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<p>The following tables contain the sum of the estimated alcohol attributable fractions
(AAFs) for admissions for patients in (a) York (b) North Yorkshire and York primary
care trust (PCT) area and (c) England over for the years 2008-09 to 2012-13.</p><p>
</p><p>It should be noted that these figures are not a count of people and represent
an estimated number of admissions that were attributable to alcohol.</p><p> </p><p>AAFs
are based on the proportion of a given diagnosis or injury that is estimated to be
attributed to alcohol. Some diagnoses or injuries will, by definition, be wholly attributable
to alcohol and have an AAF of one, others will only be partly attributable to alcohol
and have an AAF greater than zero, but less than one. Diagnoses or injuries that are
not attributable at all to alcohol will have an AAF of zero.</p><p> </p><p>These figures
are derived by summing all AAFs for the relevant admissions and should therefore only
be interpreted as an estimate of the number of admissions that can be attributed to
alcohol.</p><p> </p><p>In addition, partially AAFs are not applicable to children
aged under 16 years, therefore figures for this age group relate only to wholly –
attributable admissions.</p><p> </p><p>The NHS Information Centre for Health and Social
Care - Statistics on Alcohol: England, 2014 report manually implemented new methodology
against the 2012-13 data in their report. However, no change to the underlying Hospital
Episode Statistics (HES) data has been currently made.</p><p> </p><p>Sum of partially
and wholly alcohol attributable fractions<sup>1</sup> for finished admission episodes
(FAEs)<sup>2</sup> for patients for York Teaching Hospital NHS Trust, North Yorkshire
and York PCT of treatment and England for 2008-09 to 2012-13<sup>3</sup></p><table><tbody><tr><td><p>York
Teaching Hospital NHS Trust</p></td><td><p>Sum of wholly alcohol Attributable fractions
(FAEs)<sup>1</sup></p></td><td><p>Sum of partially alcohol Attributable fractions
(FAEs)<sup>1</sup></p></td><td><p>Total</p></td></tr><tr><td><p>2008-09</p></td><td><p>1,185</p></td><td><p>3,775.21</p></td><td><p>4,960.21</p></td></tr><tr><td><p>2009-10</p></td><td><p>1,259</p></td><td><p>3,673.31</p></td><td><p>4,932.31</p></td></tr><tr><td><p>2010-11</p></td><td><p>1,268</p></td><td><p>4,065.70</p></td><td><p>5,333.70</p></td></tr><tr><td><p>2011-12</p></td><td><p>1,225</p></td><td><p>3,952.58</p></td><td><p>5,177.58</p></td></tr><tr><td><p>2012-13</p></td><td><p>2,217</p></td><td><p>7,936.95</p></td><td><p>10,153.95</p></td></tr></tbody></table><p><strong>
</strong></p><p><strong> </strong></p><table><tbody><tr><td><p>North Yorkshire and
York PCT</p></td><td><p>Sum of wholly alcohol Attributable fractions (FAEs)<sup>1</sup></p></td><td><p>Sum
of partially alcohol Attributable fractions (FAEs)<sup>1</sup></p></td><td><p>Total</p></td></tr><tr><td><p>2008-09</p></td><td><p>2,669</p></td><td><p>7,480.90</p></td><td><p>10,149.90</p></td></tr><tr><td><p>2009-10</p></td><td><p>3,029</p></td><td><p>9,246.72</p></td><td><p>12,275.72</p></td></tr><tr><td><p>2010-11</p></td><td><p>3,124</p></td><td><p>10,340.52</p></td><td><p>13,464.52</p></td></tr><tr><td><p>2011-12</p></td><td><p>3,097</p></td><td><p>10,846.87</p></td><td><p>13,943.87</p></td></tr><tr><td><p>2012-13</p></td><td><p>2,930</p></td><td><p>11,465.32</p></td><td><p>14,395.32</p></td></tr></tbody></table><p><strong>
</strong></p><p><strong> </strong></p><table><tbody><tr><td><p>England</p></td><td><p>Sum
of wholly alcohol Attributable fractions (FAEs)<sup>1</sup></p></td><td><p>Sum of
partially alcohol Attributable fractions (FAEs)<sup>1</sup></p></td><td><p>Total</p></td></tr><tr><td><p>2008-09</p></td><td><p>237,820</p></td><td><p>707,649.50</p></td><td><p>945,469.50</p></td></tr><tr><td><p>2009-10</p></td><td><p>265,246</p></td><td><p>791,716.34</p></td><td><p>1,056,962.34</p></td></tr><tr><td><p>2010-11</p></td><td><p>287,198</p></td><td><p>881,067.56</p></td><td><p>1,168,265.56</p></td></tr><tr><td><p>2011-12</p></td><td><p>304,206</p></td><td><p>916,087.40</p></td><td><p>1,220,293.40</p></td></tr><tr><td><p>2012-13</p></td><td><p>294,786</p></td><td><p>937,677.63</p></td><td><p>1,232,463.63</p></td></tr></tbody></table><p>
</p><p>Activity in English National Health Service Hospitals and English NHS commissioned
activity in the independent sector.</p><p><strong> </strong></p><p><em>Notes: </em></p><p>
</p><p><sup>1</sup>Alcohol –related admissions</p><p>The number of alcohol-related
admissions is based on the methodology developed by the North West Public Health Observatory
(NWPHO), which uses 48 indicators for alcohol-related illnesses, determining the proportion
of a wide range of diseases and injuries that can be partly attributed to alcohol
as well as those that are, by definition, wholly attributable to alcohol. Further
information on these proportions can be found at:</p><p> </p><p>www.nwph.net/nwpho/publications/AlcoholAttributableFractions.pdf</p><p>
</p><p>The AAF is set to 1 (100%) where the admission is considered to be entirely
due to alcohol, e.g. in the case of alcoholic liver disease - these records are described
as wholly alcohol attributable. The AAF is set to a value greater than 0 but less
than 1 according to the NWPHO definition, e.g. the alcohol fraction of an admission
with a primary diagnosis of C00 - malignant neoplasm of lip, where the patient is
male and between 65 and 74 is 0.44 - these records are described as partly alcohol
attributable.</p><p>These wholly and partly AAFs can be aggregated to supply an estimate
of activity which can be considered wholly or partly attributable to alcohol.</p><p>
</p><p>Partly AAFs are not applicable to children under 16. Therefore figures for
this age group relate only to wholly-attributable admissions, where the attributable
fraction is one.</p><p> </p><p><sup>2</sup>Finished admissions episodes</p><p>A FAE
is the first period of admitted patient care under one consultant within one healthcare
provider. FAEs are counted against the year or month in which the admission episode
finishes. Admissions do not represent the number of patients, as a person may have
more than one admission within the period.</p><p> </p><p><sup>3</sup>Assessing growth
through time (Admitted patient care)</p><p>HES figures are available from 1989-90
onwards. Changes to the figures over time need to be interpreted in the context of
improvements in data quality and coverage (particularly in earlier years), improvements
in coverage of independent sector activity (particularly from 2006-07) and changes
in NHS practice. For example, changes in activity may be due to changes in the provision
of care.</p><p><strong> </strong></p><p><em>Source:</em> Hospital Episode Statistics
(HES), The NHS Information Centre for Health and Social Care</p><p><strong> </strong></p><p><strong>
</strong></p><p> </p><p> </p>
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