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					                                                                     Agenda Item No.

MONDAY 18 JUNE 2007 AT 2.00 P.M.                                          5

Report of the Director of Adult Care Services
Author:              Trudi Barnett

Executive Member: Keith Emsall

1.     Purpose of Report

To seek approval to the Hertfordshire Alcohol Harm Reduction Plan 2007/8 and
the allocated and projected spend of the £375,000 (County Council money which
is held within the Crime and Drugs Strategy budget) that sits alongside it. The
summarised report reflecting the key priorities of the plan, has now been
considered at both the March and June Community Safety Panels.

2.     Summary

The Herts Alcohol Harm Reduction Plan outlines existing delivery whilst also
describing the priorities until 31 March 2008. The plan focuses on six themes
(summarised below), although there are areas of overlap between them. All
delivery will be linked into the work of our partners; Hertfordshire Constabulary,
health, ACS Joint Commissioning, 10 crime & disorder partnerships, CDRPs, and
Local Authorities, including housing, criminal justice partners, local
neighbourhoods and voluntary sector partners.

3.     Conclusion

Cabinet is invited to endorse the Alcohol Plan as set out in this report and the
related funding allocations for 2007/08.

4.    Background

Alcohol-related crime, disorder and anti-social behaviour, costs society up to
£7.3 billion each year. In England and Wales, alcohol misuse is implicated in
many types of different crime typologies, from public disorder offences to violent

The National Alcohol Harm Reduction Strategy was originally published in 2004
and although it is currently being ‘refreshed’, will contain to focus on four key
themes which include, better education and communication, improving health
and treatment services, combating alcohol-related crime and disorder and
working with the alcohol industry.

At the heart of what the Hertfordshire Alcohol Harm Reduction Plan seeks to
achieve is the contribution towards the targets and outcomes agreed with central
government within Hertfordshire’s Local Area Agreements (LAAs). Within the
‘Safer, Stronger and Sustainable Communities’ strand ten outcomes have been
agreed, six of which directly relate to crime and disorder. Reflected in the
‘Strategy and Statement of Priorities on Safer and Stronger Initiatives’ are 5 key
priorities for creating safer and stronger communities within Hertfordshire, one of
which is ‘Addressing alcohol-related harm and disorder’. The full document
(currently being completed post consultation with partners) links all themes with
LAA targets.

The council has set aside £0.375m per annum to support this area of work. The
original allocation of this budget to ‘Crime & Drugs Strategy’ was to achieve a
reduction in anti-social behaviour where alcohol misuse is a contributory factor.

More recently the Community Safety Panel at its meeting on 6 June requested
that the following initiatives be actioned:

1a) Following consultation with local partners, the Projects Manager will take the
    lead role in identifying companies within and external to the industry who
    demonstrate a genuine interest in supporting existing and new initiatives, e.g.,
    taxi marshalling and builds upon this interest by using legislation and the
    sharing of effective practice to encourage long term commitment, possibly via
    agreed service level arrangements for a specific period of time, i.e. 3 years.

1b) The Projects Manager in partnership with the Licensing Enforcement
    Coordinator for the Constabulary support and steer a County PubWatch
    Partnership Forum. Consideration will also to be given to an agreed framework
    that sets out a co-ordinated approach to more effective town centre dispersal

1c) Money from the current Alcohol Harm Reduction Budget (2007/8) is used to
    independently evaluate a range of schemes such as ‘Three Strikes You’re Out’
    and the Brief Interventions work. This will assist us with our planning for 2008
    and beyond and ensure we are delivering not just effective practice but
    excellent practice.

5.       Themes of work

i) Young People

The Young Peoples Substance Misuse Team (YPSMT) are the leading office for
this area and have been allocated £55k from the Alcohol Money to support
delivery. The Crime & Drugs Strategy Unit, in partnership with Trading Standards
will lead on the ‘Age Check’ project.

ii) Domestic Violence (DV)

Alcohol is implicated in 33%-73% of domestic violence (DV) incidents and 30%-
60% of child protection cases associated with DV involve alcohol. A Multi-
Agency DV Strategy is being developed in line with other plans, including the
Supporting People Programme. The Multi-Agency Strategy has a comprehensive
action plan attached to it which highlights the detail for priority development.

iii) Night Time Economy (NTE)

Alcohol is implicated in 47% of violent crimes and 70% of people say drinking in
public places or on the street is a problem in their area.

Hertfordshire’s town centres attract thousands of visitors who enjoy the pubs,
clubs, restaurants and cafés, thus providing an important source of employment
and contributing to the growth of our economy. Hertfordshire Constabulary’s
Night Time Economy (NTE) Strategy outlines a strategic approach for the
policing of the NTE with an overall purpose of improving the management of the
NTE in line with the Hertfordshire Alcohol Harm Reduction Plan 2007/8.

Priorities for development include:

        Continue to support existing taxi-marshalling schemes (50% contribution)
         and further develop taxi marshalling schemes in busy town centres where
         incidents of alcohol related crime and disorder are evident.
        Support the delivery of Town Centre Partnerships and the associated NTE
         strategies and action plans (i.e., Constabulary NTE Strategy).
        Support Licensing Authorities and the trade in integrating their own
         policies with local crime prevention strategies and town centre
         partnerships for the management and financial resourcing of town centre’s
         and the night-time economy.

      In partnership with Hertfordshire Constabulary, establish a county forum
       for Pub Watch Chairs, Town Centre Managers and Chief
       Inspectors/Community Inspectors and encourage the sharing of
       information and effective practice across Hertfordshire.
      At CDRP level, develop closer working partnerships to target resources at
       hotspot locations whilst encouraging closer links with the Safer
       Neighbourhood Teams.

iv) Treatment – Brief Interventions Focus

Alcohol damages health and exacerbates health inequalities. It is also a
significant contributor to anti-social behaviour, violent crime and criminal
damage, particularly in the night time economy. Considering the reassurance and
perception of crime targets within the LAA and the budget available, the Alcohol
Plan will target all Brief Interventions work to Accident & Emergency settings in
the first instance. The treatment elements of this plan have been prepared and
agreed by the Joint Commissioning Team and are aligned with the reporting
procedures to the Joint Commissioning Partnership Board.

Priority areas for development include:

      Develop a brief intervention screening tool and agree a county approach
       to brief intervention.
      Roll out brief intervention within the A&E settings by further exploring the
       need to provide Specialist Alcohol Workers in the A&E Departments
       across Hertfordshire, linking with existing triage and paramedic schemes
       operating at the weekend in town centre hotspots and ensure that all
       relevant and valuable data is collected.
      Develop closer links with primary care and establish PCT involvement in
       responding to alcohol problems which will enable support to be given to an
       alcohol strategy for brief interventions treatment commencing April 2008.

v) Campaigns

Campaigns will be co-ordinated centrally and in partnership to ensure that
consistent messages are relayed throughout the county and at local level.

Priorities for development include:

      Establishing a Strategic Multi-Agency Countywide Campaigns Group

vi) Information and Data

Baseline data extracted from Crime, Disorder and Drugs Audits, and, more
recently, Multi-Agency Data Access Systems (MIDAS) provides a picture of the
situation across Hertfordshire. However, it is likely that the potential contribution

of alcohol is under-reported or, is not always recognised making it difficult to
address the problem accurately. It is estimated that half of all violent crimes are
associated with alcohol consumption.

Priorities for development include:

        To develop a comprehensive substance misuse ‘knowledge product’ and
         additional products which will provide data on a wide range of alcohol-
         related issues and community safety, including violent crime, criminal
         damage and domestic violence.

5.       Suggested Format for Allocating Spend & Monitoring Performance

The Projects Manager within Crime & Drugs Strategy has the responsibility to
provide a co-ordinated lead on the Hertfordshire Alcohol Harm Reduction Plan.

A Multi-Agency Strategic Alcohol Task Group has been established. It includes
representation from the council (Young Peoples Substance Misuse Team,
Trading Standards etc), Hertfordshire Constabulary, Primary Care Trust,
Hertfordshire Partnership Trust, and CDRPs. The Projects Manager will report on
current projects commissioned and the performance delivered in line with the
action plan and projected targets. It is proposed that the group have the final
decision on applications received for funding. This will allow for an agreed
partnership approach to monitoring the performance of the £375,000.00 alcohol
funds and to seek whenever possible match funding opportunities.

Set out below are the allocations for 2007/8.

Spending Plan

i) Committed Spend 07/08

Domestic Violence Support Officer                                             £28k

Taxi Marshaling – Hertford, Watford, St Albans, Stevenage (YR 2 @ 50%) £40k

Taxi Marshalling – Hitchin (YR 1 @ 100% )                                     £20k

HertsReach – (Brief Interventions, Domestic Violence OutReach, 3rd Party) £78k

Young Peoples Substance Misuse Team                                           £55k

Anti-Social Behaviour & Alcohol Initiatives Fund                              £10k

CDRP Alcohol Partnership Fund                                                 £50k

Trading Standards ‘Age Check’ Project                              £18k

Partnership Events/Workshops/Seminars/Training                     £5k

Resources/Campaign Materials                                       £5k

                                                          TOTAL    £309K

ii) Proposed Spend for Remaining Money

Brief Interventions – training, tool-kit, research                 £30k

Domestic Violence – conference, research, training                 £30k

Miscellaneous                                                      £6k

                                                          TOTAL    £66k

                                                     FINAL TOTAL   £375k


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