Alcohol

Public Health England (PHE) produce the Local Alcohol Profiles for England (LAPE), presenting 33 indicators that measure the impact of alcohol on local communities, including alcohol-related hospital admissions and alcohol-related crime data, for example. The updated profiles contain 11 new indicators:

  • admissions episodes for alcohol-specific conditions in under 18s
  • admission episodes for alcohol-specific conditions
  • volume of alcohol sold through the off-trade: beer, wine, spirit and all alcohol sales
  • number of premises licensed to sell alcohol per square kilometre
  • percentage of adults who abstain from drinking alcohol
  • percentage of adults binge drinking on heaviest drinking day
  • percentage of adults drinking over 14 units of alcohol a week  
  • years of life lost due to alcohol-related conditions

The LAPE Interactive tool presents a range of alcohol-related indicators and allows users to view and analyse data in a user-friendly format.  The latest profiles for Cambridgeshire and Peterborough can be downloaded in PDF format from here.

A number of indicators refer to alcohol-specific and alcohol-related conditions, as well as broad and narrow measures - follow the links for definitions.

Alcohol consumption and sales

The latest data release includes new data on alcohol consumption at County and UA level and sales at County, District and UA level. The picture for Cambridgeshire and Peterborough is generally positive:

Cambridgeshire

  • The percentage of adults who abstain from drinking alcohol (9.5%) in Cambridgeshire is significantly worse than the England average (15.5%) (2011-14 data).
  • Cambridgeshire has the second highest percentage of adults binge drinking on heaviest drinking day (17.6%) in the region although this is not significantly higher than the England average (16.5%) (2011-14 data).
  • Cambridgeshire has the third highest percentage of adults drinking over 14 units of alcohol a week (27.1%) in the region although it is not signifcantly higher than the England average (25.7%) (2011-14 data).
  • The crude volumes of alcohol per adult sold through the off-trade: all, beer, wine, and spirit sales for Cambrigeshire are significantly lower than England (2014 data).  At a district level the rate is similar to the England average for all districts apart from South Cambridgeshire, where the rate is better than the England average for off-trade beer, wine, spirit and all alcohol sales, and East Cambridgeshire where the rate is better for off-trade beer and all alcohol sales.

Peterborough

  • The percentage of adults who abstain from drinking alcohol (23.2%) in Peterborough is the second highest in the region, however it is not significantly better when compared to the England average (15.5%) (2011-14 data).
  • Peterborough has the lowest percentage of adults binge drinking on heaviest drinking day (11.9%) in the region although this is not significantly lower than the England average (16.5%) (2011-14 data).
  • Peterborough has the second lowest percentage of adults drinking over 14 units of alcohol a week (16.7%) in the region although it is not signifcantly lower than the England average (25.7%) (2011-14 data).
  • The crude volumes of alcohol per adult sold through the off-trade: all, beer, wine, and spirit sales for Peterborough are significantly worse than England (2014 data).

Other indicators:

How does Cambridgeshire compare to the England average?

  • Admission episodes for alcohol-related (narrow measure) and alcohol-specific conditions are significantly higher in women in Cambridgeshire compared with the England average (2015/16 data).
  • Admission episodes for alcohol-related conditions (narrow measure) are significantly higher in women aged 40-64 and 65+ in Cambridgeshire compared with the England average (2015/16 data).
  • Admission episodes for intentional self-poisoning by and exposure to alcohol condition (narrow measure) are significantly higher in persons, men and women in Cambridgeshire compared to the England average (2015/16 data).
  • Admission espisodes for alcoholic liver disease (broad measure) are significantly higher in persons and women in Cambridgeshire compared to the England average (2015/16 data).
  • Alcohol related road traffic accidents are higher in Cambridgeshire compared with the England average (2013-15 data)

How do Cambridgeshire's districts compare to the England average?

The picture for Cambridgeshire's districts is generally positive.  Cambridge and Fenland stand out as having more indicators rating significancy worse than England than the other districts in Cambridgeshire:

Cambridge

  • Admission episodes for alcohol-related conditions (narrow measure) are significantly higher in Cambridge compared with the England average (2015/16 data). The ‘broad' version of this measure is also significantly higher in Cambridge compared with the England average.
  • Admission episodes for alcohol-specific conditions are significantly higher in Cambridge compared with the England average (2015/16 data).
  • Admission episodes for alcohol-related conditions (narrow measure) aged 40-64 years are significantly higher in persons, men and women inCambridge compared with the England average (2015/16 data). The over 65s version of this measure is also significantly higher in Cambridge compared with the England average in women and persons.
  • Admission episodes for mental and behavioural disorders due to use of alcohol (broad measure) are significantly higher in persons, men and women in Cambridge compared with England (2015/16).  The 'narrow' version of this measure is also higher in persons and men in Cambridge compared with the England average. 
  • Admission episodes for intentional self-poisoning by and exposure to alcohol condition (narrow measure) are significantly higher in persons, men and women in Cambridge compared to the England average (2015/16 data).
  • Admission episodes for alcoholic liver disease (broad measure) are higher in persons, men and women in Cambridge compared with the England average (2015/16 data).
  • The number of premises licensed to sell alcohol per square kilometre is higher in Cambridge than the England average (2015/16 data).

East Cambridgeshire

  • Admission episodes for alcohol-specific conditions are higher in women in East Cambridgeshire compared with the England average (2015/16 data).
  • Admission episodes for alcoholic liver disease (broad measure) are higher in women in East Cambridgeshire compared with the England average (2015/16 data).
  • Alcohol related road traffic accidents are higher in East Cambridgeshire compared with the England average (2013-15 data).

Fenland

  • Alcohol-related admission episodes (broad and narrow measure) are significantly higher in Fenland compared with the England average (2015/16 data).
  • Years of life lost due to alcohol-related conditions in persons is significantly higher in Fenland compared with the England average (2015 data).
  • Persons admitted to hospital for alcohol-related conditions (broad measure) are significantly higher in Fenland in persons, men and women compared to the England average (2015/16 data). The ‘narrow’ version of this measure is also significantly higher in persons and women in Fenland compared with the England average.
  • Admission episodes for alcohol-related conditions (narrow measure) in women aged between 40 and 64 and over 65 are significantly higher in Fenland compared with the England average (2015/16 data).
  • Admission episodes for intentional self-poisoning by and exposure to alcohol condition (narrow measure) are significantly higher in persons and women compared to the England average (2015/16 data).
  • Admission episodes for alcohol-related cardiovascular disease conditions (broad measure) are higher in Fenland in persons, men and women compared to the England Average (2015/16).

Huntingdonshire

  • Admission episodes for alcohol-specific conditions in people aged under 18 are significantly higher in Huntingdonshire compared to the England Average (2013/14 – 2015/16).
  • Admission episodes for alcohol-related cardiovascular disease conditions (broad measure) are higher in persons and men in Huntingdonshire compared to the England Average (2015/16).
  • Alcohol related road traffic accidents are higher in Huntingdonshire compared with the England average (2013-15 data)

South Cambridgeshire

  • Alcohol related road traffic accidents are higher in South Cambridgeshire compared with the England average (2013-15 data)

How does Peterborough compare to the England average?

  • Admission episodes for alcohol-related conditions (broad and narrow measure) are significantly higher in persons and men in Peterborough compared with the England average (2015/16 data). 
  • Admission episodes for alcohol-specific conditions are significantly higher in persons and men in Peterborough compared with the England average (2015/16 data).
  • Admission episodes for alcohol-related conditions (narrow measure) are significantly higher in persons and men and women aged under 40 in Peterborough compared with the England average (2015/16 data) and persons and men for people aged 40-64 years.
  • Admission episodes for intentional self-poisoning by and exposure to alcohol condition (narrow measure) are significantly higher in persons, men and women in Peterborough compared to the England average (2015/16 data).
  • Admission episodes for alcohol-related cardiovascular disease conditions (broad measure) are higher in persons and men in Peterborough compared to the England Average (2015/16).
  • Admission episodes for mental and behavioural disorders due to use of alcohol (broad measure) are significantly higher in persons and men in Peterborough compared with England (2014/15).  The ‘narrow’ version of this measure is also significantly higher in persons in Peterborough compared with the England average (2015/16 data)
  • The volume of alcohol sold through the off-trade is significantly higher in Peterborough compared to England (2014) for beer, wine, spirit and all alcohol sales.

 

'Alcohol-specific' or 'alcohol-related'?

A number of indicators relating to alcohol refer to alcohol-specific and alcohol-related conditions. Alcohol-specific conditions are conditions in which alcohol is causally implicated in all cases of the condition.  Alcohol-related conditions include all alcohol-specific conditions plus a proportion of other conditions in which alcohol is causally implicated in some cases of the condition, such as liver disease and hypertension.  Full definitions for all of the indicators are included in the LAPE Interactive tool

'Broad' or 'narrow' measures?

The 2014 profiles introduced new 'narrow' measures of alcohol-related hospital admissions and admission episodes.  Narrow measures only include alcohol-related conditions based on the primary code for the hospital record (main reason for admission) or where there is an alcohol-related external cause, whereas broad measures also count alcohol-related conditions included in secondary codes (other diagnoses that affect treatment).  The broad measures are considered a better reflection of alcohol burden on the community and services but the narrow measures are considered better for comparing areas and making comparison over time as they are less sensitive to variation in coding practice.  A new narrow measure for alcohol-related hospital admissions is included for persons in the Public Health Outcomes Framework (Indicator 2.18).

 

Other alcohol information sources

Cambridgeshire Drugs and Alcohol Joint Strategic Needs Assessment 2015/16: http://cambridgeshireinsight.org.uk/JSNA/Drugs-and-Alcohol-2015 

Cambridgeshire Drug and Alcohol Action Team (DAAT): http://www.cambsdaat.org/

Public Health England - Data and knowledge gateway (Drugs and Alcohol): http://datagateway.phe.org.uk/index_drugs.html

NHS Digital - Statistics on Alcohol - England, 2016: http://content.digital.nhs.uk/catalogue/PUB20999


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