1. Alcohol - Where are we now? Helen Onions Consultant in Public Health Telford & Wrekin Council

2. Local Authority Public Health Services

3. Trends in Early Death Rates (<75 years): Telford & Wrekin

4. Trends in Early Deaths from Preventable Liver Disease: Telford & Wrekin (average annual deaths in 2011-13 = 29)

5. A few more facts and figures...  Nationally, alcohol consumption more than doubled between the mid-1950s - late 1990s  Alcohol consumption in T&W (over 16s): Binge drinkers 8.7% - circa 24,300 Increasing risk drinkers 19.7% - circa 25,600 Higher risk drinkers 6.5% - circa 8,400 of which 4,000 are dependant  T&W patients admitted to hospital with alcohol- related conditions 4,155 men and 2,172 women in 2012/13 Rates worse than England average for men

6. NHS Health Check  Everyone attending a NHS Health Check should have their alcohol consumption risk assessed  Where the full AUDIT score is 8+ individuals will be given brief alcohol advice  A referral to alcohol services should be considered for those individuals scoring 20 or more on AUDIT  Interestingly....during April –Dec 2014 of the 3,062 Health Checks completed in T&W: 9.6% reported being teetotal ~ 1% had an AUDIT score of 8-15 “increasing risk” or 20+ indicating “possible dependency” None were recorded in the “higher risk” category

7. Telford and Wrekin Drug and Alcohol Strategy 2014/15 – 2016/17

8. Strategy framework

9. Local Authority Responsibilities  Coordination – Drug & Alcohol Action Team DAAT Board reporting to Community Safety Partnership up to the Health & Wellbeing Board  PH Commissioning & Prevention agenda: Reducing alcohol harm in the population NHS Health Check - AUDIT tool Alcohol treatment interventions Tier 1 – 4  Public Protection: Licensing – Statement of Licensing Policy Night Time Economy work