1. Alcohol Metrics – the baseline Cathy Rule, Project Manager, Wessex AHSN With support from Brad Keogh, Senior Research Assistant, Centre for Implementation Science (CIS), brad.keogh@soton.ac.uk Why we need to get to grips with alcohol in Wessex

2. Introduction Why are Wessex alcohol metrics important? Data sources Generic infographics (Wessex) Specific alcohol metric examples

3. Why are Wessex alcohol metrics important? Understand the impact alcohol has on our communities Provide a platform to measure changes Identify and address any gaps Implement an evidence based “life course approach” to addressing the harms of alcohol Identify the scope for further alcohol research & evaluation of initiatives

4. Alcohol metrics – Variety of Public sources Local Alcohol Profiles for England (LAPE) National Drug Treatment Monitoring System (NDTMS) National Child and Maternal Health Intelligence Network (CHIMAT) – Looking to add more sources, e.g. Hospital Episode Statistics (HES) Costs Prescribing data Geography – most of the metrics cover all Wiltshire (not just South Wiltshire) Stakeholder information – PHE Stocktake Dashboard – Wessex Alcohol Evidence and Best Practice Template Data sources

5. Baseline documents

6. *Based on financial year 2012-2013 **Based on calendar year 2012 ***Average over 3 year period: 2010-2012 hospital admissions per year (Non A&E)* 33,290 1.2 in 20 a high risk drinkers: (50+ units per week) (35+ units per week) alcohol related deaths per year** 1,285 alcohol related crimes per year* 15,228 312 deaths from chronic liver disease per year*** The Headlines Generic infographics (Wessex)

7. Wessex Drinking Groups

8. Male: 22-50 unit/week Female: 15-35 unit/week Male: 50+ unit/week Female: 35+ unit/week Male: 0-22 unit/week Female: 0-15 unit/wee k

9. = 2,552,581 = 1,592,629 = 450,143 = 151,226 Male: 22-50 unit/week Female: 15-35 unit/week Male: 50+ unit/week Female: 35+ unit/week Male: 0-22 unit/week Female: 0-15 unit/wee k 359,000 abstainers Wessex Drinking Groups

10. Wessex vs. England Drinking Groups

11. Wessex has higher levels of drinking than on average in England Wessex vs. England Drinking Groups Small differences

12. Wessex has higher levels of drinking than on average in England Wessex vs. England Drinking Groups Additional numbers in risk groups in Wessex Total = +63,400 + 31,900 + 24,000 +7,500

13. Numbers in Treatment BournemouthDorsetHampshireIOWPoolePortsmouth Southampton South Wiltshire Female15226544811092392162227 Male242417793141127795359307 Total numbers in treatment39468212412512191187521534 High Risk Drinking Population 99321992061556677667041095912524* Percentage of High Risk Drinkers in Treatment 4.03.42.03.73.310.84.2* *numbers not available Proportion of High risk drinkers in treatment is low. NDTMS data LAPE data Numbers in Alcohol Treatment

14. Numbers in Treatment BournemouthDorsetHampshireIOWPoolePortsmouth Southampton South Wiltshire Female15226544811092392162227 Male242417793141127795359307 Total numbers in treatment39468212412512191187521534 High Risk Drinking Population 99321992061556677667041095912524* Percentage of High Risk Drinkers in Treatment 4.03.42.03.73.310.84.2* *numbers not available Portsmouth leading in recorded levels of treatment NDTMS data LAPE data Numbers in Alcohol Treatment

15. Alcohol specific mortality in Males

19. Areas improving Areas worsening Alcohol specific mortality in Males – changes 2006-12

20. Areas < England removed for clarity Areas improving Areas worsening

21. Alcohol specific mortality in Males Size of bubble shows the relative count of the most recent data – i.e. number of deaths in 2012 Areas < England removed for clarity

22. Mortality from chronic liver disease in Females

26. Areas improving Areas worsening

27. Mortality from chronic liver disease in Females Areas < England removed for clarity Areas improving Areas worsening

28. Mortality from chronic liver disease in Females Areas < England removed for clarity Size of bubble shows the relative count of the most recent data – i.e. number of deaths in 2012

29. Future Work We need your input – Not to highlight specific areas – Constructive input / anecdotal information (i.e. Southampton under 18 recording) We want to add – Costing – Prescribing data – HES data – if available – Baseline portal – if possible

30. Alcohol specific admission - under 18s

31. Future Work We need your input – Not to highlight specific areas – Constructive input / anecdotal information (i.e. Southampton under 18 recording) We want to add – Costing – Prescribing data – HES data – if available – Baseline portal – if possible