Health England Report No 4. Public Health and Prevention Expenditure in England. 2009.The main sources of identified expenditure on school health services are school-based children’s health services provided by the NHS. School-based children’s services include routine medical checks, sexual health advice and family planning, smoking cessation and substance misuse advice and support. This information comes from NHS Reference Costs, and distinguishes between services provided on an individual basis and in a group setting.An additional source of identified expenditure on school health services is the Healthy Schools Programme, which includes aspects of healthy eating, physical activity and emotional health. Health England Report No 2. Prevention and Preventative Spending. 2009.
Drug Education andPrevention in EnglandLost or found?
“I think acombination ofeducation, alsotreatmentprogrammes for drugaddicts... are the twomost importantplanks of a properanti-drug policy.” David Cameron, March 2011
Alcohol death rate per 100,000 population 15 - 34 year olds in the UK3.53.02.52.0 UK1.5 England1.00.50.0 2003 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2004 2005 2006 2007 2008 2009 2010
Government spending on drug education in EnglandSource: United Kingdom Drug Situation, UK Focal Point (2011)
Impact of 2010/11 spendingfreeze on FRANK• calls to the FRANK helpline fell by 22%• web visits fell by 17%. Source: Changing Behaviour, Improving Outcomes, Department for Health (2011)
“We don’t have no drugs education”The majority of students could notremember having had any drugeducation at their secondary school.Teachers recognised that schools’ drugspolicies were rarely implemented inpractice and that drugs education wasnot a priority. Fletcher, A., Bonell, C. and Sorhaindo, A. (2010). We don’t have no drugs education: The myth of universal drugs education in English secondary schools? International Journal of Drug Policy 21 (6) 452-458.
How often do schools deliver drug education? Personal, Social, Health and Economic (PSHE) Education: A mapping study of the prevalent models of delivery and their effectiveness, DfE (2011)
“Evidence regarding preventionis always welcome, but it stillwill not gain much funding.” Robert J. Maccoun, The Implicit Rules Of Evidence-Based Policy Analysis Updated
Source: Health England 96% of NHS spending is on treating ill healthThe UK spends 1/3 more on treating preventable ills (includingdrug misuse) than the next most troubled nation. New Economics Foundation
Amount spent on primary prevention across 25,000 schools, including routine medical checks, sexual health advice, smoking cessation and substance misuse advice £44m bnHow much we spent on healthin England in 2006/07Source: Health England
Rule 1 Don’t throw money awayBy Flickr user gmdesign1
£827,000The cost of a lifetimeproblematic drug user Source: PriceWaterhouseCoopers
The number ofproblematic drug usershas stayed stable atc.320,000 for the last 5years. Source: NTA and The Health and Social Care Information Centre
Why we need early interventions Age 21, cost per person already = £91 - £121kLevel of Problem Behaviors Early Childhood Adulthood Source: PriceWaterhouseCoopers
Cost of education = Cost of drug £71,780 prevention £500Source: LV= http://bit.ly/xX6adI
Good Behaviour Life Skills Unplugged Preventure Game Training• Delivered to • Delivered to • Delivered to • Delivered to children 6 – 8 children 8 - 15 children 12 – children 13 – years years 14 years 14 years• Results: • Results: • Results: • Results: • 7% fall in • Cuts tobacco • 30% less • 40% drug misuse use by 87% likely to decrease risk disorders at • Cuts alcohol experience of alcohol 21 years use by 60% drunkenness consumption • 60% increase • Cuts cannabis • 23% • 55% decrease in university use by 75% reduction in in risk of attendance cannabis use binge in past month drinking
“It is not the role of Government to dictate decisions that are best made locally by professionals, so the Department does not issue guidance to local authorities on the commissioning of drug education programmes.”Source: Hansard, December 2011
“education about drugs is vital and we should make sure that education programmes are there in our schools and we should make sure that they work.”Source: AlJazeera, March 2011
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