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Table 2 Summary of identified policy drivers from interviews & document sources (Number of times independently referred to by an interview or document source in parenthesis – see abbreviation key below for source initials)

From: Investigating local policy drivers for alcohol harm prevention: a comparative case study of two local authorities in England

LA SITE 1

LA SITE 2

Barriers

Facilitators

Barriers

Facilitators

Resource constraints leading to a decision to focus on over-riding priorities and limited local police resources (×3: PC; PH; CM).

Comprehensive Health Needs Assessment which identified unmet needs in defined sub-populations (×3: CM; PH; DC).

Large metropolitan area leading to problems planning ‘joined up’ services in providing treatment options and pathways (x2: CT; PH).

Successful application for extra funds specifically for tackling alcohol fuelled violence and disorder (×4: PH; LT; PC; DC)

Not wanting to discourage commerce (×2 PH; LT).

Alcohol commissioning co-located with Public Health within organisational structure (×2: CM; PH).

No comprehensive area alcohol needs assessment (×2: PH; DC).

Access to specialist legal expertise making legal team less risk averse about implementing novel policy measures likely to be challenged by the industry (×3: PH; LT; PC)

Information sharing difficulties/IT compatibility issues (×4: CM; PH; IT; TP).

Informal close working: police & licensees (×2: PC; LT).

Under-provision and patchwork nature of alcohol specialist treatment services (×3: CL; CM; DC).

Pro-active police around licensing, strongly motivated to tackle poor public image of the city in relation to drinking (×3: PC; LT; DC)

Necessity of tackling high admissions – restricting capacity for a wider approach (×3 PH; CM).

Enlightened CCG willing to fund Hospital ABIs (×4: CM; CT; PH; DC)

Little apparent engagement from CCGs (×2: CT; TP).

Capacity to diversify large and vibrant night-time economy (×3: LT; PC; TP).

  1. Abbreviation: PC Police, PH Public Health, CM Commissioning, CL Clinical/treatment role, LT licensing/trading standards, IT information specialist, TP Third party interviews, DC document source