Alcohol misuse: tackling the UK epidemic - London

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BMA Board of Science Recommendations As the leading professional organisation representing doctors in the UK, the BMA through this report, aims to promote the development of comprehensive and effective alcohol control policies in the UK. The recommendations are for action by the UK Government. They form a range of evidence-based policies that must be collectively implemented in order to effectively tackle alcohol misuse and its associated harms. Access to alcohol – controlling price and availability Taxation on all alcoholic beverages should be increased at higher than inflation rates and this increase should be proportionate to the amount of alcohol in the product. The availability of alcoholic products should be regulated through a reduction in licensing hours for on- and off-licensed premises. Town planning and licensing authorities should ensure they consider the local density of on-licensed premises and the surrounding infrastructure when evaluating any planning or licensing application. Legislative changes should be introduced where necessary to ensure these factors are considered in planning or licensing applications for licensed premises. Responsible retailing and industry practices Licensing legislation in the UK should be strictly and rigorously enforced. This includes the use of penalties for breach of licence, suspension or removal of licences, the use of test purchases to monitor underage sales, and restrictions on individuals with a history of alcohol-related crime or disorder. Enforcement agencies should be adequately funded and resourced so that they can effectively carry out their duties. Consideration should be given to the establishment of a dedicated alcohol licensing and inspection service. Legislation should be introduced throughout the UK to: prohibit irresponsible promotional activities in licensed premises and by off-licences set minimum price levels for the sale of alcoholic beverages. A statutory code of practice on the marketing of alcoholic beverages should be introduced and rigorously enforced. This should include a ban on: broadcasting of alcohol advertising at any time that is likely to be viewed by young people, including specific provisions prohibiting advertising prior to 9pm and in cinemas before films with a certificate below age 18 alcohol industry sponsorship of sporting, music and other entertainment events aimed mainly at young people marketing of alcoholic soft drinks to young people. Alcohol misuse: tackling the UK epidemic 7
8 BMA Board of Science Measures to reduce drink-driving The legal limit for the level of alcohol permitted while driving, attempting to drive, or being in charge of a vehicle should be reduced from 80mg/100ml to 50mg/100ml throughout the UK. Legislation permitting the use of random roadside testing without the need for prior suspicion of intoxication should be introduced throughout the UK. This requires appropriate resourcing and public awareness campaigns. Education and health promotion There should be further qualitative research examining attitudes to alcohol misuse in the UK. Public and school-based alcohol educational programmes should only be used as part of a wider alcohol-related harm reduction strategy to support policies that have been shown to be effective at altering drinking behaviour, to raise awareness of the adverse effects of alcohol misuse, and to promote public support for comprehensive alcohol control measures. It should be a legal requirement to: a) prominently display a common standard label on all alcoholic products that clearly states: alcohol content in units recommended daily UK guidelines for alcohol consumption a warning message advising that exceeding these guidelines may cause the individual and others harm. b) include in all printed and electronic alcohol advertisements information on: recommended daily UK guidelines for alcohol consumption a warning message advising that exceeding these guidelines may cause the individual and others harm. It should be a legal requirement for retailers to prominently display at all points where alcoholic products are for sale: information on recommended daily UK guidelines for alcohol consumption a warning message advising that exceeding these guidelines may cause the individual and others harm. Early intervention and treatment of alcohol misuse The detection and management of alcohol misuse should be an adequately funded and resourced component of primary and secondary care in the UK to include: formal screening for alcohol misuse referral for brief interventions and specialist alcohol treatment services as appropriate follow-up care and assessment at regular intervals. A system for the detection and management of alcohol misuse in primary care should occur via the implementation of a direct enhanced service by the UK health departments. This must be adequately funded and resourced. Alcohol misuse: tackling the UK epidemic
Page 1 and 2: BMA Board of Science Alcohol misuse
Page 3 and 4: ii BMA Board of Science Editorial b
Page 5 and 6: iv BMA Board of Science Acknowledge
Page 7 and 8: vi BMA Board of Science Glossary No
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Page 11 and 12: x BMA Board of Science Alcohol misu
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Page 25 and 26: Litres of pure alcohol per inhabita
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BAC (mg/100ml) 58 100 90 80 70 60 5
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60 BMA Board of Science Understandi
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62 BMA Board of Science Early inter
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64 BMA Board of Science At present
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66 BMA Board of Science treatment s
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68 BMA Board of Science Internation
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70 BMA Board of Science Alcohol mis
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72 BMA Board of Science Appendix 2
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74 BMA Board of Science Licensing i
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80 BMA Board of Science 23 Hughes T
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82 BMA Board of Science 67 Dex S &
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84 BMA Board of Science 118 Edward
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86 BMA Board of Science 164 McKnigh
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88 BMA Board of Science 209 Babor T
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90 BMA Board of Science 253 Scottis
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92 BMA Board of Science Alcohol mis
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British Medical Association Board o
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Board of Science and Education This
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vi Contents Introduction...........
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viii
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2 heavier smoking, drinking and mor
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4 Nutrition, exercise and obesity N
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6 The data for 1998 shows a 21 per
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8 Interventions in adolescent nutri
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10 The efficacy of traditional educ
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12 The treatment of individuals wit
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14 Smoking, drinking and drug use A
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16 The use of illicit substances, a
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18 smoking prevalence was highest a
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20 Interventions in adolescent drug
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22 be expensive given the amount co
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24 is potential to use the media, n
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26 Summary Adolescents in the UK ar
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28 Mental health problems in adoles
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30 Risk factors for conduct, depres
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32 Currently, specialist mental hea
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34 Sexual health Adolescents and se
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36 interferes with the adolescent
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38 Interventions in adolescent sexu
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40 The timing of educational interv
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42 Helping adolescent parents The h
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44 are more difficult to reach than
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46 The way forward This report has
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48 Annex 1 BMA policy on adolescent
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50 References 1 Lobstein T J, James
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52 56 Social Exclusion Unit (1998)
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54 115 Charles Gallichan (2003) Pub
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56 173 NHS Centre for Reviews and D
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Subject: Young People and Alcohol D
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Call for Evidence: Children and You
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5. Do you know of any international
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Alcohol misuse: tackling the UK epidemic - London

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