The whole system will be refocused around achieving positive health outcomes for the population and reducing inequalities in health, rather than focused on process targets, and will not be used to performance manage local areas. This Public Health Outcomes Framework sets the context for the system, from local to national level. The framework will set out the broad range of opportunities to improve and protect health across the life course and to reduce inequalities in health that still persist.
Effective, evidenced-based public health measures do not include nudging people into healthy behaviours or getting NHS staff to lecture patients on healthy lifestyles. They include measures such as raising taxes on cigarettes, alcohol, fatty foods, and sugary drinks, reducing junk food and drink advertising to children, and restricting hours on sale of alcoholic drinks.
“We are working in a very, very cynical environment at the moment where nobody believes we can do anything on alcohol consumption unless we price it out of the market. Finland would suggest that doesn’t work.”
We, as a culture, set the rules. When they're broken it's not solely the fault of a drink or even five. It's the underlying message accompanying the way that we drink. That's something I believe we can change by recognizing drinking as a meaningful activity and by addressing problem drinking, which involves a more complete assessment, with culturally relevant programs and not with fruitless pleas to "drink less."
Using the original method of conversion to units for comparability with earlier years, in 2006, men drank an average of 14.9 units a week (equivalent to about seven and a half pints of beer), around 2.3 units less than they were drinking in 1998. Average weekly consumption among women increased from 6.5 units in 1998 to 7.6 units in 2002 but had decreased to 6.3 units in 2006
The CDC tells us that binge drinking is a "bigger problem than previously thought," suggesting that it can (and often does) result in risky behavior, leading to violence, suicide, spread of sexually transmitted diseases, unwanted pregnancy, car crashes, and alcohol dependence. They also insinuate that binge drinking causes crime. By their measure, binge drinkers rack up over 223 billion dollars annually.