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Item ……..
Decision No……..
By: Colin Thompson
To: West Kent Health and Wellbeing Board, January 21st, 2014
Subject: Overview of substance misuse data in West Kent CCG district areas
Classification: Unrestricted
1. Purpose
1.1 To inform the Health and Wellbeing Board regarding the population health data of the four districts in the West Kent CCG area.
2. Alcohol data
2.1 Alcohol misuse is one of the major causes of liver disease. The figure below shows that since 1970, liver disease mortality has increased considerably, yet mortality from other diseases have reduced.
Figure 1
Table1: Hospital admissions for evidence of alcohol involvement by blood alcohol level/level of intoxication or toxic effects of alcohol
|
District Name |
June 2011 - May 2012 |
June 2012 - May 2013 |
Number difference |
% Diff |
|
Maidstone |
92 |
89 |
-3 |
-3.3% |
|
Sevenoaks |
55 |
80 |
25 |
45.5% |
|
Tonbridge and Malling |
80 |
97 |
17 |
21.3% |
|
Tunbridge Wells |
101 |
103 |
2 |
2.0% |
|
KCC |
930 |
1,006 |
76 |
8.2% |
There was a reduction in the number of people admitted in Maidstone district, although there have been increases in the other districts. There was a considerable increase in Sevenoaks over the 12 month period, although it is still the lowest out of the four districts.
Table 2: Recorded crime attributable to alcohol: All ages
|
District Name |
Number of all recorded crime attributable to alcohol (2010/11) |
Crude rate per 1,000 population |
|||
|
2007/08 |
2008/09 |
2009/10 |
2010/11 |
||
|
Maidstone |
828 |
7.65 |
6.96 |
6.12 |
5.70 |
|
Sevenoaks |
398 |
4.30 |
4.20 |
4.22 |
3.61 |
|
Tonbridge and Malling |
488 |
5.54 |
4.80 |
4.34 |
4.64 |
|
Tunbridge Wells |
439 |
5.61 |
4.85 |
4.92 |
4.35 |
|
South East |
51,683 |
8.49 |
7.79 |
7.34 |
6.89 |
|
England |
366,791 |
9.14 |
8.54 |
8.01 |
7.58 |
Recorded crime attributable to alcohol has reduced in all districts since 2007. All districts are lower than the regional and national average. Sevenoaks is more than half the rate of the national mean.
Figure 2
Figure 2 shows that there has been a slight overall increase in the number of alcohol specific admissions since 2006. There was a spike in the number of admissions in 2011/2012.
Figure 3
Figure 3 shows alcohol specific admissions and that males are admitted to hospital more than females (with the exception being for the 10-14 age group). Males aged between 40-44 and 45-49 are the most likely age group to be admitted.
Figure 4
Figure 4 shows that alcohol specific admissions for under 18s have decreased considerably since 2006. This trend is similar in other parts of the county.
Table 3: Estimates of the number of abstainers, lower, increasing and higher risk drinkers by district.
|
District |
Abstain |
Lower |
Increasing |
Higher |
|
Maidstone |
13,219 (11.3%) |
81,589 (69.9%) |
15,793 (13.5%) |
6,134 (5.3%) |
|
Sevenoaks |
10,887 (11.9%) |
62,751 (68.3%) |
13,302 (14.5%) |
4,872 (5.3%) |
|
Tonbridge and Malling |
10,113 (11.0%) |
64,278 (70.1%) |
12,490 (13.6%) |
4,872 (5.3%) |
|
Tunbridge Wells |
9,033 (10.8%) |
57,505 (68.7%) |
12,045 (14.4%) |
5,154 (6.2%) |
The estimates of the number of abstainers, lower, increasing and higher risk drinkers for each district shows similarities, across the four districts. Tunbridge has a higher proportion of higher risk drinkers and lowest proportion of abstainers.
3. Drug data
Table 4:
Table 4 shows the number of admissions to hospital for drug related conditions has increased in all CCG areas. In West Kent, the number has increased by 60%
Figure 5: Admissions for Mental and Behavioral Disorders due to Psychoactive Substance Use (2011/12)
Figure 5 shows the breakdown of those admitted. Problem Drug Users (PDUs) were lowest in Sevenoaks. Maidstone had the highest number from local authorities in West Kent CCG.
Figure 6
Figure 6 shows the age standardised admissions for drug related conditions and compares West Kent CCG with the Kent average. There has been an overall decrease since 2006/07. The rate for West Kent CCG is consistently lower than the Kent average.
4. Recommendations:
5.1 Members of the Health and Wellbeing Board are asked to note the Kent Alcohol Strategy.
6. Contact details
Report Author:
Colin Thompson, Public Health Specialist
Email: colin.thompson@kent.gov.uk