Alcohol sales and harm in Scotland during the COVID pandemic

Public Health Scotland (PHS) has published an analysis of the latest available data on alcohol sales and harms in Scotland during the COVID-19 pandemic. This provides a picture of how the pandemic and its related restrictions may have impacted on alcohol sales, alcohol-related hospital stays and alcohol-specific deaths.

Presenting data on alcohol sales up to 8 May 2021, and previously published data on hospital stays up to 31 March 2021 and deaths up to 31 December 2020, the report shows that while rates of hospital stay related to alcohol fell, rates of alcohol-specific death increased. This was driven by an increase in deaths in men and those aged 45 to 64 years, groups that experienced the highest rates of deaths caused by alcohol prior to the pandemic.

This is despite total alcohol sales (litres of pure alcohol per adult) being 9% lower in 2020 than the 2017-19 annual average, and 16% lower in 2021 (January–May) than the average for January–May 2017-19. While sales of alcohol through supermarkets and shops (off-trade) increased during the pandemic, sales through pubs, clubs and restaurants (on-trade) decreased substantially due to the restrictions imposed because of the pandemic. 

This, combined with other evidence of how alcohol consumption may have changed during the pandemic, suggests that drinking at hazardous and harmful levels may have increased for some groups who potentially experienced higher rates of mortality as a consequence.

Lucie Giles, Public Health Intelligence Principal at Public Health Scotland said: “The data show that the number of people accessing hospital with an alcohol-related diagnosis fell during the pandemic, particularly at times when restrictions were at their most stringent.

“We saw the greatest reductions amongst men and those aged 45 years and over and it was in these same groups that we saw increases in deaths caused by alcohol. This was despite average alcohol consumption for the population falling, a change driven by a reduction in sales of alcohol through pubs and clubs.

“Despite the reduction in sales overall the data indicate that population level consumption of alcohol was still above recommended levels. Between March 2020 and May 2021, 17 units (171 ml) of pure alcohol have been sold per adult each week on average, 16 (162 ml) of which have been from off-trade premises. This represents enough alcohol to put every adult in Scotland over the Chief Medical Officer’s low-risk weekly drinking guideline of 14 units.

“Taken together, the evidence points to increased drinking amongst some groups, coupled with a reduction in the number of people accessing hospital treatment and greater rates of death caused by alcohol. Tackling alcohol consumption and harms, particularly among high-risk groups, should be a critical objective of any COVID-19 recovery plans.”

Matt Lambert, CEO of the Portman Group – the alcohol social responsibility body and marketing regulator – said: “Public Health Scotland’s latest data reaffirms a body of research that shows overall alcohol consumption fell during 2020.

“Yet in contrast alcohol-related deaths tragically increased which may in part be due to the heaviest drinkers finding it harder to access support. There is a duty of care to now focus on targeted measures for the minority, those who were already drinking at the heaviest and most harmful rates, who then increased their drinking as the impact of the pandemic compounded existing problems.  

“Finally, we would be interested to understand why this report focuses on alcohol sales while downplaying the Scottish Government’s own studies on actual alcohol consumption that shows a persistent fall in drinking rates for over a decade.

“With the majority of people in Scotland drinking an average of 12.1 units a week, below the CMO low risk guidelines of 14 units per week, it is important to view drinking rates accurately and address this within policy making.”

Alcohol sales and harm in Scotland during the COVID-19 pandemic

Read the report: Alcohol sales and harm in Scotland during the COVID-19 pandemic

Alcohol sales in Scotland fell to 26-year low in 2020

Minister welcomes figures but pledges further action

Overall alcohol consumption in Scotland fell to a 26-year low during 2020, according to a comprehensive report published today by Public Health Scotland.

The annual Monitoring and Evaluating Scotland’s Alcohol Strategy (MESAS) report brings together data on alcohol consumption, price and related harms into a single publication. It shows that total alcohol sales fell 5% on the previous year, to the lowest level recorded since 1994.

Last year, COVID-19 restrictions affected alcohol sales from premises such as pubs, clubs, and restaurants.  Nine in every ten units of alcohol sold in Scotland in 2020 were sold via off-trade outlets including supermarkets and other off-licences – an increase from seven in every ten units in 2019.

In addition to the evidence from 2020 – the year of the pandemic – today’s MESAS report also details a 10% year-on-year reduction in the number of deaths wholly caused by alcohol in 2019.

Commenting on the results of the studies, Public Health Minister Maree Todd said: “I welcome this report showing that total alcohol sales in 2020 fell to their lowest level for 26 years.

“The study provides valuable insight allowing us to gauge the impact of alcohol sales and consumption during the period of the pandemic. Clearly COVID-19 and the associated restrictions have had a dramatic impact on the hospitality trade, but these figures demonstrate that the restrictions in place did not simply translate into an increase in the total amount of alcohol being consumed. In fact, the opposite is the case.

“We have already seen that alcohol sales were falling since the introduction of our world-leading Minimum Unit Pricing policy in 2018. We know that it will take longer for the full impact of reduced consumption to feed through into health related statistics, but I am more convinced than ever that MUP is one of the main drivers in reducing alcohol harms. 

Although this is the largest recorded year-on-year reduction in alcohol sales – and also the narrowest recorded gap between sales north and south of the border – it is important to bear in mind that the average number of units drunk during this period was still nearly 30% per cent more than the UK Chief Medical Officers’ guidelines of drinking no more than 14 units a week.

“In addition to these 2020 figures, the report also details a 10% reduction in the number of deaths caused wholly by alcohol in 2019. While we are on the right trajectory, this still equates tragically to nearly 20 deaths every week across Scotland – each one preventable.

“We continue to make progress in reducing inequalities across a number of public health areas – remaining focussed on addressing the underlying causes that drive health inequalities and doing more to address harms from alcohol. I am determined to build on this progress including consulting on potential restrictions to alcohol advertising and promotion.”

LOST SUMMER?

Scottish licensed trade operators are braced for “potentially another lost summer” after First Minister Nicola Sturgeon said this week that it is “unlikely” that any part of Scotland will move down a level from June 28.

Responding to the First Minister’s suggestion that current restrictions will remain in place for a further three weeks, and national clinical director Jason Leitch’s widely-reported comments that Scotland’s lockdown exit plans could be pushed back by up to 10 weeks due to the more infectious Delta strain of coronavirus, the SLTA said: “Another summer season, essential for business survival, will be lost.”

The trade association’s managing director Colin Wilkinson pulled no punches, stating: “The hospitality sector is at breaking point with Tuesday’s announcement that the brakes are on for further easing of restrictions.”

Calling for further financial aid to ensure the survival of the licensed hospitality industry as it plays its part in rebuilding the economy, Mr Wilkinson said: There needs to be an extension to the current support schemes available such as furlough, VAT reduction, deferral of loan repayments and so on.

“Our pubs and bars have already invested millions to provide a safe environment as we all learn to live with this virus and we need to be able to open without restrictions as soon as we can.

“Currently, we can only operate at around 30% of our capacity, but with increased staff costs to provide table service and fewer tables because of social distancing rules, most business continue to operate at a loss, racking up further debt every time they open the doors.

“For those still unable to open because of their size or the entertainment they provide, such as late opening premises and night clubs, it is another devastating blow for an abandoned sector crippled by restrictions and with no route map out of the pandemic.

“Tuesday’s announcement created further uncertainty for the industry and the people it employs. We understand the need for caution but the Scottish Government must also understand that this delay will cost an already beleaguered  industry millions of pounds and puts in jeopardy the future survival of many of the pubs, bars, restaurants, hotels and late night operations that form part of Scotland’s social fibre.

“Our big fear is that the Glasgow fan zone could lead to further Covid outbreaks followed by a fresh lockdown, forcing licensed premises to close again when they have only just managed to start reopening.”