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Alcoholic Drinks: Misuse

Answer

Data on the number of patients treated for alcohol-related illnesses is not collected centrally, however, we do collect the number of finished admissions for patients with alcohol-related illnesses and this information is shown in the following tables for the last five years for which data are available. Some patients may have had multiple admissions.

Number of finished admissions of patients aged 18 and under and over 18 with an alcohol-related illnesses
	2004-05	2005-06	2006-07	2007-08	2008-09
	18 and under	Over 18	18 and under	Over 18	18 and under	Over 18	18 and under	Over 18	18 and under	Over 18
Leicester	91	4,308	135	5,319	172	6,185	178	6,315	149	6,376
East Midlands	1,334	55,594	1,437	61,285	1,489	66,221	1,702	72,638	1,677	80,388
England	17,417	626,768	19,709	715,512	20,023	779,097	20,336	842,928	18,562	926,908
Notes:
Includes activity in English national health service hospitals and English NHS commissioned activity in the independent sector.
Alcohol-related admissions
The number of alcohol-related admissions is based on the methodology developed by the North West Public Health Observatory, which uses 48 indicators for alcohol-related illnesses. Figures for under 16s only include admissions where one or more of the following alcohol-specific conditions were listed:
Alcoholic cardiomyopathy (I42.6)
Alcoholic gastritis (K29.2)
Alcoholic liver disease (K70)
Alcoholic myopathy (G72.1)
Alcoholic polyneuropathy (G62.1)
Alcohol-induced pseudo-Cushing's syndrome (E24.4)
Chronic pancreatitis (alcohol induced) (K86.0)
Degeneration of nervous system due to alcohol (G31.2)
Mental and behavioural disorders due to use of alcohol (F10)
Accidental poisoning by and exposure to alcohol (X45)
Ethanol poisoning (T51.0)
Methanol poisoning (T51.1)
Toxic effect of alcohol, unspecified (T51.9)
Number of episodes in which the patient had an alcohol-related primary or secondary diagnosis
These figures represent the number of episodes where an alcohol-related diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once in each count, even if an alcohol-related diagnosis is recorded in more than one diagnosis field of the record.
Ungrossed data
Figures have not been adjusted for shortfalls in data (ie the data are ungrossed).
Finished admission episodes
A finished admission episode is the first period of inpatient care under one consultant within one healthcare provider. Finished admission episodes are counted against the year in which the admission episode finishes. It should be noted that admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
Data quality
HES are compiled from data sent by more than 300 NHS trusts and primary care trusts in England. Data are also received from a number of independent sector organisations for activity commissioned by the English NHS. The NHS Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.
Assessing growth through time
HES figures are available from 1989-90 onwards. The quality and coverage of the data have improved over time. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series. Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity.
Changes in NHS practice also need to be borne in mind when analysing time series. For example, a number of procedures may now be undertaken in outpatient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time.
Assignment of Episodes to Years
Years are assigned by the end of the first period of care in a patient's hospital stay.
Source:
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.

Secondary information

Type

Written question

Reference

2560; 511 c439-40W

Session

2010-12

Subjects

Alcoholic drinks Misuse

Contains statistics

Yes

Link

View this Written question on www.publications.parliament.uk