(1) Information about residents of Southend is contained within South East Essex PCT and is not collected separately. (2) Section 1(1)(a):
that the pregnancy has not exceeded its 24(th) week and that the continuance of the pregnancy would involve risk, greater than if the pregnancy were terminated, of injury to the physical or mental health of the pregnant woman or any existing children of her family,
Section 1(1)(d):
that there is a substantial risk that if the child were born it would suffer from such physical or mental abnormalities as to be seriously handicapped.
Other grounds:
Section 1(1)(b):
that the termination is necessary to prevent grave permanent injury to the physical or mental health of the pregnant woman,
Section 1(1)(c):
that the continuance of the pregnancy would involve risk to the life of the pregnant woman, greater than if the pregnancy were terminated,
Section 1(4):
that the termination is immediately necessary to save the life or to prevent grave permanent injury to the physical or mental health of the pregnant woman. (3) Suppressed total less than 10 (between 0 and 9) or where a presented total would reveal a suppressed value.
Alcoholic Drinks: Misuse
Mr. Lansley:
To ask the Secretary of State for Health how many people in each strategic health authority area were admitted to hospital with (a) primary and (b) secondary diagnosis of alcohol-related disease in each year from 1997-98 to 2007-08. [278486]
Gillian Merron:
The number in the following tables relate to admissions, rather than people.
There are two columns for each yearadmissions with a primary alcohol-related diagnosis and all alcohol-related admissions. The information is normally published in this way. The information in the second column is intended as a meaningful estimate of the total impact on hospital admissions from alcohol consumption.
Because of a change of methodology, information is only available from 2002-03 to 2007-08.
Number of finished admissions of patients with an alcohol-related condition
2002-03
2003-04
2004-05
Residents in England
With alcohol-related primary diagnosis
Total (with primary or secondary diagnosis)
With alcohol-related primary diagnosis
Total (with primary or secondary diagnosis)
With alcohol-related primary diagnosis
Total (with primary or secondary diagnosis)
North East
9,559
34,013
10,086
38,284
10,491
43,919
Northwest
23,731
92,339
25,331
102,841
26,329
114,946
Yorkshire and The Humber
15,236
56,131
15,759
61,421
16,057
66,684
East Midlands
12,081
47,789
12,767
51,871
13,467
56,928
West Midlands
15,896
46,610
17,392
53,562
19,113
63,692
East of England
12,496
49,754
13,596
56,430
14,538
63,472
London
18,298
56,852
19,616
64,140
21,162
74,522
South East Coast SHA
10,197
38,509
10,269
41,722
11,303
46,802
South Central SHA
8,352
27,338
8,898
31,513
9,732
36,032
Southwest
13,943
55,559
15,043
62,269
15,736
70,278
No fixed abode/unknown
1,930
5,279
1,823
5,364
2,314
6,908
Total
141,718
510,173
150,580
569,417
160,241
644,185
2005-06
2006-07
2007-08
Residents in England
With alcohol-related primary diagnosis
Total (with primary or secondary diagnosis)
With alcohol-related primary diagnosis
Total (with primary or secondary diagnosis)
With alcohol-related primary diagnosis
Total (with primary or secondary diagnosis)
North East
10,731
50,579
10,983
55,510
10,674
60,755
15 Jun 2009 : Column 111W
15 Jun 2009 : Column 112W
Northwest
29,172
129,919
30,376
141,493
31,335
151,428
Yorkshire and The Humber
17,255
72,870
17,271
77,454
17,987
83,443
East Midlands
14,800
62,722
15,451
67,710
15,390
74,340
West Midlands
20,645
76,778
22,590
88,490
20,101
91,537
East of England
15,530
72,622
15,836
77,808
16,435
84,712
London
23,050
87,428
24,154
96,194
23,836
102,029
South East Coast SHA
12,022
54,833
12,603
60,074
13,274
66,025
South Central SHA
10,503
41,219
9,972
41,889
10,588
48,201
Southwest
16,851
77,755
17,384
83,415
17,920
88,394
No fixed abode/unknown
3,074
8,787
3,062
9,082
3,805
12,400
Total
173,633
735.512
179,681
799,120
181,345
863,264
Notes:
Includes activity in English NHS Hospitals and English NHS commissioned activity in the independent sector. Small numbers
To protect patient confidentiality, figures between 1 and 5 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. Alcohol-related admissions
The number of alcohol-related admissions is based on the methodology developed by the North West Public Health Observatory. Figures for under 16s only include admissions where one or more of the following alcohol-specific conditions were listed:
Alcoholic cardiomyopathy (142.6)
Alcoholic gastritis (K29.2)
Alcoholic liver disease (K70)
Alcoholic myopathy (G72.1)
Alcoholic polyneuropathy (G62.1)
Alcohol-induced pseudo-Cushings 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 (i.e. the data are ungrossed). Finished admission episodes
A finished admission episode is the first period of in-patient 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 in-patients, as a person may have more than one admission within the year. Primary diagnosis
The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the (HES) data set and provides the main reason why the patient was admitted to hospital. Secondary diagnosis
As well as the primary diagnosis, there are up to 19 (13 from 2002-03 to 2007-08 and 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 in England. Data is 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 out-patient 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 patients hospital stay. Source:
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.