Alcohol

Summary

Excessive alcohol consumption is England’s second biggest cause of premature mortality behind tobacco use. Regular heavy drinking and binge-drinking behaviours are associated with a whole range of issues including anti-social behaviour, and an increased risk of physical and mental health problems. Long-term alcohol misuse is linked to a range of cancers, cardiovascular diseases, chronic liver disease and diabetes as well as having an impact on the social wellbeing of a person, their family, and friends. Long-term alcohol misuse can lead to social problems such as unemployment, domestic abuse and homelessness.

Key findings

The rates below are directly standardised (DSR) and are per 100,000 of the population (all ages unless stated). 

Alcohol-specific conditions

The term 'alcohol-specific conditions' refers to conditions caused wholly by the use of alcohol including alcohol-induced behavioural disorders and alcohol-related liver cirrhosis.

  • During the 2018/19 period, there were a total of 8,673 alcohol-specific hospital admissions (for all persons) recorded across Lancashire-12, giving the area a DSR of 726, significantly above the England rate of 626.
  • Both Blackpool (1,309) and Blackburn with Darwen (1,391) record alcohol-specific admission rates significantly above the England rate and also rank within the worst 10% of authorities in the country.
  • Burnley (1,069)), Hyndburn (984), Preston (851), West Lancashire (756), Rossendale (725) and Lancaster (702) record rates significantly above England. 
  • Only Fylde (552) is significantly better than England. 
  • Between 2016/17 - 2018/19, there were 300 hospital admission episodes for alcohol-specific conditions involving persons aged 17 and under in Lancashire-12. This gives the area a DSR of 40.3 per 100,000 people, significantly above the England rate of 31.6.
  • Blackpool (52.1) is also significantly above the England rate, while Blackburn with Darwen (38.9) is similar. 
  • At a district level Lancaster (73.7) and Burnley (49.6) have significantly higher rates than England, while the remaining ten districts are similar. 
  • The latest three-year (2016-18) alcohol-specific mortality rates show that there were 470 deaths across Lancashire-12, giving the area a DSR of 13.2 (all ages), significantly above the England rate of 10.8.
  • Blackpool (29.8) and Blackburn with Darwen (14.7) are also significantly higher.
  • At a district level, Lancaster (17.1), South Ribble (17.1) and Preston (15.3) are significantly higher than England, while only Ribble Valley (5.1) is significantly lower.
  • The recent trend across Lancashire-12 shows an increase in alcohol-specific mortality for all people, all ages. 

Alcohol-related conditions

Admissions for alcohol-related conditions (narrow) refers to where the primary diagnosis is an alcohol-related condition, or a secondary diagnosis is an alcohol-related external cause. Alcohol-related mortality refers to deaths with an alcohol attributable fraction based on the underlying cause of death (including ethanol or methanol poisoning and the toxic effects of alcohol). 

  • In 2018/19, across Lancashire-12, a total of 7,996 hospital admissions were classed as being due to alcohol-related conditions. This gives the area a DSR of 664, which is similar to England (664). 
  • Blackpool's rate (1,015) is also significantly higher than England, while Blackburn with Darwen (675) is similar. 
  • At a district level, Lancaster (774), Burnley (769), Wyre (756) and Preston (714) all record rates significantly above England.
  • Pendle (597), Rossendale (578), South Ribble (566) and Ribble Balley (503) are all significantly lower. 
  • There were 661 alcohol-related deaths recorded across Lancashire-12 in 2018, giving the area a DSR of 54.2, significantly higher than England's rate (46.5).
  • Blackpool (86.1) is significantly above the national average and has the highest rate in the country. Blackburn with Darwen (62.7) is also significantly higher. 
  • While the majority of the Lancashire-12 districts have rates in line with England, Hyndburn (65.2) and Preston (63.9) are both significantly higher.

The Local Alcohol Profiles for England provide local data alongside national comparators to support local health improvement. The Health Behaviours JSNA also has some additional alcohol intelligence alongside other lifestyle and wider determinants of health. 

For county and unitary data and further information please see below.

Page updated January 2021