Search

Table of contents

The level of need in the population

Background papers: Lifestyle and wider determinants :: Alcohol :: The level of need in the population

Local alcohol health data is available through the Public Health England (PHE) Fingertips[1]. There are two types of measure; broad and narrow. 'Broad' is an indication of the number of admissions to hospital where the primary diagnosis or any of the secondary diagnoses have alcohol as a contributory factor[1]. 'Narrow' shows the number of admissions where an alcohol-related illness was the main reason for admission or was identified as an external cause[2].

Key indicators

Compared to the South East, Medway has high levels of hospital admissions for alcohol related and alcohol specific conditions, alcohol related mortality and alcohol specific mortaltiy[1].

Hospital admissions for cardiovascular disease

Coronary heart disease is the single most common cause of premature death in the UK. There is an increasing trend in Medway for the rate of alcohol related cardiovascular disease[1].

Hospital admissions for liver disease

Alcohol is the most common cause of liver disease in England. Alcohol-related liver disease accounts for over a third of liver disease deaths. The overall trend for alcohol related liver disease admission episodes in Medway is increasing, and is high compared to the South East region. The data shows a significant increase between 2013/14 to 2015/16 for males in this catagory[1].

Admission episodes for mental and behavioural disorders due to use of alcohol condition

Overall for both narrow and broad measures for this data Medway has a constant upward trend, and is generally similar to the South East region. However for males in both categories there has been a sharp increase from 2014/15 to 2015/16. Medway now has worse rates when compared to the South East region for males[1].

Admissions episodes for alcohol related conditions (narrow) by age and gender

Medway data for admission episodes for alcohol related conditions (narrow) has shown a rapid rise between 2014/15 to 2015/16 for males between 40 and 64 years following a period of constant to decreasing numbers. Females in this age group have shown a smaller growth over the same period of 2014/15 to 2015/16[1].

Hospital admissions due to alcohol specific conditions

Medway has been largely constant over the last few years for hospital admissions where the primary diagnosis or any of the secondary diagnoses, are alcohol specific conditions, but has shown a rapid rise for males between the period of 2014/15 to 2015/16[1].

Alcohol specific mortality

Overall, alcohol specific mortality, which refers to deaths from alcohol-specific conditions for persons of all ages, has shown a steady downward trend in Medway from 2006/08 to 2014/16. However, the rate of male specific mortality is greater than the rest of the South East region[1].

Mortality from chronic liver disease

While the rate for mortality in males from chronic liver disease in Medway decreased between 2013/15 and 2014/16, it is still significantly greater than the South East region[1].

Alcohol related mortality

There has been an increasing trend in alcohol related mortality in males of all ages, with rates significantly higher in 2015 to 2016 when compared to the South East region[1].

Alcohol consumption

The proportion of drinkers in Medway who can be categorised as engaging in increasing risk and higher risk drinking or possible dependence is 26.6%. 16.3% of drinkers consume alcohol on more than 4 or more days a week. 15.5% of drinkers binge drink[3].


References

[1]   Public Health England. Local Alcohol Profiles for England 2017;
[2]   Public Health England. Adult alcohol commissioning 2018 to 2019: principles and indicators 2018-19;
[3]   Public Health England. Local Alcohol Consumption Survey National Report 2017; Public Health England. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/628917/Local_alcohol_consumption_survey_report.pdf .