Archive for March 2008

Market Rasen: Lynwode Manor

Lynwode Manor, Market Rasen
Residential treatment centre offering help and assistance to people with alcoholism.

About us:

Linwood Manor treatment centre is an elegant Victorian manor house which has recently been refurbished to provide a welcoming and comfortable retreat.

Set in approximately four acres of mature, lawned gardens, Linwood Manor is located in the heart of the Lincolnshire countryside.

This tranquil environment is ideal for those who wish to experience complete discretion and confidentiality whilst receiving treatment for alcohol problems.

We offer safe place in which to focus on changing the negative behaviour patterns associated with alcoholism which may have disrupted client\’s lives and the lives of family, friends and colleagues.

Alcoholism Treatment Programme

The programme of recovery at Linwood Manor has been designed for people seeking help and support with alcohol problems and other emotional difficulties and addictive behaviours.

We also provide an alcohol detox programme at our our new dedicated detox centre in South Yorkshire, Linwood Park.

Our Approach

Our programme of recovery at Linwood Manor is designed for people seeking help with alcohol dependency problems and alcoholism.

We offer clients an escape for a short time from outside pressures to allow time for reflection and re-grouping.

Many of these pressures may have been created by problem behaviours and some of the problem behaviours created by the pressures.

Whichever way round it is, the relief of slowly unwinding in this undemanding atmosphere will have a beneficial, positive effect.

Individually-Tailored Therapy

Put this tranquility together with an individually tailored therapy programme and success is likely to be achieved.

Although the therapy programme may be challenging at times, it will also be rewarding.

There will be plenty of time to relax in the warm atmosphere of the house, strolling in the gardens, sitting under a shady tree or trying out one of the therapeutic garden programmes.

Other life enhancing therapies can be organised on an ad hoc basis.

Restoring Emotional, Mental and Physical Balance

The whole experience is specifically aimed at restoring emotional, mental and physical well being and progress can be achieved in a relatively short space of time.

Courses begin at just one week duration. For alcohol dependence we recommend a stay of 3-4 weeks. Progress in anger management and stress management can be accomplished in as little as 2 days.

The food is good, home cooking - and is always well received by our guests!

Contact Details:

Lynwode Manor
Linwood
Market Rasen
Lincolnshire
LN8 3GQ

Telephone: 0800 066 4173

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Yarnton: Ley Community

Ley Community, Yarnton
Drug and Alcohol Rehabilitation

About us:

Over the last thirty years the Ley Community has helped hundreds of people struggling with serious problems of addiction to drugs and alcohol. The Ley has gained a national reputation for assisting the development and rebuilding of lives through a belief that learning to live a full life without drugs and alcohol is best achieved with the help and support of others going through the same process.

No-one should consider applying to come to the Ley Community unless they have made a genuine decision to want to change. The programme is not easy. It is not a soft alternative to prison. No-one could go through the programme without profoundly changing their life, and discovering parts of themselves they never knew existed. People come to the Ley because they want to break out of the cycle of chaos through misusing drugs and alcohol - and it is truly inspirational to witness the changes made once someone commits himself or herself fully to the programme.

The approach can be summarised as a combination of ‘Tough Love’ and ‘Self Help’. The programme provides a framework for residents to learn from each other, and change the way they have behaved, thought and felt over many, many years. This requires a strong commitment to each other that depends on honesty, openness, co-operation and mutual support. Building positive relationships with other residents is central. Ultimately, the programme allows residents a chance to come to terms with themselves, and build up their own self-confidence and self-esteem.

The daily routine is strictly followed. All residents are given responsibilities within a clearly defined structure. As residents progress, the level of responsibility increases with more senior residents supervising the work of junior residents. Work revolves around the running of a large community divided into various departments: kitchens, housekeeping, maintenance, gardens and animals, and administration. Whilst the work provides residents with the opportunity to gain new skills, it is interspersed with a range of regular therapy groups.

Set in beautiful surroundings on the outskirts of Oxford, the Ley Community has developed, since 1971, a unique programme that has been able to help people with very serious problems of addiction recover. The photos in this brochure are deceptive. Whilst the quality of accommodation and facilities is exceptional, the programme itself is very demanding. This is no holiday camp. Many residents arrive after a long period of chaotic living: the Ley Community provides a rigid structure for them to rebuild their lives.

Contact Details:

Ley Community
Sandy Croft
Sandy Lane
Yarnton
Oxfordshire
OX5 1PB

Telephone: 01865 378600

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Increase on Alcohol Duty must come with minimum price setting, says Addaction

An increase on Alcohol Duty must be combined with minimum price setting if it is to have the desired impact on binge drinking among young people, says Addaction, Britain’s biggest drug and alcohol treatment charity in response to the budget today. The charity praised the Chancellor for increasing duty on alcohol across the board but warned that additional measures are needed to tackle excessive drinking among young people.

International evidence shows that increasing the price of the cheapest alcohol is one of the most effective ways to reduce harmful drinking (1). Commenting on the Budget, Addaction Director of Operations Richard McKendrick said:

“Every day we see the lasting damage alcohol does to the young people and families we work with so we congratulate the government for taking this step. This was not the ten per cent widely hoped for, but an increase on alcohol duty across the board is to be welcomed because the young people we work with drink the cheapest booze they can buy - not pricey alcopops.

“However this must be combined with legislation that will see minimum prices fixed to avoid supermarkets absorbing the costs before they are passed on to the consumer. It is still a scandal that you can buy alcohol more cheaply than water in major supermarkets.

“Plainly, the cheap cost of alcohol is just one factor affecting binge drinking. With alcohol advertising, particularly sponsorship in sport, continuing to influence young people and an adult culture that permits and even encourages excessive drinking, we cannot expect young people’s behaviour to change without broader cultural change.”

Addaction

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Higher Alcohol Taxes Welcome Help Against Cheap Drinks

Alcohol Concern’s Response to the 2008 Budget

Responding to the news that the 2008 Budget includes inflation-busting tax increases on beer, spirits and cider, Don Shenker, Acting Chief Executive of Alcohol Concern said:

"The government’s tax plan to finally address the issue of alcohol becoming more affordable with every passing year is welcome, and overdue. There is broad international agreement that price has a crucial part to play in substantially reducing harmful drinking. However for moderate tax hikes to work government must also force the big retailers to stop discounting drinks so deeply so that any rate increases can actually passed onto consumers. We call on ministers to use their considerable powers to achieve this. Over the past twenty years, as drinks have become cheaper, consumption has skyrocketed. Urgent action has been long overdue to reverse the tide.We also note that the modest tax increase announced today is expected to provide the Exchequer with an additional £600 million pounds this year, further underlining the immense value of the drinks market. With a small fraction of its total alcohol revenues government could radically transform the systems in place to support dependent drinkers"

Alcohol Concern

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Bideford: Lampton Court

Lampton Court, Bideford
Dedicated to the establishment of self reliance and freedom from alcohol and drug dependency.

About us:

Lampton court aims to provide residents with pro-active strategies to respond to potential relapse to substance misuse. We will achieve this by:

* Enabling residents to explore and re-evaluate existing problematic thoughts, feelings and behaviours with regard to substance misuse, through a therapeutic and experiential programme.

* Empowering residents to develop strategies to enable them to actively and positively integrate into the wider community.

* Enabling residents to grow personally and socially by actively participating in a safe, therapeutic community.

Overview of the Modular Treatment Process

Module One Foundation Treatment
(duration 2 - 6 weeks) provides a detoxification programme from opiate-based drugs. Our preferred method of treatment includes Lofexidine and Zopiclone. All medication being prescribed by the service users own GP. Our Doctors will monitor the efficiency of, and maintain, all prescribing and they will also prescribe symptomatic relief where appropriate. We have a dedicated in-house medical team that provide full RMN/Keyworker cover with specialist certificated detox skills. They are supported by a dedicated team of Life Skill Coaches and Support Workers using proven techniques to address stabilisation, withdrawal management, basic relapse prevention, stress and anxiety management, an introduction to CBT/Changing Behaviour, and a brief intervention using Motivational Interviewing. Complimentary therapies including Reiki and Auricular Acupuncture are also included. The continued development of Module 1 Foundation Treatment will eventually include alcohol. This however will not affect post alcohol detox candidat
es from gaining entrance to our Module 2 Treatment for Change Programme.

Module Two Treatment for Change Programme
(duration 12 weeks). Introduces a person centred approach to changing behavioural attitudes and includes a dynamic approach to stress, anxiety and anger management, higher key provocative activity therapy (outward bound) enabling service users to explore feelings and gain confidence and trust in self esteem, motivation, communication, awareness of strengths and abilities and physical well-being, personal portfolio building and, built into that, relapse prevention contracts. Working closely with the local College, we are delivering courses in Life Skills - Preparing for Progression, in addition to courses to assist in the education and re-integration process. We are in the process of introducing further in-house education which will be based on a skill club, offering more individual choices to service users care plans on the programme. These will include Basic Computer Skills and use of the Internet as well as Numeracy, Literacy, First Aid and Food Hygiene.

Module Three, Reintegration Programme
(duration 12 weeks). This provides an opportunity for the more vulnerable service users to extend the Module 2 programme by a further 12 weeks underpinning their progress, and continuing to provide longer term Cognitive Therapeutic Treatment. The growth of the personal portfolio to increase the certificated achievements through the longer term skill club activity includes EDEXCEL BTEC Life Skills - Improving Assertiveness (Certificated), and BTEC Life Skills - Working together (Certificated), strengthening their Community Living Skills and offering further support with aftercare, housing, NVQs, college and training. This extended opportunity will add further Certificates of achievement to the personal portfolio, providing additional evidence of the change to both the individual service user and potential employers.

Treatment Process

Lampton Court has developed an innovative programme focusing on relapse response. We provide an integrative treatment programme incorporating a variety of therapeutic techniques specifically effective in responding to substance misuse issues and underlying problems. The three principle elements of our therapeutic programme being; activity therapy, group therapy and one-to-one counselling, compliment each other as well as having a purpose of their own.

These elements are complimented by providing a daily and balanced structure, living together as a group and developing positive relationships within it, sharing responsibilities in maintenance of the house and garden, writing personal development journals, factual education, developing practical life skills such as budgeting, IT, health and hygiene and appreciation and practice of various art techniques.

Through our initial assessment procedure, we identify and work with key issues presented by the individual. We deliver a tailor made programme in response to potential relapse, empowering individuals through learning or re-learning coping skills.

Lampton Court provides a dynamic programme that encompasses a multi–faceted approach to the treatment of substance misuse, nurturing growth through learning and change via action.

Individuals learn to recognise, take responsibility for, and own their identified goals through the empowerment given during their programme, thus enabling them to make informed choices and decisions in their lives.

Contact Details:

Lampton Court
Littleham
Bideford
Devon
EX39 5HT

Telephone: 01237 470 280

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The Stages, Symptoms & Effects of Alcoholism

Admitting to being an alcoholic is still taboo in the UK yet the problem continues to grow at a rapid rate. Sue Allchurch, director of the Linwood Group, the UK’s only group of centres that solely treat alcoholism, looks at the stages of this progressive disease and how to deal with the problem.

Alcoholism is a disease. It affects one in 13 adults in the UK and, without treatment, will result in early death. This will either be through a drink-related illness such as liver failure or through an accident whilst under the influence - around 50% of fatal car accidents involve drink driving, for example.

In the UK, there is still a stigma attached to alcoholism due to the misconception that alcoholics are Special Brew-swigging vagrants who live rough. In reality, it affects men and women of every age and from every possible social demographic.

People believe that alcoholism is something they should be able to control using their own willpower - few people realise it is a disease and, once in the grip of it, it is impossible to stop without seeking help.

Alcoholism is a progressive illness - by the time it has really got you in its grips, you will be in a state of denial about your problem. There is no set time for addiction to develop - for some people it can take hold within a couple of years whilst for others, it can take up to 20 years.
What are the stages of alcoholism?

Social drinking

The majority of people are social drinkers. They know their limit, can leave a drink unfinished and would not contemplate driving when they have drunk too much. For social drinkers, drinking adds to an occasion and is not the focus of the occasion. It is rare for a social drinker to experience a hang-over on a regular basis.

The four stages of alcoholism

Stage 1

Attitude

Drinking is no longer for social reasons - it provides relief from problems, stress and inhibitions

* Drinking is to alter mood
* The amount being drunk is increased - even slightly - to heighten the buzz
* A person will stick to their usual choice of drink at this stage but increase the amounts consumed.
* A person might have a few drinks before going out or attending a social function to help with confidence.
* Social drinking increases to three to five units a day and a unit is over-estimated

Symptoms

* Increased tolerance to alcohol
* Lack of real recognition by the person to their change in drinking behaviour
* Drinking more regularly and in larger amounts
* Effort made to seek out more drinking opportunitie
* View drink as an escape from circumstances
* Over-confident behaviour e.g being loud, boasting

Physical effects

* Occasional vomiting
* Occasional headache
* Occasional lapses in memory
* Occasional uncharacteristic behaviour

Stage 2

Attitude

* Drinking becomes more intense and is likely to start earlier in the day.
* Tolerance to drink increases
* Drinking is because of a dependence on alcohol rather than as a psychological boost or to relieve stress
* Loss of control becomes more regular and is gradually noticed by family and friends.
* A person may start to feel ashamed or worried about their drinking.
* Regular attempts to quit drinking will be made but, inevitably, will prove unsuccessful.
* A change in their drink of choice might take place - either moving to something stronger because of their increased tolerance or ‘only’ drinking beer or wine in a bid to pretend they are still in control.
* If confronted, a person is likely to deny the problem and will also be in denial to themselves.
* Any difficulties being experienced will be blamed on other people or external forces and never associated with their drinking.

Symptoms

* Increasing physical problems
* More frequent blackouts - periods when so affected by alcohol a person has no recall about what they did
* Sneaking extra drinks when no-one is looking
* Denial that the person has a problem with drinking
* Unsuccessful attempts to stop drinking
* Feelings of guilt and shame
* Chronic hangovers

Physical effects

* Hangovers
* Stomach problems & gastro-intestinal problems
* More frequent episodes of incontinence
* More frequent blackouts
* Hand tremors
* Uncharacteristic behaviour increases

Stage 3

Attitude

* Hair of the dog becomes a regular pattern to life to kick start the day, lessen a hangover, calm nerves or help to deal with feelings of guilt or remorse from the last bout of drinking
* Unable to drink normally - after the first drink, they are unable to control what will happen despite the intention to just have a couple
* Loss of interest in things of previous importance e.g sports, past times
* Likely to avoid friends and family
* Might move from the area they live or work to escape the problem which, inevitably, follows them
* Vague attempts made to seek medical help but unlikely to be honest with their doctor or follow the advice given
* Aggressive or grandiose behaviour
* The development of an alibi system - an elaborate system of excuses for their drinking
* An increase in failed promises and resolutions to one’s self and to others
* Unreasonable resentments

Symptoms

* Loss of control becomes a regular pattern in their life
* Serious issues relating to work, relationships and financial problems begin to arise
* A person will start to neglect personal responsibilities e.g stops eating a regular balanced diet
* A decrease in tolerance to alcohol is likely
* Frequent violent or destructive behavior
* Problems with the law e.g drink driving offences / loss of license
* Loss of willpower

Physical effects

* Increasing tremors CNS effected
* Possible damage to liver/kidney
* Difficulty eating
* Serious physical deterioration

Stage 4

Attitude

* Drinking likely to start early and continue throughout the day
* Drinking binges that last several days are a regular feature during which time a person is helplessly drunk and regularly experiences black outs
* Repeated pattern of promises to stop drinking following a binge which are inevitably broken - the vicious circle continues with increasing regularity
* Total disregard for anything and everybody - family, friends, work, home and food
* Obsessed with alcohol and access to a regular supply, on-tap, to ensure they can constantly top up
* Bottles of drink will be hidden at work, around the house, in the car
* Not discerning about brand or type of drink - vodka often a favorite as the alcoholic, mistakenly, believes that this cannot be smelt on their breath

Symptoms

* Chronic loss of control.
* Loss of job or full-time employment
* Drinking is no longer a choice - it is the only way a person can now function
* Friends and family constantly warn the person of the dangers and will be experiencing difficulties at work, home or even with the police
* Blood test would show signs of dangerous drinking.

Physical effects

* "The shakes" are experienced when an attempt to stop drinking is made - an indication of a serious nervous disorder that now affects the entire body
* "The shakes" can be combined with hallucinations known as "the DTs" or delirium tremens - a potentially fatal type of alcohol withdrawal unless the alcoholic receives immediate medical care.
* There is a high risk of physical and emotional damage.
* At this stage, a person is unable to deal with the problem for themselves and will need help and support.

Asking for help

It is vital that an alcoholic has the courage to admit and confront their drinking at this stage. Being too proud or ashamed to admit they need help could cost them their life
What to do

A person can jump off the downward spiral of alcoholism at any stage but only if they are prepared to be truly honest with themselves. Changing their drink of choice, confining drinking to the weekends and other controlled measures (or excuses) simply do not work for an alcoholic.

Abstinence, and a commitment to an on-going self-help programme, is likely to be the only effective route to recovery.

In more chronic stages of alcoholism, it is dangerous to stop drinking without medical supervision. A week-long detox programme followed by several weeks of treatment is recommended.

Often alcoholics are mis-diagnosed by the medical profession as being depressed. In most cases, it is the alcoholism causing the depression and a course of anti-depressants is not going to help. The local AA group is probably a better place to go for help in the early stages of alcoholism.

Lynwode Manor

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Higher Duties, Fewer Deaths, Says Alcohol Concern

Alcohol Concern today reiterated its call for the government to raise alcohol duties to affect a 10% rise in alcohol prices across the board.

Alcohol Concern today reiterated its call for the government to raise alcohol duties to affect a 10% rise in alcohol prices across the board. Its 2008 Budget submission argues that an increase of this scale would reduce adult alcohol-related mortality by up to 37% and dent the ability of high risk groups, such as the under aged, to buy as much alcohol as they do. It also calls on the government to restore the integrity of alcohol taxes by legislating against the heavy discounts offered by most major supermarkets.

Don Shenker, Acting Chief Executive says:
"Over the past twenty years successive governments stood by as alcohol became progressively cheaper. The end result is that we now drink far more than our parents ever did. Price is a crucial determinant of demand. With alcohol deaths rising year on year, urgent and dramatic action is needed to halt these fatal policies. However, for the moderate tax hikes to work government must legislate to stop the big retailers discounting drinks so deeply. We call on them to use their considerable powers to achieve this."

In support of its case Alcohol Concern’s submission makes the following points:

While UK excise duties are relatively high in a European context, they are declining in real terms. Duties on spirits have not increased since 1997, and while those on beer and wine have been adjusted for inflation, they have not kept up with the growth in disposable income. This means that alcohol is now 65% more affordable than it was in 1980.

A range of studies have found that increasing the price of alcohol can reduce road accidents and fatalities, workplace injuries; deaths from cirrhosis if the liver and various kinds of violent crime.

Raising alcohol taxes also has the added advantage, unlike tobacco taxes, of potentially being a progressive tax. Successive survey data shows that while alcohol-related harm is borne largely by those from routine or manual backgrounds those from professional or ‘middle class’ homes are far more likely to buy alcohol regularly, and to drink above the recommended levels.

Alcohol Concern

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Aldershot: The Vine Centre

The Vine Centre: Aldershot
Charitable organisation catering for vulnerable members of society with drug / alcohol problems


About us:

Charitable organisation catering for the homeless and drug / alcohol / mental health issues.

Services offered are a very cheap, hot, nutritious meal, full assessment and referral procedure to other agencies, drug / alcohol users group, both drug counselling and life issues counselling from qualified counsellors, therapeutic group.

All aspects of drug issues such as harm minimisation, safer injecting, relapse prevention can be talked through in a confidential manner.

Support in finding employment and reintegration into society.
Help with housing issues and form filling regarding all aspects of needs.
We also have weekly art, literacy / numeracy and computer learning, Nexus needle exchange.
A warm, friendly, sociable, non-judgemental environment to encourage people to reach their full potential.


Contact Details:

The Vine Centre
83 Victoria Road
Aldershot
Hants
GU11 1SH

Telephone: 01252 400196

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Licensing 2003: A Lopsided Alcohol Policy

In response to the publication today of the government’s review of the Licensing Act 2003 Alcohol Concern has circulated its own analysis of the licensing reforms. The report, Licensing 2003: A Lopsided Policy draws on national crime data, studies on how the Act has been implemented and recent surveys of licensing officials. The key findings of the report are that:

1) There has been no dramatic decline in the overall volume of crime and disorder or a visible change in drinking culture, as the Act intended, in fact some areas have seen alcohol-related crime increase.

2) People from more socially disadvantaged areas are less likely and, probably less able to make representations or seek reviews of licensing decisions, giving them less say in licensing decisions.

3) It can be months between a licensee lodging an appeal against a punitive decision and its hearing in Magistrates court, during which time the license holder is permitted to sell alcohol and alleged problems cannot be addressed.

Don Shenker, Director of Policy and Services said:

"Alcohol Concern does not disagree with the extension of licensing hours per se, but we do have outstanding reservations about the lack of community safeguards and serious misgivings about the extent to which public health is being ignored as a licensing concern. Our review finds a policy dangerously tilted towards the needs of the drinks industry, both in terms of the latitude it allows license holders during the review process, the lack of true community consultation on new licenses and the structural disadvantaging of individual residents within the complaints procedure. We’re proposing a number of key changes to safeguard the health and voice of local residents."

The paper makes a number of recommendations to improve the workings of the Act. They focus on citizen involvement, the aims of the Act and the licensing review and appeals process. Its main ones are that:

1) The Licensing Act 2003 should be amended to include a public health objective that informs decisions about licensing applications, reviews and cumulative impact zones. Licensing authorities should have access to a nationally standardized collection of A&E, ambulance, hospital admissions and treatment data. This would allow local authorities the power to refuse additional licenses or extensions if local alcohol-related health harms were rising or a matter of grave concern.

2) A nationally delivered leaflet to all residents should be developed on how to make representations and seek reviews to ensure that all sections of the community are empowered to tackle alcohol-related harms. This will raise awareness of residents’ rights to seek reviews and make representations. Particular work is required to facilitate the inclusion of less socially advantaged groups.

3) A maximum time should be stipulated between the lodging of an appeal at the magistrates and its hearing to prevent the process from taking a disproportionately long time, thus allowing an irresponsible license holder to continue trading without penalty.

Alcohol Concern

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Licensing Act 2003 and Tackling Alcohol-Related Harm

The Secretary of State for Culture, Media and Sport (Andy Burnham): I am today publishing the evidence gathered so far on the operation of the licensing laws introduced in England and Wales in November 2005, and setting out how we intend to monitor the licensing regime over the next few weeks and months, and the immediate action the Government is taking to tackle alcohol-related problems. Copies of the evaluation report are being placed in the Library of both Houses.

This first review of the Licensing Act reveals a mixed picture.

Its introduction has not led to the widespread problems some feared. Overall, crime and alcohol consumption are down. But alcohol-related violence has increased in the early hours of the morning and some communities have seen a rise in disorder.

Our main conclusion is that people are using the freedoms but people are not sufficiently using the considerable powers granted by the Act to tackle problems, and that there is a need to rebalance action towards enforcement and crack down on irresponsible behaviour.

Some aspects of the Act have worked well.

Bringing together six previous licensing regimes into a single integrated scheme has resulted in a considerable reduction in red tape - estimated at £99m per annum - with benefits not just for business, but the third sector and non-profit making clubs too.

The Act has also delivered new powers and flexibilities enabling local authorities and police to work in partnership to significantly reduce crime and disorder in some areas.

At the same time, millions of people have been able to able to enjoy the convenience of shopping at a time that suits them and socialising in restaurants, bars and cafes beyond 11pm.

Furthermore, contrary to popular expectations:
* The average closing time across all on-licensed premises has increased by only 21 minutes since the Act came into effect;
* the overall volume of incidents of crime and disorder has remained stable and not risen; and
* alcohol consumption, rather than increasing, has instead fallen over this period.

In total, fewer than 4% of premises (some 5,100) have licences permitting them to open for up to 24 hours a day - many of which are hotels, stores and supermarkets. Only some 470 pubs, bars and nightclubs have 24 hour licences, but there is no evidence that more than a handful operate on that basis. The British Beer and Pub Association informed a Select Committee recently that there are only two traditional pubs in the entire country that operate for 24 hours.

But beneath these headline facts the picture is much more mixed.

Whilst crimes involving violence may have reduced over the evening and night time period, the evidence also points to increases in offences, including violent crimes, reported between 3am and 6am. This represents 4 per cent of night-time offences.

Similarly, whilst there is no clear picture of whether alcohol related demands on A&E services and alcohol-related admissions have risen, some hospitals have seen a fall in demand, others have reported an increase.

It is also clear that the overall reduction in alcohol-related disorder we wanted to see across the country has not materialised consistently in all areas.

The Government remains determined to address these issues, and the report published today has helped us identify a number of ways we can go further to protect the public, both in terms of using all the flexibilities in the Act to crack down on irresponsible behaviour, including more caution and conditions when issuing licenses and the withdrawal of licences in certain areas, but also introducing new initiatives to tackle anti-social behaviour associated with alcohol consumption.

The announcements today contain measures to target those businesses that continue to sell alcohol irresponsibly and cause harm within our communities.

To specifically address the small but unacceptable proportion of violent crimes occurring in the early hours of the morning, we will undertake further comprehensive research into post-midnight drinking patterns and their impact on crime and order, and will not hesitate to take the necessary action through new legislation and enforcement measures to tackle this.

But we will take immediate action now.

First, we will utilise existing powers to identify problem premises. We will make it easier to review premises where local intelligence suggests there is a problem.

Second, we will encourage the imposition of tougher sanctions on those found to be breaching their licensing conditions. This includes the stipulation that there be far more instant closures of pubs and clubs in an area where there has been a disorder and indefinite closure by the courts for any breach of licence conditions. We will develop a toolkit for local authorities and police, building on my Rt. Hon. Friend the Home Secretary’s recently published Guide for Dealing with Alcohol Related Problems.

Third, we will change the offence of "persistently selling alcohol to a person under 18" from ‘three strikes’ to ‘two strikes’ in three months. This means that any seller who twice sells to under age drinkers and is caught doing so will immediately lose their licence.

Fourth, we will support the police and local authorities to identify problem hotspots by ranking geographical areas and concentrations of premises on the basis of the risks they present to crime and disorder, public nuisance and children. This will allow licensing authorities the ability to exercise more caution and conditions when issuing licenses, and wholesale withdrawal of licences in these areas, and permit local authorities and police to target enforcement resources more effectively at problem hotspots.

Finally, the message must be clear to all: breach your licensing conditions and you face severe and costly restrictions on your business - with a new "yellow card and red card" alert system. A yellow card will put the problem premises on immediate probation together with tough and uncompromising sanctions. And when the circumstances are right, it will be a straight red card leading to withdrawal of the licence.

To tackle wider anti-social behaviour associated with alcohol consumption my Rt Hon Friend, the Home Secretary, will bring forward legislation to:
* Increase the maximum fine for anyone not obeying an instruction to stop drinking, or to give up their drink in a designated public place from £500 to £2,500;

* Make it easier for the police to disperse anti-social drinkers - both adults and children -from any location - if necessary, we will change the law to make this happen;

* Extend the use of Acceptable Behaviour Contracts for young people caught drinking in public, to require them and their parents to attend a session with a trained worker; and

* In addition, we will be extending the alcohol arrest referral pilots that my Rt Hon Friend, the Home Secretary, announced last month so that under 18s may also benefit from a brief intervention from a trained worker. This will help deal with young people drinking in public who are already involved in criminal activities.

I, together with my Rt Hon Friend, the Home Secretary, will convene a summit of police and local authorities to explore how we can take these proposals forward.

The report published today is not the end of the story. The measures announced today are only part of the Government’s comprehensive strategy for combating the problems associated with alcohol.

A significant programme of work is underway over the next 6 months.

We are working with the industry on alcohol advertising, and welcome industry consideration to give much more prominence to clear information about the dangers of alcohol, and to actively support Government campaigns to promote sensible drinking. We will strongly encourage them to press on with trials to test their effectiveness. If we need to, we will consider more restrictions.

Later in the year, my Rt. Hon. Friend, the Secretary of State for Children, Schools and Families will publish the Government’s action plan on young people and alcohol containing further proposals for reducing drinking by young people specifically.

Later in the spring, my Rt. Hon. Friend, the Secretary of State for Transport, will also set out measures for dealing with the relatively small number of people who continue to think it is acceptable behaviour to drink and drive.

The Department of Health will publish the results of the independent study commissioned from the University of Sheffield to look at the evidence on the relation between alcohol price, promotion and harm and in response will bring forward necessary action. The real cost of alcohol has fallen to historically low levels, and there is already an emerging consensus that more needs to be done to tackle irresponsible promotions and deep discounting that can lead to anti social behaviour. The Government will begin immediate work with the licensing authorities and retailers, including the development of new codes on responsible sales and promotions which might be considered as a condition of an alcohol licence.

In conclusion, we are prepared to take action wherever the evidence suggests that it is necessary to tackle the problems associated with alcohol.

Department for Culture, Media and Sport

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