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The National Audit Office (NAO) is undertaking a value for money (VfM) study to examine alcohol-harm prevention and treatment services that are supported by the Department of Health and the NHS in England, focusing specifically on NHS services for alcohol misusers. To supplement the evidence from England, the NAO has commissioned an international benchmark with the aim of providing lessons from international policy and practice which may be transferrable to England. Five countries, broadly comparable to England in terms of alcohol trends and other socioeconomic indicators, have been examined for this project: Australia, Canada, Germany, the Netherlands and the United States.

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The research in this report was Prepared for the UK National Audit Office and conducted by RAND Europe.

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