Alcohol attributable admissions by Trust - North West Strategic Health Authority

Recent analysis by Alcohol Concern (Making alcohol a health priority - Opportunities to reduce alcohol harm and rising costs, 2011) reported that the 'number of hospital admissions due to alcohol misuse was 1.1 million in 2009/10, a 100% increase since 2002/03. If the rise continues unchecked, by the end of the current Parliament a staggering 1.5 million people will be admitted to hospital every year' This indicator provides a summary view of the number of admissions attributable to alcohol for each PCT by sex.

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Female alcohol admissions

Trust name Standardised rate of admissions
Liverpool
2,156
Knowsley
2,011
Salford
2,009
Manchester
1,976
Blackburn With Darwen
1,969
Heywood, Middleton and Rochdale
1,919
Ashton, Leigh and Wigan
1,826
Halton and St Helens
1,767
Central Lancashire
1,731
Blackpool
1,730
Wirral
1,724
East Lancashire
1,720
Warrington
1,700
Tameside and Glossop
1,669
Sefton
1,587
Oldham
1,481
Bury
1,439
Stockport
1,417
Central and Eastern Cheshire
1,338
Western Cheshire
1,326
Bolton
1,321
Trafford
1,312
North Lancashire
1,285
Cumbria
1,220
National average: 1,297

Male alcohol admissions

Trust name Standardised rate of admissions
Liverpool
4,165
Manchester
3,967
Salford
3,921
Blackburn With Darwen
3,898
Knowsley
3,700
Heywood, Middleton and Rochdale
3,560
Ashton, Leigh and Wigan
3,447
Halton and St Helens
3,330
Blackpool
3,302
Wirral
3,216
East Lancashire
3,160
Sefton
3,127
Tameside and Glossop
3,029
Warrington
3,014
Central Lancashire
2,948
Oldham
2,842
Bury
2,732
Stockport
2,556
Trafford
2,452
Bolton
2,443
Western Cheshire
2,391
North Lancashire
2,269
Central and Eastern Cheshire
2,213
Cumbria
2,173
National average: 2,440

All data

PCT name Female Alcohol Attributable Admissions Female PCT population Female Standardised rate Female LCL Female UCL
Cumbria 4025 251400 1220 1178 1261
Central and Eastern Cheshire 3882 231267 1338 1292 1384
North Lancashire 2892 168000 1285 1233 1337
Western Cheshire 2070 119933 1326 1264 1388
Bolton 2093 134500 1321 1262 1380
Trafford 1781 109000 1312 1247 1377
Stockport 2576 145600 1417 1359 1476
Bury 1648 93300 1439 1366 1512
Oldham 1922 111800 1481 1412 1550
Central Lancashire 4815 230400 1731 1680 1782
Warrington 2035 100000 1700 1623 1778
Tameside and Glossop 2504 127051 1669 1600 1737
Sefton 2918 143000 1587 1523 1651
East Lancashire 3959 194300 1720 1663 1776
Wirral 3417 161400 1724 1661 1786
Blackpool 1470 71200 1730 1635 1825
Halton and St Helens 3128 152100 1767 1703 1832
Ashton, Leigh and Wigan 3458 155200 1826 1763 1890
Heywood, Middleton and Rochdale 2304 103900 1919 1838 2001
Knowsley 1801 78200 2011 1914 2107
Blackburn With Darwen 1453 70200 1969 1865 2073
Salford 2577 111300 2009 1927 2090
Manchester 4305 235900 1976 1914 2039
Liverpool 5351 225000 2156 2096 2216
PCT name Male Alcohol Attributable Admissions Male PCT population Male Standardised rate Male LCL Male UCL
Cumbria 6811 243400 2173 2118 2227
Central and Eastern Cheshire 6043 223222 2213 2155 2271
North Lancashire 4676 159400 2269 2201 2338
Western Cheshire 3441 114778 2391 2308 2473
Bolton 3486 131000 2443 2361 2525
Trafford 2952 106400 2452 2362 2543
Stockport 4127 138000 2556 2476 2636
Bury 2740 89400 2732 2628 2836
Oldham 3242 107300 2842 2743 2940
Central Lancashire 7769 227200 2948 2882 3015
Warrington 3325 97800 3014 2910 3118
Tameside and Glossop 4088 121655 3029 2935 3123
Sefton 5043 130400 3127 3036 3218
East Lancashire 6729 186400 3160 3083 3237
Wirral 5470 147100 3216 3128 3305
Blackpool 2671 68800 3302 3172 3431
Halton and St Helens 5324 143900 3330 3239 3421
Ashton, Leigh and Wigan 5922 151200 3447 3358 3536
Heywood, Middleton and Rochdale 3869 101000 3560 3447 3673
Knowsley 2819 71100 3700 3561 3839
Blackburn With Darwen 2640 69600 3898 3749 4048
Salford 4660 114000 3921 3807 4035
Manchester 7897 247600 3967 3877 4057
Liverpool 9175 217500 4165 4078 4251

Measure: Alcohol attributable admission rates

Description:
Directly age-standardised rate of alcohol attributable admissions per 100,000 population.
Definition:
  • Alcohol attributable admissions: sum of alcohol attributable fractions
  • PCT/LA Population: total population within each PCT/LA
  • Standardised Rate: Directly age-standardised rate per 100,000 population
  • LCL: Lower 95% confidence limit
  • UCL: Upper 95% confidence limit
Technical definition

Alcohol attributable admissions:

Each admission (based on the dominant diagnosis episode) is assigned an attributable fraction based on the ICD10 diagnosis codes, age and sex of the patient (see table 1 below). Where an admission has more than one of the below diagnosis codes, the highest attributable fraction is used. These fractions are then summed to obtain admission totals by sex and five-year age band.

Directly age-standardised rates:

The directly age-standardised rate is the rate of events that would occur in a standard population if the population had the same age-specific rates of the subject population. See Explanation of statistical methods used in the Compendium (http://www.nchod.nhs.uk).

Basis
Primary Care Trust (Resident) and Local Authority
Data source & Time frame
SUS - APC, April 2009 to March 2010

Table: Alcohol attributable fractions

Based on Jones et al (2008), Alcohol-attributable fractions for England, Centre for Public Health - Liverpool John Moores University.

Diagnosis Group ICD10 Codes 0-15 16-24 25-34 35-44 45-54 55-64 65-74 75+
M F M F M F M F M F M F M F M F
Accidental excessive cold X31 0 0 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
Acute and chronic pancreatitis K85, K861 0 0 0.27 0.19 0.27 0.16 0.26 0.16 0.3 0.16 0.27 0.14 0.22 0.1 0.16 0.07
Air and space transport accidents V95-V97 0 0 0.16 0.16 0.16 0.16 0.16 0.16 0.16 0.16 0.16 0.16 0.16 0.16 0.16 0.16
Assault X85-Y09 0 0 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
Cardiac arrhythmias I47-I48 0 0 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
Drowning W65-W74 0 0 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
Epilepsy and status epilepticus G40-G41 0 0 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
Falls W00-W19 0 0 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
Fire injuries X00-X09 0 0 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
Firearm injuries W32-W34 0 0 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
Gastro-oesophageal laceration-haemorrhage syndrome K226 0 0 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
Haemorrhagic stroke I60-I62, I690-I692 0 0 0.31 0.2 0.3 0.15 0.27 0.15 0.34 0.15 0.3 0.13 0.24 0.1 0.16 0.06
Heart failure I50-I51 0 0 0.004 0.002 0.004 0.002 0.004 0.002 0.004 0.002 0.004 0.002 0.004 0.002 0.004 0.002
Hypertensive diseases I10-I15 0 0 0.34 0.24 0.33 0.19 0.32 0.2 0.37 0.2 0.34 0.18 0.27 0.13 0.2 0.09
Inhalation of gastric contents W78-W79 0 0 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
Intentional self-harm/Event of undetermined intent X60-X84, Y10-Y34 0 0 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
Ischaemic stroke I63-I66, I693-I694 0 0 0.16 0.03 0.13 0 0.08 0 0.18 0 0.12 0 0.06 0 0 0
Malignant neoplasm of breast C50 0 0 0 0.09 0 0.08 0 0.09 0 0.09 0 0.08 0 0.06 0 0.04
Malignant neoplasm of colon C18 0 0 0.05 0.03 0.05 0.03 0.04 0.03 0.05 0.03 0.05 0.03 0.04 0.02 0.03 0.01
Malignant neoplasm of larynx C32 0 0 0.34 0.25 0.33 0.21 0.32 0.22 0.36 0.21 0.34 0.2 0.28 0.15 0.22 0.11
Malignant neoplasm of lip, oral cavity and pharynx C00-C14 0 0 0.5 0.4 0.5 0.35 0.49 0.36 0.53 0.35 0.5 0.33 0.44 0.26 0.36 0.2
Malignant neoplasm of liver and intrahepatic bile ducts C22 0 0 0.16 0.11 0.15 0.1 0.15 0.1 0.17 0.1 0.16 0.09 0.13 0.07 0.1 0.05
Malignant neoplasm of oesophagus C15 0 0 0.32 0.23 0.31 0.2 0.3 0.2 0.34 0.2 0.32 0.18 0.26 0.14 0.2 0.1
Malignant neoplasm of rectum C20 0 0 0.08 0.06 0.08 0.05 0.08 0.05 0.09 0.05 0.08 0.05 0.07 0.03 0.05 0.03
Oesophageal varices I85 0 0 0.77 0.67 0.76 0.59 0.74 0.6 0.79 0.59 0.77 0.57 0.71 0.48 0.61 0.38
Pedestrian traffic accidents V02-V04(1, 9), V061, V092, V093 0 0 0.35 0.16 0.45 0.19 0.46 0.21 0.46 0.21 0.23 0.03 0.23 0.03 0.23 0.03
Psoriasis L40 excluding L405 0 0 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
Road traffic accidents V12-V14(3-9), V194-V196, V199, V20-V283-9), V29-V79(4-9), V803-V805, V811, V821, V829, V83-V86(0-3), V870-V879, V892, V893, V899 0 0 0.21 0.09 0.33 0.15 0.24 0.12 0.24 0.12 0.09 0.03 0.09 0.03 0.09 0.03
Spontaneous abortion O03 0 0 0 0.23 0 0.21 0 0.22 0 0.21 0 0.2 0 0.15 0 0.12
Unspecified liver cirrhosis K73, K74 0 0 0.77 0.67 0.76 0.59 0.74 0.6 0.79 0.59 0.77 0.57 0.71 0.48 0.61 0.38
Water transport accidents V90-V94 0 0 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
Wholly-attributable E244, F10, G312, G621, G721, I426, K292, K70, K860, T510, T511, T519, X45 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
Work/machine injuries W24-W31 0 0 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07

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