Previous Section Back to Table of Contents Lords Hansard Home Page



17 Jan 2008 : Column WA273



17 Jan 2008 : Column WA273

Written Answers

Thursday 17 January 2008

Alcohol: Hospital Admissions

Baroness Coussins asked Her Majesty's Government:

The Parliamentary Under-Secretary of State, Department of Health (Lord Darzi of Denham): The recently announced public service agreement on reducing the harm caused by alcohol and drugs included, as one of the national outcome-focused performance measures, an indicator relating to the rate of alcohol-related hospital admissions. The same indicator will also be included in the set of performance management indicators for both primary care trusts and local authorities (referred to respectively as the Outcomes and Accountability Framework and the Performance Framework for Local

17 Jan 2008 : Column WA274

Authorities and Local Authority Partnerships: Single Set of National Indicators
.)

The definition of the alcohol indicator is “Rate of hospital admissions for alcohol related harm per 100,000 population”. Local figures on the rate of hospital admissions for alcohol-related harm per 100,000 population will be derived from the hospital episode statistics (HES) data set.

The rate is calculated using data on those finished in-year admissions that are classified as ordinary or day cases and that have a primary or subsidiary diagnosis code shown in the following table. Only those alcohol-related diagnoses with a sufficiently high attributable fraction (greater than 0.2) are used. Alcohol-related admissions are estimated by multiplying the total admissions within each diagnosis category, age group and sex by the corresponding attributable fraction. The numbers are standardised using the European age profile.

These data are available on a frequent and timely basis through an existing national data set (currently the HES.) This indicator will therefore measure the impact of prevention interventions, without creating an additional burden for local healthcare organisations.

The HES are considered to be sensitive to the impact of prevention interventions—ie, when prevention interventions are improved, hospital admission for specific chronic and acute conditions should slow in the short, medium and long term.



17 Jan 2008 : Column WA275



17 Jan 2008 : Column WA276

Alcohol attributable fraction
All ages16-2425-3435-4445-5455-6465-7475+
ICD codeICD nameMFMFMFMFMFMFMFMF

142.6

Alcoholic cardiomyopathy

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

K29.2

Alcoholic gastritis

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

G72.1

Alcoholic myopathy

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

G62.1

Alcoholic polyneuropathy

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

E24.4

Alcohol-induced pseudo-Cushing's syndrome

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

G31.2

Degeneration of nervous system due to alcohol

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

K86.0

Chronic pancreatitis (alcohol-induced)

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

F10

Mental and behavioural disorders due to use of alcohol

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

X45

Accidental poisoning by and exposure to alcohol

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

T51.0

Ethanol poisoning

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

T51.1

Methanol poisoning

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

T51.9

Toxic effect of alcohol, unspecified

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

X31

Accidental excessive cold

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

W65-W74

Drowning

0.34

0.34

0.34

0.34

0.34

0.34

0.34

0.34

0.34

0.34

0.34

0.34

0.34

0.34

0.34

0.34

WOO-W19

Fall injuries

0.22

0.14

0.22

0.14

0.22

0.14

0.22

0.14

0.22

0.14

0.22

0.14

0.12

0.04

0.12

0.04

X00-X09

Fire injuries

0.38

0.38

0.38

0.38

0.38

0.38

0.38

0.38

0.38

0.38

0.38

0.38

0.38

0.38

0.38

0.38

W32-W34

Firearm injuries

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

W78-W79

Inhalation of gastric contents/Inhalation and ingestion of food causing obstruction of the respiratory tract

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

0.25

X85-Y09

Assault

0.27

0.27

0.27

0.27

0.27

0.27

0.27

0.27

0.27

0.27

0.27

0.27

0.27

0.27

0.27

0.27

X60-X84, Y10-Y33

Intentional self-harm/Event of undetermined intent

0.34

0.31

0.34

0.35

0.34

0.33

0.35

0.34

0.37

0.34

0.36

0.32

0.31

0.25

0.27

0.2

§§

Pedestrian traffic accidents

0.4

0.17

0.69

0.5

0.58

0.22

0.51

0.42

0.51

0.42

0.16

0.06

0.16

0.06

0.16

0.06

§

Road traffic accidents (driver/rider)

0.33

0.11

0.37

0.18

0.37

0.18

0.37

0.18

0.37

0.18

0.09

0

0.09

0

0.09

0

V90-V94

Water transport accidents

0.2

0.2

0.2

0.2

0.2

0.2

0.2

0.2

0.2

0.2

0.2

0.2

0.2

0.2

0.2

0.2

O03

Spontaneous abortion

NA

0.2

NA

0.23

NA

0.21

NA

0.22

NA

0.21

NA

0.2

NA

0.15

NA

0.12

K85,K86.1

Acute and chronic pancreatitis

0.31

0.13

0.32

0.16

0.31

0.14

0.31

0.14

0.34

0.15

0.32

0.13

0.28

0.09

0.23

0.07

K22.6

Gastro-oesophageal laceration-haemorrhage syndrome

0.47

0.47

0.47

0.47

0.47

0.47

0.47

0.47

0.47

0.47

0.47

0.47

0.47

0.47

0.47

0.47

K70, K74

Liver cirrhosis

0.78

0.52

0.79

0.57

0.78

0.54

0.77

0.55

0.55

0.81

0.79

0.53

0.74

0.43

0.67

0.37

185

Oesophageal varices

0.78

0.52

0.79

0.57

0.78

0.54

0.77

0.55

0.81

0.55

0.79

0.53

0.74

0.43

0.67

0.37

C32

Malignant neoplasm of larynx

0.36

0.18

0.38

0.21

0.37

0.2

0.36

0.2

0.4

0.2

0.38

0.19

0.33

0.14

0.28

0.11

C00-C14

Malignant neoplasm of lip, oral cavity and pharynx

0.53

0.31

0.54

0.35

0.54

0.33

0.53

0.33

0.57

0.34

0.55

0.31

0.5

0.24

0.44

0.2

C15

Malignant neoplasm of oesophagus

0.34

0.17

0.35

0.2

0.35

0.18

0.34

0.18

0.38

0.18

0.36

0.17

0.31

0.13

0.26

0.1

147-148

Cardiac arrhythmias

0.36

0.33

0.35

0.36

0.36

0.35

0.37

0.35

0.38

0.35

0.37

0.33

0.34

0.27

0.3

0.22

110-115

Hypertensive diseases

0.37

0.16

0.39

0.19

0.38

0.17

0.37

0.18

0.41

0.18

0.39

0.16

0.34

0.12

0.28

0.09

C50

Malignant neoplasm of breast

NA

0.11

NA

0.13

NA

0.12

NA

0.12

NA

0.12

NA

0.11

NA

0.08

NA

0.07

G40-G41

Epilepsy and Status epilepticus

0.57

0.57

0.56

0.64

0.58

0.59

0.58

0.61

0.61

0.61

0.61

0.57

0.51

0.45

0.42

0.35

160-162, 169.0-169.2

Haemorrhagic stroke

0.31

0.11

0.33

0.13

0.32

0.12

0.29

0.12

0.36

0.12

0.32

0.11

0.26

0.07

0.19

0.06

L40 excluding L405

Psoriasis

0.34

0.31

0.34

0.33

0.34

0.33

0.35

0.33

0.36

0.32

0.35

0.31

0.33

0.26

0.3

0.22


Next Section Back to Table of Contents Lords Hansard Home Page