This paper begins by presenting data on alcohol consumption and harm in both jurisdictions. Section 2 presents a framework for considering the issue of alcohol availability. Under each heading of this framework, the current policy landscape in the Republic of Ireland and Northern Ireland is presented as well as relevant evidence from national and international studies. Section 3 presents some policy implications and proposals to consolidate North South cooperation and success in addressing alcohol availability as a means to reduce-alcohol-related harm on the island of Ireland.