WEST MIDLANDS MENTAL HEALTH COMMISSIONING NETWORK Tuesday 11

WEST MIDLANDS MENTAL HEALTH COMMISSIONING NETWORK Tuesday 11 th June 2013 Focus on Alcohol Misuse How big is the problem locally? Dr John Linnane – Director of Public Health Rachael Leslie – Public Health Registrar Warwickshire County Council

An Important Public Health Issue • Health impact – Physical and Mental health • Societal impact – Violence and accidents, Sexual health • Costs to society – Health Service, Crime, Loss of productivity

Effects of alcohol related harm From WMPHO Report (2010) adapted from Alcohol Harm Reduction Strategy for England

Consumption • Younger age groups (16 – 24) more likely to binge drink • Older age group (men over 65 and women over 45) are more likely to be chronic drinkers Source: General Lifestyle Survey (2011) Warwickshire: • Binge drinking - 21. 9% of adults consume at least twice the daily recommended amount of alcohol in a single drinking session • High risk drinking – 6. 72% of men drinking over 50 units and women drinking over 35 units per week. • Abstaining – 14. 46% of adults report that they abstain from drinking Local Alcohol Profiles for England, Public Health England (2012) Synthetic estimates developed by APHO on behalf of Department of Health (2010)

Admissions to hospital Warwickshire: Alcohol related admissions – males and females (per 100, 000 population) 2, 000 Nuneaton and Bedworth Rugby Warwick 1, 500 North Warwickshire Stratford-on-Avon 1, 000 2011/122 2010/111 2009/10 2008/09 2007/08 2006/07 2005/06 2004/05 2003/04 - 2002/03 500 Source: Local Alcohol Profiles for England (2012)

Admissions to hospital Warwickshire: Under 18 s admitted to hospital with alcohol specific conditions (per 100, 000 population) 160 Nuneaton and Bedworth North Warwickshire Warwick 120 Rugby Stratford-on-Avon 80 40 0 2004/052006/07 2005/062007/08 2006/072008/09 2007/082009/10 Three year rolling averages Source: Local Alcohol Profiles for England (2012)

Mortality – West Midlands Alcohol as final underlying cause of death. Includes mental and behavioural disorders due to use of alcohol. Does not include other diseases where alcohol has been shown to have some causal relationship. Rate per 100, 000 population 25 20 West Midlands Males 15 England Males West Midlands Females 10 England Females 5 1 Rates per 100, 000 population standardised to the European Standard Population. 3 Deaths registered in each calendar year. 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 0 Source: ONS

Mortality – Warwickshire Alcohol as final underlying cause of death 20 Males Nuneaton and Bedworth 18 Males North Warwickshire 16 Males Stratford-on-Avon 14 Males Rugby 12 Males Warwick 10 Females Nuneaton and Bedworth 8 6 Females Stratford-on-Avon 4 Females Rugby 2 Females Warwick 0 1 Rates Females North Warwickshire (2004 -2006) (2005 -2007) (2006 -2008) per 100, 000 population standardised to the European Standard Population. 3 Deaths registered in each calendar year. (2007 -2009) (2008 -2010) Source: LAPE

Social Impact • Recorded crime attributable to alcohol – West Midlands – 6. 77 per 1000, 7. 02 • Almost half of violent assaults • Families - domestic violence and relationship breakdown • 16% of road fatalities: 252 land transport deaths attributable to alcohol in the West Midlands (2008 – 10)1 1 National Centre for Health Outcomes Development

Cost to Society

Future opportunities • National Policies – minimum pricing • Local Authority - Opportunities for MECC, Public Health responsibility deal (trading standards and licensing) • Crime - Illegal alcohol

Summary • Health impact • Societal impact • Costs to society