This report follows the work of a programme board that was established to support Public Health Scotland to undertake a review of the Alcohol Brief Intervention programme in Scotland. This report documents a series of recommendations and actions to consider whether and what form the Scottish Alcohol Brief Intervention programme should continue.

Main points: A series of recommendations have been developed by Public Health Scotland based on the discussions and findings of the programme board. Three overarching recommendations are proposed for The Scottish Government to consider:

• reaffirm its commitment to the programme and its reorientation to flexible, evidenceinformed conversations about alcohol
• set out the steps by which its vision of embedding conversations about alcohol can be achieved over 10 years
• seek engagement and leadership from the Chief Medical Officer, the Chief Nursing Officer, the Royal College of Midwives and other relevant professional organisations to normalise conversations about alcohol.

Additionally, a series of actions are recommended based around 7 key areas:

• Action area 1: Making the conversation about alcohol a routine wellbeing conversation
• Action area 2: Describing what conversations should look like in practice
• Action area 3: Reducing inequalities in alcohol-related harms
• Action area 4: Workforce development, training and health information resource requirements
• Action area 5: Reduce stigma by having conversations about alcohol
• Action area 6: Ensure conversations about alcohol are embedded as part of a wider comprehensive population-wide prevention strategy to promote health and reduce inequalities
• Action area 7: Embedding learning at the heart of governance and accountability mechanisms