Alcohol misuse: tackling the UK epidemic - London

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BMA Board of Science a new system of personal licences relating to the supply of alcohol which will enable holders to move more freely between premises where a premises licence is in force premises licences to be issued by licensing authorities after notification to and scrutiny of all applications by the police, other responsible authorities, and those living, and businesses operating, in the vicinity of the premises tougher enforcement policies including increased fines and penalties for breach of conditions of licence, suspension of licence, and test purchases personal licences to be issued by licensing authorities after scrutiny by the police where the applicant has been convicted of certain offences. 252 Scotland In Scotland, the strategy for reducing the harm associated with alcohol use and misuse was first set out by the Scottish Executive Health Department (SEHD) in Plan for action on alcohol problems (SEHD, 2002). 253 This aimed to reduce alcohol-related harm in Scotland by tackling the harmful effects of alcohol misuse with a particular focus on reducing excessive and harmful drinking by children and young people. In February 2007, the SEHD published Plan for action on alcohol problems: update which provides an update on the original 2002 strategy. 237 This had a wider focus than just health concerns and outlined aims to change the culture of excessive drinking in Scotland through a number of key actions: extending the alcohol test purchasing pilot to all of Scotland in 2007 using the Executive commissioned evaluation of effectiveness of drugs education in Scottish schools to develop an alcohol education programme as part of a wider, robust substance misuse education programme for schools giving Licensing Boards more power to control the spread of licensed premises, and tackling excessive drinking, through the implementation of the Licensing (Scotland) Act 2005 piloting, during 2007/08, a telephone-based brief interventions service, aimed at identifying harmful and hazardous drinkers at an early stage and providing appropriate support completing, by mid 2007, a set of national publications about the short- and long-term effects of drinking alcohol supporting further development of Youth Community Alcohol Free Environments and working with partners to provide other diversionary activities for young people, for the duration of this Plan undertaking, by May 2007, a stocktake of Alcohol and Drug Action Teams to assess performance to date and capability to deliver Ministerial priorities on drugs and alcohol. This should establish a firm evidence base to determine the future mechanism for effective local action to deliver national priorities researching how best to improve recording and reporting information on drug and alcohol use during pregnancy – report anticipated in July 2007 extending successful measures from the Alcohol Education Research Council (AERC) funded culture change pilot to all areas of Scotland, by December 2007 developing a quality standards framework for drug and alcohol services developing a national drugs and alcohol workforce development strategy by summer 2008 and plans for its implementation by spring 2009. 237 Alcohol misuse: tackling the UK epidemic 73
74 BMA Board of Science Licensing in Scotland is regulated by the Licensing (Scotland) Act 1976. As a result of regular extensions to licensing hours since 1976, Scotland has seen considerable liberalisation of opening hours to the extent that it is theoretically possible to purchase alcohol continuously for 24 hours. Licensing law in Scotland will be radically changed following the implementation of the Licensing (Scotland) Act 2005, which is due to come into force in August 2009 following a transition period starting in February 2008. The Licensing (Scotland) Act 2005 incorporates a range of new measures including: the introduction of two new licences (personal and premises) to replace the old system of seven licences and statutory opening hours a ‘premises by premises’ approach to opening hours authorised by local Licensing Boards coupled with a statutory presumption against 24-hour opening (which will only be allowed in exceptional circumstances) mandatory training of staff as a condition of licence the requirement for all licensees to operate on a no-proof no-sale basis and the overhaul of under-age drinking offences prohibition of irresponsible promotional activities that encourage speed and binge drinking including two-for-one offers and happy hours the introduction of tougher enforcement with a wider range of sanctions and new Licensing Standards Officers. 254 Northern Ireland The Department of Health, Social Services and Public Safety (DHSSPS) sets out the alcohol control policies for Northern Ireland in Strategy for reducing alcohol related harm (DHSSPS, 2000). 255 This strategy set out five key action areas: to encourage the responsible use of alcohol through health promotion and education programmes, which will have particular emphasis for those groups identified as being most at risk to promote and improve treatment and support services, ensuring that they are effective, adequate to the real level of need in the community, and fairly available to protect individuals, families and communities from the anti-social and often criminal consequences of alcohol misuse to develop a research and information programme that provides detailed and up-to-date knowledge of local drinking patterns and behaviours to implement and manage the strategy effectively through a regular and systematic review process involving local implementation groups. 255 Licensing in Northern Ireland is regulated by the Licensing (Northern Ireland) Order 1996. The Order includes restricted opening hours although it is possible for a court to grant additional opening hours to public houses, hotels, restaurants, conference centres and higher education establishments under certain conditions. In October 2005, the Department for Social Development (DSD) published draft proposals for reform of the licensing laws in Northern Ireland. 256 The provisional implementation date for these proposals is 2009 and they incorporate a number of measures including: a move from a court-based system to a licensing authority under the aegis of district councils a modest extension of current opening hours, creating scope for opening to 2am Monday to Saturday and midnight on Sunday, with some extra flexibility for special, major events the introduction of a range of measures for the protection of children (eg new test purchasing powers and a voluntary proof of age scheme) the introduction of new and more effective enforcement measures to enforce licensing laws (eg immediate temporary closure powers for the police, a penalty points system for breaches of the legislation and the creation of new liquor licensing officers); and replacement of the current licences categories with a dual system of personal and premises licences. 256 Alcohol misuse: tackling the UK epidemic
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BMA Board of Science Alcohol misuse
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ii BMA Board of Science Editorial b
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iv BMA Board of Science Acknowledge
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Page 112 and 113: vi Contents Introduction...........
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Page 116 and 117: 2 heavier smoking, drinking and mor
Page 118 and 119: 4 Nutrition, exercise and obesity N
Page 120 and 121: 6 The data for 1998 shows a 21 per
Page 122 and 123: 8 Interventions in adolescent nutri
Page 124 and 125: 10 The efficacy of traditional educ
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Page 130 and 131: 16 The use of illicit substances, a
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Page 134 and 135: 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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