X - Tameside Strategic Partnership

TAMESIDE ALCOHOL HARM
REDUCTION STRATEGY
2007-2010

Contents
1. Executive summary PAGE 4
2. Introduction 8
3. Drinking styles 12
4. Growth in Consumption and Availability 14
5. Thematic overview: Safer Stronger Communities 17
6. Thematic overview: Children and Young People 27
7. Thematic overview: Healthier Communities and Older People 33
8. Thematic overview: Economic Development 42
9. National Strategy Outcomes 45
Appendices; 1. Next steps in the National Alcohol Strategy 2007 46
2. Review of the Literature 47
3. LAA Matrix of Cross Cutting Themes 48
4. Alcohol Strategies Key Activities 57

1. Executive Summary
1. Background
This strategy is the second multiagency Alcohol Strategy for the
borough. The strategy has been revised on production of a new
national alcohol strategy. From April 2008 the production of a local
alcohol strategy will be compulsory. Crime and Disorder Partnerships
will be required to lead on the development and review of a local
strategy. Government Offices for the Regions will be responsible
for ensuring this is met and a form of self-evaluation may also be
developed. This strategy aims to further develop local interventions that
have been developed since the fi rst strategy was launched in 2003; to
continue in reducing alcohol related harms in addition to refl ecting key
national developments.
The Tameside Local Area Agreement recognises the impact of alcohol
upon all of the four thematic blocks of the LAA namely; safer stronger
communities; healthier communities and older people; economic
development and children and young people and the majority of
the LAA indicators. In view of this an Alcohol subgroup has been
established which comprises of representatives from each of the LAA
thematic partnerships.
The LAA Alcohol subgroup will be responsible for ensuring alcohol
is mainstreamed into the work of the LAA, to highlight alcohol as
a factor in achieving LAA indicators and to monitor and review the
implementation of the Alcohol Strategy and related indicators and
sub indicators. The strategy was initially developed with support from
the LAA Alcohol subgroup followed by a period of consultation with
stakeholders and local Partnerships.
Each of the four themes of the alcohol strategy has an action plan,
which builds on existing and developing areas of work. Each action
plan will be progressed over the next three years and will be constantly
reviewed though both the LAA Alcohol subgroup and other existing
partnership groups such as the Violent Crime Steering Group and
Alcohol Treatment Service Improvement Group. This strategy will be
reviewed at one yearly interval by the LAA Alcohol subgroup, or upon
any signifi cant changes in legislation or Government policies and
strategies. This review process will include consultation with partner
agencies.
2. Introduction
Alcohol is consumed by 90% 1 of the adult population and plays a
signifi cant part of our social, economic and cultural life, however
increases in alcohol related harms to both individuals and society is
of signifi cant concern both nationally and locally. Both nationally and
locally the encouragement of drinking safely and sensibly is a priority.
Alcohol related harm impacts on individuals and society in the following
ways:
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An estimated 23,000 alcohol related incidents take place in Britain
each week
An estimated 60 deaths a day in England are alcohol related
1 in 11 children in the UK are living with parents who misuse
alcohol
1 in 3 fi re deaths are alcohol related, each serious dwelling fi re
has an economic cost of £25,000
Up to 70% of men who assault their partners do so under the
infl uence of alcohol
70% of accident and emergency admissions at peak times are
alcohol related
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National Alcohol Strategy 2004
4

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50% of the rough sleeper population are alcohol reliant
After drinking 1 in 7 16-24 year olds have had unprotected sex
61% of the population perceive alcohol related violence as
worsening
Alcohol is implicated in 1 in 3 suicides in older people
Up to 40% of all violent crime is alcohol related
Alcohol fi gures in 30% of all fatal car accidents where men are the
victims
38% of convicted offenders thought that alcohol was a predictive
factor in their risk of reoffending
Up to 17 million working days are lost each year through alcoholrelated
work absence
Alcohol is estimated to contribute to over half of youth related
arson incidents
6. To reduce young people’s consumption of alcohol and associated
negative consequences on health and crime and disorder
7. To prevent neglect, emotional and physical harm to children as a
result of their parents drinking
8. To reduce alcohol related harm upon the local economy and
workplaces
9. To establish an effective alcohol data collection and monitoring
system in relation to the impact alcohol has on health, crime,
disorder and anti social behaviour
10. To reduce the number of alcohol related fi re deaths and incidents
in the home
11. To reduce alcohol related road traffi c collisions and road deaths
12. To research the links between alcohol consumption and
homelessness
3. Tameside Alcohol Strategy 2007-2010
The aim of the strategy is: to reduce alcohol related harms through
partnership working and to promote sensible drinking.
Key Priorities:
The Tameside Alcohol Strategy addresses the following key priorities:
1. To reduce alcohol related crime, disorder and anti social behaviour
2. To reduce the negative impact of alcohol upon the health of
individuals and communities
3. To reduce the impact alcohol misuse has on families and
communities
4. To improve the range, accessibility and quality of alcohol
treatment services
5. To protect people of all ages from all alcohol-related harm through
the education of alcohol sensible drinking and safety messages
5
Key Themes:
The four themes of the strategy and action plans are:
1. Safer, Stronger Communities
2. Children and Young People
3. Healthier Communities and Older People
4. Economic Development
4. Safer, Stronger Communities
Alcohol related crime, disorder and anti social behaviour is not only
a huge burden on public resources (estimated as 7.3 bn a year 2 ),
but also a huge impact upon communities. Alcohol consumption
has an impact upon levels of violent crime, domestic violence, anti
social behaviour, criminal damage, rape and sexual assaults, arson,
accidents, road traffi c collisions and fi res.
Local research on domestic violence, found that 70% 3 of respondents
2
National Alcohol Strategy 2004
3
Despair to repair 2001- Tameside Domestic 2 National Alcohol Strategy 2004

indicated that their partners were under the infl uence of alcohol before
the attacks. Violent crime is associated with alcohol consumption; the
hotspot for public order offences coincides with the nighttime economy
in both Ashton and Stalybridge with a peak in offences committed at
weekends at 4am. National estimates indicate that 1 in 3 fi re 4 deaths
are alcohol related this is refl ected locally with increases in the number
of alcohol related fi res in ‘hazardous drinkers’.
Key activities for Safer Stronger Communities action plan:
● Develop local data collection and monitoring system of alcohol
related crime, disorder and anti social behaviour
● Concerted local effort on enforcement and prevention of drink
driving, particularly with identifi ed high risk groups
● Develop a local implementation plan for new alcohol related
powers of the Violent Crime Act 2006
● Review approaches of under age sales enforcement
● Develop a challenge 21 scheme or equivalent
● Develop a local system of alcohol screening and interventions
within criminal justice system
● Create opportunities to develop targeted fi re and alcohol safety
awareness campaigns and interventions
Key indicators for the Safer Stronger Communities action
plan:
● Proportion of alcohol related fi res and fi re deaths
● Proportion of police alcohol markers and related hotspots
● Proportion of drink driving offences
● Test purchasing operations and prosecutions
● Proportion of alcohol related violent offences
5. Children and Young People
Young people are beginning to consume alcohol with their friends at
4
Greater Manchester Fire and Rescue Service annual plan.
6
an earlier age from the age of 11 (previously age 13 5 ). Those that are
consuming alcohol are now consuming double the units and on a more
frequent basis.
Recent surveys indicate that the majority of young people in Tameside
have started drinking with their friends by the age of 13 (75%) with
48% are consuming alcohol frequently -at least once a week. Recent
North West research highlights young people in Tameside to be ‘binge
drinkers’ with many consuming in excess of the adult sensible drinking
guidelines.
In addition 29% while under the infl uence of alcohol have indicated that
they are aggressive and violent; 16% have broken the law and 11%
had unprotected sex. Referrals into the anti social behaviour team for
young people consuming alcohol has doubled over the last 12 months 6 .
Key activities for Children and Young People action plan:
● Develop local systems of disseminating sensible drinking
guidance to parents
● Develop targeted early alcohol interventions with young people at
risk
● Develop systems of referral from hospital to alcohol treatment
services
● Review underage sales enforcement
Key indicators for Children and Young People action plan:
● Proportion of year 10’s say they drink alcohol frequently (once a
week)
● The age young people started to drink with friends
● Proportion of parents sent a alcohol related incident letter from
ASBO team
● Proportion of young people referred to Branching Out from the
hospital
● Proportion of test purchasing failures
5
Safe Sensible Social National Alcohol Strategy 2007
6
Health Related Attitudes Year 10 Survey, Tameside 2006

6. Healthier Communities and Older People
Alcohol has a major impact upon the health and wellbeing of
individuals and costs the Health service £1.7bn a year 7 . It is predicted
that alcohol related health harms are currently underestimated and
in the future will contribute signifi cantly to premature death rates in
addition to the progression of cancer, heart disease, osteoporosis
and strokes. Consumption levels overall have doubled over the last
ten years and this will only add to increasing future health problems
within communities. The prevalence of hospitalised admission (for
alcohol specifi c conditions and all conditions attributable to alcohol)
and the number of months of life lost attributable to alcohol amongst
both males and females have all witnessed increases in Tameside.
Referrals into local treatment services have increased year on year.
Alcohol harms among older people is often described as a neglected
area. The number of older people exceeding the sensible drinking
guidelines has increased. Such excessive drinking puts older people at
risk of stroke; depression, falls and can contribute towards dementia.
Key activities for Healthier Communities and Older People
action plan:
● Develop a multiagency screening and brief alcohol interventions
training programme
● Develop an alcohol hospital liaison service
● Investigate the potential for alcohol projects to be developed
within priority neighbourhoods
● Review the accessibility of local alcohol treatment
● Promote sensible drinking guidelines within health promotion
campaigns
7
National Alcohol Strategy 2004
7
Key indicators for Healthier Communities and Older People
action plan:
● Referrals into alcohol treatment agencies
● Proportion of alcohol related falls in over 65’s
● Proportion of people able to recall sensible drinking guidelines
● Proportion of people able to estimate their own alcohol
consumption in units
● Hospital admissions for alcohol specifi c conditions
● Proportion of people who know where to get advice and support
7. Economic Development
Alcohol consumption affects workers productivity, and can affect the
health, safety and welfare of staff. Alcohol can have an impact on
the workplace in many ways; excessive drinking in leisure time can
impact on productivity and long term performance; drinking before
a shift, during lunch breaks or even work hours to binge drinking at
after work activities. The Government estimate the national annual
cost of performance and productivity lost as a result of alcohol misuse
is calculated as 6.4bn. Up to 17m working days are lost each year
through alcohol-related absence 8 .
Consultation with local businesses has indicated that 40% of local
businesses are considering developing a workplace alcohol or
substance misuse policy 9 .
Key activities for Economic Development action plan:
● Encourage the development of alcohol workplace policies
● Develop a workplace sensible drinking project
● Develop joint activities between job centre plus and treatment
agencies
Key indicator for Economic Development action plan:
● Proportion of businesses with a workplace alcohol policy
8
Safe Sensible Social National Alcohol Strategy 2007
9
Business Survey, Tameside 2003

2. Introduction
Alcohol is consumed by 90% of the adult population and plays a
signifi cant part of our social, economic and cultural life, however
increases in alcohol related harms to both individuals and society is of
signifi cant concern both nationally and locally.
Alcohol related harm impacts on individuals and society in the following
ways:
Safe. Sensible. Social. National
Alcohol Strategy 2007
The Government’s Strategy Unit calculated the cost of these
alcohol related harms at 20bn per annum. To tackle these harms
the Government launched the fi rst National Alcohol Harm Reduction
Strategy in 2004. The strategy grouped alcohol related harms into four
key areas:
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An estimated 23,000 alcohol related incidents take place in Britain
each week
An estimated 60 deaths a day in England are alcohol related
1 in 11 children in the UK are living with parents who misuse
alcohol
1 in 3 fi re deaths are alcohol related, each serious dwelling fi re
has an economic cost of £25,000
Up to 70% of men who assault their partners do so under the
infl uence of alcohol
70% of accident and emergency admissions at peak times
(weekends) are alcohol related
50% of the rough sleeper population are alcohol reliant
After drinking 1 in 7 16-24 year olds have had unprotected sex
61% of the population perceive alcohol related violence as
worsening
Alcohol is implicated in 1 in 3 suicides in older people
Up to 40% of all violent crime is alcohol related
Alcohol fi gures in 30% of all fatal car accidents where men are the
victims
Up to 17 million working days are lost each year through alcoholrelated
work absence
Alcohol is estimated to contribute to over half of youth related
arson incidents 10
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Harms to family and society
Health harms
Crime and antisocial behaviour
Loss of productivity and profi tability
The strategy aimed to scope out and quantify the impact of alcohol
related harm upon the nation as well as identifying key activities to
minimise the impact of the four key alcohol related harms.
Safe. Sensible. Social. The next steps in the National Alcohol Strategy,
was launched in June 2007. The new strategy seeks to build on the
foundations laid and the lessons learnt since the fi rst strategy was
launched in 2004. It outlines further national and local action to achieve
long-term reductions in alcohol related ill health and crime. The new
strategy promises to:
1. To ensure that licensing and enforcement powers that have been
introduced since the fi rst strategy are being used widely and
effectively;
2. That more focus is given to drinkers who cause most alcohol
related harm such as under 18’s, binge drinkers and harmful
drinkers;
3. That we all work together to promote sensible drinking.
10
National Alcohol Strategy 2004
8

The long-term goal of the Government is:
To minimise the health harms, violence and antisocial
behaviour associated with alcohol, while ensuring that
people are able to enjoy alcohol safely and responsibly.
The next steps for the national alcohol strategy are as follows:
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Sharpened criminal justice for drunken behaviour
A review of NHS spending
More help for people who want to drink less
Toughened enforcement of underage sales
Development of trusted guidance for parents and young people
Public information campaigns to promote a new sensible drinking
culture
Public consultation on alcohol pricing and promotion
Local alcohol strategies to be made compulsory
Tameside Alcohol Strategy
2007-2010
Local stakeholders and partnerships have been well aware of the
increasing issue of alcohol related harm and has been focused in
developing harm reduction activities to counteract alcohol related
crime, disorder and health across the borough. Tameside launched
its fi rst multiagency alcohol strategy in November 2003 before the
development of the National Alcohol Harm Reduction Strategy in
March 2004. The local strategy was a compilation of audit fi ndings,
local issues and recommendations. This second strategy develops
further the alcohol related work of local partners whilst incorporating
new national developments and changes in local priorities.
Tackling alcohol related harms is a challenge for all and requires
multiagency enforcement, intervention and prevention measures.
Alcohol issues cut across education, transport, environmental
services, town centre management, policing, health and treatment.
Consequently the alcohol strategy and action plan has been developed
with consultation from the following agencies and partnerships:
Tameside Metropolitan Borough Council
Greater Manchester Police
Tameside Victim and Witness Support
Greater Manchester Fire Service
Greater Manchester Probation Service
Pennine Care Trust
Tameside & Glossop Primary Care Trust
Turning Point
Tameside Crime and Disorder Partnership Government Offi ce North West
Tameside Local Safeguarding Children’s Board Health Partnership Board
Tameside Strategic Partnership
Lifeline
Tameside Children and Young People’s Partnership
9

Purpose of the Strategy: to reduce alcohol related harms
through partnership working and to promote sensible
drinking.
Key Priorities
The Tameside Alcohol Strategy addresses the following key priorities:
1. To reduce alcohol related crime, disorder and anti social behaviour
2. To reduce the negative impact of alcohol upon the health of
individuals and communities
3. To reduce alcohol related falls, illness, injuries and deaths
4. To improve the range, accessibility and quality of alcohol
treatment services
5. To protect people of all ages from all alcohol-related harm through
the education of alcohol sensible drinking and safety messages
6. To reduce young people’s consumption of alcohol and associated
negative consequences on health and crime and disorder
7. To prevent neglect, emotional and physical harm to children as a
result of their parents drinking
8. To reduce alcohol related harm upon the local economy and
workplaces
9. To establish an effective alcohol data collection and monitoring
system in relation to the impact alcohol has on health, crime,
disorder and anti social behaviour
10. To reduce the number of alcohol related fi re deaths and incidents
in the home
11. To reduce alcohol related road traffi c collisions and road deaths
12. To research the links between alcohol consumption and
homelessness
Key Themes
The four themes of the strategy and action plans are:
1. Safer, Stronger Communities
2. Children and Young People
3. Healthier Communities and Older People
4. Economic Development
10

Links to Tameside Local Area
Agreement
The Tameside Local Area Agreement Steering Group identifi ed some
cross cutting themes which the LAA should focus on, one of these was
identifi ed as: reducing the problems caused by alcohol consumption
(see appendix 1).
To support this an Alcohol LAA subgroup has been formed, this group
is responsible for ensuring alcohol is mainstreamed into the work of the
LAA, to highlight alcohol as a factor in achieving LAA indicators such
as reducing violent crime, school exclusions, fear of crime, teenage
pregnancies and to monitor the impact of the Alcohol Strategy and
related indicators and sub indicators. A representative from each LAA
theme groups form the group’s membership.
Within the main LAA agreement a direct alcohol related indicator
‘the proportion of alcohol related falls in older people (65+) has been
included within the healthier communities and older people block. An
additional subset of alcohol indicators has been developed through
the LAA. The alcohol subgroup and the local strategic partnership will
monitor these.
Links to existing strategies
The ten-year Community Strategy (2003) of which is delivered by
the LAA identifi ed six key priorities namely a safer environment, an
attractive borough, a healthy population, a learning community and a
prosperous society. Alcohol impacts upon these priorities, for example
alcohol consumption levels has a direct impact upon the health of the
population, alcohol related crimes such as violent crime and the fear of
alcohol related crimes have an impact upon how safe residents feel,
however alcohol related businesses in the add to the economy and
achieving a prosperous society.
Alcohol misuse is a priority within the current Crime and Disorder
strategy. The strategy identifi es alcohol misuse as a key risk factor in
offending behaviour for the majority of criminal offences, from assaults,
domestic violence and public order to arson and child abuse.
In addition, the crime and disorder audit identifi ed that alcohol related
harm is also a key priority for the people of Tameside. Alcohol related
priorities for the current Crime and Disorder strategy included:
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To develop alcohol treatment services within the Borough
Implement an education strategy related to health promotion and
harm reduction for alcohol through schools and communities
Identify funding for addressing alcohol misuse
To use the full range of existing and new enforcement powers to
tackle alcohol related nuisance
Support businesses to develop work place policies around alcohol
misuse
Encourage Licensees to join Pub and Club Watch schemes
These priorities will be forwarded within this Alcohol Strategy.
Alcohol consumption and related harms can impact on numerous
other local priorities and consequently impacts upon various strategies
for the borough. The strategy is in line with other local strategies and
action plans such as:
Local Area Agreement 2007 Violent Crime Strategy 2007
Opportunity Strategy 2006 Community Strategy 2003
Anti Social Behaviour Strategy 2007 Crime and Disorder Strategy 2005
Health and Inequalities Strategy 2006 Domestic Violence Strategy 2005
Supporting People Strategy 2005 Licensing Policy 2005
Teenage Pregnancy Strategy
DAAT action plans
Homelessness Strategy 2008-13
11

Equality Impact Assessment
It is accepted that alcohol related harms could affect anyone
irrespective of gender, sexuality, age, class, religion or ethnicity.
Alcohol related harm could affect people either directly or indirectly, for
example even if a person decides not to drink alcohol, family members,
friends or strangers drinking behaviour can still impact upon them.
There are differences within communities regarding the pattern and
level of consumption of alcohol. Age, ethnicity/race, disability, sexual
orientation and gender also affects whether a person decides to drink
and the level and patterns of that drinking.
To comply with the requirements of the Race Relations Amendment
Act 2000 and the Equality Standard for Local Government, the
impact on promoting diversity and on preventing discrimination
was considered whilst drawing up this strategy. An equality impact
assessment was undertaken with the previous alcohol action plan and
its recommendations will now form part of this new strategy and action
plan.
WHAM! BAM! PRAM!
“My mates said I
was asking for it”
ALCOHOL
“He didn't look
pi$$ed”
“I didn't think I'd
go that far....
I wanted to wait”
For support and advice on alcohol and drug issues contact Branching Out on: 0161 343 6481
or contact the FRANK helpline on 0800 77 66 00, www.talktofrank.com
www.ruthinking.co.uk
3. Drinking Styles
Research indicates that some patterns of drinking are more likely to
lead to alcohol related harms, for example binge and chronic drinking
(these are examples and alcohol related harms may be experienced
by others drinking hazardously or vulnerable groups such as street
drinkers).
Sensible Drinking
One Unit
½ Pint 3.5%
Strength Beer,
Lager or Cider
One Unit
Half a
175ml
Glass of Wine
One Unit
One 25ml
Measure
of Spirits
One Unit
One 25ml
Glass
of Sherry
One Unit
One 25ml
Measure
of Aperitifs
Current daily guidelines for sensible drinking
2-3 Units 3-4 Units
Females Males
At least 24hrs alcohol free a week
Sensible drinking
The Government has set daily sensible drinking guidelines (previously
weekly guidelines) to assist in reducing alcohol related harms drinkers.
Consumption of alcohol is measured in units; in the UK a unit is
defi ned as eight grams of alcohol. This is equivalent to: half a pint of
ordinary strength beer, a small glass of wine (125ml at 9% strength) or
one measure of spirits.
Standard health advice is that:
● Men should not drink more than 4 units per day (21 units per
week)
● Women should not drink more than 3 units per day (14 units per
week)
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Pregnant women nothing or no more than 1-2 units a week
Any heavy drinking should be followed by 2 alcohol free days
Consistent drinking at the upper level i.e. men 21, women 14 units
a week is not recommended
Drinking double the daily amounts i.e. women 6 or men 8 in one
session is classed as binge drinking
Binge drinking
Binge drinking is drinking more than twice the daily limits on one
occasion. In the UK around six million people drink heavily on single
occasions, around a fi fth of men and a tenth of women. Young people
aged under 25 more likely to drink to get drunk and drink more than
the daily limits in one single session. Binge drinkers are more likely to
have an accident, be admitted to A & E, be a victim or perpetrator of
violence. It is predicted that approximately 5.9m adults drink above this
limit 11 .
Hazardous drinking
Hazardous drinking is defi ned as regularly drinking above recognised
sensible levels at which alcohol is likely to damage health (22 to 50
units per week for men and 15-35 for women). These drinkers are
more likely to be over 30 years old. They are at increased risk of health
disorders and premature death and are also more likely to commit the
offences of domestic violence, drink driving and have work related
absence. It is predicted that around a quarter of the population drink
above the former weekly guidelines 12 .
Harmful drinking
Harmful drinking is drinking at levels that lead to signifi cant harm
to physical and mental health and at levels that may be causing
substantial harm to others. Harmful drinking is defi ned as drinking over
50 units for a man and 35 units for a woman.Examples include liver
damage or cirrhosis, dependence on alcohol and substantial stress or
11-12
National Alcohol Strategy 2004
13
aggression in the family 13 .
Underage drinking
There has been growing concern in the UK about the increased levels
of alcohol consumption among young people. The numbers of young
people drinking underage has not increased however the level of
consumption has increased, the amount of alcohol consumed by girls
aged between 11-13 has increased by 82.6% between 2000-2006,
while for boys the number has gone up by 43.4% during the same
period 14 . Young people on average are now consuming alcohol with
their friends at the age of 11, only two years ago the average age was
13. There is no safe drinking limit for young people (under 18).
Alcohol and poly drug use
There is growing evidence of a change in people’s drug and alcohol
use. This profi le has been described as ACCE where a mixture of
alcohol, cocaine, cannabis and ecstasy is being used. Cocaine use
itself has risen in the 16-24-age range. Cocaine use sometimes
accompanies binge drinking and can result in erratic and violent
behaviour. A mixture of cocaine and alcohol is the most common twodrug
combination that results in drug-related death 15 .
13-15
National Alcohol Strategy 2004

4. Growth in consumption and
availability
Around a quarter of the population drink above former recommended
weekly guidelines and some 7 million above recommended daily
guidelines. Levels of consumption are continuing to increase; over the
last ten years level of consumption has doubled in both adults and
young people. If present trends continue, the UK will rise to near the
top of the consumption league (European countries) within the next
ten years. Since the introduction of the Licensing Act 2003 there has
been a growth in the availability of alcohol. Tameside currently has 679
licensed premises.
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Supermarkets, Shops & Off Licences 195
Pubs, Nightclubs & Bars 298
Registered Members Clubs 81
Hotels, BB & Restaurants 79
Cinemas, Theatres 6
Village & Community Halls 20
The growth of the late night economy venues and the availability of
alcohol in supermarkets and more premises with licensing has had an
impact on the drinking culture. National research has found increases
in levels of individual’s alcohol consumption increases with the level
of availability. Tameside is unique in that it has a number of late night
town centres, currently Stalybridge and Ashton are the main two
drinking town centres, however centres such as Denton and Hyde are
growing in terms of licensed premises and late night economy, this
needs to be taken into consideration when planning future town centre
alcohol related actions.
Nationally alcohol sales have increased and the cheapness and
availability of alcohol has also had an impact on the style of drinking
people are now adopting. Increasing numbers of people are drinking in
the home 51% of residents in Tameside now drink in the home rather
than in pubs, clubs or restaurants 17 . It is inevitable that the quantities
of alcohol consumed are signifi cantly different than pub measures.
When drinking at home, people are almost always more generous with
their measures, This increase in people drinking in the home could
contribute to the increasing problems with harms to health, domestic
abuse, drink driving, fire related injuries and deaths, and work absence.
It is predicted that this style of drinking will cause or contribute to
serious health problems in less than 10 years.
It is diffi cult to gain a full picture of the local level of alcohol harms. The
diffi culties lie in the process that data is collated; for example how can
we identify the exact number of alcohol related crime or death if alcohol
recorded fi eld is either not available or used. This is an issue that is
being discussed on a national scale to see how improvements could
be made. Whereas qualitative information about alcohol consumption
has to be taken as an estimate as people sometimes either do not
understand unit calculations or underestimate the amounts they are
17
Tameside PCT Lifestyle Study 2006
14

drinking. One of the main priorities of this strategy is to improve local
data collection and identifying methods of collection.
Adults Levels of Consumption
Self reported national data suggests that approximately a quarter of
the drinking population drink over the Department of Health sensible
drinking guidelines, with 34% of men and 20% of women drink over the
daily benchmarks on at least one day a week 18 .
Using the above would indicate that in Tameside 30,780 men and
13,152 women have an alcohol use disorder, that 17,010 men and
7,398 women are binge drinkers and that 4,860 men 1,644 women are
alcohol dependent.
The North West Public Observatory produce alcohol profiles for local
authority areas based on 22 alcohol indicators; including alcohol
related hospital admissions; estimates of levels of binge, hazardous
and harmful drinking. Tameside has been highlighted as high in
estimates of residents drinking to a harmful level.
The Alcohol Needs Assessment Research Project 2006 (published by
the Department of Health) found that of 16-64 year olds:
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38% of men and 16% of women have an alcohol use disorder
21% of men 9% of women are binge drinkers;
6% men and 2% of women are alcohol dependent 19
We can use the profi le of National Statistics using the formula
to estimate local prevalence. This approach does not take into
account potential factors of infl uence, which is the socio-economic,
demographic and deprivation measures of Tameside and Glossop
against the national picture, however, in the absence of anything more
robust, this provides us with our best present alcohol-specific guidance.
18
Safe Sensible Social National Alcohol Strategy 2007
19
ANARP 200
15

The chart shows Tameside’s measure for each indicator, as well as the regional
and England averages and range of all local authority values for comparison
purposes.
Recent surveys in Tameside have also given us an indication of levels
of consumption locally. In regards to adult consumption the Tameside
PCT Lifestyle study found those who, within the last seven days,
exceeded the recommended weekly amount are most likely to say they
more often drink at home rather than in pubs, bars, clubs or restaurants
(45%). Although those who, within the last seven days, exceeded the
recommended amount for a single session are most likely to say they
drink more often in pubs, bars, clubs or restaurants than at home.
Self reported data compiled from local workplace assessments
found that just over a quarter drink over the recommended sensible
drinking guidelines, in addition to strong correlations between stress
management and alcohol consumption.
Alcohol Consumption in Young People
Nationally, the level of alcohol consumed by young people has
increased alongside the level of frequency. The average weekly
consumption for young people aged 11-15 years has doubled since
1990 from 5 units to 10 units in 2004. The age that young people begin
to drink alcohol with their friends has dropped from and average of 13
years to 11 years.
(Source: NWPHO, Alcohol profi les, 2007)
Local consultation found that 54% of 15 to 16 year olds reported that
they drink alcohol at least once a week; this is 10% higher than the
regional average of 44% (2007) and has increased by 7% in less than
2 years. 40% of 15-16 year olds say they binge drink, which is 11%
over the regional average. By the age of 13 years 75% of Tameside
young people had started drinking with their friends with 11% doing so
before the age of 11. Although the percentage of young people stating
that they access alcohol from off licences has decreased signifi cantly, a
higher percentage 73% say they have drunk alcohol in pubs and clubs.
16

Whilst under the infl uence of alcohol, 29% indicated that they had
become aggressive or violent, 16% had broken the law and 11% had
unprotected sex 20 .
behaviour, arson and road traffi c offences. Over half of all alcoholrelated
violence occurs in or around on licensed premises with 70%
of incidents occurring at the weekends. Other fl ashpoints for alcoholrelated
violence include taxi ranks and takeaways.
When alcohol consumption is seen as a factor in the committing of
an offence the police use an alcohol marker. For 2006/07 967 crimes
in Tameside were alcohol related, an increase of over 9% in previous
years.
“ 22 ” WHERE SHOULD THIS GO?
5. Safer, Stronger Communities
Alcohol related crime is a huge burden on public resources, accounting
for up to 40% of all violent crime and 70% of all weekend hospital
admissions. It is estimated to cost up to 7.3 bn per annum 21 .
Alcohol related crime refers to not only crimes that are alcohol-specifi c
such as drunk and disorderly, but also crimes that are committed while
under the infl uence of alcohol, for example, assault, domestic violence,
rape/sexual assaults, public disorder, criminal damage, anti social
20
Survey of Health Related Attitudes and Behaviours in Year 10’s 2006
21
Safe Sensible Social National Alcohol Strategy
17
In regards to alcohol related violent crime, Ashton Town Centre has
historically been the hotspot however; Stalybridge has seen recent
increases in alcohol related violent crime. Both town centres have
a high concentration of licensed premises and incidents peak on
Saturday/Sundays at 4am. This shows a direct correlation with the
nighttime economy in those town centres.
22
Info from Strategic Analyst

Nationally 61% of the population perceive alcohol-related violence
as worsening. This has an impact upon levels of fear of crime within
communities. Local consultation (Citizen 2000) has shown an increase
from 2005, with residents feeling very unsafe in their neighbourhood
after dark. 23
Alcohol consumption exacerbates incidents of domestic violence.
National research identifi es that a third of victims reported their
attackers to have been drinking before any attacks. Victims themselves
can also use alcohol as a coping mechanism whilst in the relationship
or may drink with the perpetrator or adopt a similar drinking style.
Local research found 70% of respondents reported that their partner
was under the infl uence of alcohol whenever the abuse occurred. 24
Since MARAC multiagency risk assessment case conferences were
introduced locally in January 2007 the most high-risk DV victims, a
recurring theme is alcohol misuse by perpetrator and/ or victim.
TAMESIDE PRIVATE HIRE FIRM TELEPHONE TAMESIDE PRIVATE HIRE FIRM TELEPHONE
A1 Private Hire 0161 343 5050 Metro Cars 0161 368 8888
A2B 0161 308 3838 Radio Cars 0161 330 2090
Bridge Cars 0161 304 8000 Ring A Car 0161 339 6001
Call A Car 0161 320 7117 Stamford Radio Cars 0161 339 4411
Cavalier Radio Cars 0161 338 4055 Swift Radio Cars 0161 303 8137
Denton Links 0161 336 2020 Tameside Cars 0161 368 9585
Tameside Council is responsible for licensing local taxi services Tel: 0161 301 3021
These firms are private hire operators as at 7/11/2007
There are strong links between the level of alcohol consumption and
levels of anti social behaviour. Examples of alcohol related anti social
behaviour ranges from groups of established street drinkers drinking in
an area, to gatherings of underage drinkers in parks and open spaces,
23
Citizen 2000 Survey - 2006
24
Dispair to Repair Local Research Report 2007
18
and drunken rowdy groups causing nuisance and intimidation on a
night out in town. One of the key aims of the Respect agenda is to
tackle the anti-social effects of binge drinking on British society.
Referrals to the Tameside Anti Social Behaviour Team have doubled
since 2005. The team send letters to the parents of young people of
who have been found to be in possession of alcohol or in the presence
of a group in possession of alcohol. In 2006 74 parents were sent
a letter; an additional 53 young people received two warning letters
for confi scation of alcohol. Alcohol related referrals into the Early
Intervention Group and Case Intervention group have also increased. 25
A Home Offi ce survey of offenders’ motivation for a range of crimes
found that the highest number of respondents admitted they offended
because they were drunk were those responsible for criminal damage.
Alcohol consumption is a major cause of accidents and accidental
injury. It is estimated that 40% of road traffic accidents, 30% of fatal
road traffi c accidents and 15% of drownings are alcohol related. The
presence of alcohol in the body has also been shown to increase the
severity of injuries from accidents. 25 THERE ARE TWO ” 25 ”s ON
THIS PAGE ! ! !
The consumption of alcohol has an impact upon road safety, research
shows 80% of pedestrian deaths on Friday and Saturday nights are
alcohol-related; 1 in 7 road deaths are caused by drink driving in
the UK and 3500 people are killed or seriously injured in the UK by
drink drivers. 1 in 3 fi res and fi re deaths are estimated to be alcohol
related. Greater Manchester Fire and Rescue service have attended
an increasing number of serious incidents inclusing dwelling fi res and
road traffi c collisions within Tameside which have resulted in death
or serious injury, the majority of these incidents have been alcohol
related. An increasing number of deliberate fi res are also linked to
alcohol consumption.
25
Institute of Alcohol Studies Factsheet 2007

Alcohol can also be a factor in causing homelessness and sometimes
a problem exacerbated by homelessness. Nationally it is estimated
that 50% of the rough sleeper population are alcohol reliant. 26 Alcohol
issues can affect access to housing provision, tenancy sustainment
and can lead to homelessness. The Government’s strategy for tackling
homelessness has been set out in the policy documents Sustainable
Communities: Settled Homes; changing lives. The document outlines
how local authorities are expected to work alongside partner’s
agencies to develop early intervention initiatives and plans to prevent
homelessness. Tameside Council will be setting out its updated 5- year
homelessness prevention strategy during 2008, which will begin to link
together issues relating to alcohol misuse and homelessness.
The Supporting People programme is a Government initiative that
provides a robust framework to promote, develop and increase the
opportunities available to vulnerable people to improve their quality
of life through the provision of support services, which enable them
to have greater independence and control in making informed
decisions and lifestyle choices. Supporting People can assist with
and contribute to the joint planning, funding and commissioning
of services for vulnerable groups, which includes people misusing
alcohol. In Tameside the Supporting People programme jointly
funds and commissions (with Children’s Services and Community
Safety) a support service for families where one or both parents are
substance misusers. This service is intended to help families maintain
their housing and to avoid homelessness related to alcohol use.
The programme also funds an accommodation-based service for
homeless men aged 35+. This service allows service users to drink
on the premises, within agreed limitations. This is in contrast to most
accommodation based services that attempt, for housing management
purposes, to enforce a no drinking on the premises rule. Housing
management reasons for seeking to restrict residents drinking on the
premises relate to the risk of anti-social behaviour, or other risks such
as falls or setting fi re.
26
National Alcohol Strategy 2007
19
There are no accommodation-based services with a focus on alcohol
users for women or men under age 35.
In 2006/7 3.6% (23) of new users of Supporting People funded
services in Tameside were recorded with alcohol as their primary need.
There is a similar picture in Greater Manchester with 3.6% (1081)
and England at 3.8% (6940). 27 This data probably under records the
true level of need because many services
will record homelessness as the primary
need, with alcohol appearing as one of up
to three secondary needs. The national
supporting people outcomes framework that
was introduced in 2007/8 will measure the
demand and take up of alcohol treatment
services by SP service users. This will give
us more information on the prevalence of
problem alcohol use among SP service users
and possible barriers to access to treatment.
Anecdotal evidence from Supporting People
providers indicates an increase in people with
alcohol related issues among older people
living in sheltered housing. The eligible age
for sheltered housing in most cases is as
young as 50 or 55 (baby boomers), in some
cases service users may have long term drinking problems.
The 2005 Supporting People strategy identifi ed the need for “wet
house” provision in Tameside. A similar need was identifi ed in Oldham,
and initial discussions took place between both authorities on jointly
commissioning such a service. This has not been progressed due to
lack of revenue funding. The SP strategy is now under review and a
regional Supported Housing strategy is in development that will include
proposals for cross authority commissioning.
27
Supporting People Team, TMBC 2007

Since the introduction of the fi rst National Alcohol Strategy in 2004,
additional powers have been introduced to deal with and prevent
alcohol related harms. The Licensing Act 2003 signifi cantly reformed
UK licensing laws and made all licensing authorities have a duty to
promote four licensing objectives:
1. The prevention of crime and disorder
2. Public safety
3. The prevention of public nuisance
4. The protection of children from harm
The act allows residents and local businesses more power to complain
about premises and request a review of a license. The act also gives
the police more powers to deal with such problematic premises for
disorder or excessive noise and disturbance. A local Licensing policy
was developed in 2005 and a Licensing committee set up. The current
local Licensing policy will be reviewed in 2008.
The Violent Crime Act 2006 will also give additional powers to the
police and local authorities to deal with alcohol related crime. The act
brings with it powers to:
●
●
●
Introduce Alcohol Disorder Zones to give local authorities and
police powers to designate areas blighted by serious alcoholrelated
crime and disorder, as a last resort, to ensure those
licenses within the zone contribute to cost of the disorder.
Create a new power to allow police to ban those who represent
a risk to alcohol-related crime or disorder arising or taking place
from a particular locality for up to 48 hours
Create a new offence to give police and trading standards powers
to close a licensed premise persistently selling alcohol to youths
for up to 48 hoursIntroduce Drinking Banning Orders, which will
impose restrictions on those who commit offences under the
infl uence of alcohol for up to two years, including banning them
from licensed premises.
The Violent Crime Act and the Licensing policy will allow for more
targeted local enforcement of alcohol related harms.
What we will do
Licensing
We will review the current Licensing policy and its impact
We will continue to develop the borough wide enforcement panel
Alcohol Related Fires
We will train existing and probationary fi re offi cers in alcohol related
issues
We will train Treatment Agency staff and volunteers in fi re safety
We will develop targeted campaigns and projects to reduce alcohol
related fi re related deaths
Respect
We will develop joint alcohol related and respect activities
We will continue to develop the Town Centre Case Intervention Group
We will look at improving referrals from the Anti Social Behaviour Team
to Treatment Services
Domestic Abuse
We will develop systems to help both victims and perpetrators of
domestic violence to access alcohol treatment services
We will develop joint domestic violence and alcohol awareness
campaigns
20

Enforcement
We will maximise the use of Town Centre Anti Social Behaviour Orders
and existing enforcement procedures
We will improve the use of the alcohol marker and referrals into
treatment agencies
We will develop further the S.T.A.N.D. (Safer Tameside Against Night
time Disorder) town centre interventions
Offenders
We will develop an intervention programme for offenders where their
offending behaviour is linked to alcohol
We will improve identifi cation and communication between agencies to
identify troublemakers in town centres
Violent Crime
We will develop a system to respond to the new powers within the
Violent Crime Act
We will review our approach to violent crime and develop an
overarching strategy
We will review the need for a wet house in partnership with Supporting
People Joint Commissioning Group when the Supporting People
strategy is updated and on the publication of the North West strategy.
TAMESIDE COUNCIL, THE POLICE &
THE LICENSED TRADE ARE WORKING
TOGETHER TO ENSURE A GOOD NIGHT
DOESN’T TURN INTO A BAD ONE BY ;
1. Serving drinks not drunks
2. Always asking for and checking ID
3. Searching to prevent entry of drugs & weapons
4. Preventing glassware & bottles being taken
onto the street
5. Managing Queues effectively
6. Ensure people leave safely
7. Don’t allow glass or bottles to be taken outside
8. Prevent drinking on the street
Homelessness
We will develop an understanding of the issues effecting households
where alcohol misuse has led to homelessness
We will work with Housing Strategy and the Supporting People Team to
develop a day centre for homeless people with an alcohol issue can go
for advice and support
Housing
We will continue to provide training and advice to supported housing
staff on working with alcohol users.
We will agree formal protocols on joint working with supported housing
providers to ensure that service users can access treatment and other
support services.
21

Safer Stronger Communities Alcohol Related Performance
Measures
Local Area Agreement
● Reduce overall British Crime Survey Comparator recorded crime (PSA1)
● Reduce Violent Crime including Robbery, Less Serious Wounding and Common Assault
● Reduce the number of incidents reported to the Police involving a victim of domestic abuse
● Reduce the proportion of adult and young offenders and prolifi c and other priority offenders who re-offend.
● The Youth Offending Team to achieve a 5% reduction in the (overall) re-offending rate for 2007-08, when compared with 2002 cohort
● Reduce the rate of crime in Ashton St. Peters including Common Assault and Less Serious Wounding
PSA1:
● Wounding (Serious and Other)
● Common Assault and Assault Against the Police
● Robbery of Personal Property
PSA2
● Improve people’s feelings of safety at night in the town centres
PSA3
● 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%
National Alcohol Strategy 2007
● A reduction in the proportion of victims of violent crime who perceive the offender(s) to be under the infl uence of alcohol.
● A reduction in the public’s perceptions of drunk and rowdy behaviour
● A reduction in the number of more serious violence against the person offences (excluding threats to kill) and other offences against the person
with injury
● A reduction in the number of violent and disorder offences committed within the context of the night time economy
22

Thematic action plan- Safer Stronger Communities
Priorities
●
●
●
●
To reduce alcohol related crime, disorder and anti social behaviour
To establish an effective alcohol data collection and monitoring system in relation to the impact alcohol has on crime, disorder, anti social
behaviour and health
To reduce the number of alcohol related fi re deaths in the home
To reduce alcohol related road traffi c collisions and road deaths
Indicators
● Proportion of alcohol related fi res and fi re deaths
● Proportion of police alcohol markers and related hotspots
● Proportion of drink driving offences
● Test purchasing operations and prosecutions
● Proportion of alcohol related violent offences
LAA Alcohol sub indicator
● Proportion of alcohol markers and hotspots
Activity Responsible agency Year 1 Year 2 Year 3
PREVENTION
To establish a data action plan for recording, collating, analysing and monitoring alcohol related crime, CDRP
●
disorder and anti social behaviour.
There will be concerted local action to enforce the law on drink driving GMP ● ●
Develop mechanisms for delivering alcohol road safety messages within the community and the Road Safety Unit, TMBC
●
workplace
Ensure alcohol road safety messages are included within existing and planned alcohol PSHE
Education, TMBC
●
education
To develop for on/off licence premises: frequent training seminars, development and dissemination of
guidance and policies and the encouragement of involvement within Pub and Club Watch
Environmental Services TMBC
●
23

Activity Responsible agency Year 1 Year 2 Year 3
INTERVENTION
Research the local picture regarding levels of homelessness and alcohol Housing ●
Develop joint alcohol and fi re safety community awareness campaigns/projects and targeted
GMF&RS
●
interventions
Encourage the extension and use of Nite Net use in the nighttime economy to practitioners, licensees Violent Crime Steering Group ●
and town centre taxi operators
Develop a targeted safety campaign for females- how to make yourself safer, where to seek help, with Violent Crime Steering Group
●
the inclusion of alcohol messages
Alcohol infl uences crime markers- Renewed drive to obtain adherence by reporting offi cers for GMP
endorsement of crime reports
● ●
●
Develop referral pathways from the police and fi re service to alcohol treatment services PCT ●
Develop alcohol awareness training seminars for police offi cers and PCSOs GMP ●
Develop a local alcohol practitioners pack for use with offenders under probation PCT ●
Ensure alcohol interventions are an integral part of violent crime and domestic violence strategies Community Safety Unit TMBC ●
Improve the collection and monitoring of data on alcohol related offending GMP ●
Provide access to supporting people provision to people with alcohol problems Supporting people ● ●
Referral of all drug and alcohol related incidents identifi ed by GM Fire & Rescue Service to DAAT/ GMF&RS
●
appropriate treatment agency
Investigate the potential for town centre assessment facility with links to assessment, referral and PCT
●
advice.
Train all treatment agency teams in fi re safety advice and fi tting of fi re alarms GMF&RS ●
Develop further links between enforcement agencies and treatment agencies Community Safety Unit ●
Investigate the appropriate alcohol interventions for cases discussed at the MARAC
GMP DV unit
●
DV Coordinator TMBC
Investigate the potential of a specialised alcohol/substance misuse post within the independent DV Coordinator TMBC
●
domestic violence advocacy service developed in the borough
Develop access to supporting people services for people who continue to use alcohol Supporting people ●
Investigate the potential for an alcohol wet house with other cross authorities Supporting people ●
Consult treatment service users regarding access to supporting people services, issues regarding DAAT
●
housing, homelessness, tenancy sustainment and exclusion policies
Re-launch Pub and Club Watch Schemes and STAND banning orders Licensing GMP ●
Develop training access for all social RSL in regards to alcohol awareness, agency provision and DAAT
●
access issues
Promote the replacement of glassware and bottles in high risk premises and the use of bottle bins Licensing, TMBC ●
24

Activity Responsible agency Year 1 Year 2 Year 3
ENFORCEMENT
Draw up an implementation plan for local use of the new powers conferred by the Violent Crime Act Tackling Violent Crime Steering
●
including alcohol disorder zones.
Group
Pursue ASBOs and exclusion orders for violence especially related to night-time economy Community Safety Unit TMBC ● ● ●
Use FPN for drunk and disorderly and on adults knowingly buying alcohol for people under the age of GMP
● ● ●
18.
Environmental Services TMBC
Consider the use of surveillance operations where test-purchasing operations have proved negative Environmental Services TMBC ●
despite local intelligence.
Develop the STAND publicity campaign
GMP
●
●
●
●
●
●
Include strong messages regarding anti violence and alcohol safety
Ensure STAND campaign materials are distributed across the borough
STAND Meet and Greet operations to include Gtr Mcr Fire and Rescue Service
Evaluate effectiveness of previous STAND campaign
Include sexual health services
Research the local picture regarding levels of homelessness and alcohol Housing ●
Continue joint visits to licensed premises; police, fi re service, SIA and TMBC GMP ●
Ensure alcohol road safety messages are included within existing and planned alcohol PSHE
Education, TMBC
●
education
Investigate the potential for an alcohol arrest referral scheme Community Safety Unit ●
Adoption of Challenge 21 scheme or equivalent within the borough
GMP
Continue visits to known prolifi c domestic violence offenders if alcohol is a factor distribute sensible GMP
●
drinking and alcohol treatment information
Monitor the use of Fixed Penalty Notices
GMP
●
Focus on notices for alcohol related public disorder or violence in town centres. To be used as an
trigger for referral to the Town Centre Case Intervention Group
Monitor use of charges for public order in preference to ‘Breaches of Peace’ or ‘Drunk and Disorderly’ GMP
●
- when arresting
Review licenses as appropriate based on issues raised from residents or responsible authorities Licensing TMBC ●
Create stronger links with PCT to pursue a mobile A&E assessment centre in the town centre at peak PCT
●
time in the year
Cumulative Impact Assessment for Ashton and Stalybridge
Licensing TMBC
●
Tameside MBC to review licensing policy and determine if the cumulative impact of alcohol related
disorder in the town centres should be included
Targeted work with off licences and supermarkets to prevent underage sales and adults buying for
minors
TMBC Enviro Services ● ● ●
25

Continue test purchasing at off licences and supermarkets TMBC Enviro Services ● ● ●
Identify locations of discarded bottles:
TMBC Enviro Services
●
Identify hotspot areas for public drinking
Identify which pubs and clubs let people move outside with drinks
Patrollers
Clear up discarded bottles prevent bottles being used as weapons TMBC Enviro Services ●
Set up an intelligence sharing process between the Police and Probation Services concerning known
offenders who have been caught committing acts of crime and disorder in the town centres at night
GMP
●
Increase the percentage of appointments kept at Branching Out of alcohol related referrals made by
the Youth Offending Team
YOT
Branching Out
Activity Responsible agency Year 1 Year 2 Year 3
ENFORCEMENT
Continue test purchasing at off licences and supermarkets TMBC Enviro Services ● ● ●
Identify locations of discarded bottles:
Identify hotspot areas for public drinking
Identify which pubs and clubs let people move outside with drinks
TMBC Enviro Services
Patrollers
Clear up discarded bottles prevent bottles being used as weapons TMBC Enviro Services ●
Set up an intelligence sharing process between the Police and Probation Services concerning known
offenders who have been caught committing acts of crime and disorder in the town centres at night
GMP
Increase the percentage of appointments kept at Branching Out of alcohol related referrals made by YOT
●
the Youth Offending Team
Branching Out
ALCOHOL
●
●
●
WHAM! BAM! PRAM!
“My mates said I
was asking for it”
“He didn't look
pi$$ed”
“I didn't think I'd
go that far....
I wanted to wait”
For support and advice on alcohol and drug issues contact Branching Out on: 0161 343 6481
or contact the FRANK helpline on 0800 77 66 00, www.talktofrank.com
www.ruthinking.co.uk
26

6. Children and Young People
Alcohol use among children and young people is growing faster than
the use of any other drug in the UK and it causes the most widespread
problems. Nationally the average consumption rate for young people
has doubled since 1990. 28 In addition the consumption of spirits by
young people has also risen. The consumption of alcohol in young
people can be linked to unplanned teenage pregnancies, rises in
sexually transmitted diseases and infections, school exclusions,
underachievement, anti social behaviour, accidents, criminal damage,
crime and health problems. Young people report having more risky sex
when they are under the infl uence of alcohol, especially at an early age
or with someone they have not known for very long (Alcohol Concern
2003). In 2003 The Youth Justice Board found that 16% of school
attendees who had committed crime said that they had been under
the infl uence of alcohol at the time the crime was committed. (Youth
Justice Board).
The number of young people choosing to drink has not changed,
however the level of drinking and the style of drinking have changed.
Young people now drink more in one single session and are drinking
on a more regular basis. Parental acceptance of young people drinking
has also increased; with many believing that supplying alcohol to their
child in the home may make them less likely to develop hazardous
drinking styles. The mean weekly alcohol consumption rate for 11-
15 year olds has risen continually from 5.3 units in 1990 to 10 units
in 2004. Nationally the age that young people start to drink with their
friends has decreased with the national average now the age of 11. 29
The North West Trading Standards Survey 54% of Tameside found
that 15-16 year olds drink alcohol at least once a week, this is 10%
higher than the regional average of 44%. This is an increase of 6%
from a survey of school students the previous year. By the age of 13
years 75% of Tameside young people had started drinking out with
their friends, 11% before the age of 11. 29% had become aggressive
or violent under the infl uence of alcohol and 16% had broken the law,
11% had unprotected sex. 30 Respondents were more likely to get their
alcohol from a licensed premises or friend.
28
Safe Sensible Social National Alcohol Strategy 2007
29
Alcohol Concern Young People’s Factsheet
27
30
Health Related Attitudes Year 10 Survey 2006

The level of adult alcohol consumption has increased, as well as the
level of alcohol consumption in the home. This has an impact on young
people as recent predictions estimate that 1 in 11 young people in the
UK are now caring for parents with alcohol misuse problems. 31 Within
Tameside 22.8% of young people on the child protection register are
on the register due to a primary factor of parental alcohol misuse. The
young peoples carers project currently supports 15 young carers of
parents misusing alcohol.
The framework provides a common approach to identifying the needs
of young people for practitioners. Alcohol use can negatively impact
on many of these priority outcomes for young people. In particular
impacting upon the priorities of ‘be healthy- children and young people
live healthy lifestyles, parents provide safe homes and stability and
‘stay safe’ young people are safe from neglect, violence, accidental
injury. Young people’s own alcohol consumption or that of their parents
will impact on young people achieving these priorities.
Factors contributing to regis tration
40
35
30
25
20
15
10
5
0
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
% of children on the CPR through factors of drug misuse
% of children on the CPR through factors of parental alcohol misuse
% of children on the CPR through factors of parental mental health
A Children’s needs assessment framework has been developed in
Tameside to assist young people achieve the fi ve priority outcomes:
●
●
●
●
●
Be Healthy
Stay Safe
Enjoy and Achieve
Make a positive Contribution
Achieve economic well- being
WHERE DOES THIS “ 32 ” GO ?
What we will do
Education
Continue access to alcohol education in school and develop further
links between other PSHE education such as sexual health and
relationships, antisocial behaviour and arson
Develop the school drug policy and referral routes
Create opportunities for alcohol education and awareness raising
within local colleges
Develop further opportunities for alcohol education within primary
schools
Substance misusing parents
We will address the needs of substance misusing parents with the
development action plan based on the recommendations of both the
Hidden Harm report and Turning Point’s Bottling it up report
Develop alcohol consumption awareness raising with parents regarding
the impact their or family members drinking has on their families
Treatment
We will continue to develop the treatment service for young people
Train existing young peoples service staff in screening, support and
referrals
31
Bottling it up, Turning Point 2006
32
Tameside Safeguarding Children Board
28

Access to alcohol
We will use the powers under the Licensing Act to revoke licenses of
those that sell alcohol to young people who are underage
Continue with the test-purchasing scheme for alcohol on off licence
premises
We will review enforcement of under age drinking in on licence
premises
Investigate the use of covert actions for targeting licensees that sell
under age
Target education and enforcement at parents who supply alcohol to
underage.
Targeted intervention
Target alcohol interventions at young people at risk of offending due to
their alcohol consumption
Provide tailored alcohol interventions to young people accessing the
Youth Offending Team
29

Children and Young People’s Related Performance Indicators
Young Peoples DAAT group
● Increase the number of young people receiving alcohol information through referral to EIG or when receiving alcohol confi scation letters from
the ASBO team.
● Reduce the availability of alcohol to young people through retail outlets
● To reduce the number of retail outlets who sell alcohol to underage Young People
● Proportion of young people referred to hospital for alcohol related harm
Children and Young People’s action plan
Priorities
● To prevent neglect, emotional and physical harm to children as a result of their parents drinking
● To protect people of all ages from all alcohol-related harm through the education of alcohol safety and sensible drinking messages
● To reduce young people’s consumption of alcohol and associated negative consequences
LAA Alcohol Sub Indicator
● The proportion of Year 10 pupils sampled that say they drink alcohol regularly (at least once a week).
Indicators
● The age young people start to drink with their riends
● Proportion of young people with alcohol confi scation letters
● Proportion of young people referred to hospital for alcohol
● Proportion of test purchasing failures
30

Activity Responsible agency Year 1 Year 2 Year 3
Level one- Universal
Develop an interagency action plan based on both recommendations from Hidden Harm and Bottling it Community Safety Unit TMBC ●
up
Develop a alcohol education strategy to include interventions within primary, secondary schools and
Education TMBC
●
colleges to include future planning and evaluation of projects
Inclusion of alcohol issues within education surrounding sex and relationships, anti social behaviour
Education TMBC
●
and risky behaviour
Discuss the dangers of alcohol whilst undertaking Fire Awareness Child Education visits to young
GMF&RS
●
people who have been involved in accidental and deliberate fi re related incidents
Review the implementation of the Schools Drug Policy in relation to alcohol incidents and referrals to
Education TMBC
●
Branching Out
Link up activities between relevant children and young people strategies including sexual health, Community Safety Unit TMBC ●
teenage pregnancies and parenting strategies
Develop mechanisms for delivering alcohol road safety projects within colleges and further education Road Safety Unit, TMBC ●
Continue to promote the use of the interactive Drug/Alcohol Box in community settings Branching Out ●
Activity Responsible agency Year 1 Year 2 Year 3
Level 2- Lower Level Need
Develop interagency training to enable better screening, recognition and improved interventions with
Branching Out
●
young people misusing alcohol
Identify an alcohol champion within the Local Safeguarding children board to lead on family alcohol Environmental Services TMBC ●
misuse issues
Develop training for practitioners working with young people who live with alcohol misusing parents LSCB ●
Raise awareness within the community of the need to reduce alcohol related harm to children and
LSCB
●
young people
Continue to confi scate alcohol from under 18’s, recording and monitoring the amounts and identifying
GMP ● ● ●
hotspot areas
Continue the monitoring of young people’s alcohol consumption through inclusion of questions in the
year 10 annual school survey
Education ● ● ●
31

Activity Responsible agency Year 1 Year 2 Year 3
Level 3- Additional Need
Further publicity of the Branching Out service to children, parents and young people Branching Out ●
Develop identifi cation and referral pathways from the hospital to Branching Out of young people
Acute Trust
●
admitted for alcohol related incidents
Branching Out
Evaluate short term funded targeted group work to investigate further need
Branching Out
Review alcohol interventions for young people referred to the EIG/ CIG TMBC ●
Develop further the role of the youth service, Connexions and other youth provision in early alcohol
interventions
DAAT
●
Activity Responsible agency Year 1 Year 2 Year 3
Level 4- Higher Level Need
Continually monitor the need for access to Tier 4 alcohol treatment Branching Out ●
Continue to develop the four geographical area approach to supporting young people Branching Out ●
Activity Responsible agency Year 1 Year 2 Year 3
Level 5- Complex Needs
Investigate the possibility of joint work supporting young carers Branching Out ●
Monitor the levels of tier3/4 referrals from PRUs/YOT.
Branching Out
YOT
●
ALCOHOL
STITCH! DITCH! ITCH!
“They said the bruises
would go but the
scar’s there for life”
“It's a long walk
home, I thought I’d
be safer in a car”
“It's so easy to
use a condom –
I wish I had”
For support and advice on alcohol and drug issues contact Branching Out on: 0161 343 6481
or contact the FRANK helpline on 0800 77 66 00, www.talktofrank.com
www.ruthinking.co.uk
32

7. Healthier Communities and
Older People
Alcohol consumption has a signifi cant impact upon the health and
wellbeing of individuals and costs the Health Service 1.7 bn a year. 33
It is estimated that there are up to 60 alcohol related deaths a day
in England and Wales, three times more than drug related deaths. 34
Health related alcohol harms impacts directly upon services within
Primary Care, Hospitals, Accident and Emergency Departments,
Mental Health and Sexual Health Services.
Alcohol misuse is associated with a number of health harms including
cancer, heart disease, strokes, digestive problems and osteoporosis.
1 in 30 cancer deaths are attributable to alcohol; alcohol is the
second most important cause of high blood pressure and every year;
1200 die from strokes linked to alcohol misuse. Much of this harm is
preventable by developing comprehensive local treatment systems
for hazardous, harmful and dependent drinkers, their families and the
wider community. For example, it is estimated suggests that for every
£1 spent on alcohol treatment, the public sector saves £5.
The Alcohol Needs Assessment Research Project 2006 (published by
the Department of Health) found that of 16-64 year olds:
●
●
●
38% of men and 16% of women have an alcohol use disorder
21% of men 9% of women are binge drinkers;
6% men and 2% of women are alcohol dependent
We can use the profi le of National Statistics in the above survey
to estimate local prevalence. This approach does not take into
account potential factors of infl uence, which is the socia-economic,
demographic and deprivation measures of Tameside and Glossop
against the national picture, however, in the absence of anything more
robust, this provides us with our best present alcohol-specific guidance.
Using the above would indicate that 30,780 men and 13,152 women
have an alcohol use disorder, that 17,010 men and 7,398 women
are binge drinkers and that 4,860 men 1,644 women are alcohol
dependent.
The North West Observatory (2006) developed a set of annual alcohol
regional indicators. In comparison to other North West PCT’s Tameside
was ranked high on a number of indicators:
Tackling Health Inequalities is a top priority for the Government; it is
focused on narrowing the health gap between disadvantaged groups
and communities. Drinking over the Department of Health’s sensible
drinking guidelines is more common in areas of high deprivation.
Nationally, for women living in the most deprived areas, alcohol related
death rates are 3 times higher than those living in the most deprived
areas. In comparison for men alcohol related death rates for those
living in the most deprived areas were 5 times higher than for those
living in the least deprived areas.
●
●
●
●
22% prevalence of binge drinking among local adult population
2000-2
Hospital admission for alcohol specifi c conditions amongst males
4.96% and females 2.63% in 2004-5
Prevalence of hospital admission for all conditions attributable to
alcohol amongst males 11.62% and females 6.55% in 2004/5
Average projected estimates of months of life lost for all causes
attributable to alcohol in 2004 for men was 12.75 and women 6.48
33
Safe Sensible Social National Alcohol Strategy 2004
34
Alcohol Cocern Conference Report 2006
33

In comparison to the above statistics in 2005/6 there were 1999
number of patients in alcohol treatment.
Drinking while pregnant has been evidenced to have signifi cant effects
upon the health of the baby resulting in foetal alcohol effects, but
also this has been associated in infants with increased risk of their
maltreatment and sometimes-violent behaviour in later life, including
delinquent behaviour, sexual violence and suicide (Bellis et al 2006).
The Department of Health 2007 has since changed its advice to
pregnant women to encourage an alcohol free pregnancy.
Currently, levels of alcohol misuse are being highlighted within Public
Health as one of two ‘Sleeping Tigers’ of the future. Due to levels of
alcohol misuse and obesity it has been predicted that the generation
of people born between 1985 and 2005 will be the fi rst generation
of people to experience lower life expectancy compared with their
previous generation.
In response to the concerns regarding the impact alcohol consumption
is having upon the health of the nation; alcohol has been included as
one of six priorities of the Choosing Health White Paper. The Choosing
Health White Paper sets out a number of key principles for supporting
the public to make healthier and more informed choices in regards to
their health.
There are six key priorities for Choosing Health:
●
●
●
●
●
●
Tackling health inequalities
Reducing the number of people who smoke
Tackling obesity
Improving sexual health
Improving mental health and wellbeing
Reducing harm and encouraging sensible drinking
Alcohol and older people
Alcohol misuse among older people is often described as a
neglected area of research in the UK, it is felt that this area has been
underestimated and in need of further research. Research that has
been carried out identifi es that the number of older people exceeding
the sensible drinking guidelines has increased over recent years.
However, older people’s drinking habits seem to be polarised in that
there are two extremes either abstaining, or drinking on a daily basis.
Older people are less likely to be aware of the DoH sensible drinking
guidelines or how to calculate a unit, in addition they are less likely to
be informed about alcohol related harms and health consequences.
Excessive drinking puts older people at risk of CHD, Hypertension
and Stroke, Memory Loss and depression; it may provoke Parkinsons
Disease and can contribute to dementia.
Patterns of drinking in older people can either be developed early on in
life and are continued into older age or alcohol problems are developed
later in life due to a number of causes/risk factors. These causes and
risk factors have been identifi ed as:
34

●
●
●
●
●
Bereavement
Mental stress
Physical ill health
Loneliness and isolation
Loss of occupation, function, skills, income
its aims namely ‘to better identify and treat alcohol misuse’. MOCAM
provides clear guidance for compiling the framework for health
interventions for the healthier communities and older people action
plan. It delivers a four-tier system of treatment as shown in fi gure 1
below.
Alcohol consumption adds to the risk of older people having falls.
Alcohol consumption has been identifi ed as one of the three main
causes of falls, which are a signifi cant cause of mortality and ill health
in older people. For people over 75 years of age, falls are the leading
cause of injury and death. A majority of older people (8 out of 10 people
over 65) are on prescribed medication of which are contraindicated 35
with alcohol, therefore if alcohol is consumed with the medication there
is an increase risk of falls, drowsiness, dizziness and depression. Even
consuming one unit of alcohol could increase these risks.
The collection of data in regards to alcohol related falls is currently
being developed in the fi rst month 4 falls were identifi ed as alcohol
related. This will increase as alcohol is included within all potential
referrers to the falls project and awareness has been raised within
practitioners.
Older people are also affected by alcohol use of their siblings or
grandchildren. It is estimated that 500,000 of grandparents who are
raising their grandchildren that 10% of these would be because of
parental substance abuse.
Models of Care for Alcohol Misusers 2006 (DoH) provides best practice
for local health organisations and their partners in delivering a planned
and integrated local treatment system for adult alcohol misusers.
The framework aims to provide guidance in commissioning that is
appropriate for alcohol services. MOCAM has been developed from
the fi rst National Alcohol Reduction Strategy (2004) to achieve one of
35
Alcohol Concern Alcohol and Older People Factsheet
35

Models of Care for Alcohol Misuse-Tameside
Tiers Definition What we need Other agencies
involvement
Tier 0 Provision of General community awareness Tier 1 services such as Police,
community campaigns both national and local Health etc
education Development of workplace alcohol
alcohol policies
issues
Tier 1
Tier 2
Provision of
screening
and
assessment
of
hazardous,
harmful and
dependent
drinkers;
information
on sensible
drinking;
Provision of
open access
facilities and
outreach
that provide;
alcohol
specifi c
advice, info
and support,
extended
brief
interventions,
assessment
●
●
●
●
●
Alcohol advice and information
Targeted screening and
assessment for those drinking in
excess of Guidelines on Safer
Drinking (DH)
Brief interventions training to
front line health and community
workers covering identifi cation,
management and referral of
alcohol related harm especially
for PCT staff.
Provision of simple brief
interventions
Partnership or shared care
Open access facilities and
outreach targeting alcohol
misusers which provide:
● Alcohol-specifi c information,
advice and support
● Extended brief interventions
and brief treatment to reduce
alcohol-related harm
● Alcohol-specifi c assessment and
referral of those requiring more
structured alcohol treatment
● Partnership or “shared care”
with staff from Tier 3 and
Tier 1 provision can be delivered
by a very wide range of agencies
whose main focus is not alcohol
treatment, such as: primary
healthcare services; acute
hospitals, e.g. A&E departments;
medical & psychiatric services;
social service departments;
antenatal clinics; homelessness
services; general hospital wards;
police, e.g. custody cells; probation
services; prison service; education
and vocational services; and
occupational health services.
Tier 2 provision may be delivered
by the following agencies, if they
have the necessary competence:
specialist alcohol services;
primary healthcare services;
acute hospitals, e.g. A&E and
liver units; psychiatric services;
social services; domestic abuse
agencies; homelessness services;
antenatal clinics; probation
services; prison service; and
occupational health services.
What we have already
S.T.A.N.D/think Safe drink Safe
campaigns
General health promotion
Some partners with alcohol
workplace policies
Training developed
Screening and assessment tool
training for young people’s services
Tier 1 & 2 training for adult
services
Hospital Liaison Post
Training is already available for
community and front line health
workers, but take up is very poor.
Choosing Health money will
be invested in an alcohol brief
intervention training programme
performance managed in relation
to training delivered to primary
health care teams and community
based workers.
Alcohol NES service
Screening and assessment tool
training for young people’s services
Tier 1 & 2 training for adult
services
Potential gaps in service
Targeted community sensible
drinking campaign
Alcohol workplace policies
Agreement to attending training
Practitioners Pack
Inclusion of sensible drinking
guidance and assessment of
alcohol consumption within
PCT Connect 4 health, Lifestyle
clubs/clinics & Health Promotion
activities
Agency attendance to training
patchy. This is to be addressed by
a systematic programme of brief
intervention training for primary
carse. Needs of other agencies
also must be addressed.
If referrals increase from primary
care this may stretch NES
capacity.
36

Tier 3
Tier 4
and referral
of those with
more serious
alcohol
related
Provision of
communitybased
specialised
alcohol
misuse
assessment,
and alcohol
treatment
that is care
co-ordinated
Provision of
residential,
specialised
alcohol
treatments,
which are
care-planned
and coordinated
to ensure
continuity
of care and
aftercare.
4a provision, or joint care of
individuals attending other
services providing Tier 1
provision
● Mutual aid groups, e.g. A.A
● Triage assessment may be
agreed as part of locally agreed
arrangements
● Low threshold prescribing for
assisted withdrawal.
Comprehensive substance misuse
assessment;
● Care planning and review
● Community care assessment
and case management
● A range of evidence-based
prescribing interventions in the
context of a package of care
● A range of structured evidencebased
psychosocial therapies
and support to address alcohol
misuse and address co-existing
conditions
● Structured day programmes and
care-planned day care
● Liaison services, e.g. for acute
medical and psychiatric health
services and social services
● Comprehensive substance
misuse assessment
● Care planning and review
● Care co-ordination
● A range of evidence-based
prescribing interventions, in the
context of a package of care
● A range of structured evidencebased
therapies and support to
address alcohol misuse
● Provision of info, advice, training
and “shared care” to tier ½
services.
Normally delivered in specialised
alcohol treatment services
with their own premises in the
community. Other delivery may be
by outreach. Some may be based
in primary care settings (shared
care and GP led prescribing
services).
The work in the community
settings can be delivered by
statutory, voluntary or independent
services providing care-planned,
structured alcohol treatment.
Specialist statutory, independent or
voluntary sector inpatient facilities
for medically assisted alcohol
withdrawal (detoxifi cation) and
stabilisation.
Those with complex alcohol and
other needs requiring impatient
interventions may require
hospitalisation for their other needs
(e.g. pregnancy, liver problems)
this may be best provided for in the
context of hospital services.
ADS
SMS
Branching Out
SUFFS
Development of an Older Person’s
service
Alcohol detox bed in ward 36
Referrals to Smithfi eld and
Wentworth
Alcohol detox bed in ward 36
Community detox
Unplanned detoxs in medical
wards
Capacity issues for mainstream
treatment services
Links with Derbyshire for treatment
services in Glossop
Young peoples tier 4 service
Link up with hospital detox and
substance misuse service
37

What we will do:
Early intervention
We will develop ways to identify and support problem drinkers earlier via both primary and secondary health care, housing and social care settings,
and health care settings.
We will develop a system for brief interventions in primary and secondary care
We will ensure high coverage of primary health care workers receiving brief intervention training
We will develop a training programme for other agencies
Treatment services
We will develop a service improvement plan to include activities to improve accessibility
We will develop services to support carers
We will continually review capacity within services
We will develop an alcohol pathway based upon Models of Care requirements
Screening and referral
We will develop ways to introduce screening and referring to appropriate services
Referrals and assessments for older people’s health and social care services will include questions about alcohol consumption
Training
We will provide training for health staff in relation to older people and alcohol issues and brief interventions.
We will provide assessment training for practitioners working with young people
We will provide a systematic programme of brief intervention training for primary health care and community services
Community awareness
We will promote sensible drinking guidance to the community
We will promote sensible drinking guidance and treatment services for older people
We will promote the development of alcohol workplace policies
38

Healthier Communities and Older People Performance Indicators
National Alcohol Strategy 2007
●
●
●
●
●
●
A reduction in chronic and acute ill health caused by alcohol, resulting in fewer alcohol-related accidents and hospital admissions
Most people will be able to recall the Governments sensible drinking guidelines, and will know the personal risks associated with regular
drinking above the sensible limits
Most people will be able to estimate their own alcohol consumption in units
Most people will be able to know where to go for advice or support
Proportion of people drinking within the Department of Health’s sensible drinking guidelines
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
drinking guidelines on a regular basis
Healthier Communities and Older People action plan
Priorities
●
●
●
●
To reduce the level of alcohol related falls, illness, injuries and deaths
To improve the range, accessibility and quality of alcohol treatment services
To protect people of all ages from all alcohol-related harm through the education of alcohol safety and sensible drinking messages
To establish an effective alcohol data collection and monitoring system in relation to the impact alcohol has on crime, disorder, anti social
behaviour and health
Indicators:
LAA Main agreement:
● The proportion of alcohol related falls in older people (65+)
LAA Alcohol subset
● Hospital admissions for alcohol specifi c conditions
● Referrals to Alcohol Treatment Services
39

Activity
Responsible
agency
Year 1 Year 2 Year 3
TIER 0
Train all primary care staff in alcohol brief interventions PCT ●
Develop and resource an alcohol treatment data system for collection and monitoring of health related harms DAAT & PCT ●
Incorporate alcohol activities within the DAAT diversity post DAAT ●
Investigate the potential of including sensible drinking messages within community cohesion work with communities TMBC
●
within the borough
Investigate the potential of including alcohol within the connect 4 life programme PCT ●
Develop and source funding for community alcohol health awareness campaigns in relation to sensible drinking PCT
●
guidelines
Promote sensible drinking guidance and over 65’s treatment service to older people and practitioners DAAT ●
Develop a training package for practitioners regarding alcohol and older people DAAT ●
Include alcohol activities are incorporated with the work of the priority neighbourhoods. DAAT ●
Support the development of a Greater Manchester Sensible Drinking Campaign TMBC ●
TIER 1
Ensure equality awareness training is carried out with treatment staff DAAT ●
Develop Connect 4 Life to include alcohol within its inclusion criteria and ongoing work programme DAAT ● ● ●
Develop systems for public consultation regarding levels of alcohol consumption PCT & TMBC ●
Inclusion of sensible drinking guidance within health improvement team activities for example Connect 4 Health, PCT
●
Lifestyle clubs/clinics, Fit for life
Encourage the inclusion of alcohol consumption within the Ambulance Service falls assessment criteria DAAT ●
Encourage alcohol consumption is included within social, care and health screening TMBC ●
Investigate the potential to include dentists and pharmacists within alcohol early interventions programmes and PCT
●
community campaigns
Investigate the potential of extending the role of the maternal health worker to include alcohol PCT ●
Develop systems within maternal health to include alcohol within prenatal health promotion and advice/support DAAT ●
Investigate the potential of the inclusion of alcohol activities within the work of POPPS PCT ●
Develop a workplace substance misuse policy for the PCT PCT ●
Develop links between supporting people providers and treatment agencies DAAT ●
40

Activity
Responsible
agency
Year 1 Year 2 Year 3
TIER 2
Development of GP training of sensible drinking, eligibility criteria and referral routes for Alcohol treatment services PCT ●
Develop referral and monitoring processes from hospital admissions to alcohol treatment services Acute Trust ●
Develop alcohol brief interventions training for acute trust staff PCT ● ●
Continue to investigate links between criminal justice and alcohol interventions PCT & Probation ● ●
Further develop and monitor the alcohol National Enhanced Services (NES) scheme PCT ● ● ●
Investigate the needs of parents and carers, current provision and gaps in service to inform commissioning PCT ●
TIER 3
Continue to monitor and review referral processes to treatment agencies PCT ●
Monitor and review the alcohol treatment service for the over 65’s PCT ●
Develop Service Level Agreements for alcohol treatment services PCT ●
Further develop and review the alcohol hospital liaison service PCT ●
Investigate the accessibility of Treatment Agency provision in relation to the Disability Discrimination Act requirements PCT ●
Continue the work of the alcohol service improvement group and action plan PCT ● ● ●
Implement service user consultation systems for alcohol services PCT ●
Investigate the potential for developing links with local AA, Al anon & Alateen groups DAAT ●
TIER 4
Ensure local abstinence services provide an alcohol service PCT ●
Review and implement the local recommendations from the Greater Manchester Tier 4 services review PCT ●
Provide continued access to inpatient detox PCT ● ● ●
Review procedures in regards to gatekeeping access into tier 4 rehabilitation services from tier 3 PCT ●
Review procedures regards to gatekeeping access into tier 4 residential services from tier 3 PCT ●
41

8. Economic Development
Alcohol misuse affects workers productivity, and affects the health,
safety and welfare of staff. Alcohol consumption can have an impact on
the workplace in many ways; from excessive drinking in leisure time,
drinking before a shift, during lunch breaks or even work hours to binge
drinking at after work activities. Over 10% of all workplace accidents
have been identifi ed as alcohol related. 36
The Government estimate the national annual cost of performance
and productivity lost as a result of alcohol misuse as 6.4bn. Up to 17m
working days are lost each year through alcohol-related absence. 37
The Health and Safety Commission states that 90% of human
resources directors from top British organisations confi rm that alcohol
is a problem in their workplace. The commission claims alcohol
accounts from 8 to 14 million lost days in this country each year.
Figures collated by Personnel Today say 60% of employers have had
problems with employees’ misuse of alcohol, while an estimated 70%
of people with alcohol problems are in employment. A survey carried
out by YouGov for PRU Health found that each day 200,000 British
workers turn up to work hung over from the night before. With the
national increases in alcohol related health harms, this will increase in
impacts upon the workplace and will in the long-term lead to shorter
working lives.
Certain individual and workplace indicators for problematic alcohol use
have been identifi ed.
A number of approaches have been developed and identifi ed as good
practice in tackling problematic alcohol use in the workplace:
●
●
●
●
Policy development
Information and education programme
Health promotion
Assistance and treatment
Although over half of employers have an alcohol workplace policy
(strategy unit 2004) less than one fi fth of employers feel they have
the skills to raise issues with staff and are unsure what services are
available to refer to (Personnel 2001). The Tameside business survey
found that 40% of employers would like to implement an alcohol
workplace policy. The inclusion of alcohol issues within workplace
health promotion and access to treatment is an area that needs further
exploration and development both nationally and locally.
In addition to reduced productivity at work, excessive drinking is
associated with unemployment. Costs arising from such increased
unemployment are estimated to be in the region of £1.9 billion a year. 38
36
Insitute of Alcohol Studies 2007
38
Personnel 2001
37
Safe Sensible Social National Alcohol Strategy 2007
42

What we will do:
Policies
Encourage local partner agencies to develop alcohol (substance)
workplace policies
Support local businesses in developing alcohol (substance) workplace
policies
Training
Develop local workplace alcohol (substance) misuse training regarding
issues, referrals and policy development
Include alcohol interventions within stress management training
Workplace
Increase alcohol input within health promotion initiatives within
workplaces
Increase workplace knowledge of sensible drinking guidelines and
referral agencies
Worklessness
Develop partnerships between alcohol services and job centre plus
and Connexions
43

Economic Development action plan
Priorities
●
To reduce negative social and economic impact on the community
Indicators
●
Proportion of businesses with a workplace alcohol policy
Activity Responsible agency Year 1 Year 2 Year 3
Develop local workplace alcohol (substance) misuse training regarding issues, referrals and policy development DAAT ●
Include alcohol messages within workplace stress management programmes TMBC, PCT ●
Increase alcohol input within health promotion initiatives within workplaces TMBC, PCT ●
Develop partnerships between alcohol services and job centre plus and Connexions DAAT ●
Develop a substance misuse policy for the Primary Care Trust and associated training PCT ●
Develop a borough wide alcohol campaign via businesses DAAT ●
Investigate the potential of including substance misuse workplace training and issues within Business link
Econ Dev
●
offi cers training/role
Develop further the inclusion of alcohol within the TMBC vielife/wellness strategy and programmed activities
DAAT ●
and lifestyle clinics
Review out of hours access to local alcohol treatment service for those in employment DAAT ●
44

9. Summary of the Tameside Alcohol Strategy 2007-2010
priorities and indicators
Thematic overview Local Priorities Local indicators
Safer Stronger Communities ●
●
●
●
●
●
●
Develop local data collection and monitoring system of alcohol
related crime, disorder and anti social behaviour
Concerted local effort on enforcement and prevention of drink
driving, particularly with identifi ed high risk groups
Develop a local implementation plan for new alcohol related powers
of the Violent Crime Act 2006
Review approaches of under age sales enforcement
Develop a challenge 21 scheme or equivalent
Develop a local system of alcohol screening and interventions
within criminal justice system
Create opportunities to develop targeted fi re and alcohol safety
awareness campaigns and interventions
●
●
●
●
●
Proportion of alcohol related fi res and fi re deaths
Proportion of police alcohol markers and related hotspots
Proportion of drink driving offences
Test purchasing operations and prosecutions
Proportion of alcohol related violent offences
Children and Young People
Healthier Communities and
Older People
Economic Development
●
●
●
●
●
●
●
●
●
●
●
●
Develop local systems of disseminating sensible drinking guidance
to parents
Develop targeted early alcohol interventions with young people at
risk
Develop systems of referral from hospital to alcohol treatment
services
Review underage sales enforcement
Develop a multiagency screening and brief alcohol interventions
training programme
Develop an alcohol hospital liaison service
Investigate the potential for alcohol projects to be developed within
priority neighbourhoods
Review the accessibility of local alcohol treatment
Promote sensible drinking guidelines within health promotion
Encourage the development of alcohol workplace policies
Develop a workplace sensible drinking project
Develop joint activities between job centre plus and treatment
agencies
●
●
●
●
●
●
●
●
●
●
●
●
Proportion of year 10’s say they drink alcohol frequently (once a
week)
The age young people started to drink with friends
Proportion of parents sent a alcohol related incident letter from
ASBO team
Proportion of young people referred to Branching Out from the
hospital
Proportion of test purchasing failures
Referrals into alcohol treatment agencies
Proportion of alcohol related falls in over 65’s
Proportion of people able to recall sensible drinking guidelines
Proportion of people able to estimate their own alcohol
Hospital admissions for alcohol specifi c conditions
Proportion of people who know where to get advice and support
Consumption in units
Proportion of businesses with a workplace alcohol policy
45

Appendix 1 - Safe. Sensible. Social the next steps in the
National Alcohol Strategy 2007
46

Appendix 2 - review of literature
1. Regional Alcohol Indicators for North West England 2006
2. Alcohol Harm Reduction Strategy for England 2004
3. Safe. Sensible. Social. The next steps of the National Alcohol
Strategy 2007
4. Delivering Choosing Health; Making healthier choices easier,
Department of Health 2005
5. Tameside Alcohol Strategy 2003
6. Tameside Licensing Policy 2004
7. Tameside Strategic Assessment 2006
8. Children in need of protection Tameside LSCB
9. Wasted, Lives lost to alcohol, Alcohol Concern 2006
10. Tameside Anti Social Behaviour Strategy 2005
11. Tameside Tackling Violent Crime Strategy 2007
12. Tameside Crime and Disorder Reduction Strategy 2005
15. Information Centre, National Statistics: Statistics on Alcohol:
England 2007
16. Public Health Report for Tameside and Glossop 2005/06
17. Alcohol Misuse Interventions- guidance on developing a local
programme of improvement DoH 2006
18. Survey of Health Related attitudes and Behaviours in Year 10’s
Tameside, Services for Children and Young People 2006
19. North West Trading Standards Alcohol Survey June 2007
20. Tameside Local Area Agreement 2007
21. www.alcoholpolicy.net
22. www.homeoffi ce.gov.uk
23. www.respect.gov.uk
24. www.alcoholconcern.co.uk
Despair to repair local research with survivors of domestic abuse 2001
13. Tameside Opportunity strategy 2006
14. Institute of Alcohol Studies Factsheets2007
47

Appendix 3 - LAA- Matrix of cross cutting themes
Safer and Stronger Communities
TO REDUCE CRIME
Sub Outcome Code Measure Alcohol Health
Overall crime
Reduce crime
inequalities - focused
action in hotspot areas
Fear of
Crime
SSC 1.1 Reduce overall British Crime Survey comparator recorded crime (PSA1).
X X
SSC 1.2a Adult Offenders - reduce the proportion of adult offenders who reoffend
X X
SSC 1.2b
Prolifi c and Priority Offenders - reduce the proportion of prolifi c and priority
offenders who reoffend X X
SSC 1.2c
Young Offenders - reduce the proportion of young offenders who reoffend
(within 12 months) X X
SSC 1.3a
Reduce the rate of crime in Ashton St. Peters - Less Serious Wounding &
Common Assault (per 1,000 population) X X
SSC 1.3b
Reduce the rate of crime in Ashton St. Peters - Theft from Vehicles (per 1,000
population) X X
SSC 1.4
Reduce thefts from vehicles per 1,000 population (through targeted action in
hotspot areas) X X
SSC 1.5a Reduce Violent Crime - Less Serious Wounding (per 1,000 population)
X X
SSC 1.5b Reduce Violent Crime - Robbery (per 1,000 population)
X X
SSC 1.6 Reduce criminal damage (through targeted action) - PSA1
X X
48

TO REASSURE THE PUBLIC
Sub Outcome Code Measure Alcohol Health
Reducing the fear of
crime.
Reduce the harm
caused by illegal drugs
Build Respect in
communities and
reduce anti-social
behaviour
Fear of
Crime
SSC 2.1 Increase the % of people who feel safe in their local neighbourhood after dark
X X
SSC 2.2 Increase the % of people who feel safe in their local town centre after dark
X X
SSC 2.3 Increase in the levels of retention in drug treatment for 12 or more weeks
X X
SSC 2.4
SSC 2.5
SSC 2.6
SSC 2.7
SSC 2.8
Reduce the % of people who are worried about people dealing drugs in the
street in their local area X
Increase the % of people who feel informed about what is being done to tackle
anti-social behaviour in their local area X
Reduce the % of people who feel that parents not taking responsibility for the
behaviour of their children is a problem in their local area X
Reduce the % of people who think people not treating other people with respect
and consideration is a problem in their local area X
Reduce the % of people who think anti-social behaviour is a problem in their
local area (using eight types of anti-social behaviour) X X
49

EMPOWER LOCAL PEOPLE AND COMMUNITIES
Sub Outcome Code Measure Alcohol Health
Empower local people
(greater choice /
infl uence over local
decision making /
role in public service
delivery)
SSC 3.1
SSC 3.2
SSC 3.3
SUSTAINABLE NEIGHBOURHOODS
Increase the % of people who feel they can infl uence decisions affecting their
local area
Increase the % of people who feel that their neighbourhood is a place where
people from different backgrounds get on well together
Increase the number of people recorded as or reporting that they have engaged
in formal volunteering on an average of at least two hours per week over the
past year
Sub Outcome Code Measure Alcohol Health
Improved quality
of life in the most
disadvantaged
neighbourhoods
SSC 4.1
Increase the percentage of residents reporting an increase in satisfaction with
their neighbourhoods
(in Hattersley, Denton South, Smallshaw/Hurst)
SSC 4.2 Increase the number of homelessness cases prevented per 1,000 households
Fear of
Crime
Fear of
Crime
Improve housing
conditions within the
most deprived areas
Increase domestic
fi re safety and reduce
arson
SSC 4.3 Increase the % of social housing meeting the Decent Homes Standard
SSC 4.4
Increase the number of vulnerable people in the private sector housed in decent
homes (cumulative)
SSC 4.5 Reduce the number of accidental household fi res
X X
50

CLEANER, GREENER ENVIRONMENT
Sub Outcome Code Measure Alcohol Health
Improve street
cleanliness and parks
and open spaces
SSC 5.1
SSC 5.2
SSC 5.3
SSC 5.4
Reduce the % of land that has levels of litter and detritus below an acceptable
Fear of
Crime
standard (street cleanliness - BVPI 199a) X X
litter and refuse X X
Increase the % of people who are satisfi ed that open public land is kept clear of
Increase the % of abandoned vehicles removed within 24 hours (from the point
at which the local authority is legally entitled to remove the vehicle - BVPI 218b) X
Increase the number of Green Flag awards for parks and green/open spaces in
Tameside
SSC 5.5
Increase the number of Green Pennant schemes in parks and green/open
spaces in Tameside
SSC 5.6 Increase the % of people who are satisfi ed with parks & open spaces
X
SSC 5.7 Reduction in the amount of municipal waste landfi lled
Reduce waste to
landfi ll and increase
recycling
SSC 5.8 Increase the % of waste recycled (BVPI 82a/b)
SSC 5.9
Increase the % of households with access to three different types of kerbside
collection of recyclables
51

Children & Young People
ENJOY & ACHIEVE
Sub Outcome Code Measure Alcohol Health
Key Stage 3
GCSE
CYP 1.1
CYP 1.2
CYP 1.3
CYP
1.4
ACHIEVE ECONOMIC WELL-BEING
At least 50% of pupils achieve level 5 or above in English (Key Stage 3) in all
schools in Tameside by 2008. X
At least 50% of pupils achieve level 5 or above in Maths (Key Stage 3) in all
schools in Tameside by 2008. X
At least 50% of pupils achieve level 5 or above in Science (Key Stage 3) in all
schools in Tameside by 2008. X
Increase the % of all pupils achieving 5 or more GCSEs at A* - C
X
Sub Outcome Code Measure Alcohol Health
Employment,
Education & Training
(EET)
Level 2 & 3 attainment
(19 and under)
CYP 2.1
CYP 2.2
CYP 2.3
Reduce the % of 16-18 year olds not in education, employment or training
(NEET)
Increase the proportion of young people (19 and under) who achieve Level 2
(NVQ or equivalent)
Increase the proportion of young people (19 and under) who achieve Level 3
(NVQ or equivalent)
Fear of
Crime
Fear of
Crime
52

BE HEALTHY
Sub Outcome Code Measure Alcohol Health
Obesity/overweight
children
CYP 3.1 Increase the % of young people walking or cycling to school.
X
CYP 3.2
CYP 3.3
CYP 3.4
Teenage Pregnancy CYP 3.5
Reduction in smoking
rates
Increase the % of 5-16 year olds in school sports partnerships engaged in two
hours a week minimum on high quality PE and school sport within and beyond
the curriculum
X
Tackle the underlying determinants of ill health and health inequalities by halting
the year on year rise in obesity among children under 11 by 2010 X
Increase the number of primary and secondary schools in Tameside that have
achieved the Tameside Healthy Food and Drink in Schools Award. X
Reduction in the under 18 conception rate (per 1,000 population (female) aged
15-17) X X
CYP 3.6 Reduce the proportion of young people who currently smoke (SHRAB)
X X
MAKE A POSITIVE CONTRIBUTION
Sub Outcome Code Measure Alcohol Health
Reduction in school
exclusions
CYP
4.1
Reduction in numbers of exclusions (permanent) in secondary schools
X
Fear of
Crime
Fear of
Crime
Voluntary/community
activities
STAY SAFE
CYP
4.2
Increase the % of young people (14/15 year olds) who do any volunteering in
their spare time (YOS)
Sub Outcome Code Measure Alcohol Health
Bullying
CYP
5.1
Fear of
Crime
Reduce the proportion of young people (14-15 year olds) who say they have
been bullied in the last year (YOS) X
53

Healthier Communities & Older People
IMPROVE HEALTH AND REDUCE HEALTH INEQUALITIES
Sub Outcome Code Measure Alcohol Health
Reduce mortality
inequalities
Reduce smoking
Reduce obesity
HCOP
1.1a
HCOP
1.1b
HCOP 1.2
HCOP 1.3
HCOP
1.4a
HCOP
1.4b
HCOP
1.5a
HCOP
1.5b
HCOP 1.6
Narrow the gap between Tameside and England for all age all cause mortality
- MALE X X
Narrow the gap between Tameside and England for all age all cause mortality
- FEMALE X X
Narrow the gap between Tameside and England for premature mortality (under
75s) from cardio-vascular disease (heart disease, stroke and related diseases) X X
Narrow the gap between the 20% most deprived (IMD) areas in Tameside and
the borough average for all cause premature mortality (under 75s) X X
Increase the proportion of smoking quitters (in areas of Tameside in the 10%
most deprived (health) in England) - 4 week quitters X X
Increase the proportion of smoking quitters (in areas of Tameside in the 10%
most deprived (health) in England) - 52 week quitters X X
Tameside Connect 4 Life - increase numbers accessing the scheme
X X
Tameside Connect 4 Life - increase the % accessing the scheme with an
improved diet and/or physical activity score X X
Increase the % of adults who do 30 minutes or more physical activity of
moderate intensity on 5 or more days a week X
Fear of
Crime
54

PROMOTING INDEPENDENCE
Sub Outcome Code Measure Alcohol Health
Fear of
Crime
Supporting People HCOP 2.1 To be developed
Decent Homes HCOP 2.2
Volunteering HCOP 2.3
Raising Income Levels
HCOP
2.4a
HCOP
2.4b
HCOP
2.4c
Living at home HCOP 2.5
Increase the number of energy effi ciency interventions for older people (aged 60
or over) X
Increase the number of older people (aged 60 or over) who undertake voluntary
work in Denton South and Smallshaw
Increase the number of older people (aged 60 or over) that are helped to make
successful new or increased claims - Disability Living Allowance / Attendance
Allowance
Increase the number of older people (aged 60 or over) that are helped make
successful new or increased claims - Pension Credit
Increase the number of older people (aged 60 or over) that are helped to make
successful new or increased claims - Council Tax Benefi t
Increase the number of older people (aged 60 or over) accessing community/
sub-threshold services X
55

Economic Development
IMPROVE OVERALL EMPLOYMENT RATES AND REDUCE INEQUALITIES
Sub Outcome Code Measure Alcohol Health
ED 1.1
A reduction by 2007-08 of at least one % point in the overall benefi ts claim rate
for those living in the Local Authority wards identifi ed by DWP as having the
worst initial labour market position - Ashton St. Peters
X
Fear of
Crime
Employment &
Economic Inactivity
ED 1.2
ED 1.3
ED 1.4a
ED 1.4b
ED 1.5
A reduction by 2007-08 of at least one % point in the difference between the
overall benefi ts claimant rate for England and the overall rate for the local
authority wards with the worst labour market position - Ashton St. Peters
X
Reduce or maintain the number of those of working age aged 50+ who are in
receipt of DWP working age benefi ts as a proportion of all people claiming DWP
working age benefi ts
X
The number of offenders from Tameside or returning to Tameside who secure
employment. X X
employment for 4 weeks or more X X
The number of offenders from Tameside or returning to Tameside who retain
A reduction of those of working age who are in receipt of DWP working age
benefi ts X
56

Appendix 4 - Alcohol Strategies key activities
Thematic theme National Strategy Local strategy
Safer Stronger
●
●
Communities
●
●
●
●
●
●
●
●
Replacing glassware and bottles in high-risk premises
Expert group to develop interventions for high risk premises
Encourage local enforcement on Drink driving
Prioritise test purchasing
Develop a data collection model for underage sales
Responsible retailing and promotions independent review
Target alcohol related offenders with health and education
interventions
Improve the way alcohol related offenders are dealt with in custody
and in the community
Work with the Prison Service to develop alcohol treatment
programmes
●
●
●
●
●
●
Develop local data collection and monitoring system of alcohol related
crime, disorder and anti social behaviour
Concerted local effort on enforcement and prevention of drink driving,
particularly identifi ed high risk groups
Develop local implementation plan for Violent Crime Act
Continue test purchasing operations
Develop challenge 21 or equivalent
Develop local system of alcohol interventions within criminal justice
system
Create opportunities to develop targeted fi re and alcohol safety public
awareness campaigns and interventions
Healthier communities
and Older People
Children and Young
People
Economic
Development
●
●
●
●
●
●
●
●
●
●
●
Labelling of alcohol products
Review advice given and develop communications campaign
Support for harmful drinkers
Support the roll out and take up of alcohol targeted identifi cation and
brief advice
National review of the cost to the NHS of alcohol-related harm
Development of guidance for parents and young people
Convene a panel to research evidence of impact of alcohol upon
physical, emotional, health, cognitive development.
Development of a young persons social marketing campaign
Responsible production and sale of alcohol
Extend the scope of National Workplace Initiative
Development of a warning signs website for employees
●
●
●
●
●
●
●
●
●
●
●
●
Referrals into alcohol treatment agencies
Proportion of alcohol related falls in over 65’s
Most people will be able to recall sensible drinking guidelines
Most people will be able to estimate their own alcohol consumption in
units
Hospital admissions for alcohol specifi c conditions
Most people know where to get advice and support
Develop local systems of disseminating sensible drinking guidance to
parents
Develop further targeted alcohol PSHE input and interventions within
primary and secondary schools
Develop systems of referral from hospital to treatment services
Encourage the development of alcohol workplace policies
Develop a workplace sensible drinking project
Develop activities between job centre plus and treatment agencies
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