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Alcohol misuse: tackling the UK epidemic - London

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BMA Board of Science<br />

The number of officially recorded drunkenness offenders has been declining since 1981<br />

throughout <strong>the</strong> <strong>UK</strong> (see Figure 13). These figures should be taken with caution as <strong>the</strong>y most likely<br />

reflect changes in policy and police practice ra<strong>the</strong>r than changes in <strong>the</strong> actual incidence of<br />

drunkenness. 4<br />

The 2004 PMSU alcohol-harm reduction strategy noted that ‘Enforcement of<br />

legislation on drunk and disorderly behaviour has dropped sharply over <strong>the</strong> last 10 years. This<br />

reflects not only falling priority but also, crucially, <strong>the</strong> sheer practicalities of policing large numbers<br />

of drunk people’. 8<br />

In England and Wales, <strong>the</strong> recent downward trend coincides with <strong>the</strong><br />

introduction of Penalty Notices for Disorder (PND) in 2003/04. In 2004 <strong>the</strong>re were approximately<br />

3,000 penalty notices issued for drunkenness or consuming alcohol in a designated public place<br />

and 26,600 penalty notices issued for drunk and disorderly behaviour. 40<br />

Figure 13 – drunkenness offenders in <strong>the</strong> <strong>UK</strong>, 1964-2005<br />

Number of offenders<br />

140000<br />

120000<br />

100000<br />

80000<br />

60000<br />

40000<br />

20000<br />

0<br />

1965<br />

1967<br />

1969<br />

1971<br />

Source: Statistical handbook 2007 (British Beer and Pub Association, 2007)<br />

1973<br />

1975<br />

1977<br />

1979<br />

1981<br />

1983<br />

While statistics on alcohol-defined offences such as drunkenness and driving with excess alcohol<br />

are readily available, data on o<strong>the</strong>r offences where alcohol is a contributory factor are not collected<br />

per se due to <strong>the</strong> complexity in establishing causality. As a result, <strong>the</strong> involvement of alcohol in<br />

offences such as assault is not routinely investigated or recorded. This is compounded by <strong>the</strong><br />

under-reporting in police statistics of violent crimes which is known to occur. 79<br />

Data on <strong>the</strong> levels<br />

of antisocial behaviour are also limited as this information is also not routinely collected. There is a<br />

clear need to improve <strong>the</strong> collection of data on alcohol-related crime and disorder through routine<br />

coding in police investigations and incident reports.<br />

<strong>Alcohol</strong> <strong>misuse</strong>: <strong>tackling</strong> <strong>the</strong> <strong>UK</strong> <strong>epidemic</strong> 39<br />

1985<br />

Year<br />

1987<br />

Total number of offenders<br />

Rate per 10,000 (all ages)<br />

Rate per 10,000 (aged 15 and over)<br />

1989<br />

1991<br />

1993<br />

1995<br />

1997<br />

1999<br />

2001<br />

2003<br />

2005<br />

30<br />

25<br />

20<br />

15<br />

10<br />

5<br />

0<br />

Rate per 10,000 population

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