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Understanding the Attributable Fractions and VSC26

2. Content. Where are we and how have we got here?What do the latest data tell us?What are PCTs planning?What data are available for 2008/09?What is coming up?. 3. Where are we and how have we got here?. . . Defining indicator. . . Definitions released for VS/NIS. . Dec 07. Oct 07. . Performanc

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Understanding the Attributable Fractions and VSC26

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    1. Alcohol Improvement Programme - National Conference Turning Data into Intelligence and Harnessing Social Marketing Tuesday 2nd and Wednesday 3rd June 2009 Chris Gibbins, Health Improvement Analytical Team, Department of Health Understanding the Attributable Fractions and VSC26/NI39

    2. 2 Content Where are we and how have we got here? What do the latest data tell us? What are PCTs planning? What data are available for 2008/09? What is coming up?

    3. 3 Where are we and how have we got here? Defining indicator

    4. 4 What do the latest data tell us? The rate in 2007/08 was 1473 per 100,000 population, a 6% increase on 2006/07 - slightly below the baseline trend increase. This equates to a total of 863,000 admissions, an increase of 64,000 (8%) on 2006/07. The increase varies considerably between PCTs.

    5. 5 What do the latest data tell us? No strong relationship between degree of increase and current rate – ie the gap between PCTs is not growing (or shrinking) significantly.

    6. 6 What do the latest data tell us? Increase slightly higher among female population (not accounted for by population growth / ageing). Growth higher among older people (only some explained by ageing population). Elective and A&E admissions have both increased as a percentage of the total.

    7. 7 What do the latest data tell us? Admissions with an alcohol-specific condition accounted for a quarter of the total. They increased by 70% between 2002/03 and 2007/08, close to the average of 69%. For over half of the admissions, the principal alcohol-related condition was an “other chronic disease with a low attributable fraction” - nearly two thirds of which were hypertensive diseases. There was a 92% increase in admissions in this group.

    8. 8 What do the latest data tell us? 20% of patients account for 57% of the admissions. 1% account for one in eight. Who are these patients?

    9. 9 What data are available for 2008/09? IC are now publishing monthly data on admitted patients IC policy is that most recent month should not be used because of insufficient quality This view supported by analysis. However, increase in single month’s figures between 2nd and 3rd month of release typically 2% - 5%. Can get some big changes in minority of PCTs. Propose to use from 3rd month. Can now release data up to Dec 2008. Propose to release quarterly.

    10. 10 What data are available for 2008/09? Suggests admissions at national level are running about 7.5% above 2007/08

    11. 11 What is coming up? Defining indicator

    12. 12 What is coming up? Publication of Qs 1 to 3 2008/09 on LAPE Further sub-analyses on LAPE Alcohol-related admissions variable on HES data sets

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