Notes:
Includes activity in English NHS 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 (NWPHO). Following international best practice, the NWPHO methodology includes a wide range of diseases and injuries in which alcohol plays a part and estimates the proportion of cases that are attributable to the consumption of alcohol. Details of the conditions and associated proportions can be found in the report Jones et al. (2008) Alcohol-attributable fractions for England: Alcohol-attributable mortality and hospital admissions.
Figures for under 16s only include admissions where one or more alcohol-specific conditions were listed. This is because the research on which the attributable fractions are based does not cover under 16s. Alcohol-specific conditions are those that are wholly attributed to alcohol - that is, those with an attributable fraction of one. They are:
Alcoholic cardiomyopathy (I42.6)
Alcoholic gastritis (K29.2)
Alcoholic myopathy (G72.1)
Alcoholic polyneuropathy (G62.1)
Alcohol-induced pseudo-Cushing's syndrome (E24.4)
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 14 (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. 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. Admissions do not represent the number of inpatients, as a person may have more than one admission within the year. Primary diagnosis
The primary diagnosis is the first of up to 14 (seven prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was in hospital. Secondary diagnoses
As well as the primary diagnosis, there are up to 13 (six prior to 2002-03) secondary diagnosis fields in HES that show other diagnoses relevant to the episode of care. Data Quality
HES are compiled from data sent by more than 300 NHS trusts and primary care trusts (PCTs) 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. Source:
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care
Alcoholic Drinks: Young People
Tom Brake:
To ask the Secretary of State for Health how many individuals aged 11 to 18 years resident in each (a) London borough and (b) Government Office region were treated for alcohol-related health problems in each of the last five years. [247122]
Dawn Primarolo:
The only centrally available data on treatment for alcohol-related health problems are the number of admissions to hospital for alcohol and alcohol-related health problems. An individual may account for more than one admission.
While it is possible to analyse the admissions data to determine the number of individuals aged 11 to 18 years admitted to hospital for alcohol and alcohol-related health problems, this could be done only at disproportionate cost.
The following table gives the number of alcohol-related finished admissions for patients aged 11 to 18 by London borough and Government office region for each year from 2002-03 to 2006-07. 2006-07 is the latest year for which data are available. The figures relate to the number of admissions rather than the number of individuals.
2002-03
2003-04
2004-05
2005-06
2006-07
London borough
City of London
0
0
0
*
0
20 Jan 2009 : Column 1355W
Barking and Dagenham
49
47
37
55
55
Barnet
37
35
56
76
88
Bexley
28
53
63
69
58
Brent
15
25
31
45
38
Bromley
35
66
65
90
76
Camden
27
33
34
46
39
Croydon
50
72
98
101
93
Ealing
54
67
42
52
75
Enfield
36
42
49
72
72
Greenwich
38
41
55
64
49
Hackney
40
39
29
56
49
Hammersmith and Fulham
26
29
35
40
50
Haringey
38
29
41
49
61
Harrow
26
19
35
36
30
Havering
43
65
50
73
82
Hillingdon
39
56
84
83
88
Hounslow
33
40
41
74
38
Islington
46
45
41
52
62
Kensington and Chelsea
15
13
12
24
15
Kingston upon Thames
39
46
41
44
36
Lambeth
39
40
53
46
52
Lewisham
37
58
48
49
60
Merton
41
45
46
49
40
Newham
38
49
44
36
69
Redbridge
39
37
42
58
70
Richmond upon Thames
29
30
28
43
39
Southwark
43
39
41
40
41
Sutton
65
52
55
52
56
Tower Hamlets
24
33
41
46
46
Waltham Forest
39
57
46
50
78
Wandsworth
46
35
39
54
41
Westminster
16
20
22
*
24
Government office region
North East
1,211
1,161
1,357
1,553
1,608
North West
2,746
3,054
3,436
3,996
4,138
Yorkshire and the Humber
1,766
1,912
1,975
2,102
2,136
East Midlands
1,163
1,253
1,331
1,436
1,490
West Midlands
1,613
1,758
1,825
2,243
2,288
East
1,182
1,328
1,329
1,377
1,449
London
1,171
1,358
1,445
1,749
1,769
South East
1,938
2,192
2,492
2,711
2,610
South West
1,357
1,614
1,827
2,082
2,113
20 Jan 2009 : Column 1356W
Unknown/no fixed abode
148
156
192
273
261
England
14,296
15,787
17,211
19,523
19,864
Notes:
1. Includes activity in English national health service hospitals and English NHS commissioned activity in the independent sector.
2. Small numbers: To protect patient confidentiality, figures between one and five have been suppressed and replaced with ‘*’ (an asterisk). Where it was possible to identify numbers from the total due to a single suppressed number in a row or column, an additional number (the next smallest) has been suppressed.
3. Alcohol-related admissions: The number of alcohol-related admissions is based on the methodology developed by the North West Public Health Observatory (NWPHO). Following international best practice, the NWPHO methodology includes a wide range of diseases and injuries in which alcohol plays a part and estimates the proportion of cases that are attributable to the consumption of alcohol. Details of the conditions and associated proportions can be found in the report Jones et al. (2008) Alcohol-attributable fractions for England: Alcohol-attributable mortality and hospital admissions.
4. Figures for under 16s only include admissions where one or more alcohol-specific conditions were listed. This is because the research on which the attributable fractions are based does not cover under 16s. Alcohol-specific conditions are those that are wholly attributed to alcohol—that is, those with an attributable fraction of one. They are:
Alcoholic cardiomyopathy (142.6)
Alcoholic gastritis (K29.2)
Alcoholic myopathy (G72.1)
Alcoholic polyneuropathy (G62.1)
Alcohol-induced pseudo-Cushing's syndrome (E24.4)
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).
5. 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 14 (7 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.
6. Finished admission episodes: A finished admission episode is the first period of inpatient care under one consultant within one health care provider. Finished admission episodes are counted against the year in which the admission episode finishes. Please note that admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
7. Primary diagnosis: The primary diagnosis is the first of up to 14 (7 prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was in hospital.
8. Secondary diagnoses: As well as the primary diagnosis, there are up to 13 (six prior to 2002-03) secondary diagnosis fields in HES that show other diagnoses relevant to the episode of care.
9. Data Quality: HES are compiled from data sent by more than 300 NHS trusts and primary care trusts (PCTs) 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. Source:
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care
