Showing posts sorted by relevance for query fitzgerald. Sort by date Show all posts
Showing posts sorted by relevance for query fitzgerald. Sort by date Show all posts

Tuesday, 16 February 2021

Anti-alcohol academic wants pub booze ban

Last May, the Scottish government gave £500,000 of taxpayers money to Niamh Fitzgerald to do some research into how pubs could safely reopen. Fitzgerald is no stranger to taxpayers money. In October, she was given £1.1 million by the National Institute for Health Research to study the effects of pub opening hours on ambulance call outs. She has also had money from the Scottish government to study minimum pricing.

If you're familiar with the SNP's attitude towards alcohol, you won't be surprised to hear that she is a keen advocate of minimum pricing and not too keen on the sale of booze. She is the director of the Institute for Social Marketing, the old stomping ground of the fanatic Gerard Hastings, and is deputy director of SPECTRUM, which was set up in 2019 as a research institute but which rapidly became yet another state-funded lobby group. 
 
 
The fruits of Fitzgerald's labour were published today, conveniently overshadowing the news that alcohol consumption fell in Scotland during lockdown. 
 
Pubs might need curfews and alcohol bans to stop Covid spreading, experts warn
 
Pubs might not be able to prevent Covid from spreading without curfews or alcohol bans, warn scientists.

A team of Scottish researchers examined Covid-19 measures in licensed premises last summer and found some worrying "pinch points" which could see the infection spread.

They say blanket closures, curfews or alcohol sale bans could be more likely to be deemed necessary to control the spread.

 
Who could have guessed that a neo-temperance campaigner who come to such a conclusion? Scotland has already experimented with alcohol-free pubs during the pandemic. It didn't work well for the pubs or their customers, but the 'public health' lobby rather liked it. The fact that pubs cannot survive without selling alcohol is of no concern to academics.
 
The study used to justify this preordained conclusion involved interviews with some people from the hospitality industry and a spying mission in 29 premises when the pubs reopened in the summer. The researchers found a number of transgressions which they list sombrely, including 'customer mixing and overcrowding in toilet areas' and 'a brief bit of singing' during a football match. 
 
They conclude:

Despite efforts on the part of premises, and detailed guidance from government, potentially significant risks of COVID-19 transmission persisted in a substantial minority of observed bars, especially when customers were intoxicated. Blanket closures, curfews, or alcohol sales bans are more likely to be deemed necessary if such risks cannot be acceptably, quickly, and cost-effectively reduced through support and sanctions for premises operators.

Normally we rely on bodies like Trading Standards to see how well regulations are being adhered to. One benefit of using nationwide data from such organisations is that we get a more accurate picture than if we rely on anti-alcohol academics having a mooch around a handful of boozers. 
 
Of course, rules and guidelines will sometimes be breached, as they are everywhere from time to time. It is almost impossible to remain two metres apart from everyone in a supermarket, for example, but nobody is suggesting they be banned from selling food.
 
The fact remains that there is very little evidence that hospitality venues are a major source of infection. If they were, you would expect those who work in pubs to be at high risk of infection and yet, as the Scottish Licensed Trade Association points out...

One widely reported survey, by industry group UKHospitality, spanned 12,522 hospitality venues across the UK that employ a total of 358,000 people. It found that in the 14 weeks since July 4, 1,728 staff members had been infected with Covid, equating to an employee infection rate of 0.48% across 20 million work shifts across the UK.

According to this survey, the customer infection rate was found to be even lower – with just 780 customers infected with the virus over the 14-week period, which equates to a 0.06% customer infection rate per venue.


If, as the study concludes, transgressions were only found in a minority of pubs, the solution is to police the regulations properly. Banning pubs from selling alcohol would throw the baby out with the bathwater, but that's fine with the Institute for Social Marketing and SPECTRUM because they don't like the baby and are not particularly keen on the bathwater. 

Since the start of the pandemic, I have been documenting the actions of the corona-vultures of 'public health'. These are the people who are supposedly experts in public health and yet have nothing to contribute when a genuine public health appears. Instead, they use the crisis to advance their existing agenda and even criticise those who are trying to help.

This seems to me a classic example. It is also a classic example of the endemic sock-puppetry of the Scottish state wherein the SNP dishes out money to activist-academics who share its agenda. 

The emergence of a vaccine for COVID-19 has got the corona-vultures worried. They fear they only have a few more months of using the pandemic as an excuse for their petty authoritarianism. But that will be long enough for them to try out their most drastic experiments. In the short term, they can go wild. In the long term, their aim is to keep as much emergency regulation on the books as possible when the emergency is over.


Thursday, 28 October 2021

The medicine isn't working. More medicine!

Another study in the official minimum pricing evaluation was published this week. Once again, it was bad news for advocates of the policy, although you have to read it properly to find that out. According to a note at the top the study (too brief to be called an abstract), it says...

This study found that implementation of minimum unit pricing at 50p per unit was unproblematic with no evidence of beneficial or harmful impacts on the outcomes evaluated.

But as the results section shows, there was, in fact, some evidence of a harmful impact...

The odds ratio for an alcohol-related emergency department attendance following minimum unit pricing was 1.14 (95% confidence interval 0.90 to 1.44; p = 0.272). In absolute terms, we estimated that minimum unit pricing was associated with 258 more alcohol-related emergency department visits (95% confidence interval –191 to 707) across Scotland than would have been the case had minimum unit pricing not been implemented.

To be fair, this association was not statistically significant, but we know that minimum pricing costs Scottish drinkers tens of millions of pounds a year. That is a harmful impact and it can only be justified - at a push - if it produces positive health outcomes. This is just the latest study showing that it has not done so. 

The study is a substantial piece of work, running to over 200 pages. It is the most thorough piece of research conducted on the real world impact of minimum pricing to date. The authors compared outcomes in Scottish emergency departments with those in the North of England. They also compared outcomes in sexual health clinics and interviewed various 'stakeholders'.

At best, they found no improvement north of the border. Indeed, things may have got comparatively worse since minimum pricing was introduced.

On average, Scotland had a higher proportion of alcohol-related attendance than England. Scotland had a stable trend, whereas there was a decreasing trend in England.

.. The proportion of ‘current alcohol drinkers’ was higher in Scotland than in England, with this difference significant across all three waves. 

...For drinkers’ consumption, there were slight increases for the odds of alcohol misuse (FAST score ≥ 3; OR 1.22, 95% CI 1.04 to 1.42) and alcohol purchase from on-licensed premises (OR 1.27, 95% CI 1.05 to 1.55).
.. For the availability, purchasing and consumption of alcohol, stakeholders expected to see reductions after MUP, notably for young people because they had limited disposable income. Such reductions were not generally observed. 

This is in addition to the study published last week which found no impact on crime from the introduction of minimum pricing.

Not going very well, is it?
 
The study was produced by people like Colin Drummond and Niamh Fitzgerald who have been agitating for minimum pricing for years and are not going to allow the total failure of the policy to derail them now.
 

In the plain English summary, they make a few excuses and - surprise, surprise - call for the minimum price to be increased. 

Our study may have suffered from a failure to include those most likely to consume low-cost alcohol. We think that the reason that we found no effect either way from minimum unit pricing could be that the minimum price was too low to make a difference, that people did not notice it or that too few people who buy low-cost alcohol were included in our study. According to the World Health Organization, the price needs to keep pace with cost increases; however, it was unchanged in Scotland since being agreed in 2012.

And in the conclusion of the abstract proper, they say:

The lack of effect observed in these settings in the short term, and the problem-free implementation, suggests that the price per unit set (£0.50) was acceptable, but may be too low.

This is now the fallback position of the anti-booze lobby: the medicine didn't work, we need more medicine. Never mind the fact that their precious modelling which 'proved' that minimum pricing was the single most effective way to tackle alcohol-related harm was based on a 50p unit and was being published long after 2012. 

Meanwhile, in the USA, cigarette sales have risen for the first time in twenty years after a relentless campaign against vaping. As CNN notes, at the very end of their report on this news...

Smokers are also switching back to traditional cigarettes from vaping devices in response to restrictions on e-cigarette flavors

Don't expect any contrition from the people who have been at the forefront of the war on vaping. As the editor of the Tobacco Control 'journal' says...


Efforts must be redoubled, comrades!


Tuesday, 14 December 2021

Were 'public health' busybodies the real victims of COVID-19?

In February, we saw the first fruits of the £500,000 of taxpayers money given to Niamh Fitzgerald and her little temperance chums by the Scottish government. The grant was to investigate the impact of the pandemic and the associated restrictions on alcohol consumption and the night time economy. It was always pretty obvious that they would look favourably on anything that restricted people's ability to drink alcohol and the findings of their first study did not come as a surprise.
 

A team of Scottish researchers examined Covid-19 measures in licensed premises last summer and found some worrying "pinch points" which could see the infection spread.

They say blanket closures, curfews or alcohol sale bans could be more likely to be deemed necessary to control the spread.

Their findings will inform governments, public health experts and policymakers in the UK and overseas as they consider the impact of the pandemic on hospitality and the risks of lifting restrictions.

 
Fitzgerald et al. returned this week with another study - again based on interviews - which contains moments of inadvertent humour. In particular, it gives an insight into the day-to-day work of local 'public health professionals' who were the real victims of COVID-19 because they were hampered in their ability to interfere with pubs and clubs.
 

Some public health actors had to withdraw from their work on alcohol licensing to focus on pandemic-related work, halting partnership work with other licensing stakeholders.


How awful for them. Being required to work on an actual public health problem for the first time in their career must have come as a shock.

One public health actor raised concerns on this basis, suggesting that new licensing applications/proposed variations to existing licenses might not be given the same level of scrutiny from a public health perspective.

 
It doesn't bear thinking about, does it? Imagine if a pub could extend its beer garden without some purse-lipped busbybody from 'public health' raising spurious objections.
 

Second, several stakeholders expressed concern about relaxation of licensing regulations, which they feared might not fully reversed.

 
This is what keeps them up at night.

A national decision was taken in England to permit licensed premises forced to close during the lockdown to sell takeaway alcohol, resulting in ‘people wandering around the street with, you know, plastic pint pots, which is what they’re allowed to do now’.

 
Pray for them.

This was reportedly done without consultation and experienced as ‘pulling the rug out from under’ (undermining) local licensing stakeholders.

 
The horror. The horror.
 
We should remember that the context of this 'relaxation of licensing regulations' was the on and off closure of all pubs, bars, restaurants and clubs for over a year, curfews, the rule of six, stupid nonsense about Scotch eggs and a ban on the sale of alcohol indoors (in Scotland for a while). 

It was an extremely difficult time for people in the licensed trade and 'public health' troughers begrudged every attempt they made to stay in business.
 

As businesses reopened following the first UK lockdown, interviewees reported that multiple licences were granted to permit the sale of alcohol for consumption in areas outside premises.

 
They were banned from serving alcohol indoors! What else were they supposed to do?
 
Licensing team members explained that the volume of such applications meant they were unable to visit premises prior to applications being considered as they normally would do.

Did this cause any problems? The study doesn't mention any so perhaps these people are a waste of space.

Another raised concern about expansion in availability through outdoor drinking when premises re-opened because ‘especially just now...everybody’s needing to turn everything in to a beer garden just to keep the business going, you know, with social distancing etc.’.


So what??

The study also interviews people in the ambulance service, one of whom recalls lockdown fondly:

‘It’s so nice to go to work on a Friday night knowing that you don’t have to go into pubs and clubs... it’s made a huge difference.’


How lovely for them!

The authors of the study conclude with some concerns that people might continue drinking outside pubs when the pandemic ends - because that's been the real issue of the last two years, hasn't it? 
 

It may be difficult to reverse outdoor licences granted during the pandemic, even when physical distancing is no longer required...

 
Who cares? What's wrong with drinking outside?

A shift towards outdoor drinking renders alcohol consumption (and any related drunkenness) more visible, including to children and people in recovery from alcohol problems who may be passing by.


Think of the children!

However, they don't like people drinking at home either, and for the same reason.

Drinking (or drunkenness) at home is more visible to children than drinking by adults in bars/pubs where children are not permitted.

It's almost as if they don't approve of drinking at all, isn't it?

Overall, it seems likely that the closure of licensed premises led to net reductions in the burden of alcohol-related harm on emergency services, even with a shift to home drinking, but that this was relatively short-lived.

Strangely, the authors omit to mention the massive rise in alcohol-related deaths that took place in 2020 when all these restrictions were in place.
 
 

So maybe having pubs and clubs open, with or without beer gardens, isn't quite the public health problem we've been led to believe? 
 
Nevertheless, they conclude:

It is timely to consider whether economic prosperity in the NTE [night-time economy] must rely on alcohol and whether there is a third way or ‘sweet spot’ approach via policies which transform and build the NTE to prioritise other forms of entertainment, food, music or more family-friendly environments.

 
No, there isn't. Go away.


Tuesday, 7 June 2016

Alcohol Concern, Lundbeck and nalmefene


It was reported yesterday that the anti-drinking drug nalmefene (AKA Selincro) is not particularly effective and that studies cited by its manufacturer Lundbeck are flawed. This is not the first time questions have been asked about this drug and I can't say I'm surprised. When I looked at the evidence in 2014, I was surprised by how weak it was. There are not many studies, for a start, and taken together they suggest that the drug is only marginally more effective than a placebo.

Why, then, was it approved by NICE and dished out at a cost of £3 per dose to the NHS for treatment of so-called 'mild alcoholics'? 

Dr Niamh Fitzgerald, a pharmacist and lecturer in alcohol studies at the University of Stirling, questioned why health watchdogs at NICE (the National Institute of Healthcare and Excellence) gave the go-ahead for the drug to be prescribed based on the evidence provided by the manufacturer.  

She said: "We found multiple problems with the way the trials for this drug were conducted.  

"We can't tell whether it's effective or not and we normally don't licence drugs unless we have really strong evidence that it is effective so that's what we're saying the evidence isn't yet strong enough.
 
"If the pharmaceutical company believe that it's effective then it should have continued and conducted further trials to prove that.  

"We require people to prove that the drugs are effective rather than just assume that they are based on unplanned analysis.  

"We want to know how the system has failed in such a way that a drug with not good enough evidence has been licensed and has been recommended by NICE."

This news was reported by the BBC yesterday morning and the alcohol research 'community' was abuzz on social media talking about. One group was strangely quiet, however. Neither Alcohol Concern nor its Welsh cousin Alcohol Concern Cymru have said a word about it. This is strange because Alcohol Concern have been very vocal about nalmefene in the past. They responded to the NICE consultation on Lundbeck's drug in 2014 and when NICE approved nalmefene for NHS use, Alcohol Concern came out to bat for Lundbeck, saying the drug was 'a useful addition to the clinician’s toolbox'.

Lundbeck have funded various Alcohol Concern initiatives such as this. In 2014, they gave Alcohol Concern money to produce an Alcohol Harm Map which was released to the press with the highly contentious claim that there are nearly 10 million drink-related NHS admissions per year. Alcohol Concern also runs the All Party Parliamentary Group on Alcohol Abuse 'with the assistance of a grant paid by Lundbeck Ltd'.

Lundbeck funded the Alcohol Concern conference in 2014 and gave them an additional £51,000 last year. At least, that's what Lundbeck's website says now. A few months ago it said £109,000.



Either way, it's a lot of money to be getting from Big Pharma for an organisation that is obsessed with the real or imaginary conflicts of interest of other people. Maybe they don't consider it to be a conflict for some reason? That would explain how Alcohol Concern's president, Ian Gilmore, could co-author a study about nalmefene in 2015 without mentioning any competing interests (how does that work?).

As I said in 2014, I would rather Alcohol Concern get their money from industry than from taxpayers. They may genuinely believe that Lundbeck's drug is a useful product which advances their mission. They may see themselves as commentators on all things alcohol and see nalmefene as being within their remit. If so, why the radio silence now?

Friday, 27 October 2023

Road traffic accidents: another minimum pricing fail


 
Five 'public health' academics, including Niamh Fitzgerald, studied what happened to road traffic accidents (RTAs) after minimum pricing for alcohol came into effect in May 2018. As their study published last week shows, it didn't go well for them.
 
In Scotland, MUP implementation was associated with 40.5% (95% confidence interval: 15.5%, 65.4%) and 11.4% (−1.1%, 24.0%) increases in fatal and nighttime RTAs, respectively.
 
Yes, you read that correctly. There was a 40% increase in fatal road traffic accidents. The wins just keep coming, don't they?
 
 
Did minimum pricing cause the increase in fatal RTAs? Probably not, in my opinion, although the authors propose one plausible mechanism.
 
The increase in fatal RTAs could have multiple explanations, such as some qualitative evidence that MUP led people to switch from consuming strong beers and ciders to drinking spirits and getting more intoxicated.
 
The authors downplay the finding and instead settle for the inarguable conclusion that minimum pricing didn't reduce road traffic accidents. 

Overall, we found no evidence that the introduction of MUP could be associated with reductions in the RTAs most likely to be alcohol-related in Scotland for the first 20 months of its implementation. This may be in contrast with the economic theory suggesting a decrease in alcohol-related RTAs as a consequence of an increase in alcohol price (that had already led to a reduction in alcohol consumption in the population).
 
It may indeed!
 
Regular readers will be able to predict what comes next...
 
Overall, we found no difference in night-time RTAs and a transient increase in fatal RTAs.
 
Say the line, Bart!
 
One explanation for the lack of decrease is that the floor price of £0.50 could have been too low to generate such an effect with visible repercussions on drink-driving/pedestrian road safety and then in RTAs. 

The medicine's not working. More medicine!


Wednesday, 17 August 2016

The lunatics in charge of the asylum

The fanatics are running the show in Scotland, as The Drum reports...

Scottish government officials will meet with the Advertising Association (AA) and Portman Group to outline their plans for reforms to alcohol advertising. But the real question likely to be on the minds of those representing advertisers is why a committee advising the government on those reforms is made up almost entirely of temperance campaigners.

You may recall something similar happening with the committee put together by the Chief Medical Officer to discuss the risible new drinking guidelines.


It is the Scottish government's first official encounter with the ad industry on the matter since it quietly formed an international group of experts (see below) at the turn of the year to advise it on tougher advertising measures. The move happened despite concerns over the group's constituents from at least one of the major alcohol producers. The fear being that the panel, which consists of health and marketing experts such as Gerard Hastings, professor of social marketing at Stirling University and Karine Gallopel-Morvan, professor of social marketing at the School of Public Health, is one-sided and could help push through tougher measures in the next phase of the Scottish government’s framework, according to a source close to the matter.

Regular readers will know that Hastings is a highly emotional, far left-wing fruitcake whose hatred of advertising is only matched by his incomprehension of it. Check out the presentation he gave to a government-funded temperance conference last year. Click on the link. Look at it. This is a guy who should be shouting from the sidelines at a Corbyn rally, not getting invited to policy meetings. And yet - almost unbelievably - this who the World Health Organisation went to when they wanted a review of the evidence on food advertising and he is the go-to man for 'public health' lobbyists when it comes to alcohol advertising. Perhaps this is not so surprising as he can be relied upon to demand a ban regardless of what is being advertised.

It doesn't stop there. Other alleged experts on the Scottish government's panel include...

Colin Shevills, director of 100% state-funded anti-alcohol pressure group Balance.

Sally Casswell, Kiwi 'public health' fanatic, wibbles about corporate power, denormalisation, people vs. profits etc.; wants 'comprehensive' alcohol advertising ban, natch.

Katherine Brown, director of the neo-temperance Institute of Alcohol Studies (formerly known as the UK Temperance Alliance)

Eric Carlin, director of the state-funded 'public health' sock puppet SHAAP

Peter Rice, chairman of SHAAP

Suzanne Costello, chief executive of Alcohol Action Ireland - a sock puppet pressure group set up by the Irish government specifically to lobby for its Public Health (Alcohol) Bill.

Mary Cuthbert, board member of Alcohol Focus Scotland - a campaigning 'charity' that is almost entirely funded by the taxpayer.

Mac Armstrong, chair of Alcohol Focus Scotland.

Mike Daube, formerly of ASH (UK), now a jackboot of all trades in Australia; denies that moderate drinking is good for you; got an operatic production banned because it was set in a tobacco factory.

Niamh Fitzgerald, one of Hastings' colleagues at the University of Stirling, UK Centre for Tobacco and Alcohol Studies.

Amandine Garde, lawyer, big fan of using EU law to regulate people's lifestyles.


Mariann Skar, secretary general at EU-funded teetotal group Eurocare.

Looking at the full list, I can't see anybody who is likely to demand anything other than an extensive ban on alcohol marketing. Not one of them works in the private sector, let alone in advertising or media.

Health secretary Shona Robison said: “The establishment of this group was a recommendation made by the Universities of Stirling and Sheffield in their independent report which found that the UK government’s alcohol policies are weaker than those implemented by the devolved nations."

Oh, for God's sake! Obviously these people are going to recommend their mates and exclude their opponents. This is Mickey Mouse policy-making of lowest order. It would be better - at least, it would be more honest - for the SNP to abandon the pretense of consultation rather than waste money on this kangaroo court.

Any changes to alcohol advertising that stem from the panel would be a fillip to the SNP, which has taken a hard-line anti-alcohol stance since it came into power in 2007.  

No kidding. It's all about boosting the SNP's prestige, just as the taxpayer-funded jamboree last October was all about Sturgeon-worship, but don't these people feel any shame about running their country like a banana republic?

Wednesday, 19 August 2015

Drinking, Fast and Slow: an excerpt

I'm on holiday this week so the next four posts will all be excerpts from recent IEA publications. This is from Drinking, Fast and Slow...

Ten years after the Licensing Act was introduced, the evidence suggests that it had neither a strong negative nor strong positive effect on violent crime, alcohol-related health problems, public order or Accident and Emergency admissions. It coincided with a significant decline in per capita alcohol consumption, binge-drinking and violent crime, but it is impossible to tell whether these trends are linked to the Act in any way. A cautious interpretation of the data suggests that the Act may have improved public health and public order somewhat. It certainly did not worsen them.

Licensing is no longer a live political issue. ‘24 hour drinking’ is occasionally resurrected in the press as a threat to public order, but there is little support for repealing the Act and the temperance/public health lobby has shifted its attention to the off-trade where most of the nation’s alcohol is consumed. ‘Given its limited practical effects,’ writes Henry Yeomans in Alcohol and Moral Regulation, ‘the reaction to the new Licensing Act 2003 fits the classic definition of a “moral panic”; a disproportionate reaction prompted by an exaggerated sense of a threat’ (Yeomans 2014: 180). The term ‘moral panic’ can be overused but it is an apt description of what occurred before and immediately after the introduction of the Licensing Act. The prophecies of doom that were mainstream opinion in 2005 now look hysterical and absurd. How can they be explained?

It could be argued that disastrous consequences were averted by factors that could not have been predicted in 2005. By reducing disposable incomes, the economic crisis of 2008 may have led to less demand for pubs and clubs. The reintroduction of the alcohol duty escalator in 2009 also made alcohol less affordable. But whilst these factors may have played a part in reducing alcohol consumption from 2008 onwards, they cannot explain the decline between 2004 and 2007, nor the decline in violent crime and binge-drinking rates that preceded the financial crisis.

It could also be argued that other parts of the Licensing Act successfully tackled problems in the nighttime economy and mitigated the negative impact of extended opening hours. It is true that there was much more to the Licensing Act than extended closing times. Some of its provisions, such as making it easier to close down troublesome pubs, may have helped address public order problems, but these provisions were well-known in 2005 and few of the doom-mongers expressed confidence that they would bring major benefits.

Finally, it could be argued that catastrophic consequences were averted only because pubs did not, in the event, choose to open as late as the critics expected. Certainly, there were unrealistic expectations of how long pubs, bars and clubs would stay open under the new licensing regime. There was never any realistic prospect of widespread ‘24 hour drinking’ even though the Act allowed for it in theory. As of 2010, there were 7,600 premises licensed to sell alcohol at any hour, but most of these were hotels (which had always been able to sell alcohol to guests at any time) and only 13 per cent were pubs, bars and nightclubs (Antoniades and Thompson 2010: 24). Most Licensing Authorities have no pubs, bar or clubs with a 24 hour licence in their area (ibid.: 25).

It is unclear how many pubs actually sell alcohol 24 hours a day, but the number is very small indeed. According to the British Beer and Pub Association: ‘a mere 200 pubs have been granted permission to open for 24 h[ours] and, as the Home Office will confirm, none do’ (Hayward 2009). The Association of Licensed and Multiple Retailers said in 2008 that only two pubs used their 24 hour licence (DCMS 2009: Ev 66). Whatever the exact figure, 24 hour pubs are extremely rare, if they exist at all.

A 2007 survey of 45,000 licensees found that pubs closed, on average, 27 minutes later after the Act was introduced. Registered clubs closed 56 minutes later and nightclubs closed 31 minutes later (Thompson 2009). These modest extensions in business hours are far removed from the ‘24 hour drinking’ caricature and they raise an important question that is rarely asked about the Licensing Act. Why have more pubs not stayed open longer?

In some instances, the answer lies with local councils not issuing licences, but this does not explain why the tens of thousands of pubs which have the relevant permissions do not use them to the full, nor does it explain why the handful of 24 hour licences are rarely, if ever, used. By 2008, four out of five pubs and clubs had a licence to open until at least midnight and yet most still closed at 11pm, even on Saturday night (Hough et al. 2008: 5). Why? The answer, surely, is that there is insufficient demand for round-the-clock drinking. This is not to say that nobody wants to drink at all hours, only that there are not enough customers with this preference to make it worthwhile for a business to cater for them. As one licensee told researchers from the Home Office: ‘We can open till 1am during the week if we wish to. But because the trade is not around, especially midweek, we shut at 11pm’ (Hough et al. 2008: 6).

If there was sufficient demand, more pubs would close in the early hours of the morning every night. Some pubs would be open all night long. Those who feared the worst from the Licensing Act over-estimated the public’s thirst for drink. Their belief in Britons as ignoble savages for whom the law was the only barrier to permanent inebriation led them to assume that demand for alcohol was virtually limitless. This proved to be far from true. It is therefore not good enough to say that the doom-mongers might have been proven correct if more pubs had used their licences to the full. The fact that most pubs still close at 11pm out of choice is proof that their fundamental assumption about the demand for drink was wrong.3

That is not to say that there is no demand for flexible closing times. Clearly there is, particularly at the weekend and on special occasions, and the Licensing Act helped the trade to satisfy it. ‘24 hour hour drinking’ may be a straw man, but the post-2005 change in opening hours has not been trivial. Although pub hours were extended by only 27 minutes a day on average, these extra hours were concentrated in certain pubs (those which chose to close later) and on certain days (primarily at the weekend). An extra 27 minutes per pub represents more than 13 million extra trading hours each year, with many more additional hours in other venues. In nearly all towns and cities - and in many villages - those who want to drink until midnight, and often later, are now able to find at least one pub or bar in which they can do so. Allowing a greater supply of alcohol did not lead to greater demand, but it did allow supply to become more closely aligned with customers’ preferences, as Tony Blair intended. Given the choice, customers generally preferred to drink less, drink later and drink locally.

This poses a challenge to the availability theory of alcohol, which dictates that longer opening hours lead to more drinking, more drunkenness and more alcohol-related harm. This orthodoxy was clearly expressed in Emergency Medicine in 2005: ‘Availability of alcohol is associated with increased use, which is in turn related to increased alcohol related injury and illness’ (Goodacre 2005). This is what was predicted by public health campaigners, senior policeman, judges and the media before the Act was introduced. But we now know that alcohol consumption did not rise. On the contrary, it fell sharply and is now back to the level of the early 1980s. Insofar as ‘binge-drinking’ is a measure of drunkenness, that too has fallen sharply, particularly amongst young people. Alcohol-related mortality has not risen since the Act was introduced, though it had been rising for many years before. Violent crime and late night assaults have continued to decline, albeit sometimes occurring later in the night. The number of alcohol-related traffic accidents has also fallen.

If these findings are ‘counterintuitive’, as one group of researchers described them (Humphreys et al. 2013: 7), it is because of the dominance of availability theory in public health circles. Temperance societies have always believed that ‘the line between order and chaos can be as thin as a few extra hours of drinking time’ (Yeomans 2009: 7) and this belief lingers in the modern public health movement. Availability theory is not without supporting evidence. Prior to the Act’s implementation, temperance and public health campaigners made frequent mention of evidence from Ireland and Australia where a rise in alcohol-related problems had coincided with the liberalisation of licensing laws. But whilst there were studies showing a correlation between availability and alcohol-related problems in some jurisdictions (Popova et al. 2009), there were also studies which found no increase in alcohol-related problems when licensing laws had been relaxed (Vingilis et al. 2005, Fitzgerald and Mulford 1992), including in the UK itself (DeMoira and Duffy 1995, Graham et al. 1998).

The evidence for availability theory was never as solid as its advocates claimed - and they knew it. When the new licensing proposals were first aired in 2001, an editorial in the Journal of Public Health Medicine noted that ‘when opening hours were lengthened in Scotland in 1976 and in England and Wales in 1988, fears that this would lead to a major increase in alcohol consumption and alcohol-related harm were not realised’ (Kemm 2001). The experience of England and Wales since 2005 is another blow to availability theory. The World Health Organisation now concedes that ‘There is a lack of clear evidence currently available on the impact of changes to permitted drinking hours on violence, with studies reporting contradictory results’ (WHO 2007: 5).

The more extravagant claims of the Licensing Act’s supporters have also been shown to be ill-founded. Manchester did not become Madrid and Birmingham did not become Bologna. The ‘continental café culture’ never materialised. Given the British weather, that should come as no great surprise, but café culture was always a red herring. It was clear from the start that Tony Blair’s aim was to diversify the night-time economy, allow greater freedom of choice and improve public order. On those criteria, the Licensing Act has been a qualified success. The DCMS Select Committee that reviewed the legislation in 2009  concluded that ‘the major impetus for changes seen in licensed venues appears to have come from consumer choice and market forces. However without the alterations to the licensing regime introduced by the Licensing Act such changes might not have been possible’ (DCMS 2009: 21). By relaxing licensing laws, the government made markets free (or freer) to do what markets are supposed to do: allow people to pursue their preferences. That it did so without aggravating - and possibly alleviating - alcohol-related problems is a welcome bonus.