WHY THE CONCERN ABOUT ALCOHOL? AND WHAT DOES IT HAVE TO DO WITH GENERAL PRACTICE? Peter Rice, Consultant Psychiatrist, NHS Tayside

ISD 2005 Alcohol Related Deaths in Scotland

Male Cancer Deaths in Scotland

Female Cancer Diagnosis in Scotland

SCOTTISH ALCOHOL HARM or INTOXICATION ADMISSIONS: THE AGE and GENDER PROFILE

ISD 2005 THE AGE PROFILE OF HEALTH HARM

Chronic Liver Disease Mortality by Deprivation, Scotland (Men)

Alcohol related deaths in the UK, by local area, Source: Office for National Statistics 15 of the 20 UK areas with the highest male death rates are in Scotland Dundee ranks 5 th highest in the UK for men For women, the alcohol related death rate in Dundee ranks 2 nd highest in the UK

Liver Cirrhosis Death Rates 1950 – 2006 : An International Comparison

UK Alcohol Consumption

- Coronary Heart Disease - Children’s Dental Care - Childhood Obesity - Suicide Prevention - Smoking Cessation - Breastfeeding and……. Achieve agreed number of screenings using the setting- appropriate screening tool and appropriate alcohol brief intervention, in line with SIGN 74 guidelines by 2010/11 HEALTH IMPROVEMENT TARGETS 2008

First call on the additional funding should be to enable NHS Boards to meet these (HEAT) targets, and for brief interventions to become part of the standard services offered by NHS Scotland. We anticipate that considerable work will be required in 2008/09 to establish delivery arrangements and build capacity across the priority settings of -Primary Care, -A&E - Ante natal - Acute Care - Deprived populations SCOTTISH GOVERNMENT PUBLIC HEALTH ALLOCATIONS 08/09

STAGE OF CHANGE Precontemplation“At the back of my mind.” Contemplation Thinking about it Preparation Getting ready to do something Action Doing something MaintenanceKeeping it going

AUDIT SCORING <8 Low risk 8-15 Hazardous Drinking Harmful Drinking >20 Possible dependence

1 Unit of Alcohol equals 10mls pure alcohol.