Table of contents

Unmet needs and service gaps

Background papers: Lifestyle and wider determinants :: Alcohol :: Unmet needs and service gaps

Ethnic minorities

Those from ethnic minorities, particularly the Eastern European community, are underserved, with language and a lack of stable accommodation highlighted as barriers to treatment and recovery. Improved engagement and access to treatment services for this group would reduce inequality.


There is a need for outreach, especially for the homeless community, who are difficult to reach and engage in treatment and support in recovery. One of the main barriers to support is the provision of suitable accommodation.

Street drinking

There is a need for a coherent and comprehensive approach to street drinking.

Peer mentors

The Saturday Club, run by peer mentors, could be further promoted and strengthened, providing a greater support for the recovery community.

Partnership working

Alcohol discharges from hospital need more attention and immediate pick-up by treatment and recovery services.

Treatment provision

Provision of community rehabilitation and post treatment support needs to be improved.

A lack of mental health support has been highlighted.

Males in the 40 - 64 age group

A sharp increase in admission episodes for alcohol related conditions in males aged 40 - 64 has been recorded, as well a smaller increase in females. Attention needs to be given to this specific group to address this issue.

Area/community intervention

Geographical areas or communities which have an identified need could be prioritised, such as wards with identified high volume of alcohol related harms.

Intervention and Brief Advice training

Further training will be given to health professionals in the hospital setting, to support proposed CQUIN indicators[1].


[1]   NHS England. Technical guidance for refreshing NHS Plans 2018/19 annex A: Commissioning for Quality and Innovation (CQUIN) indicator specification 2017-2019 2017;