Category: Alcohol

Categories
Alcohol cost-effective economic evaluation Nutrition Obesity Oral Health Physical Activity Smoking STPs Tobacco & Drugs

A systematic review of economic evaluations of local authority commissioned preventative public health interventions in overweight and obesity, physical inactivity, alcohol and illicit drugs use and smoking cessation in the United Kingdom

White, P. et al. Journal of Public Health, 2018, doi.org/10.1093/pubmed/fdy026

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Abstract
Background
Since 2013, local authorities in England have been responsible for commissioning preventative public health interventions. The aim of this systematic review was to support commissioning by collating published data on economic evaluations and modelling of local authority commissioned public health preventative interventions in the UK.

Methods
Following the PRISMA protocol, we searched for economic evaluations of preventative intervention studies in four different areas: overweight and obesity, physical inactivity, alcohol and illicit drugs use and smoking cessation. The systematic review identified studies between January 1994 and February 2015, using five databases. We synthesized the studies to identify the key methods and examined results of the economic evaluations.

Results
The majority of the evaluations related to cost-effectiveness, rather than cost-benefit analyses or cost-utility analyses. These analyses found preventative interventions to be cost effective, though the context of the interventions differed between the studies.

Conclusions
Preventative public health interventions in general are cost-effective. There is a need for further studies to support justification of continued and/or increased funding for public health interventions. There is much variation between the types of economically evaluated preventative interventions in our review. Broader studies incorporating different contexts may help support funding for local authority-sponsored public health initiatives.

Categories
Accident Prevention Alcohol behaviour change Community Safety Health Protection (Emergency planning Healthy Settings Long-Term Conditions Mortality Nutrition Obesity Oral Health Physical Activity seasonal mortality) Tobacco & Drugs

Tackling multiple unhealthy risk factors: emerging lessons from practice

By The King’s Fund (2018)

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  • Previous research by The King’s Fund has shown that unhealthy behaviours cluster in the population. Around seven in ten adults do not follow guidelines on tobacco use, alcohol consumption, healthy diet or physical activity, yet most behaviour change services address these behaviours separately, not reflecting the reality of people’s lives.
  • This report shares learning and insight from services that are using innovative ways to address the problem of multiple unhealthy risk factors in their populations. It draws on interviews and information from eight case studies in local authorities and the NHS and updates the evidence base on tackling multiple unhealthy risk factors.
  • Most services included in the report are local authority led and are integrated health and wellbeing services. These provide behavioural advice and support to people across a range of different behaviours, including smoking, weight management and physical activity.
  • The NHS is also addressing multiple unhealthy behaviours. We set out learning from two hospitals supporting individuals with multiple risk factors.
  • The evidence for these behaviour change services to draw on, in the context of multiple unhealthy risk factors, remains limited. These services are in a position to develop the evidence base on how best to address multiple unhealthy behaviours.
  • The report makes recommendations on how services can develop and share evidence, and for how the Department of Health and Social Care and Public Health England can support further innovation in such services.
Categories
Alcohol e-cigarettes Tobacco & Drugs

Evidence review of e-cigarettes and heated tobacco products 2018

By Public Health England (2018)

In the government’s Tobacco Control Plan for England, Public Health England (PHE) was asked to update its 2015 evidence review on e-cigarettes and other novel nicotine delivery systems annually until the end of the current Parliament in 2022.

PHE commissioned a group of leading tobacco control researchers from the UK Centre for Tobacco and Alcohol Studies (UKCTAS) to produce this report, which underwent international peer review.

Click here to view this evidence review

Categories
Alcohol Public Health Advice to NHS Commissioners Substance Misuse Tobacco & Drugs

Substance misuse services: The quality and safety of residential detoxification

By the CQC (2018)

This briefing flags up concerns, identified during the course of CQC’s inspections, about some independent sector services that offer residential care to people undergoing detoxification from drugs and alcohol. In 2016/17, it is estimated that about 1% of people in alcohol and drug treatment received this type of intervention. The briefing, which includes recommendations, is for providers, commissioners and other local and national bodies that play a part in assuring the quality of substance misuse services.

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Categories
Alcohol e-cigarettes Smoking Cessation Tobacco & Drugs

The regulation of e-cigarettes

By The House of Commons Library (2017)

This briefing provides an overview on the regulation of e-cigarettes in the UK and across Europe. It also outlines new product requirements for e-cigarettes and identifies where national regulations have gone beyond what is in EU regulations.

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Categories
Alcohol Tobacco & Drugs

Models of delivery for stop smoking services: options and evidence

By Public Health England (2017)

This document supports directors of public health and local healthcare commissioners in rapidly appraising the evidence, to enable informed decisions on the provision of local smoking cessation.

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Categories
Alcohol Finance Healthy Settings Sexual Health Tobacco & Drugs

Big cuts planned to public health budgets

by The King’s Fund (2017)

Central government cuts have forced councils to reduce planned spending on vital public health services such as sexual health clinics and reducing harm from smoking, alcohol and drugs by £85 million, according to new analysis by The King’s Fund.

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Click here to view the King’s Fund analysis

Categories
Alcohol Tobacco & Drugs

Adult drinking habits in Great Britain: 2005 to 2016

By Office for National Statistics (2017)

Teetotalism, drinking in the week before interview, frequent drinking and units drunk, including changes in drinking patterns in recent years.

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Categories
Alcohol Commissioning CYP Healthcare Public Health Advice to NHS Commissioners Substance Misuse Tobacco & Drugs

Specialist substance misuse services for young people: a rapid mixed-methods evidence review of current provision and main principles for commissioning

By Public Health England (2017)

PHE commissioned The Children’s Society to undertake scoping research, to understand some of the opportunities and challenges currently facing those now responsible for commissioning and delivering young people’s specialist substance misuse services and to outline some critical good practice principles. Four main commissioning principles have been developed for the commissioning and provision of specialist substance misuse provision for young people, based on the findings, research and evidence-based guidelines.

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Categories
Alcohol Mortality Statistics

Local alcohol profiles for England: mortality indicators, 2016 annual data update

By Public Health England (2016)

This quarterly update includes:

  • the addition of 2014 deaths to the 4 mortality indicators
  • an adjustment to mortality values across the previous years (because of a change in ICD10 coding for the most recent year)
  • a new drink driving indicator

Click here to view these stats