Interviews

Toll of alcohol on emergency services

by Mark Rowe

Violence against the emergency services is ubiquitous. Some three-quarters, 76pc of police, and half of ambulance staff have been injured on the job as a result of drunken violence. That is according to a new report from the Institute of Alcohol Studies (IAS), Alcohol’s Impact on Emergency Services.

The report presents a survey of police officers, ambulance and paramedic staff, accident and emergency department consultants and fire officers. It outlines the financial burden on the 999 services and the human cost to front-line staff. The report also recommends evidence-based policy measures. Survey findings include:

Between a third and a half of emergency service staff have suffered sexual harassment or assault in the line of duty;
Alcohol takes up as much as half of emergency service time;
Emergency services are increasingly stretched, with over 90pc of police and ambulance staff reporting they have performed the role of another blue light service in dealing with alcohol-related incidents; and
Over half of emergency service staff feel inadequately trained to deal with alcohol-related incidents.

The paramedics, police and others asked by the IAS spoke of frustration and impatience with the status quo. However, respondents disagreed how best to reform. Police were generally in favour of stronger control and regulation, particularly on licensing and alcohol prices. There was a clear sense that later opening hours have created a strain on police officers, with many calling for a return to earlier closing times for pubs, bars and nightclubs.

Institute of Alcohol Studies Director Katherine Brown said: “Our report shows how alcohol takes up a disproportionate share of emergency service time, costing taxpayers billions of pounds each year. Many of these incidents are preventable, and alcohol therefore creates unnecessary problems for front line staff, increasing their workload and preventing them from dealing with other important issues. Police officers we spoke to would far rather be dealing with burglaries than Friday night drunks.

“We call on the Government to better support our emergency services and implement policies to ease this burden, such as minimum unit pricing for alcohol. Local Authorities could also do more by using their licensing powers more proactively, such as trying to bring forward extremely late closing times where needed.”

The Royal College of Emergency Medicine welcomed the report. President Dr Cliff Mann said: “We as a College are extremely concerned about the harm attributable to alcohol, including the impact on the ambulance service in the UK and our already hard-pressed Emergency Departments.

“Fellows and Members of the College are confronted daily with the health impacts of alcohol use, and also experience the effects of alcohol intoxication on behaviour, including social disorder and lawlessness which sometimes spills over into the hospital environment in general, and Emergency Departments in particular. The steps laid out in this report will go a long way to tackling these challenges.”

IAS Director Katherine Brown presented the report’s findings in an oral evidence session of the All-Party Parliamentary Group on Alcohol Harm, as part of an inquiry into the ‘Impact of Alcohol on the Emergency Services.’

The report recommends:

Further trialling of Alcohol Treatment Centres (special facilities designed to help people who are highly intoxicated by providing a safe place to sober up, whilst offering supervision and elements of clinical care).
Delivering Identification and Brief Advice (IBA) at ‘teachable moments’.
A lower drink drive limit (50mg of alcohol per 100ml of blood).
Better information sharing between police and emergency departments
More assertive use of licensing powers by local authorities; that is, a levy on pubs and bars, and supermarkets and off-licences selling alcohol.
Reducing the affordability of alcohol, for example through a minimum unit price.

For the full 62-page report visit the IAS website: http://www.ias.org.uk/uploads/Alcohols_impact_on_emergency_services_full_report.pdf.

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