This statistical report presents a range of information on alcohol use and misuse by adults and children drawn together from a variety of sources for England unless otherwise stated. More information can be found in the source publications which contain a wider range of data and analyses. Newly published data includes: Adult Drinking Habits which is being published by ONS on the same day as this report. New analyses of data on affordability of alcohol using already published ONS data. Information on the volume and cost of prescriptions from NHS Digital. The latest information from already published sources includes: Alcohol-related hospital admissions published by PHE in their Local Alcohol Profiles for England (LAPE) which uses data from NHS Digital’s Hospital Episode Statistics (HES). Alcohol-specific deaths published by ONS. Health Survey for England (HSE). Smoking, Drinking and Drug Use (SDD). Road casualties involving illegal alcohol levels published by Department for Transport. Family Food report from the Living Costs and Food Survey (LCFS).

Public Health England (PHE) has published an update to Local Alcohol Profiles for England (LAPE).

The LAPE interactive tool presents a range of alcohol-related indicators and allows users to view and analyse data in a user-friendly format.

The aim of the profile 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.

This release includes new data for the following indicators:

• percentage of adults who abstain from drinking alcohol
• percentage of adults binge drinking on heaviest drinking day
• percentage of adults drinking over 14 units of alcohol a week
• incidence rate of alcohol-related cancer

View previous LAPE updates.

Relevant https://webarchive.nationalarchives.gov.uk/20171107173418/http://www.lape.org.uk/">information from LAPE is available to aid in the understanding of alcohol-related harm in a local population.

In April 2020, a survey carried out in the United Kingdom found that since the lockdown restrictions were imposed due to the coronavirus (COVID-19) pandemic, 20 percent of respondents aged between 18 and 24 years were consuming a little more alcohol than usual, while a further four percent were drinking alcohol a lot more than usual. Furthermore, just under a fifth of respondents in the age groups between 25 and 54 years of age were a drinking a bit more alcohol than normal. The latest number of cases in the UK can be found here. For further information about the coronavirus pandemic, please visit our dedicated Facts and Figures page.

Annual data on number of alcohol-specific deaths by sex, age group and individual cause of death, UK constituent countries.

This public health factsheet describes facts, assets, and strategies related to alcohol health impacts in Camden.

Annual data on age-standardised and age-specific alcohol-related death rates in the UK, its constituent countries and regions of England.

This report contains results from the latest survey of secondary school pupils in England in years 7 to 11 (mostly aged 11 to 15), focusing on smoking, drinking and drug use. It covers a range of topics including prevalence, habits, attitudes, and wellbeing. This survey is usually run every two years, however, due to the impact that the Covid pandemic had on school opening and attendance, it was not possible to run the survey as initially planned in 2020; instead it was delivered in the 2021 school year. In 2021 additional questions were also included relating to the impact of Covid. They covered how pupil's took part in school learning in the last school year (September 2020 to July 2021), and how often pupil's met other people outside of school and home. Results of analysis covering these questions have been presented within parts of the report and associated data tables. It includes this summary report showing key findings, excel tables with more detailed outcomes, technical appendices and a data quality statement. An anonymised record level file of the underlying data on which users can carry out their own analysis will be made available via the UK Data Service later in 2022 (see link below).

Due to the coronavirus outbreak in early 2020 some consumers in European countries have increased their alcohol consumption. According to a survey in late March and early April of 2020 about 12 percent of respondents from the United Kingdom stated that they currently drink more alcohol than before the outbreak. The share of respondents that now drink more was largest in the UK. About two percent behind the UK was the share of respondents from France. For more statistics and data on COVID-19 visit our facts and figures page on the pandemic.

The Alcohol Duties Factsheet provides information on for alcoholic drinks - spirits, wine, beer and cider. The factsheet contains historic series of the amounts of goods cleared, the amount of duty collected and taxation on alcohol in the UK. The factsheet also provides information on alcohol duty rates for the European countries. Source agency: HM Revenue and Customs Designation: Official Statistics not designated as National Statistics Language: English Alternative title: Alcohol Duties Factsheet

This statistic displays the proportion of school children who think that their school has given them enough information about smoking, alcohol or drugs in the last year in England in 2023, by school year. In this year, 71 percent of year 11 pupils thought they had been given enough information about smoking, compared to 61 percent of year seven pupils who thought they had been given enough information about smoking.

Deaths from alcohol-related conditions, all ages, directly age-standardised rate per 100,000 population (standardised to the European standard population).

Rationale Alcohol consumption is a contributing factor to hospital admissions and deaths from a diverse range of conditions. Alcohol misuse is estimated to cost the NHS about £3.5 billion per year and society as a whole £21 billion annually.

The Government has said that everyone has a role to play in reducing the harmful use of alcohol - this indicator is one of the key contributions by the Government (and the Department of Health and Social Care) to promote measurable, evidence-based prevention activities at a local level, and supports the national ambitions to reduce harm set out in the Government's Alcohol Strategy. This ambition is part of the monitoring arrangements for the Responsibility Deal Alcohol Network. Alcohol-related deaths can be reduced through local interventions to reduce alcohol misuse and harm.

The proportion of disease attributable to alcohol (alcohol attributable fraction) is calculated using a relative risk (a fraction between 0 and 1) specific to each disease, age group, and sex combined with the prevalence of alcohol consumption in the population. All mortality records are extracted that contain an attributable disease and the age and sex-specific fraction applied. The results are summed into quinary age bands for the numerator and a directly standardised rate calculated using the European Standard Population. This revised indicator uses updated alcohol attributable fractions, based on new relative risks from ‘Alcohol-attributable fractions for England: an update’ (1) published by PHE in 2020. A detailed comparison between the 2013 and 2020 alcohol attributable fractions is available in Appendix 3 of the PHE report (2). A consultation was also undertaken with stakeholders where the impact of the new methodology on the LAPE indicators was quantified and explored (3).

The calculation that underlies all alcohol-related indicators has been updated to take account of the latest academic evidence and more recent alcohol-consumption figures. The result has been that the newly published mortality and admission rates are lower than those previously published. This is due to a change in methodology, mainly because alcohol consumption across the population has reduced since 2010. Therefore, the number of deaths and hospital admissions that we attribute to alcohol has reduced because in general people are drinking less today than they were when the original calculation was made.

Figures published previously did not misrepresent the burden of alcohol based on the previous evidence – the methodology used in this update is as close as sources and data allow to the original method. Though the number of deaths and admissions attributed to alcohol each year has reduced, the direction of trend and the key inequalities due to alcohol harm remain the same. Alcohol remains a significant burden on the health of the population and the harm alcohol causes to individuals remains unchanged.

References:

PHE (2020) Alcohol-attributable fractions for England: an update PHE (2020) Alcohol-attributable fractions for England: an update: Appendix 3 PHE (2021) Proposed changes for calculating alcohol-related mortality

Definition of numerator Deaths from alcohol-related conditions based on underlying cause of death, registered in the calendar year for all ages. Each alcohol-related death is assigned an alcohol attributable fraction based on underlying cause of death (and all cause of deaths fields for the conditions: ethanol poisoning, methanol poisoning, toxic effect of alcohol). Alcohol-attributable fractions were not available for children.

Mortality data includes all deaths registered in the calendar year where the local authority of usual residence of the deceased is one of the English geographies and an alcohol attributable diagnosis is given as the underlying cause of death. Counts of deaths for years up to and including 2019 have been adjusted where needed to take account of the MUSE ICD-10 coding change introduced in 2020. Detailed guidance on the MUSE implementation is available at: MUSE implementation guidance.

Counts of deaths for years up to and including 2013 have been double adjusted by applying comparability ratios from both the IRIS coding change and the MUSE coding change where needed to take account of both the MUSE ICD-10 coding change and the IRIS ICD-10 coding change introduced in 2014. The detailed guidance on the IRIS implementation is available at: IRIS implementation guidance.

Counts of deaths for years up to and including 2010 have been triple adjusted by applying comparability ratios from the 2011 coding change, the IRIS coding change, and the MUSE coding change where needed to take account of the MUSE ICD-10 coding change, the IRIS ICD-10 coding change, and the ICD-10 coding change introduced in 2011. The detailed guidance on the 2011 implementation is available at: 2011 implementation guidance.

Definition of denominator ONS mid-year population estimates aggregated into quinary age bands.

Caveats There is the potential for the underlying cause of death to be incorrectly attributed on the death certificate and the cause of death misclassified. Alcohol-attributable fractions were not available for children. Conditions where low levels of alcohol consumption are protective (have a negative alcohol-attributable fraction) are not included in the calculation of the indicator.

The confidence intervals do not take into account the uncertainty involved in the calculation of the AAFs – that is, the proportion of deaths that are caused by alcohol and the alcohol consumption prevalence that are included in the AAF formula are only an estimate and so include uncertainty. The confidence intervals published here are based only on the observed number of deaths and do not account for this uncertainty in the calculation of attributable fraction - as such the intervals may be too narrow.

The prevalence of alcohol consumption above certain specified levels (“sensible” limits) based on people’s estimates of amounts drank on a “usual” occasion recorded in terms of five different types of drink and then converted into units of alcohol: The prevalence of alcohol consumption based on results from the Health Survey for England including: Proportion of men drinking more than 4 units and women drinking more than 3 units of alcohol in heaviest drinking day last week; Proportion of men drinking more than 8 units and women drinking more than 6 units of alcohol in heaviest drinking day last week. To help reduce the prevalence of excessive alcohol consumption and the health risks associated with single episodes of intoxication.The damage caused by alcohol misuse to individuals and society has become an increasing focus of public concern in recent years. Drinking alcohol has been linked to increased risks of hypertension, stroke, coronary heart disease, liver cirrhosis and some cancers. Legacy unique identifier: P00859

Update of the Alcohol section of the ScotPHO website to include elements of the former Alcohol Statistics Scotland publication and the Alcohol Information Scotland website. Mainly links to already published data but some new data (primary care). Source agency: ISD Scotland (part of NHS National Services Scotland) Designation: Official Statistics not designated as National Statistics Language: English Alternative title: ScotPHO Alcohol Update

In 2022, 26 percent of men and 23 percent of women aged between 16 and 24 years old do not drink alcohol or have not done so in the last twelve months.

Smoking, Drinking and Drugs Use among Young People in England is an annual survey carried out in participating schools across England to provide information on pupils' smoking, drinking and drug use behaviours. The survey focuses on different behaviours in different years, alternating between smoking and drinking one year, to drug use the next. Source agency: Health and Social Care Information Centre Designation: National Statistics Language: English Alternative title: Smoking, drinking and drug use among young people in England

The alcohol consumption per capita ranking is led by Romania with ***** liters, while Georgia is following with ***** liters. In contrast, Bangladesh is at the bottom of the ranking with **** liters, showing a difference of ***** liters to Romania. Depicted is the estimated alcohol consumption in the country or region at hand.The shown data are an excerpt of Statista's Key Market Indicators (KMI). The KMI are a collection of primary and secondary indicators on the macro-economic, demographic and technological environment in up to *** countries and regions worldwide. All indicators are sourced from international and national statistical offices, trade associations and the trade press and they are processed to generate comparable data sets (see supplementary notes under details for more information).

Number of premises licences and club premises certificates permitted to sell or supply alcohol per square kilometre.

Rationale Local authorities have a demand for better local information on the supply and demand for alcohol in their areas so that this information can be seen alongside alcohol harms. Licensing is one of the few areas where local areas have the power to act to reduce alcohol availability. By including this data in LAPE, LAs can compare the number and density of licensed premises in their area with similar areas and with areas experiencing similar harms.

Definition of numerator Number of premises licences and club premises certificates permitted to sell or supply alcohol on-trade and/or off-trade. Annual administrative returns from local authorities are published as National Statistics by the Home Office. They are based on administrative data returns from LAs. Where LAs provide missing or incomplete data, values are imputed to estimate a complete England total. However, imputed estimates are not published by LA.

Definition of denominator The total land area of the local authority converted from hectares to kilometres squared.

Caveats A premises may have a licence to sell alcohol but not actually sell alcohol. A premises may have ceased trading since a licence was granted but not yet been removed from LA records. For a small number of LAs, there are missing or incomplete data and hence we would be unable to provide a value for those areas. Correspondingly, the England value is based on local authorities with a known number of licensed premises only.