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To ask the Secretary of State for Health what estimate he has made of the number of people in Easington constituency who received treatment for drug misuse in each of the last three years.

Asked by

John Cummings (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

1 June 2009

Reference

493 c116W; 276998

House

House of Commons

Drugs: Durham

To ask the Secretary of State for Health what estimate he has made of the cost to the public purse of the treatment of drug misuse in the Durham Primary Care Trust area in each of the last three years.

Asked by

John Cummings (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

1 June 2009

Reference

493 c116W; 276997

House

House of Commons

Topical Questions

My hon. Friend has raised a very important point, which will concern all Members, about the drugs that are apparently being made available, particularly those containing benzylpiperazine. The Medicines and Healthcare products Regulatory Agency is pursuing the matter, and is trying to establish whether the drugs need to be defined as medicines when they are sold either on the internet or over the counter. In addition, the Advisory Council on the Misuse of Drugs is considering the whole issue and, in particular, whether certain products should now be banned. When we receive its recommendations, I shall be more than happy to inform my hon. Friend of them, because the present position is resulting in deadly drugs being available when they should not be.

Answered by

Baroness Primarolo (Labour)

Answering body

Department of Health

Type

Oral answers to questions

Date

12 May 2009

Reference

492 c679

House

House of Commons

Topical Questions

Yes, we certainly will.

Answered by

Baroness Primarolo (Labour)

Answering body

Department of Health

Type

Oral answers to questions

Date

12 May 2009

Reference

492 c680

House

House of Commons

Topical Questions

Asked by

John Robertson (Labour)

Answering body

Department of Health

Topical questions - Lead

Status

Answered

Notes

Lead question not printed

Date

12 May 2009

Reference

492 c679; 274130

House

House of Commons

Drugs: Misuse

To ask the Secretary of State for Health how many people were admitted to hospital for conditions related to the misuse of illegal drugs (a) in each region in each year since 1997-98 and (b) in each primary care trust area in the last year for which figures are available.

Asked by

Lord Lansley (Conservative)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

6 May 2009

Reference

492 c204W; 272787

House

House of Commons

Alcoholic Drinks: Misuse

To ask the Secretary of State for Health (1) what recent discussions he has had with representatives of the alcoholic drinks industry on trends in the rate of harm attributable to the consumption of alcohol in low income communities;

Asked by

David Leslie Taylor (Labour; Co-operative Party)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

6 May 2009

Reference

492 c198-9W; 272402

House

House of Commons

Alcoholic Drinks: Misuse

(2) what recent discussions he has had with (a) primary care trusts and (b) strategic health authorities on measures to reduce the rate of harm attributable to the consumption of alcohol in low income communities.

Asked by

David Leslie Taylor (Labour; Co-operative Party)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

6 May 2009

Reference

492 c198-9W; 272403

House

House of Commons

Alcoholic Drinks: Misuse

(3) how many (a) women and (b) men were admitted to hospital for treatment for the effects of alcohol abuse in each of the last five years.

Asked by

Anne Milton (Conservative)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

23 April 2009

For answer on

27 April 2009

Answered on

6 May 2009

The following tables give the number of admissions to hospital, in England, as a result of alcohol intoxication for 2007-08, the latest year for which this data has been finalised, and the number of alcohol-related hospital admissions, in England, for the last five years for which data is available.Concerning treatment, prior to 1 April 2008 there was no routine collection of data on numbers receiving structured care-planned alcohol treatment in England. On 1 April 2008, a National Alcohol Treatment Monitoring System (NATMS) begun operation to collect and report local and national information on the provision of structured care-planned treatment for alcohol misuse in England.While the first year's NATMS data is due to be reported in October 2009, limited data is reported on the National Drug Treatment Monitoring System website, at:"www.ndtms.net/alcohol.aspx"This provides data at a countrywide, strategic health authority and primary care trust level. The latest countrywide data shows that in February 2009, 54,306 people were in contact with specialist alcohol treatment in England, with a year-to-date figure for 2008-09 of 98,058 people.

Hospital admissions with a primary or secondary diagnosis of alcohol intoxication (ICD-10 code F10.1) for 2007-08 in England
Month episode ended*	Admission episodes
April	3,220
May	3,409
June	3,381
July	3,480
August	3,442
September	3,261
October	3,480
November	3,237
December	3,134
January	3,469
February	3,181
March	3,165

Number of alcohol-related hospital admissions in England by sex, for 2003-04 to 2007-08
	Women	Men	Total
2003-04	218,297	351,121	569,418
2004-05	245,446	398,738	644,184
2005-06	279,136	456,376	735,512
2006-07	300,038	499,080	799,118
2007-08	325,892	537,365	863,257
Notes:
Includes activity in English national health service hospitals and English NHS commissioned activity in the independent sector
* Date episode ended
This field contains the date on which a patient left the care of a particular consultant, for one of the following reasons: Discharged from hospital (includes transfers) or moved to the care of another consultant.
ICD-10 Code used for alcohol intoxication
F10.1 - Mental and behavioural disorders due to use of Alcohol: Acute Intoxication
Alcohol-Related Admissions
The number of alcohol-related admissions is based on the methodology developed by the North West Public Health Observatory (NWPHO). Following international best practice, the NWPHO methodology includes a wide range of diseases and injuries in which alcohol plays a part and estimates the proportion of cases that are attributable to the consumption of alcohol. Details of the conditions and associated proportions can be found in the report Jones et al. (2008) Alcohol-attributable fractions for England: Alcohol-attributable mortality and hospital admissions.
Finished admission episodes
A finished admission episode is the first period of inpatient care under one consultant within one healthcare provider. Finished admission episodes are counted against the year in which the admission episode finishes. Admissions do not represent the number of inpatients, as a person may have more than one admission within the year.
Number of episodes in which the patient had a (named) primary or secondary diagnosis
These figures represent the number of episodes where the diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once in each count, even if the diagnosis is recorded in more than one diagnosis field of the record.
Data quality
HES are compiled from data sent by more than 300 NHS trusts and primary care trusts in England. Data is also received from a number of independent sector organisations for activity commissioned by the English NHS. The NHS Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.
Assessing growth through time
HES figures are available from 1989-90 onwards. The quality and coverage of the data have improved over time. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series.
Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity.
Changes in NHS practice also need to be borne in mind when analysing time series. For example, a number of procedures may now be undertaken in outpatient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time.
Source:
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.

Date

6 May 2009

Reference

492 c197-8W; 271736

House

House of Commons

Alcoholic Drinks: Misuse

(2) how many people were treated for alcohol abuse in each of the last 12 months;

Asked by

Anne Milton (Conservative)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

23 April 2009

For answer on

27 April 2009

Answered on

6 May 2009

Hospital admissions with a primary or secondary diagnosis of alcohol intoxication (ICD-10 code F10.1) for 2007-08 in England
Month episode ended*	Admission episodes
April	3,220
May	3,409
June	3,381
July	3,480
August	3,442
September	3,261
October	3,480
November	3,237
December	3,134
January	3,469
February	3,181
March	3,165

Number of alcohol-related hospital admissions in England by sex, for 2003-04 to 2007-08
	Women	Men	Total
2003-04	218,297	351,121	569,418
2004-05	245,446	398,738	644,184
2005-06	279,136	456,376	735,512
2006-07	300,038	499,080	799,118
2007-08	325,892	537,365	863,257
Notes:
Includes activity in English national health service hospitals and English NHS commissioned activity in the independent sector
* Date episode ended
This field contains the date on which a patient left the care of a particular consultant, for one of the following reasons: Discharged from hospital (includes transfers) or moved to the care of another consultant.
ICD-10 Code used for alcohol intoxication
F10.1 - Mental and behavioural disorders due to use of Alcohol: Acute Intoxication
Alcohol-Related Admissions
The number of alcohol-related admissions is based on the methodology developed by the North West Public Health Observatory (NWPHO). Following international best practice, the NWPHO methodology includes a wide range of diseases and injuries in which alcohol plays a part and estimates the proportion of cases that are attributable to the consumption of alcohol. Details of the conditions and associated proportions can be found in the report Jones et al. (2008) Alcohol-attributable fractions for England: Alcohol-attributable mortality and hospital admissions.
Finished admission episodes
A finished admission episode is the first period of inpatient care under one consultant within one healthcare provider. Finished admission episodes are counted against the year in which the admission episode finishes. Admissions do not represent the number of inpatients, as a person may have more than one admission within the year.
Number of episodes in which the patient had a (named) primary or secondary diagnosis
These figures represent the number of episodes where the diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once in each count, even if the diagnosis is recorded in more than one diagnosis field of the record.
Data quality
HES are compiled from data sent by more than 300 NHS trusts and primary care trusts in England. Data is also received from a number of independent sector organisations for activity commissioned by the English NHS. The NHS Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.
Assessing growth through time
HES figures are available from 1989-90 onwards. The quality and coverage of the data have improved over time. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series.
Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity.
Changes in NHS practice also need to be borne in mind when analysing time series. For example, a number of procedures may now be undertaken in outpatient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time.
Source:
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.

Date

6 May 2009

Reference

492 c197-8W; 271735

House

House of Commons

Alcoholic Drinks: Misuse

To ask the Secretary of State for Health (1) how many people were admitted to hospital as a consequence of intoxication through alcohol in each of the last 12 months;

Asked by

Anne Milton (Conservative)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

23 April 2009

For answer on

27 April 2009

Answered on

6 May 2009

Hospital admissions with a primary or secondary diagnosis of alcohol intoxication (ICD-10 code F10.1) for 2007-08 in England
Month episode ended*	Admission episodes
April	3,220
May	3,409
June	3,381
July	3,480
August	3,442
September	3,261
October	3,480
November	3,237
December	3,134
January	3,469
February	3,181
March	3,165

Number of alcohol-related hospital admissions in England by sex, for 2003-04 to 2007-08
	Women	Men	Total
2003-04	218,297	351,121	569,418
2004-05	245,446	398,738	644,184
2005-06	279,136	456,376	735,512
2006-07	300,038	499,080	799,118
2007-08	325,892	537,365	863,257
Notes:
Includes activity in English national health service hospitals and English NHS commissioned activity in the independent sector
* Date episode ended
This field contains the date on which a patient left the care of a particular consultant, for one of the following reasons: Discharged from hospital (includes transfers) or moved to the care of another consultant.
ICD-10 Code used for alcohol intoxication
F10.1 - Mental and behavioural disorders due to use of Alcohol: Acute Intoxication
Alcohol-Related Admissions
The number of alcohol-related admissions is based on the methodology developed by the North West Public Health Observatory (NWPHO). Following international best practice, the NWPHO methodology includes a wide range of diseases and injuries in which alcohol plays a part and estimates the proportion of cases that are attributable to the consumption of alcohol. Details of the conditions and associated proportions can be found in the report Jones et al. (2008) Alcohol-attributable fractions for England: Alcohol-attributable mortality and hospital admissions.
Finished admission episodes
A finished admission episode is the first period of inpatient care under one consultant within one healthcare provider. Finished admission episodes are counted against the year in which the admission episode finishes. Admissions do not represent the number of inpatients, as a person may have more than one admission within the year.
Number of episodes in which the patient had a (named) primary or secondary diagnosis
These figures represent the number of episodes where the diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once in each count, even if the diagnosis is recorded in more than one diagnosis field of the record.
Data quality
HES are compiled from data sent by more than 300 NHS trusts and primary care trusts in England. Data is also received from a number of independent sector organisations for activity commissioned by the English NHS. The NHS Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.
Assessing growth through time
HES figures are available from 1989-90 onwards. The quality and coverage of the data have improved over time. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series.
Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity.
Changes in NHS practice also need to be borne in mind when analysing time series. For example, a number of procedures may now be undertaken in outpatient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time.
Source:
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.

Date

6 May 2009

Reference

492 c197-8W; 271734

House

House of Commons

Alcoholic Drinks: Misuse

To ask the Secretary of State for Health pursuant to the answer to the hon. Member for Bolton North East of 10 February 2009, Official Report, column 1923W, on alcoholic drinks: misuse, when he expects figures for alcohol-related admissions to hospital for 2007-08 to be available.

Asked by

James Brokenshire (Conservative)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

30 April 2009

Reference

491 c1467-9W; 271414

House

House of Commons

Alcoholic Drinks: Misuse

To ask the Secretary of State for Health how many alcohol-related hospital admissions of (a) men and (b) women aged (i) under 10 years, (ii) between 10 and 16 years, (iii) between 17 and 21 years, (iv) between 22 and 26 years and (v) over 26 years there were in...

Asked by

Paul Burstow (Liberal Democrat)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

21 April 2009

For answer on

23 April 2009

Answered on

30 April 2009

The information requested is given in the following table. Data are only available from 2002- 03 to 2007-08.

Number of finished admissions in England of patients with an alcohol-related condition, by age, sex and year
	Age	2002-03	2003-04	2004-05	2005-06	2006-07	2007-08

Male	Under 10	109	107	105	103	77	79
	10 to 16	3,580	3,792	4,008	4,214	4,340	3,986
	17 to 21	9,890	11,042	12,270	13,940	14,677	15,026
	22 to 26	9,990	11,127	12,646	14,375	15,047	15,332
	Over 26	289,419	325,053	369,709	423,744	464,939	502,942


Female	Under 10	55	61	68	56	58	49
	10 to 16	3,948	4,472	4,869	5,255	5,214	5,408
	17 to 21	7,979	8,695	9,772	11,729	11,856	13,007
	22 to 26	7,873	8,444	9,470	11,237	11,634	12,132
	Over 26	177,330	196,625	221,267	250,859	271,276	295,296
Notes:
1. Includes activity in English National Health Service Hospitals and English NHS commissioned activity in the independent sector.
2. Alcohol-related admissions: The number of alcohol-related admissions is based on the methodology developed by the North West Public Health Observatory. Following international best practice, the NWPHO methodology includes a wide range of diseases and injuries in which alcohol plays a part and estimates the proportion of cases that are attributable to the consumption of alcohol. Details of the conditions and associated proportions can be found in the report Jones et al. (2008) Alcohol-attributable fractions for England: Alcohol-attributable mortality and hospital admissions. Figures for under 16s only include admissions where one or more alcohol-specific conditions were listed. This is because the research on which the attributable fractions are based does not cover
under 16s. Alcohol-specific conditions are those that are wholly attributed to alcohol—that is, those with an attributable fraction of one. They are:
Alcoholic cardiomyopathy (142.6)
Alcoholic gastritis (K29.2)
Alcoholic liver disease (K70)
Alcoholic myopathy (G72.1)
Alcoholic polyneuropathy (G62.1)
Alcohol-induced pseudo-Cushing's syndrome (E24.4)
Chronic pancreatitis (alcohol induced) (K86.0)
Degeneration of nervous system due to alcohol (G31.2)
Mental and behavioural disorders due to use of alcohol (F10)
Accidental poisoning by and exposure to alcohol (X45)
Ethanol poisoning (T51.0)
Methanol poisoning (T51.1)
Toxic effect of alcohol, unspecified (T51.9)
3. Number of episodes in which the patient had an alcohol-related primary or secondary diagnosis: These figures represent the number of episodes where an alcohol-related diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once in each count, even if an alcohol-related diagnosis is recorded in more than one diagnosis field of the record.
4. Ungrossed data: Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
5. Finished admission episodes: A finished admission episode is the first period of inpatient care under one consultant within one health care provider. Finished admission episodes are counted against the year in which the admission episode finishes. Admissions do not represent the number of inpatients, as a person may have more than one admission within the year.
6. Primary diagnosis: The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was admitted to hospital.
7. Secondary diagnosis: As well as the primary diagnosis, there are up to 19 (13 from 2002-03 to 2007-08 and six prior to 2002-03) secondary diagnosis fields in HES that show other diagnoses relevant to the episode of care.
8. Data quality: HES are compiled from data sent by more than 300 NHS trusts and primary care trusts in England. Data are also received from a number of independent sector organisations for activity commissioned by the English NHS. The NHS Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.
9. Assessing growth through time: HES figures are available from 1989-90 onwards. The quality and coverage of the data have improved over time. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series. Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity. Changes in NHS practice also need to be borne in mind when analysing time series. For example, a number of procedures may now be undertaken in outpatient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time.
10. Assignment of episodes to years: Years are assigned by the end of the first period of care in a patient's hospital stay.
Source:
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care

Date

30 April 2009

Reference

491 c1466-8W; 271049

House

House of Commons

Alcoholic Drinks: Misuse

To ask the Secretary of State for Health how many individuals aged over 65 years resident in each local authority area in the North West were treated for alcohol-related health problems in each year since 1997.

Asked by

Lord Stunell (Liberal Democrat)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

22 April 2009

For answer on

24 April 2009

Answered on

29 April 2009

The information requested is not available in the format required. However, information from 2002-03 on patients aged 65 or over admitted to hospital, by local authority of residence, with an alcohol-related condition in the North West is shown in the following table:

	2002-03	2003-04	2004-05	2005-06	2006-07	2007-08
Bolton	1,157	1,266	1,417	1,558	1,739	1,918
Bury	890	903	1,089	1,176	1,255	1,471
Manchester	1,575	1,862	2,199	2,540	2,612	2,887
Oldham	1,137	1,088	1,133	1,188	1,286	1,418
Rochdale	1,007	1,099	1,316	1,448	1,575	1,844
Salford	1,203	1,237	1,367	1,589	1,826	2,025
Stockport	1,573	1,640	1,801	1,974	2,096	2,189
Tameside	715	751	1,109	1,254	1,476	1,661
Trafford	781	927	983	1,129	1,357	1,472
Wigan	1,743	1,907	2,140	2,337	2,581	2,752
Knowsley	863	869	972	1,016	1,079	1,188
Liverpool	2,425	2,506	2,750	3,285	3,852	3,752
St. Helens	975	1,024	1,025	1,076	1,129	1,294
Sefton	1,479	1,598	1,732	2,096	2,290	2,570
Wirral	1,351	1,457	1,722	2,148	2,759	3,179
Halton	797	843	848	887	896	974
Warrington	1,144	1,267	1,267	1,371	1,417	1,660
Blackburn with Darwen	328	425	652	565	774	877
Blackpool	637	667	715	859	965	992
Chester	710	773	920	989	1,054	1,107
Congleton	377	484	575	597	611	641
Crewe and Nantwich	575	694	789	871	972	870
Ellesmere Port and Neston	479	501	615	750	746	782
Macclesfield	761	872	991	1,067	1,076	1,210
Vale Royal	581	646	703	858	961	871
Allerdale	309	702	894	1,005	935	1,076
Barrow-in-Furness	326	391	520	619	663	650
Carlisle	380	590	743	834	895	1,017
Copeland	209	646	682	699	702	739
Eden	159	269	357	340	326	385
South Lakeland	525	605	771	839	940	994
Burnley	572	675	723	655	717	749
Chorley	559	556	510	806	938	1,072
Fylde	386	364	389	451	548	566
Hyndburn	224	248	370	340	485	591
Lancaster	595	706	795	860	1,050	1,215
Pendle	513	573	615	552	627	655
Preston	778	773	691	959	1,020	1,267
Ribble Valley	213	247	298	323	389	417
Rossendale	347	381	410	390	484	528
South Ribble	649	639	527	820	924	1,064
West Lancashire	532	572	597	714	804	925
Wyre	502	510	563	685	782	828
Notes:
Includes activity in English national health service hospitals and English NHS commissioned activity in the independent sector.
Alcohol-related admissions
The number of alcohol-related admissions is based on the methodology developed by the North West Public Health Observatory (NWPHO). Following international best practice, the NWPHO methodology includes a wide range of diseases and injuries in which alcohol plays a part and estimates the proportion of cases that are attributable to the consumption of alcohol.
Figures for under 16s only include admissions where one or more alcohol-specific conditions were listed. This is because the research on which the attributable fractions are based does not cover under 16s. Alcohol-specific conditions are those that are wholly attributed to alcohol—that is, those with an attributable fraction of one. They are:
Alcoholic cardiomyopathy
Alcoholic gastritis
Alcoholic liver disease
Alcoholic myopathy
Alcoholic polyneuropathy
Alcohol-induced pseudo-Cushing's syndrome
Chronic pancreatitis (alcohol induced)
Degeneration of nervous system due to alcohol
Mental and behavioural disorders due to use of alcohol
Accidental poisoning by and exposure to alcohol
Ethanol poisoning
Methanol poisoning
Toxic effect of alcohol, unspecified
Number of episodes in which the patient had an alcohol-related primary or secondary diagnosis These figures represent the number of episodes where an alcohol-related diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) primary and secondary diagnosis fields in a HES record. Each episode is only counted once in each count, even if an alcohol-related diagnosis is recorded in more than one diagnosis field of the record.
Ungrossed data
Figures have not been adjusted for shortfalls in data (ie the data are ungrossed).
Finished admission episodes
A finished admission episode is the first period of inpatient care under one consultant within one healthcare provider. Finished admission episodes are counted against the year in which the admission episode finishes. However, admissions do not represent the number of in-patients as a person may have more than one admission within the year.
Primary diagnosis
The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in HES data set and provides the main reason why the patient was admitted to hospital.
Secondary diagnosis
As well as the primary diagnosis, there are up to 19 (13 from 2002-03 to 2007-08 and six prior to 2002-03) secondary diagnosis fields in HES that show other diagnoses relevant to the episode of care.
Data quality
HES are compiled from data sent by more than 300 NHS trusts and primary care trusts in England. Data are also received from a number of independent sector organisations for activity commissioned by the English NHS. The Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.
Assessing growth through time
HES figures are available from 1989-90 onwards. The quality and coverage of the data have improved over time. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series.
Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity.
Changes in NHS practice also need to be borne in mind when analysing time series. For example, a number of procedures may now be undertaken in outpatient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time.
Assignment of Episodes to Years
Years are assigned by the end of the first period of care in a patient's hospital stay
Source:
Hospital Episode Statistics (HES), The Information Centre for health and social care

Date

29 April 2009

Reference

491 c1310-2W; 271176

House

House of Commons

Alcoholic Drinks: Misuse

To ask the Secretary of State for Health what estimate he has made of the number of males (a) between (i) 10 and 16, (ii) 17 and 21 and (iii) 22 and 26 and (b) over 26 years who have been admitted to hospital for alcohol-related conditions in each of...

Asked by

Sally Keeble (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

1 April 2009

For answer on

20 April 2009

Answered on

21 April 2009

Data on the number of individual boys and young men hospitalised for alcohol-related conditions is not available, however data on the number of alcohol-related hospital admissions for boys and young men is available and is given in the following table. It is important to note that:"an individual may account for more than one admission;""the data given is for alcohol-related hospital admissions only, as data is not available centrally from which alcohol-related attendances in accident and emergency (A&E) departments can be identified; and""most attendances at A&E will not result in admission to hospital."

Finished alcohol-related admissions of males aged 10 or over, 2003-04 to 2007-08
Age	2003-04	2004-05	2005-06	2006-07	2007-08
10 to 16	3,792	4,008	4,214	4,340	3,986
17 to 21	11,042	12,270	13,940	14,677	15,026
22 to 26	11,127	12,646	14,375	15,047	15,332
Over 26	325,053	369,709	423,744	464,939	502,942
Notes:
1. Includes activity in English national health service hospitals and English NHS commissioned activity in the independent sector.
2. Alcohol-related admissions:
The number of alcohol-related admissions is based on the methodology developed by the North West Public Health Observatory (NWPHO). Following international best practice, the NWPHO methodology includes a wide range of diseases and injuries in which alcohol plays a part and estimates the proportion of cases that are attributable to the consumption of alcohol. Details of the conditions and associated proportions can be found in the report Jones et al. (2008) Alcohol-attributable fractions for England: Alcohol-attributable mortality and hospital admissions.
Figures for under 16s only include admissions where one or more alcohol-specific conditions were listed. This is because the research on which the attributable fractions are based does not cover under 16s. Alcohol-specific conditions are those that are wholly attributed to alcohol—that is, those with an attributable fraction of one. They are:
Alcoholic cardiomyopathy (142.6)
Alcoholic gastritis (K29.2)
Alcoholic myopathy (G72.1)
Alcoholic polyneuropathy (G62.1)
Alcohol-induced pseudo-Cushing's syndrome (E24.4)
Degeneration of nervous system due to alcohol (G31.2)
Mental and behavioural disorders due to use of alcohol (F10)
Accidental poisoning by and exposure to alcohol (X45)
Ethanol poisoning (T51.0)
Methanol poisoning (T51.1)
Toxic effect of alcohol, unspecified (T51.9)
3. Number of episodes in which the patient had an alcohol-related primary or secondary diagnosis:
These figures represent the number of episodes where an alcohol-related diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) primary and secondary diagnosis fields in a Hospital Episode Statistics (HES) record. Each episode is only counted once in each count, even if an alcohol-related diagnosis is recorded in more than one diagnosis field of the record.
4. Ungrossed data:
Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
5. Finished admission episodes:
A finished admission episode is the first period of in-patient care under one consultant within one health care provider. Finished admission episodes are counted against the year in which the admission episode finishes. Admissions do not represent the number of in-patients, as a person may have more than one admission within the year.
6. Primary diagnosis:
The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was admitted to hospital.
7. Secondary diagnosis:
As well as the primary diagnosis, there are up to 19 (13 from 2002-03 to 2007-08 and six prior to 2002-03) secondary diagnosis fields in HES that show other diagnoses relevant to the episode of care.
8. Data quality:
HES are compiled from data sent by more than 300 NHS trusts and primary care trusts in England. Data is also received from a number of independent sector organisations for activity commissioned by the English NHS. The NHS Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.
9. Assessing growth through time:
HES figures are available from 1989-90 onwards. The quality and coverage of the data have improved over time. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series.
10. Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity.
11. Changes in NHS practice also need to be borne in mind when analysing time series. For example, a number of procedures may now be undertaken in out-patient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time.
12. Assignment of Episodes to Years:
Years are assigned by the end of the first period of care in a patient's hospital stay.
Source:
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care

Date

21 April 2009

Reference

491 c571-2W; 269090

House

House of Commons

Drugs: Misuse

To ask the Secretary of State for Health how many admissions to hospital there were as a result of drug-related mental health conditions in each of the last five years.

Asked by

Norman Lamb (Liberal Democrat)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

2 April 2009

For answer on

20 April 2009

Answered on

21 April 2009

The information is shown in the following table.

Count of finished admission episodes with a primary diagnosis of mental and behavioural disorders due to psychoactive substance use for the last five years: Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector: Data years 2003-04 to 2007-08
	Finished admission episodes
2007-08	48,583
2006-07	47,886
2005-06	47,854
2004-05	44,367
2003-04	40,056
Note:
These figures include admissions for alcohol-induced mental health conditions.
Source:
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care.

Date

21 April 2009

Reference

491 c575W; 269730

House

House of Commons

Alcoholic Drinks: Misuse

To ask the Secretary of State for Health how many finished accident and emergency admission episodes there were in each NHS trust where the primary or secondary diagnosis was alcohol-related and the (a) male and (b) female patient was aged (i) under 10, (ii) between 11 and 15, (iii) between...

Asked by

James Brokenshire (Conservative)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

21 April 2009

Reference

491 c572-3W; 269773

House

House of Commons

Drugs: Misuse

To ask the Secretary of State for Health how many drug-related hospital admissions were attributable to each drug in class (a) A, (b) B and (c) C in the last 12 months for which figures are available.

Asked by

Ian Gibson (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Date

1 April 2009

Reference

490 c1222W;490 c1218W; 267866

House

House of Commons

Cannabis: Misuse

To ask the Secretary of State for Health how many (a) teenagers and (b) people have been treated for addiction to cannabis in each of the last 15 years.

Asked by

Charles Walker (Conservative)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

25 March 2009

For answer on

27 March 2009

Answered on

1 April 2009

The National Drug Treatment Monitoring System (NDTMS), managed by the National Treatment Agency for Substance Misuse (NTA) since 2004-05, records data on people in drug treatment in England. Data on young people are only separately available from 2005-06 when the NDTMS started collecting data from all young people's services in England.

Persons presenting for treatment with cannabis as primary substance misused
	Young people (under 18 at triage)	All persons (inc. under 18s at triage)
2004-05	n/a	13,408
2005-06	9,043	21,101
2006-07	10,824	24,669
2007-08	12,021	26,287

Date

1 April 2009

Reference

490 c1219W;490 c1215W; 267674

House

House of Commons

Alcoholic Drinks: Misuse

To ask the Secretary of State for Health how many girls and young women aged between (a) 10 and 16, (b) 17 and 21, (c) 22 and 26 and (d) over 26 years have been hospitalised for alcohol-related conditions in each of the last five years.

Asked by

Sally Keeble (Labour)

Answering body

Department of Health

Type

Written questions

Status

Answered

Tabled on

23 March 2009

For answer on

25 March 2009

Answered on

31 March 2009

Data on the number of individual girls and young women hospitalised for alcohol-related conditions is not available, however data on the number of alcohol-related hospital admissions for girls and young women is available and is given in the following table. It is important to note that:"an individual may account for more than one admission,""the data given in the following table is for alcohol-related hospital admissions only, as data is not available centrally from which alcohol-related attendances in accident and emergency (A and E) departments can be identified, and""most attendances at A and E will not result in admission to hospital."

Finished alcohol-related admissions of females aged 10 or over, 2003-04 to 2007-08
Age	2003-04	2004-05	2005-06	2006-07	2007-08
10 to 16	4,472	4,869	5,255	5,214	5,408
17 to 21	8,695	9,772	11,729	11,856	13,007
22 to 26	8,444	9,470	11,237	11,634	12,132
Over 26	196,625	221,267	250,859	271,276	295,296
Notes:
Includes activity in English national health service hospitals and English NHS commissioned activity in the independent sector.
Alcohol-related admissions:
The number of alcohol-related admissions is based on the methodology developed by the North West Public Health Observatory (NWPHO). Following international best practice, the NWPHO methodology includes a wide range of diseases and injuries in which alcohol plays a part and estimates the proportion of cases that are attributable to the consumption of alcohol. Details of the conditions and associated proportions can be found in the report Jones et al. (2008) Alcohol-attributable fractions for England: Alcohol-attributable mortality and hospital admissions.
Figures for under 16s only include admissions where one or more alcohol-specific conditions were listed. This is because the research on which the attributable fractions are based does not cover under 16s. Alcohol-specific conditions are those that are wholly attributed to alcohol—that is, those with an attributable fraction of one. They are:
Alcoholic cardiomyopathy (142.6)
Alcoholic gastritis (K29.2)
Alcoholic myopathy (G72.1)
Alcoholic polyneuropathy (G62.1)
Alcohol-induced pseudo-Cushing's syndrome (E24.4)
Degeneration of nervous system due to alcohol (G31.2)
Mental and behavioural disorders due to use of alcohol (F10)
Accidental poisoning by and exposure to alcohol (X45)
Ethanol poisoning (T51.0)
Methanol poisoning (T51.1)
Toxic effect of alcohol, unspecified (T51.9)
Number of episodes in which the patient had an alcohol-related primary or secondary diagnosis These figures represent the number of episodes where an alcohol-related diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) primary and secondary diagnosis fields in a hospital episode statistics (HES) record. Each episode is only counted once in each count, even if an alcohol-related diagnosis is recorded in more than one diagnosis field of the record.
Ungrossed data:
Figures have not been adjusted for shortfalls in data (i.e. the data are ungrossed).
Finished admission episodes:
A finished admission episode is the first period of inpatient care under one consultant within one healthcare provider. Finished admission episodes are counted against the year in which the admission episode finishes. Admissions do not represent the number of inpatients, as a person may have more than one admission within the year.
Primary diagnosis:
The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was admitted to hospital.
Secondary diagnosis:
As well as the primary diagnosis, there are up to 19 (13 from 2002-03 to 2007-08 and six prior to 2002-03) secondary diagnosis fields in HES that show other diagnoses relevant to the episode of care.
Data quality:
HES are compiled from data sent by more than 300 NHS trusts and primary care trusts in England.
Data is also received from a number of independent sector organisations for activity commissioned by the English NHS. The NHS Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies and the effect of missing and invalid data via HES processes. While this brings about improvement over time, some shortcomings remain.
Assessing growth through time:
HES figures are available from 1989-90 onwards. The quality and coverage of the data have improved over time. These improvements in information submitted by the NHS have been particularly marked in the earlier years and need to be borne in mind when analysing time series.
Some of the increase in figures for later years (particularly 2006-07 onwards) may be due to the improvement in the coverage of independent sector activity.
Changes in NHS practice also need to be borne in mind when analysing time series. For example, a number of procedures may now be undertaken in outpatient settings and may no longer be accounted for in the HES data. This may account for any reductions in activity over time.
Assignment of episodes to years:
Years are assigned by the end of the first period of care in a patient's hospital stay.
Source:
Hospital Episode Statistics (HES), The NHS Information Centre for health and social care

Date

31 March 2009

Reference

490 c1088-90W;490 c1084-6W; 266812

House

House of Commons

	Expenditure on own population (£000)
2004-05	3,412
2005-06	3,988
2006-07	4,362
Note:
Figures do not include prevention or general medical services expenditure.
Source:
Department of Health Programme Budgeting

Librarians' tools

Type

House

Session

Month

Department

Member

Primary member

Answering member

Legislative stage

Legislation

Subject

Publisher

	Number
2006-07
Easington adults	590
Easington young people	51

2007-08
Easington adults	553
Easington young people	49

2008-09
Easington adults	425
Easington young people	60
Notes:
1. Estimated figures are provided for the three year period 2006-07 to 2008-09
2. Estimated figures have been provided by County Durham Drug and Alcohol Action Team and adults are defined as 18 or over, young people are under 18.

	Number of alcohol-related finished hospital admissions in England
2003-04	569,418
2004-05	644,184
2005-06	735,512
2006-07	799,118
2007-08	863,257