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<p>The following table contains the sum of the estimated alcohol attributable fractions
for patients admitted to hospital for alcohol-specific and alcohol-related admissions
for years 2008-09 to 2012-13.</p><p> </p><p><strong> </strong></p><p> </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>
</p><p> </p><p><a href="http://www.nwph.net/nwpho/publications/AlcoholAttributableFractions.pdf"
target="_blank">http://www.nwph.net/nwpho/publications/AlcoholAttributableFractions.pdf</a></p><p>
</p><p> </p><p> </p><p>Alcohol attributable fractions do not provide a count of episodes
with an alcohol related diagnosis or cause code but rather an estimate of the numbers.
In addition, partial alcohol attributable fractions 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><strong> </strong></p><p> </p><p>Sum of alcohol attributable
fractions<sup>1</sup> of finished admission episodes<sup>2</sup> (FAEs) for (a) alcohol
specific and (b) alcohol related admissions for years 2008-09 to 2012-13<sup>3</sup></p><p>
</p><table><tbody><tr><td><p>Year</p></td><td><p>Alcohol specific admissions</p></td><td><p>Alcohol
related admissions</p></td></tr><tr><td><p>2008 - 09</p></td><td><p>237,820</p></td><td><p>707,650</p></td></tr><tr><td><p>2009
-10</p></td><td><p>265,246</p></td><td><p>791,716</p></td></tr><tr><td><p>2010 - 11</p></td><td><p>287,198</p></td><td><p>881,068</p></td></tr><tr><td><p>2011
-12</p></td><td><p>304,206</p></td><td><p>916,087</p></td></tr><tr><td><p>2012 -13</p></td><td><p>294,786</p></td><td><p>937,678</p></td></tr></tbody></table><p>
</p><p>Activity in English NHS Hospitals and English NHS commissioned activity in
the independent sector</p><p> </p><p><em>Source</em><em>:</em> Hospital Episode Statistics
(HES), Health and Social Care Information Centre</p><p> </p><p> </p><p> </p><p><em>Notes:
</em></p><p> </p><p>1. Alcohol–related admissions</p><p> </p><p>The alcohol attributable
fraction 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.</p><p> </p><p> </p><p> </p><p>The alcohol attributable
fraction 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> </p><p> </p><p> </p><p>These
wholly and partly attributable fractions can be aggregated to supply an estimate of
activity which can be considered wholly or partly attributable to alcohol.</p><p>
</p><p> </p><p> </p><p>2. Finished admission episodes</p><p> </p><p>A finished admission
episode (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> </p><p> </p><p>3.
Assessing growth through time (admitted patient care)</p><p> </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, apparent reductions in activity
may be due to a number of procedures which may now be undertaken in outpatient settings
and so no longer include in admitted patient HES data. Conversely, apparent increases
in activity may be due to improved recording of diagnosis or procedure information.</p><p>
</p><p> </p><p> </p><p>Note that HES include activity ending in the year in question
and run from April to March, e.g. 2012-13 includes activity ending between 1 April
2012 and 31 March 2013.</p><p> </p>
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