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Alcohol Brief Interventions

Current National Performance

In the year ending March 2019, NHS Boards carried out 80,575 interventions, exceeding the Standard of 61,081.

LDP Standard

NHS Boards to sustain and embed alcohol brief interventions in 3 priority settings (primary care, A&E, antenatal) and broaden delivery in wider settings.

Alcohol Brief Interventions LDP Standard

Why is this LDP Standard important?

This standard helps tackle hazardous and harmful drinking, which contributes significantly to Scotland's morbidity, mortality and social harm. Latest data suggests that alcohol-related hospital admissions have quadrupled since the early 1980s and mortality has doubled. The cost of alcohol misuse to the Scottish economy is estimated at between £2.47 billion and £4.64 billion per annum (with a mid-point of £3.56 billion).

Brief interventions have been proven to be a highly effective and evidenced-based early intervention for those individuals (for those currently over the age of 16) who are drinking at hazardous and harmful levels to moderate their level of drinking and thereby reducing their risk of developing more serious alcohol-related problems. Brief interventions provide an important opportunity to highlight potentially harmful behaviours and provide individuals with the tools to make informed choices about how they drink and reduce the risk to their health.

Given the momentum and national profile established in Scotland, we would expect high levels of ABI delivery to be maintained and should remain a core component of local strategies to reduce alcohol-related harm. The establishment of the ABI LDP Standard accords with the long-held vision that ABIs should be embedded in routine practice and allows for diversification across a wider range of settings, in line with the ABI LDP Standard guidance, to develop the evidence base.

How are we performing?

The standard is that NHS Boards and their Alcohol and Drug Partnership (ADP) partners should maintain the same total level of target delivery of ABIs as under the HEAT H4 target for 2011-12 (i.e. 61,081 ABIs nationally). It is expected that at least 80% of delivery (i.e. a minimum of 48,865 ABIs) will continue to be in the priority settings.

For financial year 2018/19, 80,575 interventions were delivered, equivalent to 132% of standard. Of these, 52,383 were delivered in the 3 priority settings, equivalent to 86% of priority standard.

The graph below shows national performance on the ABI standard since 2011/12.

June 19 ABI

NHS Board level performance is shown for the most recent time period in the table below.

The table below shows the number of alcohol brief interventions, by NHS Board, for financial year 2018/19.

NHS Board

Number of interventions delivered 2018/19

Standard 2018/19

NHS AYRSHIRE & ARRAN

7,937

4,275

NHS BORDERS

578

1,312

NHS DUMFRIES & GALLOWAY

1,078

1,743

NHS FIFE

4,914

4,187

NHS FORTH VALLEY

9,158

3,410

NHS GRAMPIAN

8,878

6,658

NHS GREATER GLASGOW & CLYDE

13,517

13,085

NHS HIGHLAND

5,831

3,688

NHS LANARKSHIRE

10,101

7,381

NHS LOTHIAN

14,020

9,757

NHS ORKNEY

549

249

NHS SHETLAND

153

261

NHS TAYSIDE

3,596

4,758

NHS WESTERN ISLES

265

317

NHSSCOTLAND

80,575

61,081

Source: ISD Scotland Drug and Alcohol Treatment Waiting Times Database

 

Further Information

ABI Local Delivery Plan (ADP) standard for 2017 -18 

ABI Local Delivery Plan (ADP) standard for 2018 -19 

Alcohol brief Intervention Communications and Guidance

SIGN74 Guideline - The Management of Harmful Drinking

The Societal Cost of Alcohol Misuse in Scotland for 2007

Changing Scotland's Relationship with Alcohol: A Framework for Action

Changing Scotland's Relationship with Alcohol - A Framework for Action Progress Report

Scottish Government Alcohol webpage

Alcohol Statistics Scotland (Including Alcohol Brief Interventions)

Scottish Health Survey

Related National Outcomes

  • We live longer, healthier lives
  • We have strong, resilient and supportive communities where people take responsibility for their own actions and how they affect others
  • We have improved the life chances for children, young people and families at risk
  • Our children have the best start in life and are ready to succeed
  • Our public services are high quality, continually improving, efficient and responsive to local people's needs
  • We have tackled the significant inequalities in Scottish society