1. Turning Data into Intelligence and Harnessing Social Marketing

2. House-keeping arrangements PLEASE – turn off your phone Fire Alarms Smoking Toilets Tea breaks Lunch Workshops

3. Alcohol Strategies Criticism of 2004 strategy –Lacked a target –Lack of a focus for the NHS –No clear outcomes to reduce health harm 2007 strategy –A clear focus on those most at risk –Aim to reduce harm Public Service Agreement (PSA 25) –To reduce alcohol related harm –Measured by reducing the rate of alcohol-related hospital admissions

4. Why Hospital Admissions? Alternatives –Numbers in treatment –Numbers given IBA NWPHO work demonstrated that alcohol is responsible for a wide range of conditions –Alcohol contributes to 48 conditions 13 conditions are wholly attributable to alcohol consumption 35 conditions are partially attributable to alcohol consumption

5. Why Hospital Admissions? Alcohol harm is –Not restricted to Dependent drinkers –Much harm happens in Higher-Risk drinkers Meets the Treasure rules –Outcome focus –Robust data collection –At least a 5-year baseline Responsive to interventions

6. Hospital Admissions

7. High Impact Changes 1.Work in partnership 2.Develop activities to control alcohol misuse 3.Influence change through advocacy 4.Improve the effectiveness and capacity of specialist treatment 5.Appoint an Alcohol Health Worker 6.IBA - Provide more help to encourage people to drink less 7.Amplify national social marketing priorities 7

8. Our aspiration To reduce alcohol harm –Measure by slowing the ever rising rate of alcohol- related hospital admissions See the NHS play its part –Focus on the interventions and treatment that will have the greatest impact –Setting and working towards local targets Recognise that the NHS can not do it all –Price & promotion –Legislation –Other Government departments

9. Story so far Commitment to reduce the increasing rise in alcohol-related hospital admissions –67 Local Authorities Local Area Agreements (LAA - NIS 39 ) –92 PCTs NHS Operating Framework (Vital Signs - VSC 26)

11. Early Implementation PCTs NHS Planned delivery on RA-RHAs Implementation Support Priority access learning Evidence Trailblazers (SIPS), ANARP Effectiveness review, HES data, etc Trailblazers (SIPS), ANARP Effectiveness review, HES data, etc PCTs (Unplanned) delivery on targets through implementation of elements of the high impact actions learning Alcohol Interventions Improvement Centre Enabling change Priority support to Early Implementation PCTs. Tools: Learning sets, collaboratives, etc Learning Centre Collects, co-ordinates and disseminates learning and good practice. Tools: SIPS toolkits, HuBCAPP, e-learning resource NST(DH) Supports 18 struggling PCTs P.A. Strategic reports & follow-up visits Review Support Regional co- ordinators (DH/SHA) Responsibility to ensure delivery of targets learning National Alcohol Improvement Programme DH Policy Team Role: Work with outside bodies to facilitate frontline delivery. Develop policy, Develop Guidance, Commission, co-ordinate and contract manage support projects and channel expertise DH branded learning NWPHO Provide local data on need and key evidence Start delivering RA-RHAs Receive priority support from AIIC Implement High Impact Changes Support Influence Social Marketing Insight, evidence, products and interventions