DDN October 2017 DDN_DIR_October2017 | Page 5

read the full stories, and more, online www.drinkanddrugsnews.com PCC PRIORITIES THE POLICE AND CRIME COMMISSIONER FOR NORTH WALES, Arfon Jones, has called for the establishment of a pilot drug consumption room in the region in his annual report, Looking to the future: my policing objectives. With consumption rooms now looking likely to be established in Glasgow (DDN, July/August, page 4) and Dublin (DDN, September, page 5), the Welsh Government’s advisory panel on substance misuse is carrying out research into the value of a facility in Wales, the results of which will presented to public health minister Rebecca Evans. The PCC report also advocates decriminalisation, as most drug use ‘is recrea - tion al and causes no harm’. Document at modgoveng.conwy.gov.uk CHANGE CHARTER A REPORT FROM THE CROSS PARTY PARLIAMENTARY GROUP on Drugs, Alcohol and Justice has set out ten key demands for the UK government, including prioritising ‘coordinated harm reduction strategies’ to reduce drug and alcohol-related deaths and identifying a single government minister responsible for drug and alcohol policy. Charter for change also urges the government to ‘follow the guidance’ of the ACMD, and joins the ACMD, National Aids Trust and other bodies in calling for provision of drug and alcohol services by local authorities to be mandated (see news, facing page), with adequate resources available for effective treatment. Document at blenheimcdp.org.uk SECURE SETTINGS ADDITIONAL GUIDANCE AND TRAINING is needed on the management of people using NPS in secure mental health settings, according to a PHE review. Wider clinical staff, including those in emergency departments, also need to be educated about the acute mental health symptoms associated with NPS use, says A review of new psychoactive substances in secure mental health settings. Available at www.gov.uk DEATHS DOWN UNDER AUSTRALIA HAS RECORDED ITS HIGHEST NUMBER OF DRUG RELATED DEATHS since the last century, with the death rate now standing at 7.5 per 100,000 population. ‘Psycho stimu - lants’ such as methamphetamine are now the third most common cause of drug deaths, according to figures from the Australian Bureau of Statistics. Record numbers of drug-related deaths are also being recorded in England and Wales, Scotland and the US (DDN, September, pages 4 and 5). Causes of death, Australia, 2016, at www.abs.gov.au www.drinkanddrugsnews.com LIVER DISEASE STATS MAP OUT STARK INEQUALITIES PEOPLE IN BLACKPOOL ARE ALMOST EIGHT TIMES MORE LIKELY TO DIE PREMATURELY FROM LIVER DISEASE than those in South Norfolk, according to new figures from Public Health England (PHE). The agency’s updated ‘liver disease atlas’ is designed to help health professionals allocate resources more effectively and reveals a wide variation of premature mortality rates across the country, with less than four people per 100,000 population in the South Norfolk clinical commissioning group area dying before the age of 75, compared to more than 30 in Blackpool. Liver disease now accounts for nearly 12 per cent of total deaths among men in their 40s, with alcohol, obesity and hepatitis C and B responsible for 90 per cent of cases. Hospital admissions for liver cirrhosis have doubled over the last decade, says PHE, although there are significant variations across the regions and most of the higher rates are ‘clustered’ in the more deprived areas. ‘People in the most deprived population fifth who die from liver disease typically do so almost one decade earlier than those who die from liver disease in the most affluent population fifth,’ the document adds. Alcohol-related hospital admissions for under-18s, however, have fallen, although PHE stresses the importance of developing a strategy to ‘tackle the rising burden of liver disease, especially in younger adults’. ‘Chronic liver disease is a silent killer of young adults, creeping up and showing itself when it’s often too late,’ said PHE’s head of clinical epidemiology, Professor Julia Verne. ‘However, around 90 per cent of liver disease is preventable. We hope local health professionals will make the most of this rich data source to inform how they reduce the burden of liver disease in their areas.’ The British Liver Trust said the figures showed the UK was facing a liver disease crisis. ‘People are dying of liver damage younger and younger, with the average age of death now being mid-fifties,’ said its director of communications and policy, Vanessa Hebditch. ‘It is also becoming more and more common for liver units to have much younger individuals waiting for a liver transplant or dying on the wards.’ People ‘need to be diagnosed much earlier to obtain effective care, treatment and support as soon as possible,’ she stressed. Atlas of variation in risk factors and healthcare for liver disease: September 2017 at fingertips.phe.org.uk See news focus, page 8 ‘Around 90 per cent of liver disease is preventable. We hope local health professionals will make the most of this rich data source to inform how they reduce the burden of liver disease in their areas.’ Prof JuLiA vErnE IT’S AN HONOUR! Ex-Federation of Drug and Alcohol Professionals (FDAP) chief executive CAROLE SHARMA has been awarded an honorary degree by the University of West London for her services to the drug treatment sector. Highly regarded in the field, and a regular chair at DDN’s annual service user conference, Ms Sharma has worked tirelessly for decades to improve standards of practice and the status of drug and alcohol workers. October 2017 | drinkanddrugsnews | 5