Minimum Unit Pricing of Alcohol
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1 Minimum Unit Pricing of Alcohol Highland Alcohol & Drug Partnership 1 st June 2018 Sean McCollum Policy and Development Co-ordinator
2
3 Alcohol consumption in Scotland 1 in 4 people drink at hazardous or harmful levels (more than 14 units per week) Enough alcohol is sold for every adult to drink 1.5 times the low-risk drinking guidelines
4 The price we pay in Scotland Almost 100 alcohol-specific hospital admissions each day in Scotland Alcohol-specific death rate is 54% higher than E&W 10 people die every day in Scotland due to alcohol 42% of violent crimes, and 21% of violent and property crimes are alcohol-related 1 in 2 Scots are negatively affected by someone else s drinking 51,000 children live with a parent who has an alcohol problem Alcohol harm costs Scotland at least 3.6 billion every year ( 900 for every adult)
5 The price we pay in Highland 51 alcohol-related deaths in alcohol-related deaths in alcohol-related hospital stays in 2015/16. Parental alcohol misuse was a concern in 22 child protection cases in 2016/17 34% of adult males drinking at harmful/hazardous levels 17% of adult females drinking at harmful/hazardous levels 25% of adults drinking at harmful/hazardous levels
6 The price we pay in Highland
7 Age standardised mortality rate per 100,000 The need for change in Scotland Chronic liver disease and cirrhosis mortality rates, Men aged years 80 Women aged years 70 Scotland Other European countries Scotland Other European countries 10 0 England and Wales England and Wales Leon et al, The Lancet, 2007 (updated)
8 The Case for Change in 2008 Healthier 11% of Emergency 1 death every 3 hours Wealthier & Fairer 820m productivity loss 3.56bn total social cost Safer & Stronger 49% of prisoners 63% of homicides Smarter >65,000 children 1 in 3 divorces 31% of 15yr olds & 11% of 13yr olds
9 What drives consumption & harm? Alcohol 60% more affordable than in % of alcohol sold in off-trade at less than 50p per unit Price Marketing Availability Alcohol industry spends 800 million p.a. in UK 73% of alcohol sold in off trade 16,500 places to buy alcohol in Scotland (1: 250 adults)
10 Relationship between price and alcohol consumption
11 Why Minimum Unit Pricing (MUP)? Scotland s alcohol problem getting much worse International evidence that price affects consumption (Wagenaar et al 2009, Rabinovich et al 2009) General assumption that taxation is best means to increase price BUT: Scotland does not control tax Looking for alternatives MUP is very simple The Ideal: MUP + Tax
12 Minimum unit pricing establishes a floor price for a unit of alcohol Applies to alcohol, not to products How MUP works? Applies to all premises and alcohol sold using occasional licences (does not affect wholesaler to trade transactions) Primary legislation is very simple: Alcohol must not be sold at a price below its minimum price Minimum price for a product = Price per unit x Strength of alcohol x Volume (litres) E.g. Standard Bottle of Vodka is 37.5 abv: 0.50 x 37.5/100 x 0.7L x 100 = Actual price is set in secondary legislation - price is set at 50p per unit (this week)
13 Impact of MUP on Prices
14 The aims of MUP Aims to reduce consumption and specifically targets alcohol which is cheap relative to strength MUP affects the whole population but the effect is greater for those who drink the most - cheap alcohol is mostly consumed by hazardous drinkers
15 Year 1: Benefits of 50p MUP 58 fewer deaths 1,299 fewer hospital admissions Year 20: Reduction in consumption of 3.5% 121 fewer deaths (-7.4%) 2,042 fewer hospital admissions 2012 estimates: Healthcare savings of 114 million over ten years 3,500 fewer crimes
16 Angus et al, University of Sheffield,
17
18 Benefits of 50p MUP
19 How might ADPs help? Keep telling the story of why we need MUP Challenge alternative facts Case studies while we wait for data Professionals Lived experience Sharing local data and intelligence What else is required? Availability/Licensing Marketing Treatment & recovery services
20 Sean McCollum
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