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<p>The following table contain the sum of the estimated alcohol attributable fractions
(AAFs) for admission for patients via a general practitioner (GP) (Emergency) and
hospital.</p><p> </p><p> </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> </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> </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> </p><p> </p><p>In addition, partial 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> </p><p> </p><p>Sum of AAFs<sup>1</sup>
of finished admission episodes<sup>2 </sup>(FAEs) for (a) all admissions and (b) emergency
admissions via a GP by strategic health authority of treatment for 2012-13</p><p>
</p><p> </p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Strategic Health Authority
of Treatment</p></td><td><p>Emergency admission</p><p>via a GP</p></td><td><p>Hospital
admissions</p></td></tr><tr><td><p>North East</p></td><td><p>4,835</p></td><td><p>85,872</p></td></tr><tr><td><p>North
West</p></td><td><p>11,686</p></td><td><p>202,278</p></td></tr><tr><td><p>Yorkshire
And The Humber</p></td><td><p>7,694</p></td><td><p>133,076</p></td></tr><tr><td><p>East
Midlands</p></td><td><p>5,796</p></td><td><p>83,266</p></td></tr><tr><td><p>West Midlands</p></td><td><p>8,660</p></td><td><p>134,613</p></td></tr><tr><td><p>East
of England</p></td><td><p>7,813</p></td><td><p>121,948</p></td></tr><tr><td><p>London</p></td><td><p>1,512</p></td><td><p>181,824</p></td></tr><tr><td><p>South
East Coast</p></td><td><p>4,709</p></td><td><p>90,870</p></td></tr><tr><td><p>South
Central</p></td><td><p>5,909</p></td><td><p>68,867</p></td></tr><tr><td><p>South West</p></td><td><p>11,843</p></td><td><p>129,849</p></td></tr><tr><td><p>Total
<sup>3</sup></p></td><td><p>70,457</p></td><td><p>1,232,464</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>: Hospital Episode Statistics
(HES), The Health & Social Care Information Centre</p><p> </p><p><strong> </strong></p><p>
</p><p><em>Notes:</em></p><p> </p><p> </p><p> </p><p>1. Alcohol–related admissions</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 http://www.nwph.net/nwpho/publications/AlcoholAttributableFractions.pdf</p><p>
</p><p> </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.</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>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> </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. "Total" Strategic Health Authority
of Treatment</p><p> </p><p>Note that the "Total" SHA of Treatment includes
patients treated in Wales.</p><p> </p><p> </p><p> </p>
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