Alcohol | Boltons Health Matters
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This is the JSNA chapter on alcohol. Theme chapters summarises implications for commissioning, who is at risk and why, the level of need in the population, service provision and use, unmet needs, what works in terms of evidence, community views and priorities, any related equality impact assessments, unmet service needs/gaps and recommendations for further needs assessment work. 

This document shows progress against the actions set out in Living Well for Longer: National support for local action which followed a call to action from the Secretary of State.

The report shows that there has been improved prevention, early diagnosis and treatment of the 5 big killers:

  • cancer
  • stroke
  • heart disease
  • lung disease
  • liver disease

It also outlines the next steps for ongoing improvements across the system in reducing premature mortality.

The transfer of public health responsibilities from the NHS to local government and Public Health England (PHE) represents a unique opportunity to set out a local approach to tackling alcohol misuse. We are calling on Government to help people live healthier lives and tackle the harm caused by excessive drinking and alcohol dependence by:

  • reinvesting a fifth of existing alcohol duty in preventative measures
  • giving councils the power to take public health issues into account when making licensing decisions
  • supporting licensing and trading standards departments to better tackle the black market in alcohol.

You can download the resource by clicking here:

The Statistics in this report present information collected through the National Drug Treatment Monitoring System on clients that are receiving specialist interventions for alcohol dependence. Specialist Treatment is one strand of the Government’s Alcohol Strategy, which sets out to address a wide range of health, social and criminal justice harms associated with alcohol misuse. This report can be downloaded by clicking here:

A collection of snapshot maps at a local authority level from Public Health England on a variety of alcohol related conditions and issues under the following sections:

  • Deaths
  • Hospital Admissions
  • Crime
  • Drinking
  • Other (employment)

These resources can be accessed by clicking here:

This map shows the number of people drinking at unsafe levels, the number of alcohol-related hospital admissions, alcohol-related healthcare costs and alcohol-related deaths in England.

Data can be viewed either by local authority or Clinical Commissioning Group area.

The map also contains data on five alcohol-attributable conditions, including the percentage of inpatient admissions for the selected conditions attributable to alcohol as well as their associated costs.

The full resource can be viewed by clicking here:  . Bolton level data can be found by using the drop down menus

The alcohol use return on investment tool has been developed to help decision making on interventions and strategies to prevent and reduce alcohol use at local and sub-national levels.

The tool enables the user to evaluate a portfolio of interventions in their geographical area (e.g. region, county or local authority) and models the economic returns that can be expected in different payback timescales. The different interventions included in the tool can be mixed and matched to see which intervention portfolio or package provides the best 'value for money', compared with 'no package of interventions' or any other specified package.

This resource can be accessed by clicking here:

The report recommends the following:
• Ensuring licensing powers are more effective and used consistently.
• Putting the right services in place to protect victims of domestic abuse.
• Supporting public health activity to reduce the levels of drinking across the whole local population with a focus on education.

This new strategy further develops the previous Alcohol Strategy (2006-10) and readdresses issues relating to health prevention, licensing and enforcement alongside the need to rebalance the town centre offer so that it is welcoming to everyone.

Following analysis and engagement with key partners, Bolton’s Alcohol Strategy has been developed. While three strands with specific areas of focus have been identified, the emphasis has been on working together on these already interconnected areas and avoiding duplication. The three priority strands are as follows:

  1. Health and Prevention – have an effective local approach that promotes safer drinking and raises awareness of the harms to health caused by excessive alcohol use, supported by effective treatment and support services.
  2. Town Centre – ensure we have a balanced town centre offer that caters for all ages and interests and provides a more varied food and drink offer.
  3. Enforcement and Licensing – ensure we have an effective multi-agency approach that minimises the harm and risk from alcohol whilst promoting safer drinking and a safe evening economy

Through this three-strand alcohol strategy, we will maximise the most efficient use of our resources to:

  • Tackle underage drinking, particularly targeting vulnerable young people by devising interventions across agencies and where appropriate, support and challenge parents/carers in changing their behaviour.
  • Develop and build on existing programmes to encourage behaviour change in adults and older people including safer drinking at home and socially.
  • Understand the relationship between alcohol and domestic abuse and ensure strong links to Bolton’s emerging Domestic Abuse and Violence Strategy
  • Support employers to minimise alcohol as a barrier to employment and to change existing workplace cultures.
  • Work with town centre licensees and retailers and explore how the current town centre night time economy can be maintained but better balanced with a different offer that is not so closely related to alcohol.
  • Maintain dialogue with licensees to reduce alcohol-related crime and disorder problems.
  • Ensure professionals across organisations receive appropriate and timely training to aid effective referrals to alcohol treatment services.
  • Gather, and where relevant, embed evidence to ensure more informed decision-making processes in Bolton, such as health issues/data being provided to licensing hearings.
  • Review Bolton’s Licensing Policy in light of national, local and Greater Manchester changes.
  • Build on the existing Alcohol Strategy that focuses on minimising the health issues related to alcohol and commissioning effective treatment services.

This briefing summarises NICE's recommendations for local authorities and their partner organisations on how to reduce the harm caused by alcohol. It supports local government in its public health role, including its leadership of health and wellbeing boards. The briefing also supports local authorities in their duty to commission alcohol misuse prevention and treatment interventions. The guidance can be accessed and downloaded by clicking here:

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