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Alcoholic Drinks: Misuse

Volume 502: debated on Monday 14 December 2009

To ask the Secretary of State for Health how many finished admission episodes to hospital there were in each strategic health authority area (a) in total and (b) per 100,000 of the population where an illness related to alcohol was a primary or secondary diagnosis in each of the last five years. (305077)

The number and rate of finished admissions of patients with a primary or secondary alcohol-related diagnosis in each strategic health authority area can be found in the following table:

Number and rate of finished admissions of patients with an alcohol-related diagnosis

2004-05

2005-06

2006-07

2007-08

2008-09

Strategic health authority

Number of admissions

Rate of admission per 100,000 population (EASR)

Number of admissions

Rate of admission per 100,000 population (EASR)

Number of admissions

Rate of admission per 100,000 population (EASR)

Number of admissions

Rate of admission per 100,000 population (EASR)

Number of admissions

Rate of admission per 100,000 population (EASR)

North East

43,919

1,535

50,579

1,749

55,510

1,898

60,755

2,046

67,955

2,254

North West

114,946

1,513

129,919

1,701

141,493

1,835

151,427

1,944

163,564

2,081

Yorkshire and The Humber

66,684

1,178

72,870

1,272

77,454

1,331

83,442

1,413

91,345

1,525

East Midlands

56,928

1,159

62,722

1,260

67,710

1,343

74,340

1,452

82,047

1,560

West Midlands

63,692

1,075

76,778

1,275

88,490

1,451

91,536

1,479

104,533

1,662

East of England

63,472

975

72,622

1,097

77,808

1,156

84,711

1,235

91,625

1,303

London

74,522

1,038

87,428

1,208

96,194

1,320

102,027

1,386

110,981

1,490

South East Coast

46,802

938

54,833

1,082

60,074

1,173

66,025

1,264

71,805

1,338

South Central

36,032

824

41,219

928

41,889

927

48,200

1,049

53,203

1,128

South West

70,278

1,145

77,755

1,250

83,415

1,315

88,393

1,365

98,509

1,492

Unknown /no fixed abode

6,908

n/a

8,787

n/a

9,082

n/a

12,400

n/a

9,656

n/a

England

644,185

1,144

735,512

1,290

799,120

1,384

863,257

1,473

945,223

1,583

n/a = Not applicable.

Notes:

EASR - European Age-Standardised Rate.

Includes activity in English National Health Service Hospitals and English NHS commissioned activity in the independent sector.

Alcohol-specific condition

Alcohol-specific conditions are those defined as wholly attributed to alcohol, based on the methodology developed by the North West Public Health Observatory. They are:

Alcoholic cardiomyopathy (142.6)

Alcoholic gastritis (K29.2)

Alcoholic liver disease (K70)

Alcoholic myopathy (G72.1)

Alcoholic polyneuropathy (G62.1)

Alcohol-induced pseudo-Cushing's 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-specific primary or secondary diagnosis These figures represent the number of episodes where an alcohol-specific 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-specific 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 inpatient care under one consultant within one healthcare provider. Finished admission episodes are counted against the year in which the admission episode finishes. It should be noted that 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 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 (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.

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 outpatient 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 patient's hospital stay.

Source:

Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.