<br />
in primary care settings (shared<br />
care and GP led prescribing<br />
services).<br />
The work in the community<br />
settings can be delivered by<br />
statutory, voluntary or independent<br />
services providing care-planned,<br />
structured alcohol treatment.<br />
Specialist statutory, independent or<br />
voluntary sector inpatient facilities<br />
for medically assisted alcohol<br />
withdrawal (detoxifi cation) and<br />
stabilisation.<br />
Those with complex alcohol and<br />
other needs requiring impatient<br />
interventions may require<br />
hospitalisation for their other needs<br />
(e.g. pregnancy, liver problems)<br />
this may be best provided for in the<br />
context of hospital services.<br />
ADS<br />
SMS<br />
Branching Out<br />
SUFFS<br />
Development of an Older Person’s<br />
service<br />
Alcohol detox bed in ward 36<br />
Referrals to Smithfi eld and<br />
Wentworth<br />
Alcohol detox bed in ward 36<br />
Community detox<br />
Unplanned detoxs in medical<br />
wards<br />
Capacity issues for mainstream<br />
treatment services<br />
Links with Derbyshire for treatment<br />
services in Glossop<br />
Young peoples tier 4 service<br />
Link up with hospital detox and<br />
substance misuse service<br />
37
What we will do:<br />
Early intervention<br />
We will develop ways to identify and support problem drinkers earlier via both primary and secondary health care, housing and social care settings,<br />
and health care settings.<br />
We will develop a system for brief interventions in primary and secondary care<br />
We will ensure high coverage of primary health care workers receiving brief intervention training<br />
We will develop a training programme for other agencies<br />
Treatment services<br />
We will develop a service improvement plan to include activities to improve accessibility<br />
We will develop services to support carers<br />
We will continually review capacity within services<br />
We will develop an alcohol pathway based upon Models of Care requirements<br />
Screening and referral<br />
We will develop ways to introduce screening and referring to appropriate services<br />
Referrals and assessments for older people’s health and social care services will include questions about alcohol consumption<br />
Training<br />
We will provide training for health staff in relation to older people and alcohol issues and brief interventions.<br />
We will provide assessment training for practitioners working with young people<br />
We will provide a systematic programme of brief intervention training for primary health care and community services<br />
Community awareness<br />
We will promote sensible drinking guidance to the community<br />
We will promote sensible drinking guidance and treatment services for older people<br />
We will promote the development of alcohol workplace policies<br />
38
Healthier Communities and Older People Performance Indicators<br />
National Alcohol Strategy 2007<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
A reduction in chronic and acute ill health caused by alcohol, resulting in fewer alcohol-related accidents and hospital admissions<br />
Most people will be able to recall the Governments sensible drinking guidelines, and will know the personal risks associated with regular<br />
drinking above the sensible limits<br />
Most people will be able to estimate their own alcohol consumption in units<br />
Most people will be able to know where to go for advice or support<br />
Proportion of people drinking within the Department of Health’s sensible drinking guidelines<br />
Proportion of people who are drinking more than 50 units a week (35 units for women), and of those drinking more than twice the sensible daily<br />
drinking guidelines on a regular basis<br />
Healthier Communities and Older People action plan<br />
Priorities<br />
●<br />
●<br />
●<br />
●<br />
To reduce the level of alcohol related falls, illness, injuries and deaths<br />
To improve the range, accessibility and quality of alcohol treatment services<br />
To protect people of all ages from all alcohol-related harm through the education of alcohol safety and sensible drinking messages<br />
To establish an effective alcohol data collection and monitoring system in relation to the impact alcohol has on crime, disorder, anti social<br />
behaviour and health<br />
Indicators:<br />
LAA Main agreement:<br />
● The proportion of alcohol related falls in older people (65+)<br />
LAA Alcohol subset<br />
● Hospital admissions for alcohol specifi c conditions<br />
● Referrals to Alcohol Treatment Services<br />
39
Activity<br />
Responsible<br />
agency<br />
Year 1 Year 2 Year 3<br />
TIER 0<br />
Train all primary care staff in alcohol brief interventions PCT ●<br />
Develop and resource an alcohol treatment data system for collection and monitoring of health related harms DAAT & PCT ●<br />
Incorporate alcohol activities within the DAAT diversity post DAAT ●<br />
Investigate the potential of including sensible drinking messages within community cohesion work with communities TMBC<br />
●<br />
within the borough<br />
Investigate the potential of including alcohol within the connect 4 life programme PCT ●<br />
Develop and source funding for community alcohol health awareness campaigns in relation to sensible drinking PCT<br />
●<br />
guidelines<br />
Promote sensible drinking guidance and over 65’s treatment service to older people and practitioners DAAT ●<br />
Develop a training package for practitioners regarding alcohol and older people DAAT ●<br />
Include alcohol activities are incorporated with the work of the priority neighbourhoods. DAAT ●<br />
Support the development of a Greater Manchester Sensible Drinking Campaign TMBC ●<br />
TIER 1<br />
Ensure equality awareness training is carried out with treatment staff DAAT ●<br />
Develop Connect 4 Life to include alcohol within its inclusion criteria and ongoing work programme DAAT ● ● ●<br />
Develop systems for public consultation regarding levels of alcohol consumption PCT & TMBC ●<br />
Inclusion of sensible drinking guidance within health improvement team activities for example Connect 4 Health, PCT<br />
●<br />
Lifestyle clubs/clinics, Fit for life<br />
Encourage the inclusion of alcohol consumption within the Ambulance Service falls assessment criteria DAAT ●<br />
Encourage alcohol consumption is included within social, care and health screening TMBC ●<br />
Investigate the potential to include dentists and pharmacists within alcohol early interventions programmes and PCT<br />
●<br />
community campaigns<br />
Investigate the potential of extending the role of the maternal health worker to include alcohol PCT ●<br />
Develop systems within maternal health to include alcohol within prenatal health promotion and advice/support DAAT ●<br />
Investigate the potential of the inclusion of alcohol activities within the work of POPPS PCT ●<br />
Develop a workplace substance misuse policy for the PCT PCT ●<br />
Develop links between supporting people providers and treatment agencies DAAT ●<br />
40
Activity<br />
Responsible<br />
agency<br />
Year 1 Year 2 Year 3<br />
TIER 2<br />
Development of GP training of sensible drinking, eligibility criteria and referral routes for Alcohol treatment services PCT ●<br />
Develop referral and monitoring processes from hospital admissions to alcohol treatment services Acute Trust ●<br />
Develop alcohol brief interventions training for acute trust staff PCT ● ●<br />
Continue to investigate links between criminal justice and alcohol interventions PCT & Probation ● ●<br />
Further develop and monitor the alcohol National Enhanced Services (NES) scheme PCT ● ● ●<br />
Investigate the needs of parents and carers, current provision and gaps in service to inform commissioning PCT ●<br />
TIER 3<br />
Continue to monitor and review referral processes to treatment agencies PCT ●<br />
Monitor and review the alcohol treatment service for the over 65’s PCT ●<br />
Develop Service Level Agreements for alcohol treatment services PCT ●<br />
Further develop and review the alcohol hospital liaison service PCT ●<br />
Investigate the accessibility of Treatment Agency provision in relation to the Disability Discrimination Act requirements PCT ●<br />
Continue the work of the alcohol service improvement group and action plan PCT ● ● ●<br />
Implement service user consultation systems for alcohol services PCT ●<br />
Investigate the potential for developing links with local AA, Al anon & Alateen groups DAAT ●<br />
TIER 4<br />
Ensure local abstinence services provide an alcohol service PCT ●<br />
Review and implement the local recommendations from the Greater Manchester Tier 4 services review PCT ●<br />
Provide continued access to inpatient detox PCT ● ● ●<br />
Review procedures in regards to gatekeeping access into tier 4 rehabilitation services from tier 3 PCT ●<br />
Review procedures regards to gatekeeping access into tier 4 residential services from tier 3 PCT ●<br />
41
8. Economic Development<br />
Alcohol misuse affects workers productivity, and affects the health,<br />
safety and welfare of staff. Alcohol consumption can have an impact on<br />
the workplace in many ways; from excessive drinking in leisure time,<br />
drinking before a shift, during lunch breaks or even work hours to binge<br />
drinking at after work activities. Over 10% of all workplace accidents<br />
have been identifi ed as alcohol related. 36<br />
The Government estimate the national annual cost of performance<br />
and productivity lost as a result of alcohol misuse as 6.4bn. Up to 17m<br />
working days are lost each year through alcohol-related absence. 37<br />
The Health and Safety Commission states that 90% of human<br />
resources directors from top British organisations confi rm that alcohol<br />
is a problem in their workplace. The commission claims alcohol<br />
accounts from 8 to 14 million lost days in this country each year.<br />
Figures collated by Personnel Today say 60% of employers have had<br />
problems with employees’ misuse of alcohol, while an estimated 70%<br />
of people with alcohol problems are in employment. A survey carried<br />
out by YouGov for PRU Health found that each day 200,000 British<br />
workers turn up to work hung over from the night before. With the<br />
national increases in alcohol related health harms, this will increase in<br />
impacts upon the workplace and will in the long-term lead to shorter<br />
working lives.<br />
Certain individual and workplace indicators for problematic alcohol use<br />
have been identifi ed.<br />
A number of approaches have been developed and identifi ed as good<br />
practice in tackling problematic alcohol use in the workplace:<br />
●<br />
●<br />
●<br />
●<br />
Policy development<br />
Information and education programme<br />
Health promotion<br />
Assistance and treatment<br />
Although over half of employers have an alcohol workplace policy<br />
(strategy unit 2004) less than one fi fth of employers feel they have<br />
the skills to raise issues with staff and are unsure what services are<br />
available to refer to (Personnel 2001). The <strong>Tameside</strong> business survey<br />
found that 40% of employers would like to implement an alcohol<br />
workplace policy. The inclusion of alcohol issues within workplace<br />
health promotion and access to treatment is an area that needs further<br />
exploration and development both nationally and locally.<br />
In addition to reduced productivity at work, excessive drinking is<br />
associated with unemployment. Costs arising from such increased<br />
unemployment are estimated to be in the region of £1.9 billion a year. 38<br />
36<br />
Insitute of Alcohol Studies 2007<br />
38<br />
Personnel 2001<br />
37<br />
Safe Sensible Social National Alcohol Strategy 2007<br />
42
What we will do:<br />
Policies<br />
Encourage local partner agencies to develop alcohol (substance)<br />
workplace policies<br />
Support local businesses in developing alcohol (substance) workplace<br />
policies<br />
Training<br />
Develop local workplace alcohol (substance) misuse training regarding<br />
issues, referrals and policy development<br />
Include alcohol interventions within stress management training<br />
Workplace<br />
Increase alcohol input within health promotion initiatives within<br />
workplaces<br />
Increase workplace knowledge of sensible drinking guidelines and<br />
referral agencies<br />
Worklessness<br />
Develop partnerships between alcohol services and job centre plus<br />
and Connexions<br />
43
Economic Development action plan<br />
Priorities<br />
●<br />
To reduce negative social and economic impact on the community<br />
Indicators<br />
●<br />
Proportion of businesses with a workplace alcohol policy<br />
Activity Responsible agency Year 1 Year 2 Year 3<br />
Develop local workplace alcohol (substance) misuse training regarding issues, referrals and policy development DAAT ●<br />
Include alcohol messages within workplace stress management programmes TMBC, PCT ●<br />
Increase alcohol input within health promotion initiatives within workplaces TMBC, PCT ●<br />
Develop partnerships between alcohol services and job centre plus and Connexions DAAT ●<br />
Develop a substance misuse policy for the Primary Care Trust and associated training PCT ●<br />
Develop a borough wide alcohol campaign via businesses DAAT ●<br />
Investigate the potential of including substance misuse workplace training and issues within Business link<br />
Econ Dev<br />
●<br />
offi cers training/role<br />
Develop further the inclusion of alcohol within the TMBC vielife/wellness strategy and programmed activities<br />
DAAT ●<br />
and lifestyle clinics<br />
Review out of hours access to local alcohol treatment service for those in employment DAAT ●<br />
44
9. Summary of the <strong>Tameside</strong> Alcohol Strategy 2007-2010<br />
priorities and indicators<br />
Thematic overview Local Priorities Local indicators<br />
Safer Stronger Communities ●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
Develop local data collection and monitoring system of alcohol<br />
related crime, disorder and anti social behaviour<br />
Concerted local effort on enforcement and prevention of drink<br />
driving, particularly with identifi ed high risk groups<br />
Develop a local implementation plan for new alcohol related powers<br />
of the Violent Crime Act 2006<br />
Review approaches of under age sales enforcement<br />
Develop a challenge 21 scheme or equivalent<br />
Develop a local system of alcohol screening and interventions<br />
within criminal justice system<br />
Create opportunities to develop targeted fi re and alcohol safety<br />
awareness campaigns and interventions<br />
●<br />
●<br />
●<br />
●<br />
●<br />
Proportion of alcohol related fi res and fi re deaths<br />
Proportion of police alcohol markers and related hotspots<br />
Proportion of drink driving offences<br />
Test purchasing operations and prosecutions<br />
Proportion of alcohol related violent offences<br />
Children and Young People<br />
Healthier Communities and<br />
Older People<br />
Economic Development<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
Develop local systems of disseminating sensible drinking guidance<br />
to parents<br />
Develop targeted early alcohol interventions with young people at<br />
risk<br />
Develop systems of referral from hospital to alcohol treatment<br />
services<br />
Review underage sales enforcement<br />
Develop a multiagency screening and brief alcohol interventions<br />
training programme<br />
Develop an alcohol hospital liaison service<br />
Investigate the potential for alcohol projects to be developed within<br />
priority neighbourhoods<br />
Review the accessibility of local alcohol treatment<br />
Promote sensible drinking guidelines within health promotion<br />
Encourage the development of alcohol workplace policies<br />
Develop a workplace sensible drinking project<br />
Develop joint activities between job centre plus and treatment<br />
agencies<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
Proportion of year 10’s say they drink alcohol frequently (once a<br />
week)<br />
The age young people started to drink with friends<br />
Proportion of parents sent a alcohol related incident letter from<br />
ASBO team<br />
Proportion of young people referred to Branching Out from the<br />
hospital<br />
Proportion of test purchasing failures<br />
Referrals into alcohol treatment agencies<br />
Proportion of alcohol related falls in over 65’s<br />
Proportion of people able to recall sensible drinking guidelines<br />
Proportion of people able to estimate their own alcohol<br />
Hospital admissions for alcohol specifi c conditions<br />
Proportion of people who know where to get advice and support<br />
Consumption in units<br />
Proportion of businesses with a workplace alcohol policy<br />
45
Appendix 1 - Safe. Sensible. Social the next steps in the<br />
National Alcohol Strategy 2007<br />
46
Appendix 2 - review of literature<br />
1. Regional Alcohol Indicators for North West England 2006<br />
2. Alcohol Harm Reduction Strategy for England 2004<br />
3. Safe. Sensible. Social. The next steps of the National Alcohol<br />
Strategy 2007<br />
4. Delivering Choosing Health; Making healthier choices easier,<br />
Department of Health 2005<br />
5. <strong>Tameside</strong> Alcohol Strategy 2003<br />
6. <strong>Tameside</strong> Licensing Policy 2004<br />
7. <strong>Tameside</strong> <strong>Strategic</strong> Assessment 2006<br />
8. Children in need of protection <strong>Tameside</strong> LSCB<br />
9. Wasted, Lives lost to alcohol, Alcohol Concern 2006<br />
10. <strong>Tameside</strong> Anti Social Behaviour Strategy 2005<br />
11. <strong>Tameside</strong> Tackling Violent Crime Strategy 2007<br />
12. <strong>Tameside</strong> Crime and Disorder Reduction Strategy 2005<br />
15. Information Centre, National Statistics: Statistics on Alcohol:<br />
England 2007<br />
16. Public Health Report for <strong>Tameside</strong> and Glossop 2005/06<br />
17. Alcohol Misuse Interventions- guidance on developing a local<br />
programme of improvement DoH 2006<br />
18. Survey of Health Related attitudes and Behaviours in Year 10’s<br />
<strong>Tameside</strong>, Services for Children and Young People 2006<br />
19. North West Trading Standards Alcohol Survey June 2007<br />
20. <strong>Tameside</strong> Local Area Agreement 2007<br />
21. www.alcoholpolicy.net<br />
22. www.homeoffi ce.gov.uk<br />
23. www.respect.gov.uk<br />
24. www.alcoholconcern.co.uk<br />
Despair to repair local research with survivors of domestic abuse 2001<br />
13. <strong>Tameside</strong> Opportunity strategy 2006<br />
14. Institute of Alcohol Studies Factsheets2007<br />
47
Appendix 3 - LAA- Matrix of cross cutting themes<br />
Safer and Stronger Communities<br />
TO REDUCE CRIME<br />
Sub Outcome Code Measure Alcohol Health<br />
Overall crime<br />
Reduce crime<br />
inequalities - focused<br />
action in hotspot areas<br />
Fear of<br />
Crime<br />
SSC 1.1 Reduce overall British Crime Survey comparator recorded crime (PSA1).<br />
X X<br />
SSC 1.2a Adult Offenders - reduce the proportion of adult offenders who reoffend<br />
X X<br />
SSC 1.2b<br />
Prolifi c and Priority Offenders - reduce the proportion of prolifi c and priority<br />
offenders who reoffend X X<br />
SSC 1.2c<br />
Young Offenders - reduce the proportion of young offenders who reoffend<br />
(within 12 months) X X<br />
SSC 1.3a<br />
Reduce the rate of crime in Ashton St. Peters - Less Serious Wounding &<br />
Common Assault (per 1,000 population) X X<br />
SSC 1.3b<br />
Reduce the rate of crime in Ashton St. Peters - Theft from Vehicles (per 1,000<br />
population) X X<br />
SSC 1.4<br />
Reduce thefts from vehicles per 1,000 population (through targeted action in<br />
hotspot areas) X X<br />
SSC 1.5a Reduce Violent Crime - Less Serious Wounding (per 1,000 population)<br />
X X<br />
SSC 1.5b Reduce Violent Crime - Robbery (per 1,000 population)<br />
X X<br />
SSC 1.6 Reduce criminal damage (through targeted action) - PSA1<br />
X X<br />
48
TO REASSURE THE PUBLIC<br />
Sub Outcome Code Measure Alcohol Health<br />
Reducing the fear of<br />
crime.<br />
Reduce the harm<br />
caused by illegal drugs<br />
Build Respect in<br />
communities and<br />
reduce anti-social<br />
behaviour<br />
Fear of<br />
Crime<br />
SSC 2.1 Increase the % of people who feel safe in their local neighbourhood after dark<br />
X X<br />
SSC 2.2 Increase the % of people who feel safe in their local town centre after dark<br />
X X<br />
SSC 2.3 Increase in the levels of retention in drug treatment for 12 or more weeks<br />
X X<br />
SSC 2.4<br />
SSC 2.5<br />
SSC 2.6<br />
SSC 2.7<br />
SSC 2.8<br />
Reduce the % of people who are worried about people dealing drugs in the<br />
street in their local area X<br />
Increase the % of people who feel informed about what is being done to tackle<br />
anti-social behaviour in their local area X<br />
Reduce the % of people who feel that parents not taking responsibility for the<br />
behaviour of their children is a problem in their local area X<br />
Reduce the % of people who think people not treating other people with respect<br />
and consideration is a problem in their local area X<br />
Reduce the % of people who think anti-social behaviour is a problem in their<br />
local area (using eight types of anti-social behaviour) X X<br />
49
EMPOWER LOCAL PEOPLE AND COMMUNITIES<br />
Sub Outcome Code Measure Alcohol Health<br />
Empower local people<br />
(greater choice /<br />
infl uence over local<br />
decision making /<br />
role in public service<br />
delivery)<br />
SSC 3.1<br />
SSC 3.2<br />
SSC 3.3<br />
SUSTAINABLE NEIGHBOURHOODS<br />
Increase the % of people who feel they can infl uence decisions affecting their<br />
local area<br />
Increase the % of people who feel that their neighbourhood is a place where<br />
people from different backgrounds get on well together<br />
Increase the number of people recorded as or reporting that they have engaged<br />
in formal volunteering on an average of at least two hours per week over the<br />
past year<br />
Sub Outcome Code Measure Alcohol Health<br />
Improved quality<br />
of life in the most<br />
disadvantaged<br />
neighbourhoods<br />
SSC 4.1<br />
Increase the percentage of residents reporting an increase in satisfaction with<br />
their neighbourhoods<br />
(in Hattersley, Denton South, Smallshaw/Hurst)<br />
SSC 4.2 Increase the number of homelessness cases prevented per 1,000 households<br />
Fear of<br />
Crime<br />
Fear of<br />
Crime<br />
Improve housing<br />
conditions within the<br />
most deprived areas<br />
Increase domestic<br />
fi re safety and reduce<br />
arson<br />
SSC 4.3 Increase the % of social housing meeting the Decent Homes Standard<br />
SSC 4.4<br />
Increase the number of vulnerable people in the private sector housed in decent<br />
homes (cumulative)<br />
SSC 4.5 Reduce the number of accidental household fi res<br />
X X<br />
50
CLEANER, GREENER ENVIRONMENT<br />
Sub Outcome Code Measure Alcohol Health<br />
Improve street<br />
cleanliness and parks<br />
and open spaces<br />
SSC 5.1<br />
SSC 5.2<br />
SSC 5.3<br />
SSC 5.4<br />
Reduce the % of land that has levels of litter and detritus below an acceptable<br />
Fear of<br />
Crime<br />
standard (street cleanliness - BVPI 199a) X X<br />
litter and refuse X X<br />
Increase the % of people who are satisfi ed that open public land is kept clear of<br />
Increase the % of abandoned vehicles removed within 24 hours (from the point<br />
at which the local authority is legally entitled to remove the vehicle - BVPI 218b) X<br />
Increase the number of Green Flag awards for parks and green/open spaces in<br />
<strong>Tameside</strong><br />
SSC 5.5<br />
Increase the number of Green Pennant schemes in parks and green/open<br />
spaces in <strong>Tameside</strong><br />
SSC 5.6 Increase the % of people who are satisfi ed with parks & open spaces<br />
X<br />
SSC 5.7 Reduction in the amount of municipal waste landfi lled<br />
Reduce waste to<br />
landfi ll and increase<br />
recycling<br />
SSC 5.8 Increase the % of waste recycled (BVPI 82a/b)<br />
SSC 5.9<br />
Increase the % of households with access to three different types of kerbside<br />
collection of recyclables<br />
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Children & Young People<br />
ENJOY & ACHIEVE<br />
Sub Outcome Code Measure Alcohol Health<br />
Key Stage 3<br />
GCSE<br />
CYP 1.1<br />
CYP 1.2<br />
CYP 1.3<br />
CYP<br />
1.4<br />
ACHIEVE ECONOMIC WELL-BEING<br />
At least 50% of pupils achieve level 5 or above in English (Key Stage 3) in all<br />
schools in <strong>Tameside</strong> by 2008. X<br />
At least 50% of pupils achieve level 5 or above in Maths (Key Stage 3) in all<br />
schools in <strong>Tameside</strong> by 2008. X<br />
At least 50% of pupils achieve level 5 or above in Science (Key Stage 3) in all<br />
schools in <strong>Tameside</strong> by 2008. X<br />
Increase the % of all pupils achieving 5 or more GCSEs at A* - C<br />
X<br />
Sub Outcome Code Measure Alcohol Health<br />
Employment,<br />
Education & Training<br />
(EET)<br />
Level 2 & 3 attainment<br />
(19 and under)<br />
CYP 2.1<br />
CYP 2.2<br />
CYP 2.3<br />
Reduce the % of 16-18 year olds not in education, employment or training<br />
(NEET)<br />
Increase the proportion of young people (19 and under) who achieve Level 2<br />
(NVQ or equivalent)<br />
Increase the proportion of young people (19 and under) who achieve Level 3<br />
(NVQ or equivalent)<br />
Fear of<br />
Crime<br />
Fear of<br />
Crime<br />
52
BE HEALTHY<br />
Sub Outcome Code Measure Alcohol Health<br />
Obesity/overweight<br />
children<br />
CYP 3.1 Increase the % of young people walking or cycling to school.<br />
X<br />
CYP 3.2<br />
CYP 3.3<br />
CYP 3.4<br />
Teenage Pregnancy CYP 3.5<br />
Reduction in smoking<br />
rates<br />
Increase the % of 5-16 year olds in school sports partnerships engaged in two<br />
hours a week minimum on high quality PE and school sport within and beyond<br />
the curriculum<br />
X<br />
Tackle the underlying determinants of ill health and health inequalities by halting<br />
the year on year rise in obesity among children under 11 by 2010 X<br />
Increase the number of primary and secondary schools in <strong>Tameside</strong> that have<br />
achieved the <strong>Tameside</strong> Healthy Food and Drink in Schools Award. X<br />
Reduction in the under 18 conception rate (per 1,000 population (female) aged<br />
15-17) X X<br />
CYP 3.6 Reduce the proportion of young people who currently smoke (SHRAB)<br />
X X<br />
MAKE A POSITIVE CONTRIBUTION<br />
Sub Outcome Code Measure Alcohol Health<br />
Reduction in school<br />
exclusions<br />
CYP<br />
4.1<br />
Reduction in numbers of exclusions (permanent) in secondary schools<br />
X<br />
Fear of<br />
Crime<br />
Fear of<br />
Crime<br />
Voluntary/community<br />
activities<br />
STAY SAFE<br />
CYP<br />
4.2<br />
Increase the % of young people (14/15 year olds) who do any volunteering in<br />
their spare time (YOS)<br />
Sub Outcome Code Measure Alcohol Health<br />
Bullying<br />
CYP<br />
5.1<br />
Fear of<br />
Crime<br />
Reduce the proportion of young people (14-15 year olds) who say they have<br />
been bullied in the last year (YOS) X<br />
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Healthier Communities & Older People<br />
IMPROVE HEALTH AND REDUCE HEALTH INEQUALITIES<br />
Sub Outcome Code Measure Alcohol Health<br />
Reduce mortality<br />
inequalities<br />
Reduce smoking<br />
Reduce obesity<br />
HCOP<br />
1.1a<br />
HCOP<br />
1.1b<br />
HCOP 1.2<br />
HCOP 1.3<br />
HCOP<br />
1.4a<br />
HCOP<br />
1.4b<br />
HCOP<br />
1.5a<br />
HCOP<br />
1.5b<br />
HCOP 1.6<br />
Narrow the gap between <strong>Tameside</strong> and England for all age all cause mortality<br />
- MALE X X<br />
Narrow the gap between <strong>Tameside</strong> and England for all age all cause mortality<br />
- FEMALE X X<br />
Narrow the gap between <strong>Tameside</strong> and England for premature mortality (under<br />
75s) from cardio-vascular disease (heart disease, stroke and related diseases) X X<br />
Narrow the gap between the 20% most deprived (IMD) areas in <strong>Tameside</strong> and<br />
the borough average for all cause premature mortality (under 75s) X X<br />
Increase the proportion of smoking quitters (in areas of <strong>Tameside</strong> in the 10%<br />
most deprived (health) in England) - 4 week quitters X X<br />
Increase the proportion of smoking quitters (in areas of <strong>Tameside</strong> in the 10%<br />
most deprived (health) in England) - 52 week quitters X X<br />
<strong>Tameside</strong> Connect 4 Life - increase numbers accessing the scheme<br />
X X<br />
<strong>Tameside</strong> Connect 4 Life - increase the % accessing the scheme with an<br />
improved diet and/or physical activity score X X<br />
Increase the % of adults who do 30 minutes or more physical activity of<br />
moderate intensity on 5 or more days a week X<br />
Fear of<br />
Crime<br />
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PROMOTING INDEPENDENCE<br />
Sub Outcome Code Measure Alcohol Health<br />
Fear of<br />
Crime<br />
Supporting People HCOP 2.1 To be developed<br />
Decent Homes HCOP 2.2<br />
Volunteering HCOP 2.3<br />
Raising Income Levels<br />
HCOP<br />
2.4a<br />
HCOP<br />
2.4b<br />
HCOP<br />
2.4c<br />
Living at home HCOP 2.5<br />
Increase the number of energy effi ciency interventions for older people (aged 60<br />
or over) X<br />
Increase the number of older people (aged 60 or over) who undertake voluntary<br />
work in Denton South and Smallshaw<br />
Increase the number of older people (aged 60 or over) that are helped to make<br />
successful new or increased claims - Disability Living Allowance / Attendance<br />
Allowance<br />
Increase the number of older people (aged 60 or over) that are helped make<br />
successful new or increased claims - Pension Credit<br />
Increase the number of older people (aged 60 or over) that are helped to make<br />
successful new or increased claims - Council Tax Benefi t<br />
Increase the number of older people (aged 60 or over) accessing community/<br />
sub-threshold services X<br />
55
Economic Development<br />
IMPROVE OVERALL EMPLOYMENT RATES AND REDUCE INEQUALITIES<br />
Sub Outcome Code Measure Alcohol Health<br />
ED 1.1<br />
A reduction by 2007-08 of at least one % point in the overall benefi ts claim rate<br />
for those living in the Local Authority wards identifi ed by DWP as having the<br />
worst initial labour market position - Ashton St. Peters<br />
X<br />
Fear of<br />
Crime<br />
Employment &<br />
Economic Inactivity<br />
ED 1.2<br />
ED 1.3<br />
ED 1.4a<br />
ED 1.4b<br />
ED 1.5<br />
A reduction by 2007-08 of at least one % point in the difference between the<br />
overall benefi ts claimant rate for England and the overall rate for the local<br />
authority wards with the worst labour market position - Ashton St. Peters<br />
X<br />
Reduce or maintain the number of those of working age aged 50+ who are in<br />
receipt of DWP working age benefi ts as a proportion of all people claiming DWP<br />
working age benefi ts<br />
X<br />
The number of offenders from <strong>Tameside</strong> or returning to <strong>Tameside</strong> who secure<br />
employment. X X<br />
employment for 4 weeks or more X X<br />
The number of offenders from <strong>Tameside</strong> or returning to <strong>Tameside</strong> who retain<br />
A reduction of those of working age who are in receipt of DWP working age<br />
benefi ts X<br />
56
Appendix 4 - Alcohol Strategies key activities<br />
Thematic theme National Strategy Local strategy<br />
Safer Stronger<br />
●<br />
●<br />
Communities<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
Replacing glassware and bottles in high-risk premises<br />
Expert group to develop interventions for high risk premises<br />
Encourage local enforcement on Drink driving<br />
Prioritise test purchasing<br />
Develop a data collection model for underage sales<br />
Responsible retailing and promotions independent review<br />
Target alcohol related offenders with health and education<br />
interventions<br />
Improve the way alcohol related offenders are dealt with in custody<br />
and in the community<br />
Work with the Prison Service to develop alcohol treatment<br />
programmes<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
Develop local data collection and monitoring system of alcohol related<br />
crime, disorder and anti social behaviour<br />
Concerted local effort on enforcement and prevention of drink driving,<br />
particularly identifi ed high risk groups<br />
Develop local implementation plan for Violent Crime Act<br />
Continue test purchasing operations<br />
Develop challenge 21 or equivalent<br />
Develop local system of alcohol interventions within criminal justice<br />
system<br />
Create opportunities to develop targeted fi re and alcohol safety public<br />
awareness campaigns and interventions<br />
Healthier communities<br />
and Older People<br />
Children and Young<br />
People<br />
Economic<br />
Development<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
Labelling of alcohol products<br />
Review advice given and develop communications campaign<br />
Support for harmful drinkers<br />
Support the roll out and take up of alcohol targeted identifi cation and<br />
brief advice<br />
National review of the cost to the NHS of alcohol-related harm<br />
Development of guidance for parents and young people<br />
Convene a panel to research evidence of impact of alcohol upon<br />
physical, emotional, health, cognitive development.<br />
Development of a young persons social marketing campaign<br />
Responsible production and sale of alcohol<br />
Extend the scope of National Workplace Initiative<br />
Development of a warning signs website for employees<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
●<br />
Referrals into alcohol treatment agencies<br />
Proportion of alcohol related falls in over 65’s<br />
Most people will be able to recall sensible drinking guidelines<br />
Most people will be able to estimate their own alcohol consumption in<br />
units<br />
Hospital admissions for alcohol specifi c conditions<br />
Most people know where to get advice and support<br />
Develop local systems of disseminating sensible drinking guidance to<br />
parents<br />
Develop further targeted alcohol PSHE input and interventions within<br />
primary and secondary schools<br />
Develop systems of referral from hospital to treatment services<br />
Encourage the development of alcohol workplace policies<br />
Develop a workplace sensible drinking project<br />
Develop activities between job centre plus and treatment agencies<br />
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