One in a regular series of slide sets on interesting data about alcohol and other drugs (and the wider issues to do with multiple needs) from a UK perspective.

1. Interesting things about
alcohol and other drugs
July 2017
Andrew Brown
@andrewbrown365

2. Number of admissions and bed days for those diagnosed
with alcohol related mental and behavioural disorders
associated with dependence and withdrawal in hospitals in
England in 2015-16
1,300
26,810
320
52,970
1,970
0 20,000 40,000 60,000
Withdrawal state with delirium
Withdrawal state
Psychotic disorder
Dependence syndrome
Amnesic syndrome
Admissions (broad measure)
6,579
74,921
4,731
55,581
19,275
- 20,000 40,000 60,000 80,000
Withdrawal state with
delirium
Withdrawal state
Psychotic disorder
Dependence syndrome
Amnesic syndrome
Number of finished consultant episodes bed
days
Source: Hospital Admitted Patient Care Activity, 2015-16 (NHS Digital 2016)Source: Alcohol-related hospital admissions – Statistical tables for England (PHE,
2017)

3. Admission episode rates for alcohol related conditions and
healthy life expectancy at birth for males in England’s
Upper Tier local Authorities
50
55
60
65
70
75
450 650 850 1050 1250 1450 1650
Malehealthylifeexpectancyatbirth
Admission episode rates for alcohol related conditions
“A proxy measure for the harmful effects of
drinking is the number of occasions where acute
healthcare is required as a result, which can be
measured through Hospital Episode Statistics.The
national rate of alcohol-related admissions in
England for males and females combined during
the financial year ending (FYE) 2015 was 634.7 per
100,000; but there were large differences in the
rate of admission for alcohol-related conditions
across the country…
For example, by comparing the extremes, the rate
of admission episodes among males was more
than three times greater in Blackpool (1,544.0 per
100,000) compared to Wokingham (493.6 per
100,000). These areas are starkly contrasting in
terms of male HLE at birth; men inWokingham
were expected to live 14.2 more years in good
health compared to men in Blackpool in 2013 to
2015.”
Source: An overview of lifestyles and wider characteristics linked to Healthy Life Expectancy in England: June 2017 (ONS , 2017)

4. Number of alcohol related ambulance dispatches in
London, by year
84,070
89,154
96,692
103,647
105,305
107,678
105,790
102,085
102,141
92,395
-
20,000
40,000
60,000
80,000
100,000
120,000
2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 2016-17
The London ambulance service
says each patient costs on
average £7.81 per 999 call.To be
further reviewed on the
telephone by a clinician costs
£64.59, to receive an ambulance
and be treated at home is
£155.30, and to receive an
ambulance and be taken to
hospital costs £254.57.
The Guardian, Friday 25 December 2015
Source: Monthly Ambulance Service Incidents, Borough (London Ambulance Service NHS Trust, 2017)

5. Alcohol related assaults recorded by the London
Ambulance Service, by month
0
200
400
600
800
1000
1200
1400
1600
Apr-07
Jul-07
Oct-07
Jan-08
Apr-08
Jul-08
Oct-08
Jan-09
Apr-09
Jul-09
Oct-09
Jan-10
Apr-10
Jul-10
Oct-10
Jan-11
Apr-11
Jul-11
Oct-11
Jan-12
Apr-12
Jul-12
Oct-12
Jan-13
Apr-13
Jul-13
Oct-13
Jan-14
Apr-14
Jul-14
Oct-14
Jan-15
Apr-15
Jul-15
Oct-15
Jan-16
Apr-16
Jul-16
Oct-16
Jan-17
Source: Monthly Ambulance Service Incidents, Borough (London Ambulance Service NHS Trust, 2017)

6. Estimated number and proportion of recorded offences
linked to organised crime in three neighbourhoods
0 50 100 150 200 250
Money laundering
Drug supply
Fraud
Robbery
Vehicle crime
Burglary other
Burglary
Acquisitive
Drug possession
Violence
Criminal damage
Behavioural ( intimidation, coercion, etc.)
Sexual offences
Other
Total likely & possible OCU crimes Not likely to be OCU related
Source: The impact of organised crime in local communities (Police Foundation, 2017)

7. Distal risk indicators of child sexual exploitation
50%
34%
26%
24%
23%
20%
16%
16%
16%
15%
14%
13%
11%
10%
5%
3%
0% 10% 20% 30% 40% 50% 60%
Criminal prosecutions prior to 2013
Living in care
Truancy / disruptive behaviour at school
Neglectful parents
Unrelated sexual assault
Mental health issue / learning disability
Physical / emotional abuse from family
Domestic violence within family
Family links to OC
Parents drug and / or alcohol abuse
Links to gangs or OCGs (not family)
Sexual abuse within family
Physical / emotional abuse by adult (not family)
Aggressive behaviour
Excluded from services
Has contracted STIs
Source: The impact of organised crime in local communities (Police Foundation, 2017)
“The victims of CSE are some of the
most vulnerable children in society.
With an average age of 15, most
come from highly dysfunctional
families, half have a criminal record
and a third live, or have lived, in
care. Some are repeatedly abused
by multiple perpetrators over long
periods of time.The multiple risks
they are exposed to are not
dissimilar to those experienced by
adult sex workers; they include
physical, psychological and
emotional trauma, sexually
transmitted diseases, educational
failure and problematic substance
misuse.”

8. Proximal risk indicators for child sexual exploitation
70%
45%
41% 41% 41%
37%
23% 22%
20% 19%
16%
13%
0%
10%
20%
30%
40%
50%
60%
70%
80%
Linked to
others at risk
of CSE
Picked up by
/ meets
unknown
adults
Linked to
risky
locations
Missing
overnight or
for longer
Buying drugs
and / or
alcohol
Sexually
active /
sexualized
behaviour
Older
‘boyfriend’
Sexualised
risk-taking
online
Involved in
supplying
drugs
Unexplained
gifts
Disclosure
without
willing to
pursue
Offering sex
for drugs /
pay off drug
debt/money
Source: The impact of organised crime in local communities (Police Foundation, 2017)

9. Proportion of people seen rough sleeping in the
year, in London, with alcohol, drug and/or mental
health support needs
41%
31%
45%
28%
43%
31%
46%
26%
44%
35%
47%
23%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
Alcohol Drugs Mental health No alcohol, drugs or mental health
support needs
2014-15 2015-16 2016-17
Source: Chain Annual Report (Greater London Authority, 2017)

10. Price distribution of cider (L pure alcohol) sold off-trade
(excluding discount retailers), England & Wales 2016
-
500,000
1,000,000
1,500,000
2,000,000
2,500,000
3,000,000
under
20
20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80 - 84 85up
Strong cider
Regular cider
Source: MESAS monitoring report 2017 (NHS Health Scotland)

11. Volume of pure alcohol (litres) sold per adult (16+) in
England & Wales, by trade sector, 1994-2016
0
1
2
3
4
5
6
7
8
9
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
Lperadult
Year
England & Wales - off-trade England & Wales - on-trade
Source: MESAS monitoring report 2017 (NHS Health Scotland)

12. Price per unit of alcohol in England & Wales, by trade
sector, 1994-2016
0.00
0.20
0.40
0.60
0.80
1.00
1.20
1.40
1.60
1.80
2.00
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Priceperunit(£)
Year
E&W On-trade E&W Off-trade
Source: MESAS monitoring report 2017 (NHS Health Scotland)