This recommendation is based on the Scottish Intercollegiate Guidelines Network (SIGN) national guideline on The management of harmful drinking and alcohol dependence in primary care, which is pragmatic advice based on good clinical practice [SIGN, 2003]. It is consistent with the public health guidance Alcohol-use disorders: preventing the development of hazardous and harmful drinking published by the National Institute for Health and Clinical Excellence (NICE) [NICE, 2010c].

• NICE recommends that 'where there is an ongoing relationship with the patient or client, (the healthcare professional should) routinely monitor their progress in reducing their alcohol consumption to a low-risk level' [NICE, 2010c].
• Many people who are drinking at hazardous levels will reduce their consumption following influences from society, friends, and spouses, resulting in no complications from alcohol and no further need for follow up. Nevertheless, people with alcohol-related problems and/or dependence have a worse prognosis and their complications make follow up necessary, and an essential part of treatment success.
• Many people may develop new problems when tackling their alcohol consumption. Relationships, work commitments, and family problems may surface and do not necessarily resolve automatically with a reduction in alcohol. These issues will need attention and management in their own right.