- Five pitfalls to avoid in evaluating training
- Scotland publishes first UK guidelines for diagnosing fetal alcohol spectrum disorder (FASD)
- The Alcohol Framework 2018 Preventing Harm
- Scotlands new drug and alcohol strategy launched
- AFS welcome new alcohol strategy
- Recent reporting on alcohol sales data
- Cross-Party Group Improving Scotland's health: 2021 and beyond October 2018
- Diageo is failing to provide latest guidelines on their products
- Drinks companies keeping consumers in dark about risky drinking
- Reducing alcohol consumption can address health inequalities
- Alcohol-specific deaths remain at very high levels
- Oh Lila goes digital
- Global first alcohol policy set to save hundreds of Scots' lives
- AFS welcomes minimum unit pricing for alcohol
- Walker's crisp ad exposes children to alcohol marketing
- Truer picture of alcohol harm revealed
- Focus on link between alcohol and obesity
- Alcohol causes 3,700 deaths in Scotland every year
- Last Christmas for heavily discounted alcohol
- Scotland's licensing system needs clearer direction
- Minimum pricing blog
- Minimum pricing gets green light
- Reflections on GAPC 2017
- Alcohol brands and young people
- Time for honest conversations about alcohol
- Q&A on alcohol marketing
- UK children anxious about parents' drinking
- Quarter of Scots drink above guidelines
- Alcohol producers failing to inform public
- Concern over alcohol-related deaths
- We need to make it easier for people to drink less
- Worrying rise in alcohol-related deaths
- Minimum pricing will save lives
- Pocket money prices for alcohol continue
- Scotland's alcohol problem laid bare
- Cheap alcohol is costing Scotland dear
- One drink a day can increase breast cancer risk
- Poverty linked to increased harm from alcohol
- What next for reducing alcohol harm in Scotland?
- Scotland must do more to turn tide of alcohol harm
- Concern as funding for alcohol services cut
- Budget: No change in alcohol duty
- Scottish Government urged to curb alcohol marketing
- Consumers have the right to know health risks
- Chancellor urged to tackle cheap, strong cider in Budget
- Online help for families affected by alcohol
- Alcohol-free childhood is healthiest option
- SWA granted leave to appeal minimum pricing
- Drink drive warning
- Scottish Greens call for action on alcohol marketing
- Scottish Government receives European alcohol award
- SWA will appeal to UK Supreme Court
- Half of alcohol being sold under 50p per unit
- SWA urged to respect minimum pricing decision
- Alcohol and mental health are closely linked
- Minimum pricing can be implemented in Scotland
- Alcohol sold at pocket money prices
- Scotland has so much to gain from reducing how much we drink
- AFS welcomes revised alcohol consumption guidelines
- Emergency services face shocking levels of alcohol abuse
- Every child has the right to grow up safe from alcohol harm
- Public health must prevail over big business
- New toolkit to help children affected by family alcohol problems
- Price check reveals cheap cost of strong alcohol
- Sales increase underlines need for minimum pricing
- Time to kick alcohol out of sport
- Alcohol linked with stomach cancer
- AFS calls for compulsory health warnings on alcoholic drinks
- Are supermarkets 'responsible retailers' when it comes to alcohol?
- Scottish health charities call for excise duty rise to tackle cheap alcohol
- Alcohol campaigners unite to call for stronger protection from alcohol advertising to children
- New resource for people concerned about alcohol in their community
- Minimum pricing decision delayed until summer
- No completely 'safe' level of drinking
- New alcohol guidelines published
- Minimum pricing - European court ruling
- Alcohol fuels ambulance assaults
- 82% of Scots agree drink driving is unacceptable
- Scotland's alcohol strategy - what next?
- Scotland leads way in evidence-based alcohol policy
- New report reveals impact of alcohol on emergency services
- Alcohol: a global concern
What next for reducing alcohol harm in Scotland?
The Scottish Government is expected to publish its alcohol strategy ‘refresh’ in the summer, eight years since the last strategy – Changing Scotland’s Relationship with Alcohol: A Framework for Action.
Some good progress has been made since 2009. Scotland has banned irresponsible off-sales promotions which encouraged people to ‘bulk buy’ alcohol; lowered the drink drive limit to make our roads safer; and health professionals have delivered over 500,000 brief interventions to at-risk drinkers.
These are all positive steps and they have had some impact, but Scotland still has the highest level of consumption and harm in the UK. Alcohol-related deaths have risen again in each of the last two years, with 1,150 Scots dying because of alcohol in 2015, and the downward trend in sales has now stalled.
One million Scots are putting themselves at risk of cancer, stroke, liver disease and mental health problems by drinking above the recommended guidelines of 14 units per week.
One of the main reasons for the lack of progress is the delay to minimum unit pricing being introduced. Increasing the price of the cheapest alcohol is recognised as the most effective way to reduce consumption and harm and we hope that this will finally be introduced early next year.
It’s clear that addressing cheap alcohol is essential, but what else should we be doing?
The current alcohol strategy recognised that a multi-faceted approach is required to address alcohol problems. The evidence is very clear that approaches to reducing drinking across the population are much more effective (and cost-effective) in reducing problems than measures to change individual behaviour like education. Policies to restrict the supply and availability of alcohol are particularly effective.
Where we spend our time living, working and socialising affects the lifestyle choices we make. Our high streets have an abundance of off licences, pubs, fast food joints and betting shops. Asking people to make healthy choices won’t work unless we actively make our neighbourhoods, towns and cities healthier places to live.
A healthy environment isn’t just about more green spaces, it’s about ensuring that retail and leisure opportunities support positive lifestyles and contribute to wellbeing.
Alcohol is available pretty much everywhere we spend our leisure time – from shopping centres to sports events, cinemas and coffee shops. This creates the impression that alcohol is a normal part of everyday life when actually it’s a product that causes significant health and social harm. It is time we challenged how readily available alcohol is in Scotland.
Where once off-licences were specialist shops, now every corner shop and supermarket seems to be licensed. We know that the more alcohol that is available in an area, the more likely it is that the people living there will experience the negative consequences, from noise and litter to ill health and injury.
Every year, around 96% of all licensing applications are approved and over each of the last five years there have been increases in both on and off-sales licences. There are 40% more licensed premises in our most deprived communities than in our most affluent. A system that is intended, amongst other things, to protect and improve public health is failing to do so.
Scottish Government urgently needs to provide clear direction on controlling the availability of alcohol, with policy solutions that respond to changes in how and where we drink. Local licensing boards would then have a clearer framework for making decisions that contribute to national outcomes whilst also responding to local needs.
Licensing boards must also take better account of the experiences of the people affected by their decisions, whether that’s members of the public or front line workers like police, paramedics and doctors who deal with the effects of too much alcohol day in, day out.
There is currently a distinct lack of transparency about how this evidence is listened to and acted upon. Alcohol harm is costing local authorities millions of pounds a year. In Edinburgh alone, the annual cost is £221 million; money that could surely be better spent on social care, schools or many other competing needs. Decisions on licensed premises shouldn’t be made in isolation.
The implications of widely available alcohol go right across local authorities, putting extra pressure on resources and budgets for social work, health care, community safety and criminal justice, not to mention our emergency services.
Action to reduce the widespread availability of alcohol is one of the key recommendations in a new report produced by Alcohol Focus Scotland, BMA Scotland, SHAAP and Scottish Families Affected by Alcohol & Drugs.
The report contains a comprehensive set of policies aimed at curbing Scotland’s alcohol problem and addressing the associated health inequalities. It provides a blueprint for action which would improve the lives of millions of Scots, make our communities better and safer places to live, and reduce demand on our over-burdened public services.
Alison Douglas Chief Executive, Alcohol Focus Scotland