| Footnotes | Definition (for full explanation a methods document will be made available soon) |
| Alcohol-specific | Conditions that are wholly related to alcohol (e.g. alcoholic liver disease or alcohol overdose). A list of alcohol-specific conditions with their ICD-10 codes and associated attributable fractions can be found at: http://www.nwph.net/nwpho/publications/AlcoholAttributableFractions.pdf |
| Alcohol- attributable | Alcohol-specific conditions plus conditions that are caused by alcohol in some, but not all, cases (e.g. stomach cancer and unintentional injury). For these latter conditions, different attributable fractions are used to determine the proportion related to alcohol for males and females. A list of alcohol-attributable conditions with their ICD-10 codes can be found at: http://www.nwph.net/nwpho/publications/AlcoholAttributableFractions.pdf |
| a) | The actual indicator value for the primary care organisations as calculated in the definitions below. For some indicators PCT values were estimated as a population weighted average of component local authority values - indicators: 15, 16, 17 - Alcohol-related recorded crimes; 18 - Claimants of incapacity benefits; 20, 21 - Hazardous and Harmful drinking. |
| b) | The rank of the local indicator value among all 152 primary care organisations in England. A rank of 1 is the best local authority in England and a rank of 152 is the worst. For indicator 23, a rank of 1 is the highest and a rank of 152 is the lowest value, as the desirability of the value (what is better or worse) has not been determined. |
| 1,2 | An estimate of the increase in life expectancy at birth that would be expected if all alcohol-attributable deaths among males/females aged under 75 years were prevented. (NWPHO from 2005-2007 England and Wales life expectancy tables for males and females [Government Actuary Department], alcohol-attributable deaths from Public Health Mortality File 2005-2007 in males/females aged under 75 and Office for National Statistics mid-year population estimates for 2005-2007. |
| 3,4 | Deaths from alcohol-specific conditions (all ages, male/female), directly standardised rate per 100,000 population (standardised to the European Standard Population). (NWPHO from Office for National Statistics Public Health Mortality File for 2005-2007 and mid-year population estimates for 2005-2007. |
| 5,6 | Deaths from chronic liver disease including cirrhosis (ICD-10: K70, K73-K74) (all ages, male/female), directly standardised rate per 100,000 population (standardised to the European Standard Population). (Compendium of Clinical and Health Indicators, National Centre for Health Outcomes Development 2005-2007 pooled). |
| 7,8 | Deaths from alcohol-attributable conditions (all ages, male/female), directly standardised rate per 100,000 population (standardised to the European Standard Population). (NWPHO from Office for National Statistics Public Health Mortality File for 2007 and mid-year population estimates for 2007. |
| 9 | Persons admitted to hospital due to alcohol specific conditions (under 18s, persons), crude rate per 100,000 population. In some areas the number of admissions was less than 5. In these cases the rate was calculated assuming 5 admissions. (NWPHO from Hospital Episodes Statistics 2005/06-2007/08 and Office for National Statistics mid-year population estimates 2005-2007. Does not include attendance at A&E. |
| 10, 11 | Persons admitted to hospital due to alcohol-specific conditions (all ages, male/female), directly standardised rate per 100,000 population. (NWPHO from Hospital Episodes Statistics 2007/08 and Office for National Statistics mid-year population estimates 2007). Does not include attendance at A&E. |
| 12, 13 | Persons admitted to hospital due to alcohol-attributable conditions (all ages, male/female), directly standardised rate per 100,000 population. (NWPHO from Hospital Episodes Statistics 2007/08 and Office for National Statistics mid-year population estimates 2006). Does not include attendance at A&E. |
| 14 | NI39: Hospital Admissions for Alcohol Related Harm: directly age and sex standardised rate per 100,000 population, 2007/08. (Department of Health using Hospital Episode Statistics and Office for National Statistics 2007 mid-year population estimates).Note that data has been re-calculated for this collection and shouldn’t be compared with external source. |
| 15, 16, 17 | Alcohol-related recorded crimes, crude rate per 1,000 population. (NWPHO from Home Office recorded crime statistics 2008/09). Office for national Statistics 2007 mid year population were used. Attributable fractions for alcohol for each crime category were applied, based on survey data on arrestees who tested positive for alcohol by the Strategy Unit. Primary care organisation values were estimated as a population weighted average of component local authority values. Please note that data is missing for a small number of areas. |
| 18 | Claimants of Incapacity Benefit or Severe Disablement Allowance whose main medical reason is alcoholism, crude rate per 100,000 (working age, persons) population. (NWPHO from Department for Work and Pensions data Nov 2008 and Office for National Statistics 2007 mid-year population estimates).Primary care organisation values were estimated as a population weighted average of component local authority values NB Important Note Supplied by DWP - To qualify for Incapacity Benefit, claimants have to undertake a medical assessment of incapacity for work called a Personal Capability Assessment. The medical condition recorded on the claim form does not itself confer entitlement to Incapacity Benefit. So, for example, a decision on entitlement for a customer claiming Incapacity Benefit on the basis of alcoholism would be based on their ability to carry out the range of activities assessed by the Personal Capability Assessment; or on the effects of any associated mental health problems. It is also important to note that where someone has more than one diagnosis or disabling condition, only the predominant one is currently recorded. |
| 19 | Estimated number of deaths attributable to alcohol from land transport accidents (ICD-10: V01-V89) (all ages, persons) directly standardised rate per 100,000 population (standardised to the European Standard population). (NWPHO from Compendium of Clinical and Health Indicators, National Centre for Health Outcomes Development 2005-07 pooled). The Strategy Unit's alcohol-attributable fraction was applied to obtain the estimates. |
| 20 | Mid-2005 synthetic estimate of the proportion (%) of the population aged 16 years and over who report engaging in hazardous drinking, defined as consumption of between 22 and 50 units of alcohol per week for males, and between 15 and 35 units of alcohol per week for females. (NWPHO from Health Survey for England, Hospital Episode Statistics, Office for National Statistics mid-year population estimates and mortality data and the Census of Population 2001). Primary care organisation values were estimated as a population weighted average of component local authority valuesPlease note that values for the new Local Authorities arising from the April 2009 boundary changes are a population weighted average of the component Local Authority predicted prevalence’s only. Amendments will be made to these values when these synthetic estimates are updated |
| 21 | Mid-2005 synthetic estimate of the proportion (%) of the population aged 16 years and over who report engaging in harmful drinking, defined as consumption of more than 50 units of alcohol per week for males, and more than 35 units of alcohol per week for females. (NWPHO from Health Survey for England, Hospital Episode Statistics, Office for National Statistics mid-year population estimates and mortality data and the Census of Population 2001). . Primary care organisation values were estimated as a population weighted average of component local authority values.Amendments will be made to these values when these synthetic estimates are updated |
| 22 | Synthetic estimate of the proportion (%) of adults who consume at least twice the daily recommended amount of alcohol in a single drinking session (that is, 8 or more units for men and 6 or more units for women). Estimates originally produced for the Department of Health (2003-2005). Please see Health profiles for further information www.apho.org.uk/default.aspx?QN=P_HEALTH_PROFILES. Primary care organisation values were estimated as a population weighted average of component local authority values. |
| 23 | The number of employees employed in bars (SIC2003: 5540), as a percentage of all employees. (Annual Business Inquiry 2007, National Statistics, from Nomis website: www.nomisweb.co.uk). Office for National Statistics single year of age mid 2007 population estimate for males aged between 16-64 years and females aged 16-60 years. A rank of 1 is the lowest primary care organisation value in England and a rank of 152 is the highest. Values that are significantly lower than the England average have been highlighted green and values that are significantly higher have been highlighted red. The desirability of the value (what is better or worse) has not been determined. |
