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<p>Data is not collected centrally for those attending Accident and Emergency (A&E)
for excessive consumption of alcohol</p><p> </p><p>The following tables contain the
sum of the estimated alcohol attributable fractions (AAFs) for (a) all age groups
(b) people under 18, (c) people under 16 and (d) people under 12 that (ii) were admitted
via A&E for excessive consumption of alcohol in each year since 2010.</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, 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><strong> </strong></p><p> </p><p> </p><p>Sum of wholly AAFs for
admissions<sup>1</sup> via A&E, for (a) all age groups (b) people under 18, (c)
people under 16 and (d) people under 12 for the years 2009 -10 to 2012-13<sup>2</sup></p><table><tbody><tr><td><p>Years</p></td><td
colspan="4"><p>Ages</p></td></tr><tr><td><p> </p></td><td><p>0-11</p></td><td><p>0-15</p></td><td><p>0-17</p></td><td><p>All
ages</p></td></tr><tr><td><p>2009 -10</p></td><td><p>150</p></td><td><p>3,599</p></td><td><p>6,595</p></td><td><p>209,772</p></td></tr><tr><td><p>2010
-11</p></td><td><p>111</p></td><td><p>3,017</p></td><td><p>5,952</p></td><td><p>222,478</p></td></tr><tr><td><p>2011
-12</p></td><td><p>110</p></td><td><p>2,493</p></td><td><p>5,007</p></td><td><p>233,447</p></td></tr><tr><td><p>2012
-13</p></td><td><p>102</p></td><td><p>2,084</p></td><td><p>4,175</p></td><td><p>225,383</p></td></tr></tbody></table><p>
</p><p>Sum of partially AAFs for admissions<sup>1</sup> via A&E, for (a) all age
groups and people between the ages 16 -17, for the years 2009 -10 to 2012-13<sup>2</sup></p><table><tbody><tr><td><p>Years</p></td><td
colspan="2"><p>Ages</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>16-17</p></td><td><p>All
ages</p></td></tr><tr><td><p>2009-10</p></td><td><p>4,224.02</p></td><td><p>336,058.00</p></td></tr><tr><td><p>2010-11</p></td><td><p>4,226.78</p></td><td><p>363,238.01</p></td></tr><tr><td><p>2011-12</p></td><td><p>3,958.53</p></td><td><p>372,613.81</p></td></tr><tr><td><p>2012-13</p></td><td><p>3,717.20</p></td><td><p>384,510.84</p></td></tr></tbody></table><p>
</p><p>Sum of wholly and partially AAFs for admissions<sup>1</sup> via A&E, for
(a) all age groups (b) people under 18, (c) people under 16 and (d) people under 12
for the years 2009-10 to 2012-13<sup>2</sup></p><table><tbody><tr><td><p>Years</p></td><td
colspan="4"><p>Ages</p></td></tr><tr><td><p> </p></td><td><p>0-11</p></td><td><p>0-15</p></td><td><p>0-17</p></td><td><p>All
ages</p></td></tr><tr><td><p>2009-10</p></td><td><p>150</p></td><td><p>3,599</p></td><td><p>10,819</p></td><td><p>545,830</p></td></tr><tr><td><p>2010-11</p></td><td><p>111</p></td><td><p>3,017</p></td><td><p>10,179</p></td><td><p>585,716</p></td></tr><tr><td><p>2011-12</p></td><td><p>110</p></td><td><p>2,493</p></td><td><p>8,966</p></td><td><p>606,061</p></td></tr><tr><td><p>2012-13</p></td><td><p>102</p></td><td><p>2,084</p></td><td><p>7,892</p></td><td><p>609,894</p></td></tr></tbody></table><p>Activity
in English NHS Hospitals and English NHS commissioned activity in the independent
sector.</p><p><em>Notes: </em></p><p><strong> </strong></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.</p><p>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> </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>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><strong> </strong></p><p><sup>2</sup>Assessing
growth through time (Admitted patient care)</p><p>Hospital Episode Statistic 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 & Social Care</p><p><strong>
</strong></p><p><strong> </strong></p>
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