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The Sheffield Alcohol Policy Model (SAPM) has made a major contribution to national and international debate on public policy and services focusing on reducing alcohol misuse in society.
SAPM provides the core evidence underpinning Scottish Government plans to implement minimum unit pricing (MUP) and is cited in the UK Prime Minister's foreword to the 2012 UK Alcohol Strategy. Findings have influenced health policy debate in Australia, Canada, Ireland, New Zealand, Spain, Switzerland, and the European Commission.
SAPM estimates for the cost-effectiveness of brief intervention programmes in primary care underpin the National Institute for Health & Clinical Excellence guidance on this topic.
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:
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.
Public financing of health services in low income countries was challenged by the World Bank's Agenda for Reform in 1987, which advocated increased roles for private sector, private insurance and user fees. This was followed by a wave of reforms implementing this approach. McPake has been involved in researching the implications of this shift since this period and has published a series of influential articles that have had a demonstrable impact on this debate. Removal of user fees for all, or selected, services or for selected population groups has occurred in many countries, including 28 of 50 countries with the highest maternal and child health mortality included in a recent survey (http://bit.ly/17FUiDM). Witter is the lead researcher who has examined country level experiences of removing fees and it is demonstrable that her work has been applied in specific countries to shape the details of policy and has also had a major influence on the global debate.
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.
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.
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.
Research at the University of Strathclyde has increased the economic and policy modelling capacity of the Scottish Government. This has been affected through collaboration between researchers at Strathclyde and the Office of the Chief Economic Advisor (OCEA) and the Scottish Government-funded Centre of Expertise in Climate Change, ClimateXChange. The improvement in modelling capability and scope has enhanced the process of policy formation and evaluation, as well as the outcomes from it. This has allowed for improved decision making in the Scottish Government, allowed significant budget savings, improved advice to Scottish Ministers, improved interaction with the Westminster Government and resulted in a more informed public debate on policy decisions.
Dr Helen Lee works with an international team on research identifying workplace risks and implementing changes to improve the well-being of a beer sellers` community in the developing country of Cambodia. Research identifying risks from HIV/AIDS (21.7%) and alcohol overuse (1.2 litres of beer nightly) has had different forms of impact: the implementation of i) an educational and industry skills training programme — Hotel Apprenticeship Program (HAP) reaching 30 women who reported changes in awareness of health risks (how HIV/AIDS is transmitted and the effect of alcohol overuse on health) and behaviour change (zero alcohol consumption and no longer engaging in indirect sex work), ii) a peer educator outreach programme reaching over 10,600 people in the Siem Reap community and iii) raising public and brewers awareness of beer sellers` health risks through websites (over 51,900 visits). In 2013 a near zero prevalence for HIV/AIDS in the target group is reported.