healthimprovement disparities guidance chapter 12 alcohol updated 9 november 2021 
updated 9 november 2021 contents alcohol misuse alcohol and health 
9 november 2021 contents misuse alcohol and health alcohol consumption 
2021 contents misuse and health alcohol consumption what is a 
what is a unit of alcohol guidelines on alcohol interventions 
a unit of guidelines on alcohol interventions which most effectively 
effectively support patients to reduce alcohol consumption other relevant issues 
toolkit for prevention chapter 12 alcohol this guidance is issued 
inform oral health improvement policy alcohol misuse in england among 
aged 15 to 49 years alcohol is the leading cause 
disability and death 1 2 alcohol misuse across the uk 
million admissions to hospital for alcohol related conditions 4 alcohol 
hospital for related conditions 4 alcohol consumption is a public 
highest per capita consumption of alcohol of all regions globally 
and the highest level of alcohol related harms 5 harmful 
harms 5 harmful use of alcohol contributes not only to 
and summarise the links between alcohol and oral health it 
support their patients who drink alcohol to lower their risk 
to general and oral health alcohol and health the uk 
to keep the risk from alcohol low adults should not 
more than 14 units of alcohol per week alcohol adversely 
14 units of per week alcohol adversely affects health in 
limit no level of regular alcohol consumption improves health there 
important to recognise that drinking alcohol during an attempt to 
to be considered carefully 7 alcohol has a wide range 
to the baby 3 for alcohol frequency of consumption is 
compared with laryngeal cancer 8 alcohol consumption around 21 of 
drink over 14 units of alcohol in a usual week 
what is a unit of alcohol one unit equals 10ml 
10ml or 8g of pure alcohol which is around the 
is around the amount of alcohol the average adult liver 
label says 12 abv or alcohol by volume 12 it 
of that drink is pure alcohol 12 to work out 
relation to their units of alcohol figure 12 1 alcohol 
units of figure 12 1 alcohol unit reference source 13 
source 13 one unit of alcohol is one half pint 
wine 9 figure 12 2 alcohol unit guide source 12 
3 4 units guidelines on alcohol the uk cmos low 
cmos low risk guidelines for alcohol consumption in 2016 provide 
2016 provide clear recommendations on alcohol 15 to 17 all 
or more young people an alcohol free childhood is the 
pregnancy is not to drink alcohol at all to keep 
drunk only small amounts of alcohol before she knew she 
or during pregnancy cutting down alcohol consumption a good way 
implies that no level of alcohol consumption is completely safe 
of ill health from drinking alcohol for both men and 
experiencing health damage from their alcohol use even if it 
of injury sources 15 19 alcohol dependent drinking alcohol dependence 
sources 15 19 dependent drinking alcohol dependence is a disorder 
a disorder of regulation of alcohol use arising from repeated 
repeated or continuous use of alcohol 20 the characteristic feature 
strong internal drive to use alcohol which is manifested by 
urge or craving to use alcohol physiological features of dependence 
tolerance to the effects of alcohol withdrawal symptoms following cessation 
or reduction in use of alcohol or repeated use of 
of or repeated use of alcohol or pharmacologically similar substances 
diagnosis may be made if alcohol use is continuous daily 
20 adults identified as misusing alcohol encompasses a very wide 
effectively support patients to reduce alcohol consumption supporting patients with 
patients with brief interventions for alcohol is important in relation 
potential to benefit from reducing alcohol intake chapter 5 identification 
is evidence that identifying patients alcohol health risk and feeding 
down is effective in reducing alcohol consumption 21 behavioural counselling 
interventions improve outcomes such as alcohol consumption heavy drinking episodes 
primary care settings as misusing alcohol 21 the evidence for 
21 brief interventions can reduce alcohol consumption for hazardous and 
behavioural counselling interventions in reducing alcohol consumption heavy drinking episodes 
primary care settings as misusing alcohol 21 dental teams are 
of iba is to reduce alcohol consumption by showing the 
about it figure 12 3 alcohol pathway iba screening tool 
screening tool ask the audit alcohol use disorders identification test 
is evidence that this brief alcohol screening tool can be 
risk of harm from excessive alcohol consumption 25 26 figure 
patient of the level of alcohol health risk indicated by 
risk of harms caused by alcohol and the benefits of 
to keep health risks from alcohol to a low level 
of referral to a specialist alcohol addiction service or to 
other relevant issues vulnerable people alcohol use is higher among 
that exacerbate the risk from alcohol they may therefore have 
27 combined behaviours tobacco and alcohol tobacco and alcohol are 
behaviours tobacco and tobacco and alcohol are linked behaviours whereby 
above low risk guidelines 7 alcohol increases the level of 
how the brain responds to alcohol which means more alcohol 
responds to which means more alcohol is needed before people 
about both their smoking and alcohol consumption in one session 
before raising the issue of alcohol consumption while others will 
to talk about tobacco or alcohol use first both approaches 
to think carefully about their alcohol consumption as once they 
had a few units of alcohol to drink their willpower 
7 apps to assist with alcohol monitoring there are now 
find useful for monitoring their alcohol consumption such as drink 
of using technology for reducing alcohol consumption resources e learning 
resources e learning for healthcare alcohol identification and brief advice 
c e learning for healthcare alcohol and tobacco brief interventions 
programme health matters tobacco and alcohol cquin this includes links 
scratch card and a structured alcohol advice patient information leaflet 
screening and brief advice for alcohol and tobacco use in 
tobacco use in inpatient settings alcohol and drug misuse prevention 
misuse prevention and treatment guidance alcohol use screening tests includes 
includes the audit c tool alcohol change uk a leading 
change uk a leading uk alcohol charity formed from the 
formed from the merger of alcohol concern and alcohol research 
the merger of concern and alcohol research uk this includes 
a dry january app and alcohol unit calculator one you 
one you drink less local alcohol profiles for england references 
profiles for england references 1 alcohol change uk alcohol statistics 
england references 1 change uk alcohol statistics alcohol research uk 
references 1 change uk statistics alcohol research uk 2 public 
the public health burden of alcohol evidence review london public 
4 nhs digital statistics on alcohol london nhs digital 2020 
2020 5 world health organization alcohol in the european union 
education england public health england alcohol and tobacco brief interventions 
and exposure rate effects for alcohol and smoking and risk 
government national statistics statistics on alcohol england 2020 10 national 
r voluntary temporary abstinence from alcohol during dry january and 
during dry january and subsequent alcohol use health psychology 2016 
281 9 12 nhs england alcohol units london national health 
april 2018 13 uk government alcohol use disorders identification test 
www nhs uk live well alcohol support calculating alcohol units 
uk live well support calculating alcohol units 15 department of 
guidance on the consumption of alcohol by children and young 
moore thm and others low alcohol consumption and pregnancy and 
indicating apparently safe levels of alcohol during pregnancy a systematic 
london ons 2018 19 nice alcohol use disorders prevention ph24 
and morbidity statistics 6c40 2 alcohol dependence geneva who 2020 
behavioral counseling after screening for alcohol misuse in primary care 
9 645 54 22 nice alcohol use disorders diagnosis assessment 
drinking high risk drinking and alcohol dependence cg115 london nice 
and others effectiveness of brief alcohol interventions in primary care 
jb monteiro mg audit the alcohol use disorders identification test 
c newton t and others alcohol screening and brief advice 
cluster randomized controlled feasibility trial alcohol and alcoholism 2019 54 
others use of audit c alcohol screening tool in nhs