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Alcohol misuse: tackling the UK epidemic - London

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BMA Board of Science<br />

Box 4 – estimated annual costs of alcohol-related harm in <strong>the</strong> <strong>UK</strong><br />

England<br />

The National Social Marketing Centre estimated that <strong>the</strong> total annual societal cost of alcohol<br />

<strong>misuse</strong> in England to be £55.1 billion including:<br />

£21 billion cost to individuals and families/households (eg loss of income, informal care<br />

costs)<br />

£2.8 billion cost to public health services/care services<br />

£2.1 billion cost to o<strong>the</strong>r public services (eg criminal justice system costs, education and<br />

social services costs)<br />

£7.3 billion cost to employers (eg absenteeism)<br />

£21.9 billion in human costs (DALYs). 101<br />

The 2004 PMSU report estimated <strong>the</strong> overall annual cost of alcohol-related harm in England to<br />

be £20 billion including:<br />

up to £1.7 billion for <strong>the</strong> healthcare service<br />

up to £7.3 billion from alcohol-related crime and public disorder (£3.5 billion to services as a<br />

consequence of alcohol-related crime, £1.7-2.1 billion to services in anticipation of alcoholrelated<br />

crime, £1.8 billion to <strong>the</strong> criminal justice system, £0.5 billion from drink-driving)<br />

up to £6.4 billion from loss of productivity and profitability in <strong>the</strong> workplace (£1.2-1.8 from<br />

alcohol-related absenteeism, £2.3-2.5 billion from alcohol-related deaths, £1.7-2.1 billion<br />

from lost working days). 8<br />

Scotland<br />

In 2002/03, <strong>the</strong> overall annual cost of alcohol <strong>misuse</strong> in Scotland was estimated to be<br />

£1.13 billion including:<br />

£110.5 million for healthcare services provided by NHS Scotland<br />

£96.7 million for social work services<br />

£276.7 million for criminal justice and emergency services<br />

£417.8 million for wider economic costs associated with alcohol <strong>misuse</strong> including working<br />

days lost due to alcohol-related absenteeism<br />

£223.8 million for human costs (premature mortality in <strong>the</strong> non-working population). 102<br />

Nor<strong>the</strong>rn Ireland<br />

The annual cost of alcohol-related harm in Nor<strong>the</strong>rn Ireland has been estimated to be<br />

£743 million, of which £34 million is incurred in direct costs (eg healthcare costs and prison<br />

service costs). 9<br />

<strong>Alcohol</strong> <strong>misuse</strong>: <strong>tackling</strong> <strong>the</strong> <strong>UK</strong> <strong>epidemic</strong> 45

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