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Changing Scotland’s Relationship with Alcohol:

Changing Scotland’s Relationship with Alcohol:. Brief interventions. Evie McLaren. Fragmenting Scotland’s Cohesion. Healthier 11% of A&E 1 death every 6 hours. Safer & Stronger 45% of prisoners 65% of homicides. Wealthier & Fairer £820m productivity loss. Smarter >65,000 children

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Changing Scotland’s Relationship with Alcohol:

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  1. Changing Scotland’s Relationship with Alcohol: Brief interventions Evie McLaren

  2. Fragmenting Scotland’s Cohesion • Healthier • 11% of A&E • 1 death every 6 hours • Safer &Stronger • 45% of prisoners • 65% of homicides • Wealthier& Fairer • £820m productivity loss • Smarter • >65,000 children • 1 in 3 divorces • 40% of 15yr olds & 15% of 13yr olds

  3. Healthier Scotland: Alcohol-related mortality

  4. Integrated alcohol policy Stronger Healthier Safer & Reducing Consumption Supporting Families & Communities Positive Attitudes, Positive Choices Fairer Effective Support & Treatment Smarter Wealthier &

  5. Reducing Consumption • End irresponsible promotions and below cost selling • Pursue the establishment of a minimum price for alcohol Supporting Families & Communities • Place a duty on Licensing Boards to consider ‘21’ • ‘Social Responsibility’ fee • Review advice to parents and carers

  6. Positive attitudes, Positive choices • Place restrictions on promotional material in-store • Improve public awareness • information & education campaigns • call on EU/UK to improve labelling Effective Support & Treatment • Significantly increased investment • HEAT target on brief interventions • Essential alcohol services

  7. HEAT H4: ALCOHOL BRIEF INTERVENTIONS Achieve agreed number of screenings using the appropriate setting-appropriate screening tool and appropriate alcohol brief intervention, in line with SIGN 74 guidelines by 2010/11 National total: 149,449 Longer term aim is for brief interventions to become standard offer of NHS Scotland

  8. H4 DELIVERY: PROGRAMME STRUCTURE Scottish Ministers NHS Boards ADAT Reform Treatment and Services SG Alcohol Policy Team HEAT H4 DELIVERY SUPPORT TEAM NHS Health Scotland WORKSTREAMS / SUBGROUPS Workforce development subgroup NHS Health Scotland Data and information subgroup ISD Other workstreams as required Pilot steering groups: Criminal Justice NHS 24 Dental Hospital Communication with NHS Boards

  9. SUCCESSES • Most Boards have Local Enhanced Service negotiated and in place • Significant numbers trained across Scotland • LDPs reviewed: All Boards on trajectory • Visited 9 of 14 Boards to review progress and support needs • Minimum dataset agreed • National Reporting Guidance issued • Web pages developed by NHS Health Scotland – guidance and meeting papers online • Work started to expand evidence base – pilots

  10. NHS BOARD VISITS • Support needs around delivery in antenatal care/A&E • Data collection and reporting – different stages of development • Different models for follow up – NHS Health Scotland evaluation interest • Opportunities for infrastructure building – revised strategies/processes for commissioning services • Requests for summary of activity across Scotland

  11. WHAT’S NEXT? • Consolidating delivery in Primary Care • Supporting expansion into antenatal care/A&E • Alcohol misuse funding • 2nd year of national training programme • Tailored support through Delivery Support Team where required

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