“Binge drinking” and associated harms in terms of health, crime and disorder have been extensively highlighted and are a cause of considerable concern in urban areas of the United Kingdom. This research set out to quantify the number of patient attendances at a busy adult and children’s Emergency Department that are directly attributable to binge drinking, and investigate ways in which inter-agency sharing of anonymised information may be used to design, implement and monitor interventions that will work to reduce these harms.