Local authorities are responsible for assessing local needs and commissioning drug prevention, treatment and harm reduction services to meet these needs. This includes making sure they have sufficient coverage of take-home naloxone to prevent drug-related deaths.

The Government is encouraging and supporting local areas to expand the provision of naloxone, with guidance, advice and tools.

Local authorities are responsible for assessing local needs and commissioning drug prevention, treatment and harm reduction services to meet these needs. This includes making sure they have sufficient coverage of take-home naloxone to prevent drug-related deaths.

The Government is encouraging and supporting local areas to expand the provision of naloxone, with guidance, advice and tools.

No assessment of the effectiveness of drug consumption rooms (DCR) has been made. There is no legal framework for the provision of DCRs in the United Kingdom and the Government has no plans to introduce them. Legislation on this issue is a matter for the Home Office.

In 2018 the Department published a call for evidence of the impact of regulations that require local authorities to take certain steps under their duties to improve health. We are considering the responses to that exercise and will publish for consultation any proposal for changes to the existing regulations. Meanwhile the public health grant that funds local authorities’ health responsibilities remains subject to the condition that they must use it with regard to the need to improve the take up of, and outcomes from, their substance misuse treatment services.

Updating cost estimates of alcohol harm is complex because circumstances, prevalence and treatments may have changed. The Department is exploring the possibility and feasibility of carrying out research to update the cost estimates that are currently available.

Data on National Health Service spending on alcohol related injuries or conditions is not available in the format requested. However, the costs to the NHS in England associated with alcohol misuse are estimated at £3.5 billion each year.

The most recent assessment of costs to the National Health Service in England associated with alcohol misuse estimated these costs to be £3.5 billion each year in line with 2009/10 prices. The Government does not update this estimate on an annual basis.

No formal assessment has been made of the National AIDS Trust report. However officials will consider its findings in the development of future drugs policy. The Government is concerned by the number of drug-related deaths and is supporting local areas to develop a more joined up approach to commissioning and delivering the range of services that are essential to supporting recovery and preventing drug-related deaths.

Local authorities will receive over £3 billion in 2019/20, ring-fenced exclusively for use on public health. It is for local authorities themselves to determine how best to use these resources based on their assessment of local need and with regard to their statutory duties.

Over the five years of the current spending review period we are making over £16 billion of grant funding available to local authorities in England exclusively for use on improving health.

As part of the Drug Strategy we are supporting programmes which have a positive impact on young people and adults, giving them the confidence, resilience and risk management skills to resist drug use. This includes supporting schools and educators to take action to prevent substance misuse, including by expanding the Alcohol and Drugs Education and Prevention Information Service, which provides practical advice and tools, and developing the ‘Rise Above’ digital hub. This uses interactive and engaging content to help build young people’s (11-16 years old) resilience and empower them to make positive choices for their health.

Public Health England has issued advice on providing naloxone, the opioid overdose antidote, and published updated clinical guidelines for drug treatment. It has also worked with a network of treatment providers to establish good practice guidance on managing drug-related death risk factors and to improve partnership between treatment providers and other healthcare services.

Local authorities will receive over £3 billion in 2019/20, ring-fenced exclusively for use on public health. It is for local authorities themselves to determine how best to use these resources based on their assessment of local need and with regard to their statutory duties.

Over the five years of the current spending review period we are making over £16 billion of grant funding available to local authorities in England exclusively for use on improving health.

As part of the Drug Strategy we are supporting programmes which have a positive impact on young people and adults, giving them the confidence, resilience and risk management skills to resist drug use. This includes supporting schools and educators to take action to prevent substance misuse, including by expanding the Alcohol and Drugs Education and Prevention Information Service, which provides practical advice and tools, and developing the ‘Rise Above’ digital hub. This uses interactive and engaging content to help build young people’s (11-16 years old) resilience and empower them to make positive choices for their health.

Public Health England has issued advice on providing naloxone, the opioid overdose antidote, and published updated clinical guidelines for drug treatment. It has also worked with a network of treatment providers to establish good practice guidance on managing drug-related death risk factors and to improve partnership between treatment providers and other healthcare services.

The information in the format requested is not held centrally. The Office for National Statistics publishes an annual summary of all deaths related to drug poisoning (involving both legal and illegal drugs) and drug misuse (involving illegal drugs) in England and Wales. Data on deaths in those aged under 20 is grouped together. The reports are available at the following link:

www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsrelatedtodrugpoisoninginenglandandwales/2017registrations

NHS Digital collects Hospital Episode Statistics regarding intentional self-poisoning that resulted in a hospital admission, however to provide this information for the last ten years would incur disproportionate costs.

The information in the format requested is not held centrally. The Office for National Statistics publishes an annual summary of all deaths related to drug poisoning (involving both legal and illegal drugs) and drug misuse (involving illegal drugs) in England and Wales. Data on deaths in those aged under 20 is grouped together. The reports are available at the following link:

www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsrelatedtodrugpoisoninginenglandandwales/2017registrations

NHS Digital collects Hospital Episode Statistics regarding intentional self-poisoning that resulted in a hospital admission, however to provide this information for the last ten years would incur disproportionate costs.

No assessment had been made. Local authorities will receive over £3 billion in 2019/20 ring-fenced exclusively for use on public health. Our priority is to make sure the system continues to support high quality public health services and outcomes. Local authorities are best placed to make spending decisions based on the needs of their communities.

No formal assessment has been made of the National AIDS Trust report however officials will consider its findings in the development of future drugs policy. The Government is concerned by the number of drug-related deaths and is supporting local areas to develop a more joined up approach to commissioning and delivering the range of services that are essential to supporting recovery and preventing drug-related deaths.

Public Health England (PHE) is working with nine areas (covering 13 local authorities) to help improve the lives of children impacted by their parents’ alcohol dependency through a £4.5 million innovation fund which runs over three financial years. Further information on the nine areas can be found at the following link:

https://www.gov.uk/government/news/funding-to-help-improve-the-lives-of-those-affected-by-alcohol

To support all local authorities, PHE has produced a toolkit for commissioners of alcohol and drug services and commissioners of children and family services. It helps them to understand the extent of the problem of parental alcohol and drug use in their area, the number of children in those households and how this can impact them and provides advice on responding to local need.

PHE has also produced guidance for substance misuse services and children’s services to help them work together to safeguard and promote the welfare of children.

The PHE toolkit and the guidance can be viewed at the following links:

https://publichealthmatters.blog.gov.uk/2016/01/21/health-matters-your-alcohol-treatment-services-toolkit/

https://www.gov.uk/government/publications/safeguarding-children-affected-by-parental-alcohol-and-drug-use

Local authorities (LAs) will receive over £3 billion in 2019/20, ring-fenced exclusively for use on public health. It is for LAs themselves to determine how best to use these resources based on their assessment of local need and with regard to their statutory duties. Regulations require all LAs to provide an open-access sexual health service, and a condition attached to the grant requires them to use it with regard to the need to improve their substance misuse services.

Public Health England monitors and publishes data for every LA on a wide range of indicators of public health, and most are stable or improving. Last year 98% of adults accessed drug treatment services within three weeks, and attendances at sexual health services increased by 13% between 2013 and 2017.

The Department of Health and Social Care and Home Office officials are continuing to hold discussions on the proposals for a new joint alcohol strategy and further announcements will be made in due course.

The most recent assessment of costs to the National Health Service in England associated with alcohol misuse estimated these costs to be £3.5 billion each year in line with 2009/10 prices. The Government does not update this estimate on an annual basis.

The Government continues to hold regular discussions on the options for future alcohol policy development. Officials across Government will continue to engage with a variety of groups and communities in the development of alcohol policy to help understand where we are falling short and what more we can do.

Public Health England produces a suite of products on the Fingertips website that provide local data alongside national comparisons to support local health improvement and an intelligence-driven approach to understanding and meeting local need, including the Local Alcohol Profiles for England which is available at the following link:

https://fingertips.phe.org.uk/profile/local-alcohol-profiles

The aim of these profiles is to provide information for local government, health organisations, commissioners and other agencies to monitor the impact of alcohol on local communities and to monitor the services and initiatives that have been put in place to prevent and reduce the harmful impact of alcohol.

Inequalities data are included wherever possible in order to allow organisations to assess the extent of variation in alcohol-related harm.