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10 things about 
alcohol and other 
drugs you may have 
missed 
November 2014 
Andrew Brown 
Director of Policy, Influence and Engagement 
DrugScope 
@andrewbrown365
Revenues From Taxes On Consumption of 
Alcohol (Excise Duties And Similar 
Charges) Other Than VAT 2013 
14000 
12000 
10000 
8000 
6000 
4000 
2000 
0 
12000 
10000 
8000 
6000 
4000 
2000 
0 
REVENUES FROM TAXES ON 
ALCOHOL IN UK 
2008 2009 2010 2011 2012 2013 
£ millions 
UK SE FI SK SI RO PT PL AT NL MT HU LU LT LV CY IT IE HR FR ES EL EE DE DK CZ BG BE 
€ millions 
Source: European Commission 
http://ec.europa.eu/taxation_customs/resources/documents/taxation/excise_duties/alcoholic_beverages/rates/excise_duties_alcohol_en.pdf
UK lung 
cancer 
patients 
dies within 
3 months of 
diagnosis 
c. 
in 3 
An early death was 16% more likely in areas of high deprivation than in more 
affluent areas. Living in a rural area also increased the odds of an early death from 
lung cancer. 
Source: http://www.eurekalert.org/pub_releases/2014-10/bmj-noi101014.php
Number of defined daily doses for the 
treatment of opioid dependence by drug 
in Scotland 
30,000,000 
25,000,000 
20,000,000 
15,000,000 
10,000,000 
5,000,000 
0 
2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 
Defined Daily Doses 
Buprenorphine Buprenorphine and Naloxone Lofexidine Hydrochloride 
Methadone Hydrochloride Naltrexone Hydrochloride 
Source: http://www.scotpho.org.uk/behaviour/drugs/data/treatment-for-drug-misuse
Milligrams of methadone dispensed in 
Scotland 
700,000,000 
600,000,000 
500,000,000 
400,000,000 
300,000,000 
200,000,000 
100,000,000 
0 
The total cost of 
prescribing methadone 
in Scotland last year 
was £22.8 million. 
Of which £4.9 m was 
the ingredient costs, 
£5.8 m was in 
dispensing fees, and 
£12.1 m was 
supervision fees. 
Source: http://www.scotpho.org.uk/behaviour/drugs/data/treatment-for-drug-misuse
Reasons given by providers for 
excluding at least one person from 
place of safety under section 136 in 2013 
50% 
45% 
40% 
35% 
30% 
25% 
20% 
15% 
10% 
5% 
0% 
Intoxication Disturbed 
behaviour 
Criminal 
offence 
History of 
Violence 
Risk of self-harming 
“Under section 136 of the Mental Health Act 
1983 (MHA), someone who appears to be 
experiencing a mental health crisis in a public 
place can be picked up by the police and taken 
to a place of safety for an assessment of their 
needs. In all but exceptional circumstances this 
should be in a healthcare setting… 
“We are aware that health professionals are 
concerned that section 136 may be being used 
too much for people who are intoxicated, as 
they may not prove to have a mental health 
issue at all once sober. However, where police 
are concerned about someone’s behaviour, and 
believe that it may relate to a mental disorder, it 
would be wrong for them not to act on those 
concerns. This is a challenging issue, and we 
hope that the future edition of the MHA Code of 
Practice will be clear about the action to take in 
these circumstances.” 
A safer place to be, Care Quality Commission (2014) 
Source: http://collateral.vuelio.uk.com/RemoteStorage/CSCI/Releases/588/20141021%20CQC_SaferPlace_2014_07_FINAL%20for%20WEB.pdf
Number of calls to the National Poisons 
Information Service about the top 10 
drugs of 2013/14 
180 
160 
140 
120 
100 
80 
60 
40 
20 
0 
“The largest increases in activity 
relate to synthetic cannabinoid 
receptor agonists (SCRAs) for 
which telephone enquiries 
increased more than 13-fold (from 
10 to 131 enquiries), making these 
substances the second most 
common drug of misuse 
encountered in telephone 
enquiries after cocaine. Similarly, 
TOXBASE accesses for SCRAs have 
increased by 253% and these are 
now in the top 10 drugs of misuse 
accessed. This is of concern to 
health professionals as the toxicity 
of SCRAs appears to be different 
and more severe than that for 
cannabis.” 
National Poisons Information 
Source: National Poisons Information Service Report 2013/14 http://www.npis.org/NPISAnnualReport2013-14.pdf 
Service
31 % 
of prisoners in England and 
Wales say that illegal drugs 
are easy or very easy to 
access in their prison 
Source: https://www.justiceinspectorates.gov.uk/hmiprisons/wp-content/uploads/sites/4/2014/10/HMIP-AR_2013-14.pdf
17 % 
of prisoners in England and 
Wales say that alcohol is 
easy or very easy to access 
in their prison 
Source: https://www.justiceinspectorates.gov.uk/hmiprisons/wp-content/uploads/sites/4/2014/10/HMIP-AR_2013-14.pdf
1 in 4 
absconders from 
prison who are 
still unlawfully 
at large (having 
absconded 
between April 
2004 and March 
2014) had been 
convicted for a 
Other offences Conspiracy To Import Drugs drug offence 
Conspiracy To Supply Drug Customs Evasion (Drugs Related) 
Excess Alcohol Import/Export Drug 
Possess Drugs With Intent Supplying Drugs 
Source: http://www.theyworkforyou.com/wrans/?id=2014-06-26.202782.h
3,008 
The number of adult offenders in England 
and Wales who were released from a short 
custodial sentence (less than 12 months) in 
the year ending September 2012 and went 
on to commit a proven drug re-offence 
resulting in a court conviction, caution, 
reprimand or warning in next 12 months. 
Source: https://www.gov.uk/government/statistics/reoffences-by-type-of-reoffence-further-breakdowns-october-2014

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10 interesting things about alcohol and other drugs that you might have missed - November 2014

  • 1. 10 things about alcohol and other drugs you may have missed November 2014 Andrew Brown Director of Policy, Influence and Engagement DrugScope @andrewbrown365
  • 2. Revenues From Taxes On Consumption of Alcohol (Excise Duties And Similar Charges) Other Than VAT 2013 14000 12000 10000 8000 6000 4000 2000 0 12000 10000 8000 6000 4000 2000 0 REVENUES FROM TAXES ON ALCOHOL IN UK 2008 2009 2010 2011 2012 2013 £ millions UK SE FI SK SI RO PT PL AT NL MT HU LU LT LV CY IT IE HR FR ES EL EE DE DK CZ BG BE € millions Source: European Commission http://ec.europa.eu/taxation_customs/resources/documents/taxation/excise_duties/alcoholic_beverages/rates/excise_duties_alcohol_en.pdf
  • 3. UK lung cancer patients dies within 3 months of diagnosis c. in 3 An early death was 16% more likely in areas of high deprivation than in more affluent areas. Living in a rural area also increased the odds of an early death from lung cancer. Source: http://www.eurekalert.org/pub_releases/2014-10/bmj-noi101014.php
  • 4. Number of defined daily doses for the treatment of opioid dependence by drug in Scotland 30,000,000 25,000,000 20,000,000 15,000,000 10,000,000 5,000,000 0 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 Defined Daily Doses Buprenorphine Buprenorphine and Naloxone Lofexidine Hydrochloride Methadone Hydrochloride Naltrexone Hydrochloride Source: http://www.scotpho.org.uk/behaviour/drugs/data/treatment-for-drug-misuse
  • 5. Milligrams of methadone dispensed in Scotland 700,000,000 600,000,000 500,000,000 400,000,000 300,000,000 200,000,000 100,000,000 0 The total cost of prescribing methadone in Scotland last year was £22.8 million. Of which £4.9 m was the ingredient costs, £5.8 m was in dispensing fees, and £12.1 m was supervision fees. Source: http://www.scotpho.org.uk/behaviour/drugs/data/treatment-for-drug-misuse
  • 6. Reasons given by providers for excluding at least one person from place of safety under section 136 in 2013 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% Intoxication Disturbed behaviour Criminal offence History of Violence Risk of self-harming “Under section 136 of the Mental Health Act 1983 (MHA), someone who appears to be experiencing a mental health crisis in a public place can be picked up by the police and taken to a place of safety for an assessment of their needs. In all but exceptional circumstances this should be in a healthcare setting… “We are aware that health professionals are concerned that section 136 may be being used too much for people who are intoxicated, as they may not prove to have a mental health issue at all once sober. However, where police are concerned about someone’s behaviour, and believe that it may relate to a mental disorder, it would be wrong for them not to act on those concerns. This is a challenging issue, and we hope that the future edition of the MHA Code of Practice will be clear about the action to take in these circumstances.” A safer place to be, Care Quality Commission (2014) Source: http://collateral.vuelio.uk.com/RemoteStorage/CSCI/Releases/588/20141021%20CQC_SaferPlace_2014_07_FINAL%20for%20WEB.pdf
  • 7. Number of calls to the National Poisons Information Service about the top 10 drugs of 2013/14 180 160 140 120 100 80 60 40 20 0 “The largest increases in activity relate to synthetic cannabinoid receptor agonists (SCRAs) for which telephone enquiries increased more than 13-fold (from 10 to 131 enquiries), making these substances the second most common drug of misuse encountered in telephone enquiries after cocaine. Similarly, TOXBASE accesses for SCRAs have increased by 253% and these are now in the top 10 drugs of misuse accessed. This is of concern to health professionals as the toxicity of SCRAs appears to be different and more severe than that for cannabis.” National Poisons Information Source: National Poisons Information Service Report 2013/14 http://www.npis.org/NPISAnnualReport2013-14.pdf Service
  • 8. 31 % of prisoners in England and Wales say that illegal drugs are easy or very easy to access in their prison Source: https://www.justiceinspectorates.gov.uk/hmiprisons/wp-content/uploads/sites/4/2014/10/HMIP-AR_2013-14.pdf
  • 9. 17 % of prisoners in England and Wales say that alcohol is easy or very easy to access in their prison Source: https://www.justiceinspectorates.gov.uk/hmiprisons/wp-content/uploads/sites/4/2014/10/HMIP-AR_2013-14.pdf
  • 10. 1 in 4 absconders from prison who are still unlawfully at large (having absconded between April 2004 and March 2014) had been convicted for a Other offences Conspiracy To Import Drugs drug offence Conspiracy To Supply Drug Customs Evasion (Drugs Related) Excess Alcohol Import/Export Drug Possess Drugs With Intent Supplying Drugs Source: http://www.theyworkforyou.com/wrans/?id=2014-06-26.202782.h
  • 11. 3,008 The number of adult offenders in England and Wales who were released from a short custodial sentence (less than 12 months) in the year ending September 2012 and went on to commit a proven drug re-offence resulting in a court conviction, caution, reprimand or warning in next 12 months. Source: https://www.gov.uk/government/statistics/reoffences-by-type-of-reoffence-further-breakdowns-october-2014