Transcript No Slide Title

Reducing Violence & Alcohol
Harm : Sharing ED Data
Clare Charlton, Project Manager, Violence & Alcohol Harm
Reduction, Department of Health – London
DI John Cushion, Proactive Team, Metropolitan Police Service,
Newham
Aims For Today
• Who are we?
• National / Regional / Local Strategies
• Why Health? Is Violence a problem for
Health?
• When, Where, Who, and Why?
• Examples of where it works
Health
• World Health Organisation defines violence as:
“The intentional use of physical force or power,
threatened or actual, against oneself, another
person, or against a group or community, that
either results in or has a high likelihood of
resulting in injury, death, psychological harm,
maldevelopment or deprivation”
WHO (2002), “World Report on Violence and Health” World Health
Organisation, Geneva.
Health Implications Using WHO
Definition:
National Commitment
• The Government’s Coalition Agreement states:
“We will make hospitals share non-confidential
information with the police so they know where
gun and knife crime is happening and can target
stop and search in gun and knife crime hotspots.”
HM Government (2010) “The Coalition: Our Programme for
Government”
“I live in Fulham and Friday and Saturday night you
are dodging drunks and piles of vomit and it isn’t nice.
I’d like to see more police on the beat at those times,
alongside people who can help those who have a real
problem with alcohol”
LDD Attendee, December 2009
“There’s a lot of violence on the
streets now, with drunk people
coming out of pubs and clubs
looking for aggro”
LDD Attendee, December 2009
“I’d like to see the police and local authorities working
much more closely together on things like licensing,
so we don’t get the situation where there are too
many pubs and clubs clustered in one place.”
LDD Attendee, December 2009
ED Data Sharing and beyond:
• Responding to London People;
• Acting on needs;
• Reviewing what works for different parts of London;
• Local strategies based on Local Problems;
• Pan-London Data Sharing
• Problem solving locally with regional implication;
• Creating a public health response to violence;
• Understanding that violence can be treated as a disease;
The London Experience
Basis for the Model:
Started with the Cardiff Model,
then…..
• RPHG-L lead data sharing
development
• London Drink Debate
• Healthcare Led Models
• Policing Led Models
• CSP Led Models
• Joint working!
• Making it work for London, Working
together for a safer London
Why Share Data from ED?
1403 (100%) victims
869 (62%)
victims
HOSPITAL
327 (23%)
victims
207 (15%)
victims
POLICE
Violence in Denmark (Faergemann 2006)
Using A and E data
Hospital data can supplement police data.
For instance not all stabbing incidents are reported to the police
Hospital admissions for stab wounds compared with police recorded knife crime incidents
18
Police data
Hospital data
16
Number of incidents
14
12
10
8
6
4
2
0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug
2008
2009
Together, hospital data and police data provide a more comprehensive picture
of crime than could be obtained from either series alone
What data are we sharing?
EXISTING DATA
Age & gender
Postcode of
Residence
Incident Type
Date & time of
assault
Assault
NEW DATA - ESSENTIAL
Assault Type
Assault location
Body Part
Weapon
Pushed
Unknown
Bar/pub
Club
Street
Own home
Someone else’s home
Workplace
Other
Body Part
Weapon
Fist
Feet
Head
Other
Glass
Bottle
Knife
Blunt object
Gun
Other
Free text facility
to give specific
details of
location
What are we doing with the
data?
• Targeted Policing
• Licensing Guidance
• Tackling under-age
sales
• Tackling Knife sales
• Identification of hot
spots
• Working with the pubs,
clubs and fast food
outlets
• Healthcare and
licensing
• Violence prevention
mechanisms (Home
and Street Drinking)
• ASB control and
prevention
• Major Events mapping
• Anything else?
How do we use the data?
Plotting incidents onto a map
gives a visual representation of
the crimes taking place across
an area
This can lead to the
identification of hotspots
This intelligence can help focus
resource targeting, such as
places that would benefit from
CCTV or a stationed police car
or paramedic at specific times
Newham After Dark:
Policing Perspective
And this is what we can use the data for:
Before…..
Leads to …..
Following Intervention
The Focus Building / Brimstone House E15
• Previously a crime generator
• 210 rooms to house the
vulnerable
• Partnership approach
• Environmental changes
• Diversion activity
• Suitability to reside Scheme
Results & Activity
• 60 percent reduction in GBH
offences directly linked to
pubs and clubs year to year
• Alcohol related assaults
down 52 percent in Hotspots
• Back to Basics and Eyes for
Detail
• Chicken Shops tackled
• Troublesome night clubs
tackled (e.g. Club Ashiana,
the rex)
• Action plans for problem
premises placed with license
holders
• Addressing alcohol culture in
new communities;
• Partnership working, developing
new allegiances;
• Cumulative Impact Policy In
Progress;
• One club closed due to
potential for gang violence;
• Off-licenses tackled
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Clare Charlton
Project Manager, Violence and Alcohol
Regional Public Health Group - London
2nd Floor, Long Spur
Richmond House, 79 Whitehall
London, SW1A 2NS
Detective Inspector John Cushion
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T: 0207 210 6256
M: 07766 298 014
E-Mail: [email protected]
E-Mail:
[email protected]
Proactive Licensing Team
Metropolitan Police Service
London Borough of Newham
M: 07795 451 766
T: