Draft Alcohol Exemplar:

The purpose of the exemplar is to show how planning could be completed for one issue aligned with RBA. It also serves to reflect the level of information and performance measures that are appropriate for the PHU Annual Plan.

Please note:

  • the exemplar is not a complete description of all activities required under alcohol-related harm.
  • not all activities outlined in the exemplar will be relevant or appropriate for your population of coverage and you may be required to prioritise some activities over others to ensure that existing resources are used most efficiently and effectively - what is important is for you to ensure your service delivery is aligned with the strategic priorities of the Government, the Ministry and your DHB(s).
  • all of the Health Protection section should be fulfilledas this section relates to regulatory requirements under the Sale and Supply of Alcohol Act 2012. This means that all PHUs are expected to deliver these services and report on the performance measures. Please note though that there is a degree of flexibility in terms of level or quantum of activities appropriate for your population of coverage and individual PHU situation. The Ministry has designated some of these measures as 'vital few RBA reporting measures for Alcohol’ and thereforethey will be reported in the ‘Vital Few’ report.
  • although the exemplar covers all three RBA dimensions: How many, How well and Is anyone better off for almost all activities, we advise you to choose a few SMART (specific, measurable, appropriate, realistic, time-bound) Performance Measures to enable you to tell the whole performance story. It is not necessary to have specific Performance Measures covering all three dimensions for every single activity (but noting that the Health Protection section is mandatory).
  • some of the suggested performance measures will not be appropriate in every circumstance (eg, satisfaction surveys may only be appropriate for large projects, and some performance measures may be more useful for internal management purposes).
  • the Health Protection Tier 2 Service Specification covers Tobacco, Alcohol and Other Drugs, Communicable Diseases and Environmental Health - for these issues, the Health Promotion, Public Health Capacity Development and some Health Assessment and Surveillance activities that are directly related to the PHU’s statutory role are placed under the Health Protection core function to align with the Tier 2 Public Health Service Specifications.

Service delivery expectations:

  • Reports pursuant to the Sale and Supply of Alcohol Act 2012 should be robust, internally peer reviewed and meet the requirements of the District Licensing Committee (DLC), the Alcohol Regulatory and Licensing Authority (ARLA) and

the Public Health Alcohol Regulatory Officer Toolkit, May 2013.

  • Controlled Purchase Operations (CPOS) should be conducted as per procedures in the 2014 Health Promotion Agency Guidelines for Conducting Controlled Purchase Operations and in line with Ministry of Health policy.
  • Information contained in submissions should be consistent with the Ministry of Health’s policy positions, guidelines, legislation, and other relevant documents.

Reference number (optional) / Activities / Performance Measures
How many / How well / Is anyone better off
Health Assessment and Surveillance
1. / Monitor and/or undertake[1] regional or local analysis reports of alcohol intake (e.g. New Zealand Health Survey)and trends and/or impact of alcohol-related harm and/or disease, highlighting disparities by sex, ethnicity, and/or deprivation.
For example: Monitor and report on incidence of alcohol-related injuries presenting to local Emergency Departments. / Measure/s:
# reports developed.
# reports analysed/monitored. / Measure/s: / Measure/s:
#/% external service users report that they used the information disseminated to inform their planning (including identification and prioritisation of priority populations), programme design and delivery of prevention and control services (BC, S).
Numerator: # external service users report that they used the information disseminated.
Denominator: # external service users.
Complementary narrative reporting:
Describe the nature (scope, content, audience) of regional or local analysis reports prepared and/or shared externally and internally. / Complementary narrative reporting:
Describe howreports have considered the impact on specific population sub-groups and health inequities.
Describe the extent to which report content has complied with relevant data collection, collation,analysis, and output protocols (including ethnicity data protocols).If relevant, describe any barriers to analysis of data by ethnicity. / Complementary narrative reporting:
Describe how useful the report was for internal planning e.g. to develop submission on LAP.
Public Health Capacity Development
2. / Undertake collaborative projects with key stakeholders (eg, South Island Public Health Partnership Alcohol Working Group). / Measure/s:
# collaborative projects. / Measure/s:
% collaborative projects that are focused on health of:
  • Maori and Pacific communities,
  • low socio-economicareas,
  • youth.
Numerator: # collaborative projects that are focused on health of:
  • Maori and Pacific communities,
  • low socio-economic areas,
  • youth.
Denominator: # collaborative projects. / Measure/s:
Complementary narrative reporting:
Description of partner organisations who areinvolved incollaborative project.
Nature of any collaborativeprojects, and the value added by PHUstaff. / Complementary narrative reporting: / Complementary narrative reporting:
Story behind the data, for example, description of outcomes of the projects or initiatives, for example, that these have:
  • enabled joint planning
  • promoted national consistency and best practice
  • reduced service duplication
  • shared learning.

3. / Support alcohol team staff to attend National Public Health Alcohol Working Group (NPHAWG) workshops and other training activity relevant to their roles. / Measure/s:
# staff attending NPHAWG and other training workshops. / Measure/s:
% staff completed NPHAWG and other training workshops.
Numerator: # staff completedtraining workshops.
Denominator: # staff. / Measure/s:
#% staff report they can confidently apply the knowledge acquired to their work[2] (BC, S).
Numerator: # staff that report they can confidently apply the knowledge acquired.
Denominator: # staff that report.
Complementary narrative reporting: / Complementary narrative reporting: / Complementary narrative reporting:
4. / Provide training and professional development for relevant PHU staff on:
  • alcohol policy analysis, and information systems
  • health promotion to reduce harm from alcohol.
/ Measure/s:
# training activities or professional development activities delivered. / Measure/s:
% participants report they are satisfied or very satisfied with training3 (ie, rating of 4 or 5 for Likert scale of 1 to 5).
Numerator: # participants report they are satisfied or very satisfied.
Denominator: # participantswho have reported.
% training activities include a focus on improving health of Maori and Pacific, and fostering equity.
Numerator: # training activities include a focus on improving health of Maori and Pacific, and fostering equity.
Denominator: # training activities. / Measure/s:
#% participants report an increase in the level of knowledge of the topic of the training activities(SK, S).
Numerator: # participants that report an increase in the level of knowledge.
Denominator: #participantsthat report.
#% participants report they can confidently apply the knowledge acquired to their alcohol and other drug work[3] (BC, S).
Numerator: # participants report they can confidently apply the knowledge acquired.
Denominator: #participants that report.
Complementary narrative reporting:
Nature of training delivered and to whom. / Complementary narrative reporting: / Complementary narrative reporting:
5. / Contribute to steering group advising on screening for harmful use of alcohol and brief interventions[4]. / Measure/s: / Measure/s: / Measure/s:
Complementary narrative reporting: Description of PHU contribution. / Complementary narrative reporting:
Describe the extent to which the advice given by PHU promoted best practice (including evidence based actions and a focus on improving the health of Maori and Pacific communities, and fostering equity). / Complementary narrative reporting:
Extent to which PHU input is reflected in steering group decisions.
6. / Assess the feasibility of promoting screening and brief interventionstrategies in Primary Care and Emergency Departments. / Measure/s:
# feasibility studies carried out (Target =1).
# stakeholders approached to discuss screening and brief intervention strategies in Primary care and Emergency Departments. / Measure/s: / Measure/s:
#/% external stakeholders report greater understanding of potential screening and brief intervention approaches(SK,S).
Numerator: # external stakeholders report greater understanding of potential approaches.
Denominator: # external stakeholders that report.
Complementary narrative reporting:
Details of stakeholders approached. / Complementary narrative reporting: / Complementary narrative reporting:
Health Promotion
7. / Support TLAs to develop, implementand monitor their local alcohol policy (LAP).
Liaise with and where appropriate undertake joint projects to proactively influence other local authority alcohol-related policies and bylaws prior to the formal consultation process. / Measure/s:
# TLAs supported to develop LAP.
Brief description of other upstream/proactive work with stakeholders (who and what). / Measure/s:
% TLAs supported to develop LAP.
Numerator: # TLAs supported.
Denominator: # TLAs. / Measure/s:
#/% TLAs that have implementedhigh quality[5] LAP after a PHU support (BC, S).
Numerator: #TLAs that have implementedhigh quality[6] LAP.
Denominator: #TLAs that have implementeda LAP.
#/% of LAPs are regionally consistent in terms of high quality criteria for LAPs.
Numerator: # of LAPs are regionally consistent.
Denominator: #of LAPs.
Complementary narrative reporting: / Complementary narrative reporting: / Complementary narrative reporting:
Extent to which LAPS reflect a public health perspective.
Describe the successes and any barriersto success.
Describe public health impact and outcome of upstream/proactive work with stakeholders (ie. key public health gains).
8. / Develop submissions on local authority or national alcohol-related policies and bylaws[7]. / Measure/s:
# submissions. / Measure/s:
% submissions that have a focus on improving health of Māori communities, youth, and foster equity.
Numerator: # submissions that have a focus on improving health of Māori communities, youth, and foster equity.
Denominator: # submissions. / Measure/s:
#/%recommendations made by PHU that are adoptedby the receiving authority (BC, O).
Numerator: # recommendations made by PHU that are adopted.
Denominator: #recommendations made by PHU.
Complementary narrative reporting:
Details of submissions on local authority or national alcohol-related policies and by-laws. Barriers to developing submissions (e.g. none relevant this reporting period). / Complementary narrative reporting: / Complementary narrative reporting:
Public health impact of submissions (ie, key public health gains).
9. / Work with settings (e.g. workplaces) to develop evidence-based public health action (e.g strategies and policies) which support the reduction of alcohol-related harm, including providing up to date evidence-based information onalcohol. / Measure/s:
# settings[8]supported.
# of support resources developed (e.g. toolkits).
# of key activities delivered (e.g. presentations, training sessions). / Measure/s:
% settingsreport they are satisfied or very satisfied with support given by PHU[9] (ie, rating of 4 or 5 for Likert scale of 1 to 5.
Numerator: # settings report they are satisfied or very satisfied.
Denominator: # settings.
% of settings supported that are in low SES areas.
Numerator: # of settings supported that are in low SES areas.
Denominator: # of settings.
% of settings supported that are kaupapa Maori settings.
Numerator: # of settings supported that are kaupapa Maori settings.
Denominator: # of settings supported. / Measure/s:
#/% organisations[10]that have adopted evidence-based public health action to support the reduction of alcohol-related harm as a result of the PHU support activity (BC, S).
Numerator: # organisations that have adopted evidence-based public health action.
Denominator: # organisations worked with.
#/% of organisations report increased knowledge about alcohol related harm and/or evidence to reduce alcohol related harm (SK,S).
Numerator: # organisations report increased knowledge about alcohol related harm and/or evidence.
Denominator: # organisations worked with.
Complementary narrative reporting: Description of organisations engaged with (sizeetc) and advice/support given. / Complementary narrative reporting: / Complementary narrative reporting:
Impact of any public health action in settings as a result of PHU support/contribution.
10. / Work with communities and other stakeholders to develop evidence-based public health action which support the reduction of alcohol-related harm, including providing up to date evidence-based information. / Measure/s:
# of communities and other stakeholders supported.
# of key activities facilitated or delivered (e.g. presentations, training sessions). / Measure/s:
% of communities and others supported that are in low SES/high number of Māori areas.
Numerator: # of communities and others supported that are in low SES/high number of Māori areas.
Denominator: # of communities and others supported. / Measure/s:
#/% of communities and other stakeholders that have adopted evidence-based public health action to support the reduction of alcohol-related harm as a result of the PHU support activity (BC, S).
Numerator: # of communities and other stakeholders that have adopted evidence-based public health action.
Denominator: # of communities and other stakeholders worked with.
#/% of communities and other stakeholders report increased knowledge about alcohol related harm and/or evidence to reduce alcohol related harm (SK, S).
Numerator: # of communities and other stakeholders report increased knowledge about alcohol related harm and/or evidence.
Denominator: # of communities and other stakeholders worked with.
Complementary narrative reporting:
Provide description of research or information summaries provided and community activities actively supported. / Complementary narrative reporting: / Complementary narrative reporting:
11. / Work with event organisers and support them to adopt alcohol-free policies at events eg, Schools. / Measure/s:
# event organisers supported. / Measure/s:
% event organisers report they are satisfied or very satisfied with provider support (ie, rating of 4 or 5 for Likert scale of 1 to 5).
Numerator: # event organisers report they are satisfied or very satisfied.
Denominator: # of events. / Measure/s:
#/% event organisers that have implemented alcohol-free events as a result of provider support (BC, O).
Numerator: # event organisers that have implemented alcohol-free events.
Denominator: #event organisers worked with.
Complementary narrative reporting: / Complementary narrative reporting:Summary of successes/barriers encountered in engaging with the event organisers. / Complementary narrative reporting:
12. / Support national social marketing campaigns related to reduction of alcohol related harm. / Measure/s:
# national social marketing supported by PHU. / Measure/s: / Measure/s:
Complementary narrative reporting: Description of PHU role and the partners PHU worked with. / Complementary narrative reporting: / Complementary narrative reporting:
13. / Design and deliveror support regional and local social marketing campaigns and projects to highlight the legislation around social supply of alcohol to minors and change attitudes around supplying alcohol. / Measure/s:
# regional and local social marketing campaigns and projects. / Measure/s:
% resources developed based on Rauemi Atawhai: a guide to developing health education resources in New Zealand.
Numerator: # resources developed based on Rauemi Atawhai.
Denominator: # resources developed. / Measure/s:
#/% service users report increased knowledge of the legislation around social supply of alcohol to minors (SK, S).[11]
Numerator: # service users report increased knowledge of the legislation around social supply.
Denominator: # service users worked with.
#/% service users report change in attitude to the supply of alcohol to minors (AO, S).[12]
Numerator: # service users report change in attitude.
Denominator: # service users worked with.
Complementary narrative reporting:
Description of PHU role (design and delivery or support for campaign) and the partners PHU worked with. / Complementary narrative reporting: / Complementary narrative reporting:
14. / Raise awarenessin communities[13]of legislation relating to social supply to minors and alcohol-related harm. / Measure/s:
# awareness raising activities.
# communities provided with information on legislation relating to supply to minors. / Measure/s:
% of communities supported that are in low SES/high number of Māori areas.
Numerator: # of communities supported that are in low SES/high number of Māori areas.
Denominator: # of communities supported. / Measure/s:
#/% parents report increased knowledge of the legislation around social supply of alcohol to minors (SK, S)[14]
Numerator: # parents report increased knowledge of the legislation around social supply of alcohol to minors.
Denominator: # parents who report.
Complementary narrative reporting:
Description of communities assisted. / Complementary narrative reporting: / Complementary narrative reporting:
Health Protection
15. / Inquire into all on-, off-, club and special licence applications and provide Medical Officer of Health (MOsH) reports to District Licensing Committee (DLC), either where there are matters in opposition or recommendations (on the basis of application of the relevant risk assessment tool in the Public Health Alcohol Regulatory Officer Toolkit, May 2013). / Measure/s:
# applications and renewals
received for each licence type.
# applications and renewals that were inquired into.
# applications and renewals inquired into that had matters in opposition identified. / Measure/s:
% reports (for premises where matters in opposition were identified) provided to the licensing committee within 15 days.
Numerator: # reports (where matters in opposition were identified) provided to the licensing committee within 15 days.
Denominator: # reports where matters in opposition were identified. / Measure/s:
#/% of matters in opposition made by PHU that are accepted by the receiving authority (DLC and/or ARLA.
Numerator: # of matters in opposition that are accepted by the receiving authority.
Denominator: #of matters in opposition made by PHU.
Complementary narrative reporting: / Complementary narrative reporting: / Complementary narrative reporting:
16. / Provide education as part of re-licensing and new licensing processes, including:
  • educating retailers, employers and their staff and volunteers (Club licenses) about Sale and Supply of Alcohol Act 2012 responsibilities
  • contributing to formaltraining of Duty Managers.
/ Measure/s:
# on-, club- and off-licences visited to provide education.
# of formal training sessions of Duty Managers participated in. / Measure/s:
% premises located in low socioeconomic area where education was delivered.
Numerator: # premises located in low socioeconomic area where education was delivered.
Denominator: # premises where education was delivered.
Note: This measure relates only to educating retailers, employers and their staff and volunteers (Club licenses)but does not include formal training sessions of Duty Managers. / Measure/s:
#/% licensee staff and volunteers report they know more about how to implement their responsibilities under Sale and Supply of Alcohol Act 2012 (SK, S).
Numerator: # licensee staff report they know more about how to implement their responsibilities under Sale and Supply of Alcohol Act 2012.
Denominator: #licensee staff who report.
Note: This measure relates only to educating retailers, employers and their staff and volunteers (Club licenses) but does not include formal training sessions of Duty Managers.
Complementary narrative reporting:
Type of education delivered. / Complementary narrative reporting: / Complementary narrative reporting:
17. / Work with special licence event organisers and support them to adopt and implement appropriate alcohol management plans oralcohol harm reduction practices. / Measure/s:
# event organisers supported. / Measure/s: / Measure/s:
#/% special licence event organisers that have adopted and implemented appropriate alcohol management plans or alcohol harm reduction practices.
Numerator: # special licence event organisers that have adopted and implemented appropriate plans or practices.
Denominator: # events worked with.
Complementary narrative reporting: / Complementary narrative reporting:
Summary of successes/barriers encountered in engaging with the event. / Complementary narrative reporting:
18. / Collaborate in police-led CPOs to reduce sale of alcohol to minors.
(Note: One CPO equals one total organised operation that targets a number of premises). / Measure/s:
# of CPO operations conducted.
# of premises visited during the CPO operations. / Measure/s:
% high risk premises visited during CPO operationss.
(General criteria for High Risk premises defined in Public Health Alcohol Regulatory Officer Toolkit May 2013).
Numerator: # high risk premises visited during CPO operations.
Denominator: # premises visited during CPO operations. / Measure/s:
#/% premises that are compliant at the time of CPO with the Sale and Supply of Alcohol Act 2012 ie. No alcohol sale to the minor (BC, O).
Numerator: # premises that are compliant at the time of CPO.
Denominator: #premises visited during CPO operations.
Complementary narrative reporting: / Complementary narrative reporting: / Complementary narrative reporting:
19. / Undertake or work with other agencies to undertake monitoring visits of high risk premises as per PHU risk rating tool and/or based on local data, complaints or other intelligence including requests from police or licensing inspectors (together with Police and/or Licensing Inspector, as appropriate). / Measure/s:
# monitoring visits performed as part of multiagency efforts.
#monitoring visits performed by PHU acting as a single agency. / Measure/s:
. / Measure/s:
Complementary narrative reporting: / Complementary narrative reporting: / Complementary narrative reporting:

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