One in a regular series of slide sets on interesting data about alcohol and other drugs (and the wider issues to do with multiple needs) from a UK perspective.

1. Interesting things about
alcohol and other drugs
April 2017
ANDREW BROWN
@ANDREWBROWN365

2. Proportion of local authorities reporting how the provision of specialist support
and/or accommodation for the groups of homeless people/those at risk of
homelessness changed since 2010?
21%
11%
32%
21%
30%
14%
24%
17% 16% 20%
10% 13%
21% 22%
28% 31% 33%
38% 39%
44%
-50%
-40%
-30%
-20%
-10%
0%
10%
20%
30%
40%
Migrants Women DV survivors Care leavers 16-17s Ex-prisoners 18-24s Substance
abusers
Alcohol abusers Mental ill health
sufferers
Increased Reduced n = 162
Source: The homelessness monitor: England 2017 (JRF and Crisis, 2017)

3. Number of mental health patients in England at year end, by status30,913
40,146
43,262
45,797
48,663
50,964
54,225
75,843
71,278
68,906
62,113
59,076
57,845
51,196
0
20,000
40,000
60,000
80,000
100,000
120,000
2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15
Detained Informal “The reasons why increasing numbers of mental
health patients are being detained are likely to be
complex and may differ from area to area. Focused
work is needed to investigate this. For example,
data on community-based services for the same
period show a decline in patient contact. This could
suggest that reductions in the support that would
keep patients out of acute crisis and reduce hospital
admissions are a factor in the rising numbers of
detentions. It may also be that rising detention
rates are related to repeated admissions of the
same patient on a rapid cycle, or that the threshold
for accessing one of the reduced number of beds is
now that a patient meets the criteria for detention
under the MHA.”
Source: Monitoring The Mental Health Act In 2015/16 (CQC, 2017)

4. NHS hospital finished admission episodes with a primary diagnosis of drug
related mental health and behavioural disorders in England
7,757
6,743 6,675
5,668 5,809
6,640
6,227
6,549
7,139
8,149
8,621
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000
10,000
2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16
Source: Statistics on Drugs Misuse: England, 2017 (NHS Digital, 2017)
There were 8,621 hospital admissions with a
primary diagnosis of drug-related mental
health and behavioural disorders. This is 6%
more than 2014/15 and 11% higher than
2005/06.
The North West had the highest rate of
admissions per 100,000 population for both
males and females at 38 and 13 respectively.
The South West had the lowest rate for males
at 15 while East of England was the lowest for
females at 6.

5. NHS hospital finished admission episodes with a primary or secondary diagnosis
of drug related mental health and behavioural disorders in England
81,904
74,801
68,597
61,142
57,852
51,353
44,585
42,17040,421
38,17038,005
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
90,000
2015/162014/152013/142012/132011/122010/112009/102008/092007/082006/072005/06
There were 81,904 hospital admissions with a
primary or secondary diagnosis of drug-
related mental and behavioural disorders.
This is 9% more than 2014/15 and over
double the level in 2005/06 – though the
increase from 2005/06 will be partly due to
improvements in recording of secondary
diagnoses.
The North West had the highest rate of
admissions per 100,000 population for both
males and females at 326 and 141
respectively. The South East had the lowest
rates at 139 for males and 61 for females.
Source: Statistics on Drugs Misuse: England, 2017 (NHS Digital, 2017)

6. Hospital admissions with a primary diagnosis of poisoning by illicit drugs in
England
15,074
14,27914,063
12,23812,34612,586
11,618
11,09011,110
10,04710,012
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
2015/162014/152013/142012/1392011/122010/112009/102008/092007/082006/072005/06
There were 15,074 hospital admissions with a
primary diagnosis of poisoning by illicit drugs.
This is 6% more than 2014/15 and 51% more
than 2005/06.
The North West had the highest rate of
admissions per 100,000 population for both
males and females at 48 and 40 respectively.
London had the lowest rates at 15 for males
and 12 for females.
Source: Statistics on Drugs Misuse: England, 2017 (NHS Digital, 2017)

7. How total duty (and duty per unit change by ABV, comparing 1 pint of beer to 1
pint of cider
£0.00
£0.20
£0.40
£0.60
£0.80
£1.00
£1.20
3.5% ABV 5% ABV 7.5% ABV 7.6% ABV
Total duty - 1 pint beer Duty per unit - 1 pint beer Total duty - 1 pint cider Duty per unit - 1 pint cider “So the total duty paid on beer
increases with strength and
leaps up for products above
7.5% ABV. For cider, the
total duty is lower to begin
with, does not increase with
strength and, crucially, the
duty per unit goes down as the
strength goes up. In other
words, cider producers suffer
no financial penalty for
increasing the strength of their
product to attract those
motivated to maximise their
alcohol intake.”
Source: Cheap cider and an alcohol duty system that incentivises harmful practice, APE: ALCOHOL POLICY AND EPIDEMIOLOGY (2017)

8. Prison population under an immediate custodial sentence for drug offenses
9,987
59 341 55
10,582
49 332 45
0
2,000
4,000
6,000
8,000
10,000
12,000
Trafficking in controlled drugs Other drug offencesPossession of controlled drugs (excluding cannabis)Possession of cannabis
30-Jun-15 30-Jun-16
Source: Hansard 2017

9. The number of males and females remanded to custody for drug offences in
England and Wales
1,680 1,748
1,629
1,496 1,454
83
95
84
75 66
0
200
400
600
800
1,000
1,200
1,400
1,600
1,800
2,000
30-Jun-15 30-Sep-15 31-Dec-15 31-Mar-16 30-Jun-16
Males Females
Source: Hansard 2017

10. Prison population in England and Wales under immediate custodial sentence for
drug offences by sentence length
88 139
548
3,552
1,399
1,920
1,404
877
711
11
302
57
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
Source: Hansard 2017

11. Percentage change in planned mental health spend as proportion of overall CCG
allocation, by STP footprint, from 2015-16 to 2016-17
-4.00%
-2.00%
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
12.00%
14.00%
16.00%
Source: Health Service Journal (2017)

12. Amount of alcohol sold, and value, by off or on sales in England in 2014
236
125
0
50
100
150
200
250
Litres
Millions
Off sales On sales
£13
£20
£0
£5
£10
£15
£20
£25
Value of alcohol sold
Billions
Off sales On sales
Source: Estimated on and off-trade sales of alcohol in England in 2014 (PHE 2017)

13. The ten local authority areas that with the highest value of alcohol sales to the
economy (£ millions)
£0
£100
£200
£300
£400
£500
£600
£700
£800
Millions
On sales Off sales
Source: Estimated on and off-trade sales of alcohol in England in 2014 (PHE 2017)
There are a group of local authorities which
appear to have particularly high on-trade
sales per head… It is noticeable that all of
them are either London boroughs or areas
with high levels of tourism.
This suggests that the variation observed in
rates of on-trade sales by local authority may
be more influenced by non-resident
consumption than by differences in drinking
patterns by the resident population.
Furthermore, this suggests that on-trade
sales may be a less useful local public health
measure since higher levels will be
associated with alcohol consumption by the
non-resident population.

14. The ten local authority areas with the highest value of alcohol sales per adult
resident
£0
£500
£1,000
£1,500
£2,000
£2,500
£3,000
£3,500
£4,000
Westminster Blackpool Kensington
and Chelsea
Camden
London
South
Lakeland
Scarborough Craven Isle of Wight North Devon Windsor and
Maidenhead
On Sales
Off sales
Source: Estimated on and off-trade sales of alcohol in England in 2014 (PHE 2017)

15. The ten local authorities with the highest volume of alcohol sold through the off-
trade (litres per adult)
9.40
9.19
9.10
8.62
8.54
8.35
8.29
8.18
8.16
8.10
0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 9.00 10.00
Blackpool
Newcastle upon Tyne
Reading
Hartlepool
Darlington
North Tyneside
Tameside
Northumberland
Bradford
South Tyneside
Source: Estimated on and off-trade sales of alcohol in England in 2014 (PHE 2017)

16. Proportion of the population evicted from their homes in Europe
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
0.45
NB - Data shown here reflects existing information
and is not a tool for cross-country comparison.
Source: The Second Overview of Housing Exclusion in Europe 2017 (FEANTSA, 2017)