Minimum Unit Pricing

Aim of Minimum Unit Pricing (MUP)

To reduce the consumption of alcohol, particularly among hazardous and harmful drinkers, leading to reduction in alcohol-related harm.

SHAAP was the first organisation to call for MUP, when we published the report, ‘Price, Policy and Public Health’ in 2007.

Read BMJ editorial 'Minimum Unit Pricing for alcohol in Scotland' by John D Rooney & Eric Carlin, published 25th September 2019

What does MUP do?

MUP sets a minimum price of 50p per unit of alcohol below which no alcohol in Scotland may be sold.

1 unit = 10mls/8g of alcohol

Examples:

ITEM – volume + strength

MUP

Whisky, 70cl, 40% abv

£14

Vodka 70cl, 37.5% abv

£13.13

Lager, 400ml, 4% abv

£0.80

Wine, 75cl, 12.5% abv

£4.69

Cider, 1L, 5% abv

£2.50

Strong (‘white’) cider, 3L, 7.5% abv

£11.25

 

Benefits of minimum pricing

 

  1. According to Sheffield University Modelling (2015), it will save lives - in the first year alone:
    • 60 fewer alcohol-related deaths,
    • 1,600 hospital admissions
    • 3,500 crimes.* (figures from University of Sheffield modelling)
  2. MUP targets the cheapest, strongest drinks like white cider, own-brand spirits and super-strength lager. These are bought mostly by the heaviest drinkers, so it will reduce harm in this group where premature deaths and hospitalisations are highest. Moderate drinkers won’t be affected.
  3. MUP only affects shops and supermarkets where alcohol is cheapest: drinks in pubs and restaurants already cost more than 50p per unit.
  4. MUP is widely supported by the public, politicians, doctors, police, homelessness services, children's charities and parts of the licensed trade.
  5. MUP is legal - passed in the Scottish Parliament in May 2012, tested in Europe, approved by the Scottish courts twice and finally by the UK Supreme Court in November 2017.
  6. MUP will save money - £1bn to the public purse over 10 years.

 

Why is MUP needed?

  • Alcohol is much cheaper to buy now than 2 generations ago: it is 64% more affordable today compared with 1987 -> higher consumption per head across society
  • Drinking habits have changed: people drink less in pubs/restaurants (on-sales) and more at home, as it is much cheaper to buy alcohol in supermarkets/shops (off-trade) -> higher consumption
  • 1,265 wholly-alcohol attributable deaths were registered in Scotland in 2016, an increase of 115 (10%) compared with 2015 – from National Records of Scotland
  • In addition, alcohol was a contributory factor in 3,705 deaths in Scotland in 2015 – from NHS Health Scotland
  • One in four alcohol deaths (1,048) was from cancer, 544 deaths were from heart conditions and strokes, and 357 deaths were from unintentional injuries eg falls.
  • At least 41,161 patients were admitted to hospital due to alcohol in 2015, including 11,068 due to unintentional injuries, 8,509 due to mental ill health and behavioural disorders and 4,291 due to liver disease and pancreatitis.

 

Evidence that MUP works from British Columbia, Canada

A series of studies by Stockwell et al in British Columbia between 2002-2009, when there were three increases in minimum prices for beer & four for spirits, found that, in the first year,  a 10% increase in average minimum price was associated with a 9% reduction alcohol-related hospital admissions and a 32% reduction in wholly alcohol related deaths.

 

What happens now?

MUP was implemented in Scotland on 1st May 2018. Over the following five years, its effects will be evaluated by a process being managed by NHS Health Scotland to assess impacts on:

  • public health, crime and disorder, public safety, public nuisance, and protecting children and young people from harm
  • Impact on producers and licence holders
  • Impacts by gender, age, socio-economic status and drinking status, where possible.

The findings from the evaluation will be considered by the Scottish Parliament after 5 years; the legislation contains a ‘sunset clause’, meaning MUP can be discontinued if it is felt the results are not positive; if they are, another vote will be required to continue minimum unit pricing thereafter.

Scope and timeline of the evaluation by NHS Health Scotland can be viewed here.

MUP one year on

Alcohol Sales

In June 2019, NHS Health Scotland published its first-year MESAS report on alcohol sales (Giles L, Robinson M. Monitoring and Evaluating Scotland’s Alcohol Strategy: Monitoring Report 2019. Edinburgh: NHS Health Scotland; 2019). This showed that:

  • The average Scottish adult bought 19 units of alcohol per week (CMO limit: 14 units a week for men and women).
  • The annual volume of "pure alcohol" in drinks sold in Scotland was 9.9 litres per adult, down about 3% from 10.2 litres in 2017.
  • The volume of alcohol sold per adult in Scotland in 2018 has fallen to its lowest level in 25 years
  • The volume of alcohol is 9% higher than in England and Wales (9.1 litres) – but is the smallest difference since 2003
  • Since 2010 the volume of pure alcohol sold per adult through supermarkets and off-licences has fallen by 9% in Scotland but has risen by 3% in England and Wales over the same period.

Data on alcohol sales is recorded by calendar year, so the 1st year report also includes the four months of January to April before MUP took effect on 1st May 2018. And whilst the data on alcohol sales appear to show a broadly positive trend, It should be noted that the MESAS report does not look at data on harm caused by drinking, which is only available for 2017 before MUP was introduced.

In January 2020, a descriptive analysis of the impact of MUP on the volume of pure alcohol sold in the off-trade in Scotland in the 12 months following implementation of MUP based on descriptive analysis of retail sales data was published:

Evaluating the impact of Minimum Unit Pricing (MUP) on sales-based consumption in Scotland: a descriptive analysis of one year post-MUP off-trade alcohol sales data (January 2020)

  • Compared to the twelve months which preceded implementation of MUP in May 2018, the volume of pure alcohol sold per adult in the off-trade in Scotland decreased from 7.4 to 7.1 litres. In England & Wales – where MUP has not been implemented – the volume of pure alcohol sold in the off-trade during the same year increased from 6.3 to 6.5 litres. 
  • In the post-MUP year in Scotland per adult sales of cider fell the most (down 18.6%), while sales of spirits fell by 3.8%, and sales of beer remained relatively stable (down 1.1%). Sales of cider, spirits and beer all increased in England & Wales over the same time period.
  • The findings confirmed that there was a step change in the average price of alcohol in Scotland immediately following the implementation of MUP. The average price of off-trade alcohol in Scotland rose by 5 pence per unit (ppu) from 55ppu to 60ppu in May 2018 – a price increase not seen in England & Wales. The rise in Scotland was driven by an increase in the average sales price of beer, spirits and most markedly cider.
  • This report also found that trends in per adult alcohol sales in the North East and North West regions of England were similar to those in the rest of England & Wales. It is therefore unlikely that cross-border sales activity can explain the changes in per adult alcohol sales in Scotland and England & Wales respectively, in the year following the implementation of MUP.

Compliance

In August 2019, NHS Health Scotland published its report on compliance with MUP.

This found that compliance in licensed premises had generally been high and the transition to minimum unit pricing had been implemented smoothly, while police and licensing authority officials reported no significant increase in illegal and unlicensed activity.


Impacts on the alcoholic drinks industry

Read the report from Frontier Economics published by NHS Health Scotland in October 2019.

Additional evaluations of MUP

For the most up-to-date evaluation news and reports on MUP, visit: http://www.healthscotland.scot/health-topics/alcohol/evaluation-of-minimum-unit-pricing-mup

 

Minimum Unit Pricing (MUP) for alcohol evaluation: Children and young people: Own drinking and related behaviour (January 2020)


Evaluating the impact of alcohol minimum unit pricing (MUP) in Scotland: Observational study of small retailers (May 2020)


Practitioners’ views on the impact of MUP on protecting children and young people (May 2020)


Public attitudes to Minimum Unit Pricing (MUP) for alcohol in Scotland (September 2020)

  • Data were drawn from the 2013, 2015 and 2019 waves of the Scottish Social Attitudes Survey. The same questions on MUP were asked in each wave.
  • Attitudes to MUP were generally more favourable than negative in each wave. In 2019, for example, 49.8% were in favour compared to only 27.6% being against.
  • The proportion in favour increased between 2015 (41.3%) and 2019 (49.8%) – the same time frame in which MUP was introduced. Note, however, that the data used do not allow us to say whether or not this was due to the introduction of MUP or any of its effects.
  • Analysis by social groups using the 2019 data showed that each sub-group (by deprivation quintile, sex, and age) had higher proportions in favour of MUP than against.

 

The MUP Issue

Read more about the Scottish and international campaign to achieve Minimum Unit Pricing in our Research & Policy Briefing No. 14/May 2018

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