Alcohol Metrics – the baselineCathy Rule, Project Manager, Wessex AHSNWith support from Brad Keogh, Senior Research Assistant,Centre for Implementation Science (CIS), brad.keogh@soton.ac.uk

Why we need to get to grips with alcohol in Wessex

Introduction

• Why are Wessex alcohol metrics important?

• Data sources

• Generic infographics (Wessex)

• Specific alcohol metric examples

Why are Wessex alcohol metrics important?

• Understand the impact alcohol has on our communities

• Provide a platform to measure changes

• Identify and address any gaps

• Implement an evidence based “life course approach” to addressing the harms of alcohol

• Identify the scope for further alcohol research & evaluation of initiatives

• Alcohol metrics– Variety of Public sources

• Local Alcohol Profiles for England (LAPE)• National Drug Treatment Monitoring System (NDTMS)• National Child and Maternal Health Intelligence Network (CHIMAT)

– Looking to add more sources, e.g.• Hospital Episode Statistics (HES)• Costs• Prescribing data

• Geography– most of the metrics cover all Wiltshire (not just South

Wiltshire)

• Stakeholder information– PHE Stocktake Dashboard– Wessex Alcohol Evidence and Best Practice Template

Data sources

Baseline documents

*Based on financial year 2012-2013**Based on calendar year 2012***Average over 3 year period: 2010-2012

hospital admissions per year(Non A&E)*

33,2901.2 in 20 a high risk drinkers:(50+ units per week)(35+ units per week)

alcohol related deaths per year**1,285

alcohol related crimes per year*

15,228312

deaths from chronic liverdisease per year***

The HeadlinesGeneric infographics (Wessex)

Wessex Drinking Groups

Wessex Drinking Groups

Male: 22-50 unit/weekFemale: 15-35 unit/week

Male: 50+ unit/weekFemale: 35+ unit/week

Male: 0-22 unit/weekFemale: 0-15 unit/week

= 2,552,581

= 1,592,629

= 450,143

= 151,226

Male: 22-50 unit/weekFemale: 15-35 unit/week

Male: 50+ unit/weekFemale: 35+ unit/week

Male: 0-22 unit/weekFemale: 0-15 unit/week

359,000 abstainers

Wessex Drinking Groups

Wessex vs. EnglandDrinking Groups

Wessex has higher levels of drinking than on average in England

Wessex vs. EnglandDrinking Groups

Small differences

Wessex has higher levels of drinking than on average in England

Wessex vs. EnglandDrinking Groups

Additional numbers in

risk groups in WessexTotal =

+63,400

+ 31,900

+ 24,000

+7,500

Numbers in Treatment

Bournemouth Dorset Hampshire IOW Poole Portsmouth Southampton South Wiltshire

Female 152 265 448 110 92 392 162 227Male 242 417 793 141 127 795 359 307Total numbers in treatment 394 682 1241 251 219 1187 521 534

High Risk Drinking Population 9932 19920 61556 6776 6704 10959 12524 *Percentage of High Risk Drinkers in Treatment 4.0 3.4 2.0 3.7 3.3 10.8 4.2 *

*numbers not available

Proportion of High risk drinkers in treatment is low.

NDTMS data

LAPE data

Numbers in Alcohol Treatment

Numbers in Treatment

Bournemouth Dorset Hampshire IOW Poole Portsmouth Southampton South Wiltshire

Female 152 265 448 110 92 392 162 227Male 242 417 793 141 127 795 359 307Total numbers in treatment 394 682 1241 251 219 1187 521 534

High Risk Drinking Population 9932 19920 61556 6776 6704 10959 12524 *Percentage of High Risk Drinkers in Treatment 4.0 3.4 2.0 3.7 3.3 10.8 4.2 *

*numbers not available

Portsmouth leading in recorded levels of treatment

NDTMS data

LAPE data

Numbers in Alcohol Treatment

Alcohol specific mortality in Males

Alcohol specific mortality in Males

Alcohol specific mortality in Males

Alcohol specific mortality in Males

Areas improving

Areas worsening

Alcohol specific mortality in Males – changes 2006-12

Alcohol specific mortality in Males – changes 2006-12

Areas < England removed for clarity

Areas improving

Areas worsening

Alcohol specific mortality in Males

Size of bubble shows the relative count of the most recent data – i.e.

number of deaths in 2012

Areas < England removed for clarity

Mortality from chronic liver disease in Females

Mortality from chronic liver disease in Females

Mortality from chronic liver disease in Females

Mortality from chronic liver disease in Females

Mortality from chronic liver disease in Females

Areas improving

Areas worsening

Mortality from chronic liver disease in Females

Areas < England removed for clarity

Areas improving

Areas worsening

Mortality from chronic liver disease in Females

Areas < England removed for clarity

Size of bubble shows the relative count of the most recent data – i.e.

number of deaths in 2012

Future Work

• We need your input– Not to highlight specific areas

– Constructive input / anecdotal information (i.e. Southampton

under 18 recording)

• We want to add– Costing

– Prescribing data

– HES data – if available

– Baseline portal – if possible

Alcohol specific admission - under 18s

Future Work

• We need your input– Not to highlight specific areas– Constructive input / anecdotal information (i.e.

Southampton under 18 recording)

• We want to add– Costing

– Prescribing data

– HES data – if available

– Baseline portal – if possible