Alcohol in the West Midlands

Hospital admissions for alcohol-related conditions

Persons, all ages

Time period	West Midlands Value	95% confidence interval lower limit	95% confidence interval upper limit	England Value
2016/17	551	545	557	492
2017/18	535	529	541	488
2018/19	573	567	580	512
2019/20	596	589	602	518
2020/21	512	506	518	456
2021/22	564	558	570	494
2022/23	564	558	570	475

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Source: Office for Health Improvement and Disparities (OHID) using NHS England Hospital Episode Statistics (HES) and Office for National Statistics (ONS) mid-year population estimates.

The line chart shows the rate of hospital admissions for alcohol-related conditions. The directly standardised rate in the West Midlands increased from 551 per 100,000 in the financial year ending 2017 to 564 per 100,000 in the financial year ending 2023.

Alcohol-related mortality

Persons, all ages

Time period	West Midlands Value	95% confidence interval lower limit	95% confidence interval upper limit	England Value
2016	39.5	37.8	41.2	36.3
2017	40.4	38.8	42.1	36.6
2018	40.3	38.7	42	36.6
2019	38.9	37.2	40.5	36.5
2020	42.6	40.9	44.4	37.9
2021	41.9	40.2	43.6	38.5
2022	44	42.3	45.8	39.7

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Source: Calculated by Office for Health Improvement and Disparities (OHID) from the Office for National Statistics (ONS) Annual Death Extract Public Health Mortality File and ONS Mid Year Population Estimates.

The line chart shows the rate of deaths from alcohol-related conditions. The directly standardised rate in the West Midlands increased from 39.5 per 100,000 in 2016 to 44 per 100,000 in 2022.

Hospital admissions for alcohol-specific conditions in under 18s

Persons, <18 years

Time period	West Midlands Value	95% confidence interval lower limit	95% confidence interval upper limit	England Value
2012/13 - 14/15	34.6	32.7	36.5	39.2
2013/14 - 15/16	32.6	30.8	34.4	37.6
2014/15 - 16/17	28.5	26.8	30.2	34.4
2015/16 - 17/18	27.5	25.9	29.3	33.2
2016/17 - 18/19	26.2	24.6	27.9	32
2017/18 - 19/20	25.9	24.3	27.6	31.2
2018/19 - 20/21	25.1	23.5	26.7	29.9
2019/20 - 21/22	22.7	21.2	24.2	28.8
2020/21 - 22/23	20.4	19	21.9	26

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Source: OHID, based on NHS England and Office for National Statistics data

The line chart shows the rate of hospital admissions for alcohol-specific conditions for people aged under 18. The crude rate in the West Midlands decreased from 34.6 per 100,000 in the financial 3 year period ending 2015 to 20.4 per 100,000 in the financial 3 year period ending 2023.

Successful completion of alcohol treatment

Persons, 18+ years

Time period	West Midlands Value	95% confidence interval lower limit	95% confidence interval upper limit	England Value
2010	31.6	30.7	32.5	31.4
2011	35.4	34.5	36.4	34.8
2012	36.7	35.8	37.6	37.1
2013	40.6	39.7	41.5	37.5
2014	39.8	38.9	40.7	38.4
2015	35.2	34.3	36.2	38.4
2016	38.2	37.2	39.1	38.7
2017	40.4	39.4	41.5	38.9
2018	37.8	36.7	38.8	37.6
2019	38	37	39.1	37.8
2020	34.9	33.9	35.9	35.3
2021	36.7	35.7	37.7	36.6
2022	35.4	34.5	36.4	35.1

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Source: Calculated by Office for Health Improvement and Disparities (OHID): using data from the National Drug Treatment Monitoring System

The line chart shows the percentage of people who completed alcohol treatment successfully and did not re-present within 6 months. The proportion in the West Midlands increased from 31.6% in 2010 to 35.4% in 2022.

Deaths from alcoholic liver disease, ages under 75

Persons, <75 years

Time period	West Midlands Value	95% confidence interval lower limit	95% confidence interval upper limit	England Value
2001	8.6	7.8	9.5	7.5
2002	9.3	8.4	10.3	7.9
2003	10	9.1	11	8.6
2004	9.8	8.9	10.8	8.7
2005	10.8	9.9	11.8	8.8
2006	11.7	10.7	12.7	9.3
2007	11.7	10.8	12.8	9.5
2008	12.7	11.7	13.7	9.8
2009	10.9	9.9	11.8	9
2010	11.8	10.8	12.8	9.2
2011	11.8	10.8	12.8	9.5
2012	9.8	8.9	10.7	8.5
2013	10.6	9.7	11.5	8.7
2014	10.8	9.9	11.8	8.9
2015	11.7	10.8	12.7	9
2016	11.5	10.6	12.5	9
2017	11.5	10.6	12.5	9.3
2018	11	10.1	12	8.9
2019	10.3	9.4	11.2	9.1
2020	13.6	12.6	14.6	10.7
2021	13.4	12.4	14.4	11.5
2022	14.5	13.4	15.5	11.6

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Source: Office for Health Improvement and Disparities (OHID) (based on ONS source data)

The line chart shows the rate of deaths from alcoholic liver disease for people aged under 75. The directly standardised rate in the West Midlands increased from 8.6 per 100,000 in 2001 to 14.5 per 100,000 in 2022.

Deaths from liver disease, ages under 75

Persons, <75 years

Time period	West Midlands Value	95% confidence interval lower limit	95% confidence interval upper limit	England Value
2001	15.7	14.5	16.9	15.4
2002	17.1	15.9	18.4	15.9
2003	18.1	16.8	19.4	17
2004	18.1	16.9	19.4	17.1
2005	19.7	18.4	21	17.1
2006	20.5	19.2	21.9	18.1
2007	20.1	18.8	21.5	18.2
2008	21.2	19.9	22.6	18.4
2009	19.7	18.5	21.1	17.9
2010	20	18.7	21.3	18.4
2011	19.7	18.5	21	18.6
2012	18.4	17.2	19.7	18
2013	20.1	18.9	21.4	18
2014	19.9	18.6	21.2	18.2
2015	21.7	20.4	23	18.6
2016	21.8	20.5	23.1	18.8
2017	21.5	20.2	22.8	19
2018	21.1	19.9	22.4	18.5
2019	19.7	18.5	21	18.9
2020	23.8	22.5	25.2	20.6
2021	23.4	22.1	24.8	21.2
2022	24	22.7	25.4	21.4

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Source: Office for Health Improvement and Disparities (based on Office for National Statistics source data)

The line chart shows the rate of deaths from liver disease for people aged under 75. The directly standardised rate in the West Midlands increased from 15.7 per 100,000 in 2001 to 24 per 100,000 in 2022.

Incidence of alcohol-related cancer

Persons, 16+ years

Time period	West Midlands Value	95% confidence interval lower limit	95% confidence interval upper limit	England Value
2004 - 06	34.9	34	35.9	35.3
2005 - 07	35.6	34.6	36.6	35.6
2006 - 08	36.4	35.4	37.4	36.3
2007 - 09	36.9	35.9	37.9	36.8
2008 - 10	37.5	36.5	38.5	37.4
2009 - 11	37.8	36.9	38.8	37.5
2010 - 12	38.6	37.6	39.6	37.9
2011 - 13	38.7	37.7	39.7	38.1
2012 - 14	39	38	40	38.3
2013 - 15	39.2	38.2	40.2	38.2
2014 - 16	38.9	38	39.9	38
2015 - 17	38.9	38	39.9	37.8
2016 - 18	38.7	37.7	39.6	37.8
2017 - 19	39.1	38.2	40.1	38

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Source: Produced by Office for Health Improvement and Disparities (OHID). Incidence data produced annually from the National Cancer Registration and Analysis Service (NCRAS). The Office for National Statistics (ONS) publishes mid-year population estimates.

The line chart shows the rate of new alcohol-related cancers diagnosed. The directly standardised rate in the West Midlands increased from 34.9 per 100,000 in 2004 to 2006 to 39.1 per 100,000 in 2017 to 2019.