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UK: Rise in drinking leaves NHS with £3bn hangover

Sunday Telegraph

Sunday 28 Jan 2001

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ISSUE 2074 Sunday 28 January 2001


Rise in drinking leaves NHS with £3bn hangover
By Lorraine Fraser, Medical Correspondent


ALCOHOL misuse is costing the National Health Service as much as £3 billion a
year, according to figures to be released this week.
A report from the Royal College of Physicians will suggest that up to 12 per
cent of NHS funding on hospitals is used to deal with the knock-on effect of
drink. Huge sums are spent on treating injuries resulting from alcohol-induced
accidents or violence, and alcohol-related illness. The figures will shock even
the experts and bring calls for urgent government action.

The Department of Health promised a national strategy two years ago: in spite
of pressure from doctors and campaigners, it has yet to produce one. The Royal
College of Physicians (RCP) is expected to add its voice to the argument for
better services to help those with drinking problems, and improved education
for youngsters, when it publishes its report, which will be the most thorough
review yet produced of the cost to the nation of alcohol use and abuse.

While a little alcohol a day can bring health benefits to individuals, the
report reveals that hard drinking has become one of this country's most
expensive public health problems.

The charity Alcohol Concern said that the report would be very important. A
spokesman said: "We have been very reluctant to use past estimates of the cost,
because we felt they were a gross underestimate. This is a massive problem and
it is clear that we need a concerted attack on the problems caused by alcohol
misuse. If that happened, it would take at least some of the pressure off the
NHS."

Research suggests that, in Britain, as many one in 25 adults is now dependent
on alcohol and that nearly two million men consume more than 50 units a week -
well over the limit of three units a day recommended by doctors. Excessive
drinking is responsible for up to 35,000 premature deaths a year, from
illnesses such as liver disease, heart disease and cancer, and 30,000
alcoholics a year are admitted for treatment in hospital to try to cure them of
their dependency.

The more instant effects of drink are also draining the NHS of millions.
Alcohol is behind an estimated 15 per cent of acute admissions to hospital, and
one in six people attending accident and emergency units has alcohol-related
injuries or problems.

Alcohol is a factor in 20 to 30 per cent of accidents, with about 3,000
casualties on the roads each year blamed on drunk drivers. A youth culture in
which 37 per cent of young men and 23 per cent of young women admit to regular
binge drinking is also, experts believe, costing the NHS dear.

Dr Guy Ratcliffe, the executive director of the Medical Council on Alcoholism,
said that alcohol-related violent crime was a serious problem for the health
service. Official statistics showed that 40 to 50 per cent of violent offenders
were under the influence of alcohol, he said. In 1999, 4.2 per cent of adults
were victims of violent crime and this risk more than doubled (9.6 per cent) if
they visited a pub three times a week or more.

The statistics suggested that as many as half a million people a year may seek
medical help after alcohol-related violent crime. Dr Ratcliffe said that the
new figure for the cost to the NHS was "frightening". He said: "There is strong
evidence that alcohol in small doses is actually quite good for you. It is the
balance between that and going stupidly over the top that we have to get right.
All we can do is to keep encouraging sensible drinking."

The RCP report is likely to say that misuse of alcohol affects hospital
workloads not only because of the damage to the drinker, but also because of
the effects on those around them. It will call for a clear national strategy
for alcohol that looks for ways to alleviate this.


 

 

 

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