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Presentation on licensing and health (final)

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Slides for the multi agency workshop on licensing, alcohol and health for Hertfordshire

Slides for the multi agency workshop on licensing, alcohol and health for Hertfordshire

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  • 1. www.hertsdirect.org Licensing, Alcohol and Health Hertfordshire Licensing Committees Public Health Seminar 3rd April 2014
  • 2. www.hertsdirect.org Speakers Brian Simmonds Head of Community Safety and Health, East Herts Council Brian.simmonds@eastherts.gov.uk Jim McManus Director of Public Health, Hertfordshire County Council Jim.McManus@hertfordshire.gov.uk Dawn Morrish Health Improvement Manager, Community Safety and Offender Health, Herts County Council Dawn.Morrish@hertfordshire.gov.uk Michael Nadasdy Programme Officer - Anti Social Behaviour County Community Safety Unit Michael.Nadasdy@hertfordshire.gov.u k Sarah Taylor Programme Manager; Domestic Violence, Stalking, Harassment, and Hate Crime County Community Safety Unit sarah.taylor@hertfordshire.gov.uk Cliff Austine Resilience/CBRNE Support Technician, East of England Ambulance Service NHS Trust Cliff.Austine@eastamb.nhs.uk
  • 3. www.hertsdirect.org Agenda Introduction & Outline Brian Simmonds • Health impacts of alcohol abuse Jim McManus • Licensing, Health and Crime Dawn Morrish & Michael Nadasdy • Domestic violence Sarah Taylor • Ambulance, first on scene Cliff Austine • Conclusion Brian Simmonds & Jim McManus
  • 4. www.hertsdirect.org Health Impacts of alcohol abuse •Deaths related to alcohol in 2001 5,476 in 2009 6,584 •Estimated cost of alcohol harm to the NHS in England in £2.7billion (2006-7 prices) •In 2007 33% of men and 16% of women were classified as hazardous drinkers
  • 5. www.hertsdirect.org Health Impacts of Alcohol in Hertfordshire Jim McManus, Director of Public Health Licensing and Public Health Workshop 3rd April 2014
  • 6. www.hertsdirect.org Estimated economic costs in Hertfordshire 2008/09 £231 million per year
  • 7. www.hertsdirect.org National drug treatment statistics 2012/13 Good national performance: • 29,000 people helped to recover from addiction • Specialist services are easy to access: 98% wait under 3 weeks; average used to be 5 days. Challenges: • Ageing treatment population: over 40s are now the largest group starting& receiving treatment • Particularly hard to help into lasting recovery – shown by levelling off of proportion of people successfully completing treatment • Changing patterns in drug use incl. new psychoactive substances, and prescription or over-the-counter medicines http://www.nta.nhs.uk/uploads/adultstats2012-13.pdf
  • 8. www.hertsdirect.org Numbers in structured treatment Q3 2013-14 Alcohol 1441 Up 18% from Q2 Opiates 1611 Up 5% Non-opiates 803 Up 22% Drugs total 2414 (was 2195 in 12/13) Up 10% (compared to -1.5% nationally)
  • 9. www.hertsdirect.org Key alcohol indicators from DOMES report Indicator Local Comparison Clients waiting over 3 weeks to start treatment 1.2% (3.9% in Q2) National: 7.1% Successful completions as a proportion of all in treatment 36.1% (was 33.1% in Q2) National: 36.6% Re-presentations within 6 months 6.9% (was 7.5% in Q2) National: 11.2%
  • 10. www.hertsdirect.org Key messages • Aging population, reflected in treatment population • Changing landscape requires service flexibility • Access to treatment is positive • Need to focus on – re-presentations particularly non-opiates – those who are longest in treatment –18-24 year olds
  • 11. www.hertsdirect.org
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  • 14. www.hertsdirect.org Trends in Violent Crime in Hertfordshire 2010-2013 3 6 9 12 15 18 10-11 11-12 12-13 10-11 11-12 12-13 10-11 11-12 12-13 10-11 11-12 12-13 10-11 11-12 12-13 10-11 11-12 12-13 10-11 11-12 12-13 10-11 11-12 12-13 10-11 11-12 12-13 10-11 11-12 12-13 10-11 11-12 12-13 Hertford- shire Steven- age Brox- bourne Welwyn- Hatfield North Herts East Herts Watford Dacorum Herts- mere St Albans Three Rivers East& North CCG Herts Valleys CCG ViolentCrimeIncidentsper1,000population Violent Crime Trend In both England and Hertfordshire the reported rates of domestic violence have not varied significantly between 2010-13. Although East Herts has the lowest rates of domestic violence it was the only district to show a significant increase over that period.
  • 15. www.hertsdirect.org
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  • 18. www.hertsdirect.org Young people’s Health Related Behaviour Survey 2012 • 67% of pupils in years 5&6 (age 9-11)had tasted alcohol at some point • 38% said their parents knew when they drank • 25% of pupils in years 8&10 (ages 12-15) had an alcoholic drink in the previous week • 8% of pupils got drunk on at least one day in the last week (13% year 10 pupils)
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  • 20. www.hertsdirect.org Domains of Response Control and Enforcement Prevention Treatment, Support and Care Police Probation PCC Licensing Need to do better here Public Health NHS Social Care Third Sector Brief Interventions
  • 21. www.hertsdirect.org Systems thinking – Why Licensing is Important to Public Health The wider determinants of Health and Local Government functions (Must adopt a Lifecourse approach!) The Lives people lead and whether LA functions help or hinder healthy lifestyles (policy, service quality, access, behavioural economics, behavioural sciences) The services people access such as primary care (high quality, easy access, good follow up, behavioural and lifestyle pathways wrap around) •Our health and our offending occurs in a system •Criminology and public health/epidemiology share some concerns in the literature
  • 22. www.hertsdirect.org Health and crime is a system issue – Licensing is a key part of the system • Pervasive health inequalities and poorer outcomes in offender communities • Multilevel issues – requires interventions across all levels of public health • Partnership across new responsibilities • Links between health and offending behaviour Levels of Public Health Action •Social •Environmental •Biological •Behavioural •Legislative •Structural
  • 23. www.hertsdirect.org Domains of Response – where is the licensing role? Control and Enforcement Prevention Treatment, Support and Care Licensing has a clear enforcement and control role Licensing can have a prevention role
  • 24. www.hertsdirect.org Domains of Response – where is the licensing role? Control and Enforcement Prevention Treatment, Support and Care Need to do better here Public Health NHS Social Care Third Sector Brief Interventions
  • 25. www.hertsdirect.org Some issues to think through • Can we adopt the Suffolk model of voluntary high alcohol controls? • Can we use licensing more effectively within the law as a public health tool?
  • 26. www.hertsdirect.org • Jim.mcmanus@hertfordshire.gov.uk
  • 27. www.hertsdirect.org Alcohol, Licensing, Health and Harm Dawn Morrish Health Improvement Manager, Community Safety and Offender Health, Dawn.Morrish@hertfordshire.gov.uk
  • 28. www.hertsdirect.org Public Health and Licensing • The Director of Public Health has a statutory obligation, Public Health being a Responsible Authority • We receive copies of all new licence applications, variations and licence reviews from all 10 Local Authorities • Public Health can present health-related evidence to licensing committees • Contribute evidence to support licence reviews
  • 29. www.hertsdirect.org Public Health evidence • ‘Cardiff model’- sharing of non-confidential data from A&E departments on assaults associated with alcohol • Core information: date, time, location and type of assault, weapon used • Sharing this information with Community Safety Partnerships • Enables more effective targeting of problematic premises and aims to reduce alcohol related burden on A&Es
  • 30. www.hertsdirect.org Sample of monthly raw data
  • 31. www.hertsdirect.org
  • 32. www.hertsdirect.org Other sources of health evidence • Health profiles • Local alcohol profiles • Alcohol related hospital admissions • liver disease mortality • Local information of areas of high vulnerability eg homeless hostels
  • 33. www.hertsdirect.org Alcohol-related Crime 2011-12 645 2010-11 787 2009-10 856 2011-12 – East Herts ranked 3rd highest in the county for alcohol-related crime 5,488 6,022 6,866 East Herts Hertfordshire
  • 34. www.hertsdirect.org Violent Crime – East Herts 2012/13
  • 35. www.hertsdirect.org Night time violent crime All violent crime between 9pm & 5am 2011/12 2010/11 2009/10 539 669 649 2011-12 – East Herts ranked 3rd highest in the county for night-time violent crime 4,601 4,891 5,517 East Herts Hertfordshire
  • 36. www.hertsdirect.org Applications by District 2012 (Apr - Dec) 10 18 4 13 15 17 2 9 13 14 Broxbourne Borough Council Dacorum Borough Council East Herts District Council Hertsmere Borough Council North Herts District Council St Albans City & District Council Stevenage Borough Council Three Rivers Borough Council Watford Borough Council Welwyn Hatfield Borough Council
  • 37. www.hertsdirect.org Applications by District 2013 19 24 21 13 30 36 13 6 24 19 Broxbourne Borough Council Dacorum Borough Council East Herts District Council Hertsmere Borough Council North Herts District Council St Albans City & District Council Stevenage Borough Council Three Rivers Borough Council Watford Borough Council Welwyn Hatfield Borough Council
  • 38. www.hertsdirect.org 0 5 10 15 20 25 Broxbourne Dacorum East Herts Hertsmere North Herts St Albans Stevenage Three Rivers Watford Welwyn Hatfield Application for New Premise Licences 2012 (Extrapolated from 9 months of data) 2013
  • 39. www.hertsdirect.org 0 5 10 15 20 25 Broxbourne Dacorum East Herts Hertsmere North Herts St Albans Stevenage Three Rivers Watford Welwyn Hatfield New applications versus Variations 2013 Application for a premises licence Application to vary a Premises Licence
  • 40. www.hertsdirect.org East Hertfordshire Breakdown of On trade & Off Trade Of 21 applications received in the year 2013 the breakdown was as follows: On trade: 9 Off trade: 12
  • 41. www.hertsdirect.org Some Successes • Evidence supplied to 3 licence reviews in Watford • Led to closure of a night club for 3 months and a additional 34 clauses added to the licence • Revocation of a shop licence • Licence review of an on licence premises which has subsequently closed down