New figures from Public Health England (PHE) were published 2 June 2015 in the latest update to the Local Alcohol Profiles for England (LAPE) data tool. They show a continuing decrease in the rate of hospital admissions due to alcohol among under 18s, evidence of a continuing decline in young people’s harmful drinking.
Alcohol-specific hospital admissions for under 18s over the last 3 years are down to 13,725. This shows a fall of 41% against the earliest comparable figures, 22,890 between 2006 to 2007 and 2008 to 2009 and down 11% in the latest period (11/12-13/14) with reductions in all regions and all deprivation deciles.
For under 18s, the rate of admissions for females is consistently higher than for males in contrast to most alcohol-related indicators. However, the strong downward trend is observed for both males and females. The biggest reductions have been seen in northern regions and the most deprived deciles leading to a reduction in the inequality gap between the most and least deprived. The largest reduction was in the most deprived decile (down 14% since 2006-08) and there were reductions in all deciles except the least deprived.
59% of local authorities in England (193 out of all 326 local authorities) saw a slight increase in hospital admissions in adults where the main reason for admission was alcohol. These admissions have risen by 1.3% to 333,000, up from 326,000 last year, with a larger increase seen in women (2.1% increase while for men this was 0.7%). There continues to be large variations between the most deprived and the least deprived areas.
Hospital admissions for alcohol-related conditions were 55% higher in the most deprived. The rate of alcohol-related mortality– deaths from conditions wholly or partially caused by alcohol increased slightly (+0.6%) in 2013 driven by an increase for men (+1.1%). The rate for women reduced for a second successive year. The rate of alcohol-specific mortality remains largely unchanged since the beginning of the LAPE series (2006-08). There were over 20,000 deaths in 2013. The rate of mortality from chronic liver disease continued to fall in the latest period (down 1.7%) and has fallen by 7% since the beginning of the LAPE series (2006-08). The inequalities in alcoholrelated deaths are particularly stark in relation to chronic liver disease with the most deprived areas experiencing double the rate of death compared with the least deprived.
The LAPE tool presents data for 19 alcohol-related indicators in an interactive tool, which helps local areas assess alcohol-related harm and monitor the progress of efforts to reduce this. The profiles and related interactive information are available online at www.healthprofiles.info
Statistics on Alcohol, England 2014
The annual report Statistics on Alcohol, England 2014 was published on May 29. This report acts as a reference point for health issues relating to alcohol use and misuse, providing information obtained from a number of sources. It covers topics such as drinking habits and behaviours among adults (aged 16 and over) and school children (aged 11 to 15), drinking-related ill health and mortality, affordability of alcohol, alcohol related admissions to hospital and alcohol-related costs. The report contains previously published information and also includes additional new analyses.
Drinking behaviour among adults and children
Between 2005 and 2012 the proportion of men who drank alcohol in the week before being interviewed fell from 72% to 64%, and the • 20 www.alcoholinmoderation.com www.talkaboutalcohol.com www.drinkingandyou.com proportion of women fell from 57% to 52% in Great Britain. Among adults who had drunk alcohol in the last week, 55% of men and 53% of women drank more than the recommended daily amounts, including 31% of men and 24% of women who drank more than twice the recommended amounts in 2012. In real terms, between 2009 and 2012 household spending on alcoholic drinks in the UK increased by 1.3%, whilst that bought for consumption outside the home fell by 9.8%. In 2012, 43% of school pupils (aged 11-15) said that they had drunk alcohol at least once. This continues the downward trend since 2003, when 61% of pupils had drunk alcohol.
Drinking related costs, ill health and mortality
The report used a revised methodology for estimating alcohol-related hospital admissions following a review by Public Health England, the Department of Health and the Health and Social Care Information Centre. Consequently estimates of alcohol-related hospital admissions for 2012-13, reported in this publication, are not comparable to estimates in earlier years’ publications. A time series of estimates of alcohol-related hospital admissions, calculated using the revised methodology, for the years 2003- 04 to 2011-12 have been made available to provide a comparable 10 year time series from 2003-04 to 2012-13.
In 2012/13, there were an estimated 1,008,850 admissions related to alcohol consumption where an alcohol-related disease, injury or condition was the primary reason for hospital admission or a secondary diagnosis. Of the estimated 1,008,850 alcohol related admissions: 65% (651,010) were due to conditions which were categorised as partly attributable chronic conditions and 6% (60,830) were for conditions categorised as partly attributable acute conditions. Overall, males were more likely to be admitted to hospital with alcohol related diseases, injuries and conditions than females, with 65% of the admissions being male patients. However, amongst under 16s, the opposite is true where females were more likely to be admitted to hospital with alcohol related diseases, injuries and conditions than males, with females accounting for 55% of all admissions.
There were 1,890 alcohol-related hospital admissions per 100,000 population in England. The rate of alcohol-related admissions varied regionally from an estimated 2,500 per 100,000 population in North East Region to 1,500 admissions per 100,000 population in South East Region. In 2012/13, there were an estimated 325,870 admissions where the primary diagnosis or external causes recorded in secondary diagnosis fields were attributable to the consumption of alcohol. In 2013, 183,810 items were prescribed (in a primary care setting or NHS hospital) for the treatment of alcohol dependency and dispensed in the community. The Net Ingredient Cost (NIC) of these prescription items in 2013 was £3.13 million, which is an increase of £0.2 million since 2012 and just over double the NIC in 2004 of £1.51 million. In England, in 2012 there were 6,490 alcoholrelated deaths. This is a 19% increase from 2001 (5,476) but a 4% decrease from 2011 (6,771). The number of male deaths decreased from 4,498 in 2011 to 4,230 in 2012 and the number of female deaths decreased from 2,273 in 2011 to 2,260 in 2012. The most common alcohol-related death was alcoholic liver disease, which accounted for 63% (4,075) of all alcohol-related deaths in 2012.