{"id":49713,"date":"2021-03-01T09:36:06","date_gmt":"2021-03-01T08:36:06","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=49713"},"modified":"2021-03-04T09:21:23","modified_gmt":"2021-03-04T08:21:23","slug":"uk-budget-why-is-public-health-being-left-solely-in-the-hands-of-our-chancellor","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2021\/03\/01\/uk-budget-why-is-public-health-being-left-solely-in-the-hands-of-our-chancellor\/","title":{"rendered":"UK budget: Why is public health being left solely in the hands of our Chancellor?"},"content":{"rendered":"<div>\n<p><span style=\"font-weight: 400\">A new and crucial budget is happening this week in the UK. The Alcohol Health Alliance UK has submitted evidence to the Treasury about the urgent need to increase alcohol duty in order to protect our nation\u2019s health.<\/span><\/p>\n<p><span style=\"font-weight: 400\">We are campaigning for this rise because the World Health Organization has long identified increasing alcohol duty as one of the most cost-effective measures in tackling alcohol harm. Cuts and freezes to alcohol duty in seven out of the last eight years have been a catastrophe for public health. Changes in duty policy since 2013 have led to significant increases in alcohol harm, including a rise in <\/span><a href=\"https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/statistics-on-alcohol\/2020\"><span style=\"font-weight: 400\">both hospital admissions and alcohol-related deaths<\/span><\/a><span style=\"font-weight: 400\">. These policies have also cost the Treasury more than <\/span><a href=\"http:\/\/www.ias.org.uk\/uploads\/pdf\/IAS%20reports\/sb26032020-1.pdf\"><span style=\"font-weight: 400\">\u00a31.3 billion<\/span><\/a><span style=\"font-weight: 400\"> annually in lost revenue\u2014money that is urgently needed to support public services such as the NHS and the police, and that could help address the costs of the covid-19 response.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Public Health England estimates that alcohol costs the UK at least <\/span><a href=\"https:\/\/doi.org\/10.1016\/S0140-6736(16)32420-5\"><span style=\"font-weight: 400\">\u00a327 billion<\/span><\/a><span style=\"font-weight: 400\"> a year. Yet over the past five years, alcohol duty has raised just <\/span><a href=\"https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/923128\/20200930_call_for_evidence_FINAL.pdf\"><span style=\"font-weight: 400\">\u00a310.5-\u00a312.1 billion<\/span><\/a><span style=\"font-weight: 400\"> annually. This is simply not enough to foot the colossal bill for alcohol harm: missed days of work due to hangovers, the trips to the emergency department from alcohol related injuries, the alcohol services that are so desperately underfunded. When broken down, the scale of alcohol harm is staggering and wide-ranging.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Yet our message that an insufficient level of alcohol duty is harming our health and costing our society risks being drowned out by voices from the multi-billion pound alcohol industry lobbying for alcohol duty cuts. With alcohol now <\/span><a href=\"http:\/\/www.ias.org.uk\/uploads\/pdf\/IAS%20reports\/sb26032020-1.pdf\"><span style=\"font-weight: 400\">74% more affordable<\/span><\/a><span style=\"font-weight: 400\"> in real terms in England than it was in 1987, it is high time that we put people before profits.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The UK government has listened to public health experts before. The tobacco duty escalator\u2014which sees the price of cigarettes increase 2% above inflation\u2014has proved a successful intervention in reducing the number of new smokers, and is projected to avoid more than <\/span><a href=\"https:\/\/tobaccocontrol.bmj.com\/content\/27\/e2\/e124\"><span style=\"font-weight: 400\">75,000 new cases of smoking-related diseases between 2015 and 2035<\/span><\/a><span style=\"font-weight: 400\">. Unfortunately, the alcohol duty escalator\u2014which was also 2% above inflation\u2014was scrapped in 2013 by George Osborne, the then chancellor, following intense lobbying from the alcohol industry. This decision has caused insurmountable damage. <\/span><a href=\"https:\/\/www.sheffield.ac.uk\/polopoly_fs\/1.868138!\/file\/IAS_duty_freeze_report_FINAL.pdf\"><span style=\"font-weight: 400\">Research from the University of Sheffield<\/span><\/a><span style=\"font-weight: 400\"> estimates that abolishing the alcohol duty escalator has led to a rise in alcohol consumption and substantial increases in alcohol-related harms and associated costs. Most alarmingly of all, the researchers found that between 2012-2019, an estimated 2,225 additional alcohol-related deaths were recorded in England and Scotland compared to if the escalator had remained in place. This begs the question: should life-saving public health measures become a political football ahead of each annual Budget? Public health must always be prioritised above profits of alcohol companies and measures should be put in place to safeguard matters of public health when financial decisions are being made.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">But there is hope on the horizon for a change to the system. The government is reviewing alcohol duty, creating a unique opportunity to revamp the system and make sure alcohol duty reflects the true cost of harm. The current alcohol duty structure is complex and inconsistent, with different alcoholic products being taxed at different rates. Beer and spirits are taxed by volume of alcohol, whereas cider and wine are taxed by volume of liquid. This means that tax on a litre of 8% ABV wine is the same amount of tax as a litre of 15% ABV wine\u2014despite containing very different amounts of alcohol.<\/span><\/p>\n<p><span style=\"font-weight: 400\">We need a scaled alcohol duty structure that ensures the strongest products pay the most tax in order to encourage drinkers to move away from purchasing the most dangerous products on the market. We also need the new duty structure to be uprated, automatically increasing in line with inflation or earnings. An independent body similar to the Low Pay Commission could periodically review the rate and provide advice on the optimal level of alcohol duty. Without urgent action, alcohol harm will continue to place the health of our nation in jeopardy. We are already at crisis point, with the most recent <\/span><a href=\"https:\/\/www.globaldrugsurvey.com\/wp-content\/uploads\/2021\/01\/GDS2020-Executive-Summary.pdf\"><span style=\"font-weight: 400\">Global Drugs Survey<\/span><\/a><span style=\"font-weight: 400\"> revealing that the UK rate of hospital admissions because of alcohol was higher than among users of any other drug cited in the report apart from heroin and with more than 5% of people under 25 in the UK reporting having sought hospital treatment after getting drunk.<\/span><\/p>\n<p><span style=\"font-weight: 400\">There is no time for delay, with 80 people across the UK dying from an alcohol-related cause every day, we need urgent action to tackle this health crisis.<\/span><\/p>\n<\/div>\n<div><em><strong>Ian Gilmore<\/strong>, Chair of the Alcohol Health Alliance UK.<\/em><\/div>\n<div><em><strong>Jennifer Keen<\/strong>, Head of Policy, Institute of Alcohol Studies.<\/em><\/div>\n<div>\n<p><em><strong>Megan Griffiths<\/strong>, Alcohol Health Alliance UK.<\/em><\/p>\n<\/div>\n<p><em><strong>Competing interests<\/strong>: The Institute of Alcohol Studies receives funding from the Alliance House Foundation.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A new and crucial budget is happening this week in the UK. The Alcohol Health Alliance UK has submitted evidence to the Treasury about the urgent need to increase alcohol [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/03\/01\/uk-budget-why-is-public-health-being-left-solely-in-the-hands-of-our-chancellor\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":66,"featured_media":47568,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223],"tags":[],"class_list":["post-49713","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guest-bloggers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>UK budget: Why is public health being left solely in the hands of our Chancellor? - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/03\/01\/uk-budget-why-is-public-health-being-left-solely-in-the-hands-of-our-chancellor\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"UK budget: Why is public health being left solely in the hands of our Chancellor? - The BMJ\" \/>\n<meta property=\"og:description\" content=\"A new and crucial budget is happening this week in the UK. 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