Problems caused by excessive alcohol consumption often contribute to Accident and Emergency attendances, giving possible health promotion opportunities to this client group. These could include screening, health education (verbal or written), brief intervention and referral to alcohol services. Accident and Emergency staff rarely take these opportunities. A knowledge of alcohol problems, possible health promotion initiatives and services available alter attitudes and increase the likelihood of staff giving health promotion. Health promotion to problem drinkers should be a routine in Accident and Emergency departments.