PHE has developed an example minimum dataset (opens new window) for specialist alcohol services in hospital settings to monitor activity, improve services and demonstrate value to commissioners. The dataset was a recommendation of PHE's 2014 report Alcohol care in England's hospitals: An opportunity not to be wasted (opens new window) As that report shows, there is evidence that, by saving bed days and liberating hospital beds alcohol care teams can deliver £3.85 for every £1 invested, but many services currently don't collect the necessary data to best demonstrate their impact.
Specialist alcohol services in hospital settings are innovative, nearly half of current services have been set up since 2010 and there is a wide range of models. However, all are tasked with improving care and outcomes among the million + alvohol-related hospital admissions and countless ED attendances every year. PHE hopes that more consistent data collection will also support comparative evaluation between service models, which will be helpful in identifying the most effective ways to deploy their resources. PHE stresses that there is no expectation that this data will be collected nationally. It is simply a consensus from a group of experts, offered to guide local practice.
The dataset will be of most interest to services and to commissioners in local authorities and the NHS.
The report Alcohol care in England's hospitals: An opportunity not to be wasted (opens new window) was published by Public Health England on 14 November 2014. This report is for local authority and NHS commissioners practitioners in hospital alcohol services and those in associated community services. The document summarises the available evidence for the contribution of specialist alcohol services for the patients in secondary care. It takes in recommendations from a range of advisers over the last decade and, based on recent surveys, explores the interventions that these services might provide and describes what is understood about current service provision.
The Public Health England survey found that, of 191 district general hospitals estimated to be an appropriate size to merit an alcohol service, at least 139 (73%) offer some level of specialist alcohol service. Of the 40 largest hospitals, which may be best placed to benefit from alcohol care teams, two were positively identified as having no service and a further seven were not known to have specific alcohol services.
- Alcohol is responsible for 6% of all hospital admissions
- 459,836 individuals admitted in 2005/06
- 811,443 admissions in 2006/07
- Rising by around 80,000 admissions a year
- Alcohol misuse contributes to 48 conditions
- 13 conditions were wholly attributable to alcohol consumption
- 35 conditions were partially attributable to alcohol consumption
- Areas of highest deprivation (compared to more affluent areas) have:
- 2 to 3 times higher loss of life
- 2 to 5 times more admissions to hospitals
More more information on Hospital Admissions and local alcohol profiles see our Alcohol Data pages
To see a detailed list of statistics by condition: