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Alcoholic Drinks: Misuse

Volume 486: debated on Thursday 22 January 2009

To ask the Secretary of State for Health how many people aged 11 to 18 years resident in (a) Hemel Hempstead and (b) Hertfordshire were treated for alcohol-related problems in each of the last five years. (249063)

Information is not available in the format requested. Data are available for treatment of alcohol-related health problems, 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 11-18 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 11-18 by primary care trust (PCT) in the Hertfordshire area 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: an individual may account for more than one admission.

Number of alcohol-related finished admissions for patients aged 11 to 18 resident in HertfordshirePCT2002-032003-042004-052005-062006-07East and North Hertfordshire 1049410499102West Hertfordshire10711011482122 Notes:Includes activity in English national health service hospitals and English NHS commissioned activity in the independent sector.Small numbersTo 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 admissionsThe 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 (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).Number of episodes in which the patient had an alcohol-related primary or secondary diagnosisThese 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 episodesA finished admission episode is the first period of in-patient care under one consultant within one health care 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 diagnosisThe primary diagnosis is the first of up to 14 (seven prior to 2002-03) diagnosis fields in HES data set and provides the main reason why the patient was in hospital.Secondary diagnosesAs 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 QualityHES are compiled from data sent by more than 300 NHS trusts and primary care trusts (PCTs) 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.Source:Hospital Episode Statistics (HES), the NHS Information Centre for health and social care.