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National Statistics
Publication, Part of

Statistics on Alcohol, England 2020

National statistics
Publication Date:
Geographic Coverage:
England
Geographical Granularity:
Clinical Commissioning Groups, Clinical Commissioning Area Teams, Clinical Commissioning Regions, Country
Date Range:
01 Jan 2018 to 31 Dec 2018

Part 1: Alcohol-related hospital admissions

This section presents information on the number of hospital admissions for diseases, injuries and conditions that can be attributed to alcohol consumption. The data in this section come from Public Health England's Local Alcohol Profiles for England, which use data from NHS Digital’s Hospital Episode Statistics.

Estimates of the number of alcohol-related hospital admissions have been calculated by applying alcohol-attributable fractions (AAFs) to Hospital Episode Statistics data. An AAF is the proportion of a condition assessed to have been caused by alcohol.  See appendix B for more details.

Two measures for alcohol-related hospital admissions have been used:

  • Narrow measure – where the main reason for admission to hospital was attributable to alcohol. 
  • Broad measure – where the primary reason for hospital admission or a secondary diagnosis was linked to alcohol.

The narrow measure estimates the number of hospital admissions which are primarily due to alcohol consumption and provides the best indication of trends in alcohol-related hospital admissions. These are admissions where an alcohol-related disease, injury or condition was the primary reason for a hospital admission or an alcohol-related external cause was recorded in a secondary diagnosis field.

The broad measure gives an indication of the full impact of alcohol on hospital admissions and the burden placed on the NHS.

Admissions by year

In 2018/19 there were 358 thousand estimated admissions where the main reason for admission to hospital was attributable to alcohol (narrow measure).

This is 6% higher than 2017/18 and 19% higher than 2008/09.

Time series chart showing the number of alcohol-related hospital admissions (narrow measure) from 2008/09 to 2018/19

 

This represents 2.1% of all hospital admissions which has changed little in the last 10 years and was 2.2% in 2008/09.

Time series chart showing the proportion of alcohol-related hospital admissions (narrow measure) from 2008/09 to 2018/19

 

Admissions by age

The number of admissions rises with age up until 55-64 and then falls.

40% of patients were aged between 45 and 64.

Bar chart showing the number of alcohol-related hospital admissions (narrow measure) by age

 

Admissions by sex

More men than women were admitted.

In total, 62% of the patients were male.

Pie chart showing the proportion of  alcohol-related hospital admissions (narrow measure) by sex

 

Admission rate by Local Authority (per 100,000 population) 

Stoke-on-Trent had the highest rate at 1,130 per 100,000 population.

East Sussex had the lowest rate at 320.

Map of England showing alcohol-related hospital admissions (narrow measure) per 100,000 population

 

Admissions by primary diagnosis

Almost a quarter of admissions were for cancer.

23% were for unintentional injuries.

Bar chart showing the number of alcohol-related hospital admissions (narrow measure) by diagnosis

 

 

There were almost 1.3 million estimated admissions where the primary reason for hospital admission or a secondary diagnosis was linked to alcohol, which is 8% higher than 2017/18 (broad measure). Changes over a longer time period will partly reflect improvements in recording of secondary diagnoses.

This represents 7.4% of all hospital admissions.

 

Admissions by age

47% of patients were aged between 55 and 74.

Bar chart showing the number of alcohol-related hospital admissions (broad measure) by age

 

Admissions by sex

Just under two-thirds of patients were male.

Pie chart showing the proportion of alcohol-related hospital admissions (broad measure) by sex

 

Admission rate by Local Authority (per 100,000 population)

Southampton had the highest rate at 4,020 per 100,000 population.

East Sussex had the lowest rate at 1,080.

Map of England showing alcohol-related hospital admissions (broad measure) per 100,000 population

 

Admissions by primary diagnosis

51% of admissions were for cardiovascular disease. 17% were for mental and behavioural disorders due to alcohol use.

Bar chart showing the number of alcohol-related hospital admissions (broad measure) by diagnosis
Last edited: 31 January 2020 11:10 am