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Alcohol-related Conditions

Volume 455: debated on Wednesday 10 January 2007

To ask the Secretary of State for Health how many adults were admitted into accident and emergency departments in Greater London because of alcohol-related problems in each year since 2003. (102080)

The following table shows counts of finished admission episodes, in the years 2003-04 to 2004-05, for selected alcohol related diseases and for selected methods of emergency admissions for patients treated in London. Data are shown by strategic health authority (SHA) areas which existed at the time. These SHAs merged on 1 July 2006 to create one London SHA.

Counts of finished admission episodes for 1selected methods of admission where there was a primary diagnosis code for 2selected alcohol related diseases

Aged under 18

Aged 18 and over

Age not known

All ages

Strategic health authority of treatment3

2003-04

2004-05

2003-04

2004-05

2003-04

2004-05

2003-04

2004-05

North West London

100

84

1,068

1,379

11

20

1,179

1,483

North Central London

74

82

801

1,074

11

22

886

1,178

North East London

91

59

1,088

1,251

1

3

1,180

1,313

South East London

88

88

1,306

1,784

2

1,394

1,874

South West London

168

156

695

850

1

1

864

1,007

1 Selected Methods of Admission:

Emergency (via A & E services including the casualty department of the provider)

Emergency (other means, including patients who arrive via A & E department of another healthcare provider)

2 Alcohol related diseases defined as following ICD-10 codes recorded in primary diagnosis:

F10: Mental and behavioural disorders due to use of alcohol

K70: Alcoholic liver disease

T51: Toxic effect of alcohol

3 Strategic Health Authority of Treatment=London Strategic Health Authorities NHS hospitals, England 2003-04 to 2004-05

Notes:

1. Finished admission episodes

A finished admission episode is the first period of in-patient care under one consultant within one healthcare provider. Please note that admissions do not represent the number of in-patients, as a person may have more than one admission within the year.

2. Diagnosis (Primary Diagnosis)

The primary diagnosis is the first of up to 14 (7 prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was in hospital.

3. Ungrossed Data

Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).

4. Primary Care Trust (PCT) and Strategic Health Authority (SHA) Data Quality

PCT and SHA data was added to historic data-years in the HES database using 2002-03 boundaries, as a one-off exercise in 2004. The quality of the data on PCT of Treatment and SHA of Treatment is poor in 1996-97,1997-98 and 1998-99, with over a third of all finished episodes having missing values in these years. Data quality of PCT of GP practice and SHA of GP practice in 1997-98 and 1998-99 is also poor, with a high proportion missing values where practices changed or ceased to exist. There is less change in completeness of the residence-based fields over time, where the majority of unknown values are due to missing postcodes on birth episodes. Users of time series analysis including these years need to be aware of these issues in their interpretation of the data.

5. Data Quality

Hospital Episode Statistics (HES) are compiled from data sent by over 300 NHS Trusts and Primary Care Trusts (PCTs) in England. The “Health and Social Care Information Centre” 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. Whilst this brings about improvement over time, some shortcomings remain.

Source:

Hospital Episode Statistics (HES),

Health and Social Care Information Centre.