Log in
The Sheffield Alcohol Policy Model (SAPM) makes a major contribution to national and international debate on public policy and services, focusing on policies aimed at reducing alcohol misuse in society.
SAPM provides the core evidence underpinning Scottish Government plans to implement a minimum unit price (MUP) for alcohol and is cited in the Prime Minister's foreword to the 2012 UK Alcohol Strategy. The model's findings have influenced health policy debate in Australia, Canada, Ireland, New Zealand, Spain, Switzerland, and the European Commission.
SAPM findings for the cost-effectiveness of a programme of identification and brief advice (IBA) in primary care underpin the National Institute for Health & Clinical Excellence guidance on this topic.
In 2007, as part of a major update of the national alcohol strategy, the UK Government announced that it would commission an independent national review of the evidence on the relationship between alcohol price, promotion and harm. Subsequently, in 2008, researchers from the University of Sheffield (UoS) were commissioned by the UK Department of Health (DoH) for an `Independent Review of the Effects of Alcohol Pricing and Promotion'.
The UoS research has played a crucial role in informing the debate and deliberations on the available Government options for interventions on alcohol consumption in England and Wales, by providing a robust evidence base to underpin the debate. The UoS research findings have been used to inform policy by senior decision-making bodies e.g. the House of Commons Health Select Committee and the UK Chief Medical Officer to inform policy. The findings have also stimulated the potential for policy intervention beyond England and Wales, e.g. in Scotland and Australia.
This case study details an impact relating to health and welfare in which educational practices regarding the dissemination of responsible drinking messages has been influenced, and on public policy and services where this evidence has stimulated policy debate. Specifically, research led to (i) the withdrawal of the Drinkaware Trust's 5-year flagship campaign, Why let the good times go bad? (WLGTGB), and (ii) a recommendation from an independent review to a) involve academics in future campaign development and evaluation, and b) implement changes to the current campaign based on our findings.
This case study refers to research on British drinking cultures and alcohol policy carried out by James Nicholls, Reader in Media and Social Policy, Department of Film and Media Production/HCI (2004-September 2012). In this role, Nicholl's research and his public engagement contributed to shaping the UoA's research reference frame of cultural behaviour, cultural practice and public policy (see Ref5). Following the publication of his book, The Politics of Alcohol (2009) Nicholls developed as a specialist advisor involved in the analysis and planning of alcohol policy at national and regional levels. His work and influence has been cited in key policy documents (including the House of Commons Health Select Committee Report, Alcohol: First Report of Session 2009-10 HC151-1) in 2010. This work has subsequently helped to shape regional and national alcohol policy in both England and Scotland. This case study provides evidence of this impact in regard to the following areas:
Professor Nick Heather pioneered the use of opportunistic screening and brief intervention (SBI) by general medical practitioners (GPs) against hazardous and harmful alcohol consumption in their patients and conducted the first randomised controlled trial (RCT) of this procedure. With colleagues at Northumbria University and Newcastle University, he subsequently carried out translational research on implementing SBI in the routine practice of GPs and other frontline professionals. The benefits of SBI have now been recognised nationally and internationally and incorporated in health policies of governments in the UK and in many other parts of the world.
Health inequalities are recognised as a critical UK policy issue with life expectancy gaps of up to 28 years between the least and most deprived areas. This case-study demonstrates how Durham University research has led to: (a) changing health service commissioning (with County Durham and Darlington Primary Care Trust [PCT]): (b) influencing NHS funding policy (by generating Parliamentary debate); as well as (c) contributing to the development of the new public health system in England and Wales (as part of the Strategic Review of Health Inequalities in England post-2010 [Marmot Review]).
In 2007, consumption of alcohol by children and young people was made a priority in the Labour Government's National Alcohol Strategy, which acknowledged that whilst decreasing numbers of young people were drinking alcohol, those who were, consumed more alcohol more often. Given the association of high-risk behaviours with high-levels of alcohol consumption, this commitment was taken forward with the publication of the Youth Alcohol Action Plan in 2008.
This case study demonstrates the central role that the group's research has played in guiding and shaping coherent, evidence-based alcohol policy for children and young people, including the development of the first national guidance on alcohol consumption by children and young people in England.
Globally, many health research-funding organisations, public and charitable, felt the need to demonstrate to policymakers and the public how their investments in research were benefitting society. HERG's research on developing techniques for assessing the payback (or impact) from health research tackled this need. The payback stream of research itself has had significant, wide- reaching and cumulative impacts. First, internationally, health research funding bodies adopted the framework in their evaluation strategies, including to provide accountability. Second, many stakeholders made extensive use the findings of payback studies in public debate and private lobbying for public expenditure on health research. Third, governments, public research funding bodies and medical research charities, from the UK to Australia, used the findings from payback studies to inform decisions regarding the levels and distribution of health research funding, with the aim of increasing the health and economic benefits that come from investments in research.
Almost one in four deaths of young people in England and Wales are attributable to alcohol (Hastings and Sheron, 2011). Critical marketing research by the Institute for Social Marketing at The Open University (ISM-Open) has informed policy by: establishing the link between the marketing practices of drinks manufacturers and young people's attitudes to and consumption of alcohol; providing the material for the seminal report Under the Influence commissioned and published by the BMA Board of Science; guiding the Health Select Committee and underpinning a Private Members Bill on the regulation of alcohol marketing to children.
This research in ISM-Open is a collaboration between the Open University Business School (OUBS) and Stirling University.
This case study highlights a body of research around health Research Priority Setting (RPS) that assists policy makers in effectively targeting research that has the greatest potential health benefit. Empirical research on RPS led to organizational changes, and new policies within the Cochrane Collaboration along with new training resources and new RPS exercises. A research gap on inequalities in the risk of oral cancer in the English South Asian population led to an evidence synthesis exercise being carried out by the National Institute for Health and Care Excellence (NICE) and the formulation of a new public health guideline.