In reply: We agree wholeheartedly with the theme of Clifford and colleagues’ response: the evaluation of the suite of reforms on alcohol policies that have been introduced demands a more sophisticated analysis from a wider range of data sources than that which can be undertaken within the constraints of a research letter. It was never the intent of our letter to be such an evaluation. As clinicians who spend their time at the bedside, the reduction in presentations associated with acute alcohol misuse was noticeable and prompted the analysis published recently in the Journal.1
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