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About the Local Alcohol Profiles for England

Alcohol misuse is the biggest risk factor for death, ill-health and disability among 15-49 year olds in the UK, and the fifth biggest risk factor across all ages. Alcohol is a causal factor in more than 60 medical conditions, including: mouth, throat, stomach, liver and breast cancers, high blood pressure, cirrhosis of the liver, and depression.

The indicators contained within this profile were selected following consultation with stakeholders and a review of the availability of routine data. The Local Alcohol Profiles for England (LAPE) are part of a series of products by Public Health England that provide local data alongside national comparisons to support local health improvement.

Alcohol use has health and social consequences borne by individuals, their families, and the wider community. The aim of LAPE is to provide information for local government, health organisations, commissioners and other agencies to monitor the impact of alcohol on local communities, and to monitor the services and initiatives that have been put in place to prevent and reduce the harmful impact of alcohol.

The tool allows you to compare your local authority against other local authorities in the region and benchmark your local authority against the England or regional average.

What’s new in the tool in April 2020?

  • new data for the following indicators in the admissions domain: quarterly admission episodes for alcohol-related conditions (Broad); quarterly admission episodes for alcohol-related conditions (Narrow)
  • new local authority boundaries (effective April 2019) have been added for indicators that have been updated (remaining indicators will have data added for these new geographies as they are updated)

In addition to the standard indicators, LAPE contains data for hospital admissions broken down by age and cause. These data, along with additional data, reports, method documents and supporting documents that may be of use, can be found within the Further resources section. A list of changes made to the profiles in each update from February 2017 can be found here.

Further resources

Recent updates

April 2020

Note: As the demand increases for statistics and data to measure the impact of the COVID19 pandemic, Public Health England is focussing efforts on priority analysis and statistics. In line with guidance from the Office for Statistics Regulation, the decision has therefore been made to suspend updates to LAPE until December 2020.  We will keep this under review.

April 2020

The following indicators within the admissions domain have been updated:

Quarterly admission episodes for alcohol-related conditions (Broad)

Quarterly admission episodes for alcohol-related conditions (Narrow)

February 2020

Note: An error was identified for indicators based on hospital episode statistics (HES) data which gave misleading results for areas within the South East region and East Sussex. Affected areas have been suppressed or flagged to be treated with caution. Full details can be found in the caveats section of the descriptive metadata for each affected indicator.

February 2020

The following indicators within the admissions domain have been updated:

Admission episodes for alcohol-related conditions

Admission episodes for alcohol-specific conditions

Admission episodes for alcohol-related unintentional injuries

Admission episodes for mental and behavioural disorders due to use of alcohol

Admission episodes for intentional self-poisoning by and exposure to alcohol

Admission episodes for alcohol-related cardiovascular disease

Admission episodes for alcoholic liver disease

New local authority boundaries (effective April 2019) have been added for these indicators

The following new indicators have been added to the admissions domain:

Quarterly admission episodes for alcohol-related conditions (Broad)

Quarterly admission episodes for alcohol-related conditions (Narrow)

The following indicators within the treatment domain have been updated:

Successful completion of alcohol treatment

Proportion waiting more than 3 weeks for alcohol treatment

January 2020

More recent data for 1 indicator:

Years of life lost due to alcohol-related conditions

December 2019

The following indicators within the mortality domain have been updated:

Alcohol-related Mortality

Alcohol-specific Mortality

Mortality from chronic liver disease

New local authority boundaries (effective April 2019) have been added for these indicators

Values for combined authorities in the North East have also been updated to reflect the current boundaries

August 2019

More recent data for 2 indicators:

Incidence rate of alcohol-related cancer

Number of licensed premises per kilometre squared

June 2019

'At a glance' summaries have been added to LAPE.  The new reports have been added to the download tab and are available for local authorities, regions and England, showing the latest values and significance of the change from the last period.

May 2019

Due to concerns of usefulness and future sustainability, LAPE is considering removing the ‘Claimants of benefits due to alcoholism’ indicator.  Feedback is sought via the ‘Contact Us’ option at the top of this page, otherwise the indicator will be removed in the planned July 2019 update.

February 2019

More recent data for 13 indicators:

5.02 Admission episodes for alcohol-specific conditions - Under 18s

6.02 Admission episodes for alcohol-specific conditions

9.01 Admission episodes for alcohol-related conditions (Broad) 

9.03 Admission episodes for alcohol-related cardiovascular disease (Broad)

9.04 Admission episodes for mental and behavioural disorders due to use of alcohol (Broad)

9.05 Admission episodes for alcoholic liver disease (Broad)

10.01 Admission episodes for alcohol-related conditions (Narrow)

10.03 Admission episodes for alcohol-related unintentional injuries (Narrow)

10.04 Admission episodes for mental and behavioural disorders due to use of alcohol (Narrow)

10.05 Admission episodes for intentional self-poisoning by and exposure to alcohol (Narrow)

10.06 Admission episodes for alcohol-related conditions (Narrow) - Under 40s

10.07 Admission episodes for alcohol-related conditions (Narrow) - 40-64 yrs

10.08 Admission episodes for alcohol-related conditions (Narrow) - Over 65s

December 2018

More recent data for 4 indicators:

1.02 Years of life lost due to alcohol-related conditions

2.01 Alcohol-specific mortality

3.01 Mortality from chronic liver disease

4.01 Alcohol-related mortality

Data correction applicable to 1 indicator:

12.01 Alcohol-related road traffic accidents

September 2018

More recent data for 1 indicator:

18.01 Number of premises licensed to sell alcohol per square kilometre 

July 2018

More recent data for 2 indicators:

12.01 Alcohol-related road traffic accidents

13.01 Incidence rate of alcohol-related cancer

May 2018

New indicator - Percentage of dependent drinkers

Estimated percentage of adults with alcohol dependence (2014/15)

11.01 Claimants of benefits due to alcoholism update - Indicator not being updated at this time, this is due to the impact of some discrepancies identified with the medical condition / International Classification of Diseases (ICD) codes used for Employment and Support Allowance, Incapacity Benefit and Severe Disablement Allowance statistics. This has led to the temporary withdrawal of these statistics by the data provider.

February 2018

Updated data for Alcohol-related hospital admissions - Statistical tables for England (formerly produced by the HSCIC) within the Further resources section of the Local Alcohol Profiles for England (LAPE)

Restructure of Local Alcohol Profiles for England (LAPE) Fingertips profile

Data, reports and documents that would have previously featured in the Quarterly data, Additional data and reports and Further information sections of LAPE can now be sourced within the Further resources section of LAPE. 

More recent data for 13 indicators:

5.02 Admission episodes for alcohol-specific conditions - Under 18s

6.02 Admission episodes for alcohol-specific conditions

9.01 Admission episodes for alcohol-related conditions (Broad) 

9.03 Admission episodes for alcohol-related cardiovascular disease (Broad)

9.04 Admission episodes for mental and behavioural disorders due to use of alcohol (Broad)

9.05 Admission episodes for alcoholic liver disease (Broad)

10.01 Admission episodes for alcohol-related conditions (Narrow)

10.03 Admission episodes for alcohol-related unintentional injuries (Narrow)

10.04 Admission episodes for mental and behavioural disorders due to use of alcohol (Narrow)

10.05 Admission episodes for intentional self-poisoning by and exposure to alcohol (Narrow)

10.06 Admission episodes for alcohol-related conditions (Narrow) - Under 40s

10.07 Admission episodes for alcohol-related conditions (Narrow) - 40-64 yrs

10.08 Admission episodes for alcohol-related conditions (Narrow) - Over 65s

November 2017

Provisional data for Q1 2017/18 now available - see Quarterly data within the Further resources section of the Local Alcohol Profiles for England (LAPE)

More recent data for 2 indicators:

3.01 Mortality from chronic liver disease

4.01 Alcohol-related mortality

Revised data applicable to 2 indicators and more recent data:

1.02 Years of life lost due to alcohol-related conditions

2.01 Alcohol-specific mortality

August 2017

Provisional quarterly admission episodes for alcohol-related conditions (Broad and Narrow) for Q4 2016/17 are now available.

June 2017

The CCG values have been updated in the quarterly admission episodes for alcohol-related conditions, broad Q1 2009/10 to Q3 2016/17 (provisional) dataset. This is due to an error being identified effecting the ordering of the CCG geogs (events and rates). We apologise for any inconvenience caused.

May 2017

The updated profiles contain 2 new indicators:

5.02 - Admission episodes for alcohol-specific conditions - Under 18s

6.02 - Admission episodes for alcohol-specific conditions

Data correction applicable to 3 indicators and more recent data:

10.06 Admission episodes for alcohol-related conditions (Narrow) - Under 40s

10.07 Admission episodes for alcohol-related conditions (Narrow) - 40-64 yrs

10.08 Admission episodes for alcohol-related conditions (Narrow) - Over 65s

Minor revision and more recent data for 8 indicators:

9.01 Admission episodes for alcohol-related conditions (Broad)

9.03 Admission episodes for alcohol-related cardiovascular disease conditions (Broad)

9.04 Admission episodes for alcohol-related mental and behavioural disorders due to use of alcohol condition (Broad)

9.05 Admission episodes for alcohol-related alcoholic liver disease condition (Broad)

10.01 Admission episodes for alcohol-related conditions (Narrow)

10.03 Admission episodes for alcohol-related unintentional injuries conditions (Narrow)

10.04 Admission episodes for alcohol-related mental and behavioural disorders due to use of alcohol condition (Narrow)

10.05 Admission episodes for alcohol-related intentional self-poisoning by and exposure to alcohol condition (Narrow)

13.01 Incidence rate of alcohol-related cancer 

More recent data for 1 indicator

11.01 Claimants of benefits due to alcoholism

March 2017

The updated profiles contain 8 new indicators:

17.01 Volume of alcohol sold through the off-trade: all alcohol sales

17.02 Volume of alcohol sold through the off-trade: beer sales

17.03 Volume of alcohol sold through the off-trade: wine sales

17.04 Volume of alcohol sold through the off-trade: spirit sales  

18.01 Number of premises licensed to sell alcohol per square kilometre

19.01 Percentage of adults who abstain from drinking alcohol

19.02 Percentage of adults binge drinking on heaviest drinking day

19.03 Percentage of adults drinking over 14 units of alcohol a week

February 2017

The updated profiles contain 1 new indicator:

1.02 Years of life lost due to alcohol-related conditions

More recent data for 4 indicators:

2.01 Alcohol-specific mortality

3.01 Mortality from chronic liver disease

4.01 Alcohol-related mortality

12.01 Alcohol-related road traffic accidents

May 2016

The updated profiles contain 4 new indicators:

10.06 Admission episodes for alcohol-related conditions (Narrow) - Under 40's

10.07 Admission episodes for alcohol-related conditions (Narrow) - 40-64 yrs

10.08 Admission episodes for alcohol-related conditions (Narrow) - Over 65's

13.01 Incidence rate of alcohol-related cancer

More recent data for 13 indicators:

5.01 Persons under 18 admitted to hospital for alcohol-specific conditions

6.01 Persons admitted to hospital for alcohol-specific conditions

7.01 Persons admitted to hospital for alcohol-related conditions (Broad)

8.01 Persons admitted to hospital for alcohol-related conditions (Narrow)

9.01 Admission episodes for alcohol-related conditions (Broad)

10.01 Admission episodes for alcohol-related conditions (Narrow)

9.03 Admission episodes for alcohol-related cardiovascular disease conditions (Broad)

9.04 Admission episodes for mental and behavioural disorders due to use of alcohol condition (Broad)

9.05 Admission episodes for alcoholic liver disease condition (Broad)

10.03 Admission episodes for alcohol-related unintentional injuries conditions (Narrow)

10.04 Admission episodes for mental and behavioural disorders due to use of alcohol condition (Narrow)

10.05 Admission episodes for intentional self-poisoning by and exposure to alcohol condition (Narrow)

11.01 Claimants of benefits due to alcoholism

Recent updates

April 2020

Note: As the demand increases for statistics and data to measure the impact of the COVID19 pandemic, Public Health England is focussing efforts on priority analysis and statistics. In line with guidance from the Office for Statistics Regulation, the decision has therefore been made to suspend updates to LAPE until December 2020.  We will keep this under review.

April 2020

The following indicators within the admissions domain have been updated:

Quarterly admission episodes for alcohol-related conditions (Broad)

Quarterly admission episodes for alcohol-related conditions (Narrow)

February 2020

Note: An error was identified for indicators based on hospital episode statistics (HES) data which gave misleading results for areas within the South East region and East Sussex. Affected areas have been suppressed or flagged to be treated with caution. Full details can be found in the caveats section of the descriptive metadata for each affected indicator.

February 2020

The following indicators within the admissions domain have been updated:

Admission episodes for alcohol-related conditions

Admission episodes for alcohol-specific conditions

Admission episodes for alcohol-related unintentional injuries

Admission episodes for mental and behavioural disorders due to use of alcohol

Admission episodes for intentional self-poisoning by and exposure to alcohol

Admission episodes for alcohol-related cardiovascular disease

Admission episodes for alcoholic liver disease

New local authority boundaries (effective April 2019) have been added for these indicators

The following new indicators have been added to the admissions domain:

Quarterly admission episodes for alcohol-related conditions (Broad)

Quarterly admission episodes for alcohol-related conditions (Narrow)

The following indicators within the treatment domain have been updated:

Successful completion of alcohol treatment

Proportion waiting more than 3 weeks for alcohol treatment

January 2020

More recent data for 1 indicator:

Years of life lost due to alcohol-related conditions

December 2019

The following indicators within the mortality domain have been updated:

Alcohol-related Mortality

Alcohol-specific Mortality

Mortality from chronic liver disease

New local authority boundaries (effective April 2019) have been added for these indicators

Values for combined authorities in the North East have also been updated to reflect the current boundaries

August 2019

More recent data for 2 indicators:

Incidence rate of alcohol-related cancer

Number of licensed premises per kilometre squared

June 2019

'At a glance' summaries have been added to LAPE.  The new reports have been added to the download tab and are available for local authorities, regions and England, showing the latest values and significance of the change from the last period.

May 2019

Due to concerns of usefulness and future sustainability, LAPE is considering removing the ‘Claimants of benefits due to alcoholism’ indicator.  Feedback is sought via the ‘Contact Us’ option at the top of this page, otherwise the indicator will be removed in the planned July 2019 update.

February 2019

More recent data for 13 indicators:

5.02 Admission episodes for alcohol-specific conditions - Under 18s

6.02 Admission episodes for alcohol-specific conditions

9.01 Admission episodes for alcohol-related conditions (Broad) 

9.03 Admission episodes for alcohol-related cardiovascular disease (Broad)

9.04 Admission episodes for mental and behavioural disorders due to use of alcohol (Broad)

9.05 Admission episodes for alcoholic liver disease (Broad)

10.01 Admission episodes for alcohol-related conditions (Narrow)

10.03 Admission episodes for alcohol-related unintentional injuries (Narrow)

10.04 Admission episodes for mental and behavioural disorders due to use of alcohol (Narrow)

10.05 Admission episodes for intentional self-poisoning by and exposure to alcohol (Narrow)

10.06 Admission episodes for alcohol-related conditions (Narrow) - Under 40s

10.07 Admission episodes for alcohol-related conditions (Narrow) - 40-64 yrs

10.08 Admission episodes for alcohol-related conditions (Narrow) - Over 65s

December 2018

More recent data for 4 indicators:

1.02 Years of life lost due to alcohol-related conditions

2.01 Alcohol-specific mortality

3.01 Mortality from chronic liver disease

4.01 Alcohol-related mortality

Data correction applicable to 1 indicator:

12.01 Alcohol-related road traffic accidents

September 2018

More recent data for 1 indicator:

18.01 Number of premises licensed to sell alcohol per square kilometre 

July 2018

More recent data for 2 indicators:

12.01 Alcohol-related road traffic accidents

13.01 Incidence rate of alcohol-related cancer

May 2018

New indicator - Percentage of dependent drinkers

Estimated percentage of adults with alcohol dependence (2014/15)

11.01 Claimants of benefits due to alcoholism update - Indicator not being updated at this time, this is due to the impact of some discrepancies identified with the medical condition / International Classification of Diseases (ICD) codes used for Employment and Support Allowance, Incapacity Benefit and Severe Disablement Allowance statistics. This has led to the temporary withdrawal of these statistics by the data provider.

February 2018

Updated data for Alcohol-related hospital admissions - Statistical tables for England (formerly produced by the HSCIC) within the Further resources section of the Local Alcohol Profiles for England (LAPE)

Restructure of Local Alcohol Profiles for England (LAPE) Fingertips profile

Data, reports and documents that would have previously featured in the Quarterly data, Additional data and reports and Further information sections of LAPE can now be sourced within the Further resources section of LAPE. 

More recent data for 13 indicators:

5.02 Admission episodes for alcohol-specific conditions - Under 18s

6.02 Admission episodes for alcohol-specific conditions

9.01 Admission episodes for alcohol-related conditions (Broad) 

9.03 Admission episodes for alcohol-related cardiovascular disease (Broad)

9.04 Admission episodes for mental and behavioural disorders due to use of alcohol (Broad)

9.05 Admission episodes for alcoholic liver disease (Broad)

10.01 Admission episodes for alcohol-related conditions (Narrow)

10.03 Admission episodes for alcohol-related unintentional injuries (Narrow)

10.04 Admission episodes for mental and behavioural disorders due to use of alcohol (Narrow)

10.05 Admission episodes for intentional self-poisoning by and exposure to alcohol (Narrow)

10.06 Admission episodes for alcohol-related conditions (Narrow) - Under 40s

10.07 Admission episodes for alcohol-related conditions (Narrow) - 40-64 yrs

10.08 Admission episodes for alcohol-related conditions (Narrow) - Over 65s

November 2017

Provisional data for Q1 2017/18 now available - see Quarterly data within the Further resources section of the Local Alcohol Profiles for England (LAPE)

More recent data for 2 indicators:

3.01 Mortality from chronic liver disease

4.01 Alcohol-related mortality

Revised data applicable to 2 indicators and more recent data:

1.02 Years of life lost due to alcohol-related conditions

2.01 Alcohol-specific mortality

August 2017

Provisional quarterly admission episodes for alcohol-related conditions (Broad and Narrow) for Q4 2016/17 are now available.

June 2017

The CCG values have been updated in the quarterly admission episodes for alcohol-related conditions, broad Q1 2009/10 to Q3 2016/17 (provisional) dataset. This is due to an error being identified effecting the ordering of the CCG geogs (events and rates). We apologise for any inconvenience caused.

May 2017

The updated profiles contain 2 new indicators:

5.02 - Admission episodes for alcohol-specific conditions - Under 18s

6.02 - Admission episodes for alcohol-specific conditions

Data correction applicable to 3 indicators and more recent data:

10.06 Admission episodes for alcohol-related conditions (Narrow) - Under 40s

10.07 Admission episodes for alcohol-related conditions (Narrow) - 40-64 yrs

10.08 Admission episodes for alcohol-related conditions (Narrow) - Over 65s

Minor revision and more recent data for 8 indicators:

9.01 Admission episodes for alcohol-related conditions (Broad)

9.03 Admission episodes for alcohol-related cardiovascular disease conditions (Broad)

9.04 Admission episodes for alcohol-related mental and behavioural disorders due to use of alcohol condition (Broad)

9.05 Admission episodes for alcohol-related alcoholic liver disease condition (Broad)

10.01 Admission episodes for alcohol-related conditions (Narrow)

10.03 Admission episodes for alcohol-related unintentional injuries conditions (Narrow)

10.04 Admission episodes for alcohol-related mental and behavioural disorders due to use of alcohol condition (Narrow)

10.05 Admission episodes for alcohol-related intentional self-poisoning by and exposure to alcohol condition (Narrow)

13.01 Incidence rate of alcohol-related cancer 

More recent data for 1 indicator

11.01 Claimants of benefits due to alcoholism

March 2017

The updated profiles contain 8 new indicators:

17.01 Volume of alcohol sold through the off-trade: all alcohol sales

17.02 Volume of alcohol sold through the off-trade: beer sales

17.03 Volume of alcohol sold through the off-trade: wine sales

17.04 Volume of alcohol sold through the off-trade: spirit sales  

18.01 Number of premises licensed to sell alcohol per square kilometre

19.01 Percentage of adults who abstain from drinking alcohol

19.02 Percentage of adults binge drinking on heaviest drinking day

19.03 Percentage of adults drinking over 14 units of alcohol a week

February 2017

The updated profiles contain 1 new indicator:

1.02 Years of life lost due to alcohol-related conditions

More recent data for 4 indicators:

2.01 Alcohol-specific mortality

3.01 Mortality from chronic liver disease

4.01 Alcohol-related mortality

12.01 Alcohol-related road traffic accidents

May 2016

The updated profiles contain 4 new indicators:

10.06 Admission episodes for alcohol-related conditions (Narrow) - Under 40's

10.07 Admission episodes for alcohol-related conditions (Narrow) - 40-64 yrs

10.08 Admission episodes for alcohol-related conditions (Narrow) - Over 65's

13.01 Incidence rate of alcohol-related cancer

More recent data for 13 indicators:

5.01 Persons under 18 admitted to hospital for alcohol-specific conditions

6.01 Persons admitted to hospital for alcohol-specific conditions

7.01 Persons admitted to hospital for alcohol-related conditions (Broad)

8.01 Persons admitted to hospital for alcohol-related conditions (Narrow)

9.01 Admission episodes for alcohol-related conditions (Broad)

10.01 Admission episodes for alcohol-related conditions (Narrow)

9.03 Admission episodes for alcohol-related cardiovascular disease conditions (Broad)

9.04 Admission episodes for mental and behavioural disorders due to use of alcohol condition (Broad)

9.05 Admission episodes for alcoholic liver disease condition (Broad)

10.03 Admission episodes for alcohol-related unintentional injuries conditions (Narrow)

10.04 Admission episodes for mental and behavioural disorders due to use of alcohol condition (Narrow)

10.05 Admission episodes for intentional self-poisoning by and exposure to alcohol condition (Narrow)

11.01 Claimants of benefits due to alcoholism