Tackling Scotland's Alcohol Problem

RE-THINKING ALCOHOL LICENSING: New report from SHAAP and AFS calls for more effective controls on how, when and where alcohol is sold to reduce record levels of alcohol-related harm

16th September 2011

A new report by SHAAP and Alcohol Focus Scotland launched today (Thursday) at Alcohol Focus Scotland’s National Licensing Conference, calls on licensing boards to make more effective use of licensing legislation to control the overall availability of alcohol and reduce record levels of alcohol harm.

The report also calls on the Scottish Government to take further action to regulate the sale of alcohol in off-sales and return licensing to its fundamental purpose of controlling the availability of alcohol to prevent harm. Recommendations include:-

• Licensing policy should consider the overall effect of licensed premises on drinking behaviour and levels of alcohol harm in communities, not just the operation of individual licensed premises.
• Off-sales hours should be reduced to 10am until 8pm.
• Licensing boards should publish detailed information about the number, type and capacity of licensed premises in their area.
• Separate alcohol-only checkouts should be introduced in supermarkets.
• Licensed premises should be required to provide annual information on the volume of alcohol sold by drink type as a condition of their licence.
• Licensing fees should be applied based on volume of alcohol sold.

Dr Evelyn Gillan, Chief Executive of Alcohol Focus Scotland, said:

“Scotland is unique in having a licensing system which is based on protecting and improving public health. But we need to make sure that this principle is put into practice. The recommendations we are making today would shift the focus away from individual ‘problem’ licensed premises, to managing the overall availability of alcohol in the interests of society’s health and wellbeing. The licensing system exists because there is a consensus in society that alcohol is not an ordinary commodity. It is a substance with known toxic, intoxicating and addictive effects. As such, it needs to be carefully regulated.”

Dr Bruce Ritson, chair of SHAAP said:

“Licensing laws and practice have been steadily relaxed over the past 30 years with more licences issued to a wider range of premises and for longer opening hours. This greater availability has been associated with a substantial rise in alcohol consumption and harm. Over the past two decades, Scotland has had one of the fastest growing liver cirrhosis death rates in the world. Compared to other licensed or otherwise regulated products, alcohol stands out in being highly visible, accessible and aggressively promoted. If we want to reduce the record levels of alcohol harm we need to tackle the price and availability of alcohol.”


  • The report was informed by an expert workshop convened in June 2011 to consider the operation of Scotland’s licensing system and in particular the licensing objective of promoting and protecting public health. Discussion was also informed by an Opinion from Sir Crispin Agnew QC.
  • The report can be downloaded here

Help or hindrance? Corporate involvement in international nutrition and alcohol laws

16th September 2011

A consortium of non-profit public health advocacy groups will press world leaders and other representatives of the 193 member states to call for strong public policy measures to curb nutrition and alcohol-related diseases and safeguards against conflicts of interest in the policy-making process when they meet in New York City at the United Nations General Assembly next week.
The U.N. High Level Meeting on the Prevention and Control of Noncommunicable Diseases will adopt a strategy at the General Assembly on Monday and Tuesday, September 19-20, 2011, following difficult negotiations on a Political Declaration that began in June.

Last year, the U.N. pledged to create a strategy to limit cancer, cardiovascular disease, diabetes, and chronic respiratory diseases caused by poor nutrition, excess consumption of alcoholic beverages, tobacco, and physical inactivity. Negotiations during the summer revealed competing views about the effectiveness of voluntary food industry efforts, adequacy of existing international law, and the role of for-profit companies and public-interest groups in the policy-making process. The public-interest groups stress that governments now have an unprecedented full and sophisticated grasp of gigantic health and economic burden NCDs, but have been decidedly naive about conflicts of interest in policy-making. (See the near-final Political Declaration at http://www.who.int/nmh/events/un_ncd_summit2011/political_declaration.pdf , program agenda at http://cspinet.org/canada/pdf/summit-information-note-9-sept-2011.pdf , and the statement of the Conflict of Interest Coalition at http://cspinet.org/canada/pdf/conflict-of-interest.pdf )

  • Leaders simply must get fundamental disease rate-reduction targets locked in—starting with 25% by 2025—and really embrace effective regulations on population-level salt reduction and trans fat elimination, nutrition standards for school meals, food tax reform, controls on the marketing of high fat, salt and sugar foods and alcohol to children and young people, and front of pack labelling in order to safeguard the health and economic development, nationally and internationally,” said Paul Lincoln of the UK-based National Heart Forum.


  • World leaders need to demonstrate their dedication to public health nutrition as they have already begun to do for tobacco control. Leaders fall short when they white-wash ineffective food industry promises, and duck specifics on regulatory reform while backward-looking World Trade Organization rules (and Codex Alimentarius Commission nutrition standards) tie the hands of national governments,” said Bill Jeffery of the Centre for Science in the Public Interest-Canada and the International Association of Consumer Food Organizations.


  • The United Nations needs a sensible, evidence-based and experience-informed code of conduct to ensure that commercial operations in food, alcohol, drug and other industries do not impair progress or the effectiveness of NCD prevention policies, said Dr. Kate Allen of the World Cancer Research Fund International.


  • Manufacturers and distributors of alcohol beverages are bound to continue to promote their vested interests by supporting ineffective ‘educational’ programs and obstructing the implementation of effective legislative measures such as tax increases and advertising restrictions, said Derek Rutherford, Chair of Global Alcohol Policy Alliance.


  • The multitude of 140, and counting, public interest groups calling for safeguards against conflicts of interest cannot be ignored, and citizens in any country don't have to be experts in good governance to know that the fox belongs outside the hen house,” said Patti Rundall of the International Baby Food Action Network. “Having industry at the table can be ruinous for consensus on public health priority-setting, and virtually guarantees the lowest and most useless common denominator,” she added.


  • At this summit we have the ridiculous state of affairs whereby representatives of the pharmaceutical industry and the food and drink industry will be speaking as civil society. The WHO needs to clearly recognise the differences between industry lobbyists and pubic interest NGOs and develop meaningful rules to manage the potential conflicts of interest that arise when engaging with the private sector,” said Indrani Thuraisingham, Consumers International.


  •  Sky-high rates of obesity and overweight among children and adults in developed countries are spreading to many emerging economies with calorie-dense, nutrient-poor salty, sugary, fatty foods. Meek requests for further voluntary forbearance by the food, drink, and advertising industries are no substitute for regulatory limits on advertising to children,” said Professor Shiriki Kumanyika.

Scots drinking at higher levels

1st September 2011
Retail sales data indicate people in Scotland drinking 2 litres more pure alcohol per adult than people in England in 2010. New analysis of alcohol retail sales figures by NHS Health Scotland also confirms the growing trend towards home drinking with on-sales alcohol purchases dropping by 28% between 1994 and 2010 and off-trade purchases going up by 52% over the same period.

The higher volume of pure alcohol sold per adult in Scotland is driven by higher off-trade sales of spirits, particularly cheap vodka. Given that Scotland also experiences a higher level of alcohol-related harm than England, this evidence suggests that setting a minimum price for alcohol will be an effective measure in Scotland for reducing alcohol consumption and harm.

For more information go to: http://www.healthscotland.com/documents/5435.aspx

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