Statistics on Alcohol England, 2016 Published 30 June 2016 Key facts Hospital admissions – broad measure • In 2014/15 there were 1.1 million estimated admissions where an alcohol-related disease, injury or condition was the primary reason for admission or a secondary diagnosis. This is 3% more than 2013/14. • Men accounted for nearly two-thirds of the admissions. • Salford had the highest rate at 3,570 per 100,000 population. Wokingham had the lowest rate at 1,270. Deaths • In 2014, there were 6,831 deaths which were related to the consumption of alcohol. This is an increase of 4% on 2013 and an increase of 13% on 2004. Prescriptions • 196 thousand prescription items were dispensed in England in 2015, which is 1% higher than in 2014 and nearly double the level ten years ago. • The total Net Ingredient Cost (NIC) for items prescribed for alcohol dependence in 2015 Hospital admissions – narrow measure was £3.93 million which is 15% higher than in • There were 333 thousand estimated 2014. admissions where an alcohol-related disease, injury or condition was the primary Drinking Prevalence diagnosis or there was an alcohol-related • 28.9 million people in Great Britain report external cause. This is similar to 2013/14 drinking alcohol in the previous week. This and 32% higher than 2004/05. equates to 58% of the population. • Blackpool had the highest rate at 1,220 per • In 2014, 38% of secondary school pupils had 100,000 population. Wokingham the ever drunk alcohol, the lowest proportion since lowest rate at 380. the survey began when it was 62%. 2 This is a National Statistics publication The United Kingdom Statistics Authority has designated these statistics as National Statistics, in accordance with the Statistics and Registration Service Act 2007 and signifying compliance with the Code of Practice for Official Statistics. Designation can be broadly interpreted to mean that the statistics: • meet identified user needs; • are well explained and readily accessible; • are produced according to sound methods; and • are managed impartially and objectively in the public interest. Once statistics have been designated as National Statistics it is a statutory requirement that the Code of Practice shall continue to be observed. Find out more about the Code of Practice for Official Statistics at www.statisticsauthority.gov.uk/assessment/code-of-practice 3 Contents Section Slide Key Facts 2 Introduction 5 Part 1 - Alcohol-related hospital admissions 6 Estimated alcohol-related hospital Admissions - broad measure Estimated alcohol-related hospital Admissions - narrow measure Part 2: Alcohol-related deaths Alcohol-related deaths Part 3 - Alcohol-related prescriptions Part 5 - Drinking behaviours among children 7 9 11 Slide 23 Drinking prevalence for children 24 Drinking prevalence for 15 year olds 29 Part 6 - Expenditure and affordability 31 Purchases and expenditure on alcohol 32 Affordability of alcohol 34 Expenditure on alcohol consumed Outside the home 35 12 13 Alcohol-related prescription items 14 Cost of alcohol-related prescription items 16 Part 4 - Drinking behaviours among adults Section Provide feedback 36 17 Drinking prevalence for adults 18 Adult substance misuse 22 4 Introduction This statistical report1 presents a range of information on alcohol use and misuse by adults and children, drawn together from a variety of sources for England. Some of this is new information whilst some has been published previously. More information can be found in the source publications which contain a wider range of data and analysis. Newly published data includes: • • New information from the Prescribing team at the HSCIC. New analyses of data on deaths and affordability of alcohol, both from ONS. The latest information from already published sources includes: • Analyses published by Public Health England (PHE) in their Local Alcohol Profiles for England (LAPE) which uses data from the Health and Social Care Information Centre (HSCIC) Hospital Episode Statistics (HES). • Smoking, Drinking and Drug Use (SDD). • Opinions and Lifestyles Survey (OPN). • Health Survey for England (HSE). • What About Youth (WAY). • Family Food report from the Living Costs and Food Survey (LCFS). 1. Most figures quoted in this report have been rounded. Unrounded data may be found in the associated data sources. 5 Part 1: Alcohol-related hospital admissions This section presents information on the number of hospital admissions for diseases, injuries and conditions that can be attributed to alcohol consumption. The broad measure is a better indicator of the total burden that alcohol has on health because it uses both primary and secondary diagnoses. Estimates of the number of alcohol-related hospital admissions have been calculated by applying alcohol-attributable fractions (AAFs)1 to Hospital Episode Statistics data. The narrow measure is a better indicator of changes over time because it is less affected by improvements in recording of secondary diagnoses. Two measures for alcohol-related hospital admissions have been used: • Broad measure – where an alcoholrelated disease, injury or condition was the primary reason for hospital admission or a secondary diagnosis; • Narrow measure – where an alcoholrelated disease, injury or condition was the primary reason for a hospital admission or an alcohol-related external cause was recorded in a secondary diagnosis field. 1. An AAF is the proportion of a condition assessed to have been caused by alcohol. See appendix B for more details. 6 Estimated alcohol-related hospital admissions - broad measure Local Alcohol Profiles for England (LAPE), 2014/15 Thousand 1,200 Total number of admissions 900 Partly attributable conditions 600 Wholly attributable conditions 300 0 Total number of admissions by age There were 1.1 million estimated admissions related to alcohol consumption. This is 3% more than 2013/14 and nearly double the level in 2004/05. (The change from 2004/05 will be partly due to improvements in recording of secondary diagnoses). Total number of admissions by sex 75+ 65-74 44% of patients were aged between 55 and 74. 55-64 45-54 35-44 25-34 16-24 65% 35% Under 16 0 100 200 300 Thousands For more information: Tables 1.1 and 1.2 of LAPE Statistical tables for England 7 Estimated alcohol-related hospital admissions - broad measure Local Alcohol Profiles for England (LAPE), 2014/15 Admissions per 100,000 population Admissions by diagnosis Salford had the highest rate at 3,570 per 100,000 population. Nearly half of admissions were for CVD. Wholly attributable Wokingham had the lowest rate at 1,270. 19% were for mental and behavioural disorders due to alcohol. Mental and behavioural… Alcoholic liver disease Toxic effect of alcohol Other wholly… Cardiovascular disease (CVD) Partially attributable Cancer Diseases of the nervous system Unintentional injuries Digestive disease Respiratory infections Intentional injuries Pregnancy and childbirth Infectious and parasitic diseases 0 200 400 600 Thousands For more information: Tables 1.2 and 1.3 of LAPE Statistical tables for England 8 Estimated alcohol-related hospital admissions - narrow measure Local Alcohol Profiles for England (LAPE), 2014/15 Thousands Total number of admissions 400 300 Partly attributable conditions There were 333 thousand estimated admissions related to alcohol consumption. 200 Wholly attributable conditions 100 This is similar to 2013/14 although it is 32% higher than 2004/05. 0 Total number of admissions by age Total number of admissions by sex 75+ 65-74 39% of patients were aged between 45 and 64 55-64 45-54 35-44 25-34 16-24 62% 38% 38% Under 16 0 50 100 Thousands For more information: Tables 1.4 and 1.5 of LAPE Statistical tables for England 9 Estimated alcohol-related hospital admissions - narrow measure Local Alcohol Profiles for England (LAPE), 2014/15 Admission by diagnosis Blackpool had the highest rate at 1,220 per 100,000 population. Nearly a quarter of admissions were for cancer. Wokingham the lowest rate at 380. 22% were for unintentional injuries. Wholly attributable Admissions per 100,000 population Mental and behavioural… Other wholly… Alcoholic liver disease Toxic effect of alcohol Cancer Partially attributable Unintentional injuries Cardiovascular disease (CVD) Respiratory infections Intentional injuries Digestive disease Diseases of the nervous system Pregnancy and childbirth Infectious and parasitic diseases 0 20 40 60 80 Thousands For more information: Tables 1.5 and 1.6 of LAPE Statistical tables for England 10 Part 2: Alcohol-related deaths Alcohol misuse can be directly related to deaths from certain types of disease, such as cirrhosis of the liver, and in some cases, may be associated with other causes of death, such as strokes. This section presents information on the number of deaths that can be attributed to alcohol consumption. Public Health England (PHE) also produces estimates on the number of alcohol-related deaths2. These estimates are higher than the ONS figures since they include conditions which are partially caused by alcohol. The data source is the Office for National Statistics (ONS) which uses the National Statistics (NS) definition of alcohol-related deaths1 which only includes causes regarded as being most directly related to alcohol consumption. Diseases where alcohol has been shown to have a causal relationship, such as cancers of the mouth, are not included. 1. Alcohol-related deaths by sex, age group and individual cause of death – Office for National Statistics 2. Local Alcohol Profiles for England (LAPE) – Public Health England 11 Alcohol-related deaths Office for National Statistics (ONS), 2004 to 2014 Alcohol-related deaths – last 10 years Number 8,000 In 2014, there were 6,831 deaths which were related to the consumption of alcohol. This is 1% of all deaths. 6,000 4,000 This is an increase of 4% on 2013 and an increase of 13% on 2004. 2,000 0 Alcohol attributable deaths by condition Alcoholic liver disease accounted for nearly twothirds (63%) of all alcoholrelated deaths. Number Alcohol attributable deaths by gender 4,500 3,000 1,500 0 Alcoholic Fibrosis and Mental and Accidental Other liver disease cirrhosis of behavioural poisoning by categories liver disorders and combined due to exposure to alcohol alcohol 65% For more information: Alcohol-related deaths by sex, age group and individual cause of death – Office for National Statistics 35% 12 Part 3: Alcohol-related prescriptions This section presents information on the number of prescriptions for drugs used to treat alcohol dependence and the Net Ingredient Cost (NIC) of these prescriptions. The data source is Prescription Analysis and Cost (PACT) data from NHS Prescription Services. The two main drugs prescribed for the treatment of alcohol dependence are Acamprosate Calcium (Campral) and Disulfiram (Antabuse). In May 2013 a new drug Nalmefene (Selincro) was launched. The number of prescriptions is not a good measure of the volume of drugs prescribed as different practices may use different durations of supply. The NIC is the basic cost of a drug as listed in the Drug Tariff or price lists; it does not include discounts, dispensing costs, prescription charges or fees. 13 Alcohol-related prescription items Prescription Analysis and Cost (PACT) data, 2014/15 Total prescription items dispensed – last 10 years Thousands Thousands Total 200 Acamprosate Calcium 150 100 Disulfiram 50 0 2005 Nalmefene 2006 2007 2008 2009 2010 2011 2012 2013 2014 The number of prescription items dispensed in England in 2015 was 196 thousand which is nearly double the level ten years ago when it was 109 thousand. There has been a steady rise year on year but the increase from 2014 to 2015 was smaller at 1%. 2015 Type of prescription items dispensed 139 thousand items of Acamprosate Calcium were dispensed in 2015, more than twice the number dispensed ten years ago. 52 thousand items of Disulfiram were dispensed in 2015 compared to a peak of 61 thousand in 2012. Prescription items for Nalmefene, which were introduced in 2013, have risen to 4,400 in 2015. For more information: Table 1, Statistics on Alcohol, England, 2016 14 Alcohol-related prescription items Prescription Analysis and Cost (PACT) data, 2014/15 Prescription items dispensed by region North of England dispensed almost half the prescription items, with 84 thousand. This is similar to the combined total of 87 thousand for Midlands and East of England and South of England. London dispensed the lowest number of items (17 thousand). Prescription items dispensed by Area Team, per 100,000 population Greater Manchester dispensed the highest number of items (936 per 100,000). Leicestershire and Lincolnshire dispensed the lowest number of items (162 per 100,000). North of England Midlands and East of England South of England London 0 25 50 75 100 Thousands For more information: Table 2, Statistics on Alcohol, England, 2016 15 Cost of alcohol-related prescription items Prescription Analysis and Cost (PACT) data, 2014/15 Total cost of prescription items dispensed Millions (£) 4 The total Net Ingredient Cost (NIC)1 for items prescribed for alcohol dependence in 2015 was £3.93 million. Total 3 Acamprosate Calcium 2 This is 15% higher than in 2014 when the total NIC was £3.42 million and more than double the level ten years ago. Disulfiram 1 Nalmefene 0 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Average NIC per item Total The average NIC per item for all pharmacotherapy items was £20. Nalmefene Disulfiram The average per item was £18 for Acamprosate Calcium, £22 for Disulfiram and £63 for Nalmefene. Acamprosate Calcium 0 20 40 60 80 (£) 1. The Net Ingredient Cost NIC is the basic cost of a drug as listed in the Drug Tariff or price lists; it does not include discounts, prescription charges or fees. 16 For more information: Table 1, Statistics on Alcohol, England, 2016 Part 4: Drinking behaviours among adults This section presents a range of information on drinking behaviours among adults including drinking prevalence, consumption and trends among different groups of society and geographical areas. Adult substance misuse statistics from the National Drug Treatment Monitoring System (NDTMS) provides information on the number of people being treated for alcohol problems. The main source of data for drinking behaviours among adults is the Opinions and Lifestyle Survey (OPN): Drinking Habits Amongst Adults carried out by the Office for National Statistics. This is an annual survey covering adults aged 16 and over living in private households in Great Britain. Health at a Glance, published by the Organisation for Economic Co-operation and Development (OECD), provides international comparisons on alcohol consumption. Information is also summarised from the Health Survey for England (HSE) which is published by HSCIC and has been carried out since 1994. The survey is designed to measure health and health-related behaviours in adults and children in England. 17 Drinking prevalence for adults1 Adult drinking habits in Great Britain 2014 - Opinions and Lifestyle Survey 28.9 million people in Great Britain report drinking alcohol in the previous week. This equates to 58% of the population. Drinking on heaviest drinking day 2.5 million people drink more than 14 units of alcohol on their heaviest drinking day. Drinking more than 14 units in one day, by region and country A higher percentage of drinkers in Wales and Scotland drink over the recommended weekly guideline [for low risk drinking], in one day. Percentage 100 75 <= 4.67 units in one day 50 >4.67 but <= 7 >7 but <= 14 25 >14 units 0 16 to 24 25 to 44 45 to 64 65 and over 1. Adults 16+ For more information: Opinions and Lifestyle Survey: Adult drinking habits in Great Britain 2014 18 Drinking prevalence for adults Adult drinking habits in Great Britain 2014 - Opinions and Lifestyle Survey Type of drink Drinking by annual income Just under half (47%) of people who had drunk alcohol in the week before interview chose to drink wine (including champagne) on their heaviest drinking day. Almost 1 in 5 (18%) higher earners drink alcohol on at least 5 days a week. Percentage Up to £9,999 60 £10,000 up to £14,999 40 £15,000 up to £19,999 £20,000 up to £29,999 20 £30,000 upto £39,999 £40,000 or more 0 Wine Normal strength beer Spirits Strong beer Sherry Alcopops 0 5 10 15 20 Percentage For more information: Opinions and Lifestyle Survey: Adult drinking habits in Great Britain 2014 19 Drinking prevalence for adults Health Survey for England, 2014 Drinking by age Drinking by ethnicity The proportion of adults who drank alcohol on more than 5 days in the last week prior to being surveyed increased up to age 6574 before levelling off. The proportion of adults who drank alcohol varied between ethnic groups. The proportion who drank alcohol at all increased with age up to 55-64 before dropping quite sharply. Percentage White men and women were most likely to be drinkers whilst Asian men and women were least likely to be. Percentage 100 80 80 Non-drinker 60 60 Drinker 40 40 1 - 4 days 20 20 0 16-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Men Other Mixed Asian Black White Other Mixed Asian Black White 0 5+ days Women For more information : Tables 8.7 and 8.9, HSE 2014: Vol 1 | Chapter 8: Adult Alcohol Consumption 20 Drinking prevalence for adults OECD1 Health Statistics - Health at a glance 2015 UK alcohol consumption is higher than the average for all OECD countries although it has decreased between 2000 and 2013. Litres per capita (15 years +) 2013 2000 16 14 12 10 8 6 4 2 0 1. Organisation for Economic Co-operation and Development For more information: Alcohol consumption among adults - health glance 2015 21 Adult substance misuse National Drug Treatment Monitoring System (NDTMS) 2014-20151 Number presenting for alcohol problems 151 thousand people presented for alcohol problems in 2014/15. 89 thousand were treated for problematic drinking alone. 62 thousand were treated for alcohol problems alongside other substances. The 2014/15 report presents further analyses of these two groups. Alcohol only Alcohol and other substances 1. Due to methodology changes it is not possible to compare information in 2014/15 NDTMS report to previous years. For more information: Adult substance misuse statistics from the National Drug Treatment Monitoring System 22 (NDTMS), 2014-2015 Part 5: Drinking behaviours among children This section presents a range of information on drinking behaviours among children including drinking prevalence, consumption, age of first alcoholic drink, prevalence and frequency of drunkenness, and consequences of drinking. This information has been taken from two HSCIC publications. Information is provided from Smoking, Drinking and Drug use among Young People in England (SDD) which surveys pupils in secondary schools across England to provide national estimates and information on the smoking, drinking and drug use behaviours of young people aged 11 - 15. Information is also summarised from What About YOUth? (WAY) which surveys 15 year olds with questions about their health, diet, exercise, bullying, alcohol, drugs and smoking. It should be noted that the SDD survey is completed at school in exam conditions without the involvement of parents or teachers but WAY is completed at home and therefore could involve parents. This will affect comparability between the two surveys. 23 Drinking prevalence for children Smoking, drinking and drug use among young people, England, 2014 Drinking prevalence Drinking prevalence by age The proportion of 11 to 15 year olds who have ever had an alcoholic drink has been declining since 2003. The prevalence of drinking increased with age. In 2014, 38% of pupils had drunk alcohol, the lowest proportion since the survey began when it was 62%. Percentage 11 years 12 years 13 years 14 years 15 years 60 0 20 40 60 80 Percentage 40 Drinking prevalence by sex 20 0 There was little difference between boys and girls. 37% 39% For more information: Tables 5.1a, 5.1.b, 5.2 of Smoking, drinking and drug use among young people in England in 2014 24 Drinking prevalence for children Smoking, drinking and drug use among young people, England, 2014 Regular drinking prevalence Regular drinking prevalence by age 4% of 11 to 15 year olds said they drank alcohol at least once a week (regular) and a further 5% said they drank once a fortnight. Regular drinking prevalence increased with age, from less than 0.5% of 11 year olds to 10% of 15 year olds. Percentage 20 Percentage 12 10 15 8 6 10 4 5 2 0 0 Once a week Once a fortnight Once a month Few times a year 11 years 12 years 13 years 14 years 15 years Regular drinking prevalence by sex Two-thirds (67%) said they have either never drunk or don’t drink now (not on chart). Of current drinkers, 91% said their family was aware they drank alcohol. Boys and girls were equally likely to drink at least once a week. 4% 4% For more information: Tables 5.7 and 6.19 of Smoking, drinking and drug use among young people in England in 2014 25 Drinking prevalence for children Smoking, drinking and drug use among young people, England, 2014 Drunkenness Consequences of drunkenness Not been drunk Nearly half (49%) of pupils that had drank alcohol in the last four weeks had been drunk. Once or twice Of pupils who had been drunk in the last four weeks, 39% of girls and 27% of boys said they had felt ill or sick. 28% of girls and 16% of boys had been involved in an argument. 3+ Boys | Girls Of those pupils who had been drunk, 63% had deliberately tried to get drunk. Felt ill or sick Had argument Vomited Drunkenness by sex Girls who had drank alcohol were more likely than boys to say they had been drunk. Clothes or other items damaged Lost money or other items Had fight 42% 55% Trouble with police Taken to hospital 0 10 20 30 For more information: Tables 6.14 and 6.15 and 6.16 of Smoking, drinking and drug use among young people in England in 2014 40 50 Percentage 26 Drinking prevalence for children Smoking, drinking and drug use among young people, England, 2014 Type of drink Where pupils drank Boys who had drunk in the last week were more likely than girls to have drunk beer, lager or cider. Pupils who drank alcohol were most likely to say they did so at home (56%), at parties with friends (46%) or at someone else’s home (43%). 7% said they usually drank at a pub or bar. Girls were more likely to have drunk spirits, alcopops or wine, martini or sherry. Percentage Boys | Girls 100 Own home 80 Parties with friends Someone else's… 60 Street, park, outside 40 Somewhere else 20 Pub or bar Club or disco 0 Beer, lager, cider Spirits Wine, martini, sherry Alcopops Shandy 0 20 40 For more information: Tables 5.16.b and 6.9 of Smoking, drinking and drug use among young people in England in 2014 60 Percentage 27 Drinking prevalence for children Smoking, drinking and drug use among young people, England, 2014 Drinking attitudes Reasons to drink Since 2003, secondary school pupils’ attitudes towards someone of their age drinking or getting drunk have become less tolerant. The most common reason pupils thought people of their own age drank alcohol was to look cool in front of their friends (79%). Percentage To look cool in front of their friends 67 OK to try drinking to see what it's like To be more sociable with friends 60 46 It gives them a rush or a buzz OK to drink alcohol once a week 48 40 Their friends pressure them into it It helps them forget their problems 31 OK to try getting drunk to see what it's like Other people they live with drink 24 20 20 18 It makes them feel more confident They are bored and have nothing to do OK to get drunk once a week 7 It helps them relax 0 0 20 40 60 80 100 Percentage For more information : Tables 7.9 and 7.13 of Smoking, drinking and drug use among young people in England in 2014 28 Drinking prevalence for 15 year olds What About YOUth? Survey 2014 Drinking prevalence Age started drinking 62% of 15 year olds in England had ever had an alcoholic drink. Most of those who had ever had an alcoholic drink reported that they had their first one between the ages of 13 and 15. 6% drank at least once a week (regular) and 8% drank once a fortnight. 10% of young people had their first alcoholic drink before they were 12. Percentage Percentage 40 35 35 30 30 25 25 20 20 15 15 10 10 5 5 0 At least once a week Once a fortnight Once a Only a few Doesn't Never had month times a drink now a drink year 0 6 or less 7 8 9 10 11 12 13 14 15 For more information: Tables 6.1, 6.2 and 6.15, Chapter 6 of WAY Survey 2014 29 Drinking prevalence for 15 year olds What About YOUth? Survey 2014 Drinking prevalence by LA Drunkenness by LA Barnsley District (77.6%), Devon (76.9%) and Cornwall (76.6%) had the highest prevalence of drinking. Brighton and Hove (27.0%), North Tyneside (24.6%) and Richmond upon Thames (24.5%) had the highest prevalence of drunkenness. The Borough of Tower Hamlets (14.6%) had the lowest. Tower Hamlets (2.6%) and Newham (3.1%) had the lowest. For more information: Tables 6.13 and 6.36, Chapter 6, WAY Survey 2014 30 Part 6: Expenditure and affordability Information on purchases and expenditure on alcohol have been taken from Family Food which published by Department for Environment, Food & Rural Affairs (DEFRA) and is based on data collected by the Living Costs and Food Survey. The affordability of alcohol is described using information on alcohol price and retail price indices taken from the ONS publication: Focus on Consumer Price Indices and households’ disposable income data published by ONS in the Economic and Labour Market Review. 31 Purchases and expenditure on alcohol Family Food 2014 – Department of Environment, Food and Rural Affairs1 £42 per person was spent on food and drink (including alcoholic drinks and food eaten out) per week in 2014 in the UK. Taking inflation into account, this was 2.8% less than 2013, and 3.5% less than 2011. In real terms, between 2011 and 2014 household spending on food and drink fell by 3.0% and eating out expenditure by 4.5%. Household spending on alcoholic drinks fell by 1.6% over the same period, whilst that bought for consumption outside the home fell by 13%. 1. ‘Household’ covers all food that is brought into the household. ‘Eating out’ covers all food that never enters the household. 2. There is a range of evidence to suggest that self reported alcohol consumption in surveys is less than actual consumption. For more information: DEFRA: Family Food 2014 32 Purchases and expenditure on alcohol Family Food 2014 – Department of Environment, Food and Rural Affairs Alcohol intake rose 0.1% in 2014 to 8.9 grams per person per day. Eating out purchases accounted for 19% of total alcohol intake in 2014. In 2014, eating out intakes of alcohol were 24% lower than in 2010 and up until 2014 showed a significant downward trend. Alcohol intake from eating out purchases declined 54% between 2001-02 and 2014. grams per person per day 8 Household 6 4 2 Eating out 0 1. Quantities in millilitres For more information: DEFRA: Family Food 2014 33 Affordability of alcohol Her Majesty’s Revenue and Customs (HMRC), UK, 1980 to 2015 Long term trend Alcohol affordability index1 170 160 150 In the UK since 1980 (an arbitrarily chosen base year) alcohol has become 60% more affordable. 140 130 120 110 1980 = base year 100 90 80 Last ten years (2005 to 2015) Over the last ten years the price of alcohol has increased by 36%2. The price of alcohol increased by 1%3 relative to retail prices, whilst real households’ disposable income (adjusted) increased by 11% over the same period. As a result, alcohol has become 2% more affordable since 20054. 1) For more information see Appendix B: Technical Notes 3) Based on Alcohol Price Index Relative to Retail Price Index (all items) 2) Based on Alcohol Price Index 4) Based on Affordability of Alcohol Index For more information: Table 4 of Statistics on Alcohol, England, 2016 34 Expenditure on off-trade1 alcohol purchases Office for National Statistics (ONS), 2015 Expenditure on alcohol compared to total expenditure2 UK household expenditure on alcohol has nearly doubled to £17.2 billion in 2015, from £8.9 billion in 1985. However, alcohol expenditure as a proportion of total household expenditure has fallen to 1.5% over the same period, from 4.1% in 1985. Billions Percentage Household expenditure on alcohol 20 5.0 16 4.0 12 3.0 8 2.0 4 Expenditure as a percent of 1.0 total household expenditure 0 0.0 Average weekly expenditure on alcohol3 Average weekly household expenditure on alcohol was £7.90 in 2014. People in the 50-64 age group spent the most, with an average of £10.00 a week. £ per week 10.00 8.00 6.00 4.00 2.00 The lowest weekly expenditure was by those aged under 30, with an average of £5.10. 0.00 Under 30 30-49 50-64 65-74 75 and over 1. Includes purchases at supermarkets, off licences etc. Excludes purchases in pubs, bars, restaurants etc. 2. Current Prices 3. Across all households. For more information: Table 5 Statistics on Alcohol, England, 2016 , Table A11: ONS Family Spending 2015 35 Provide feedback This publication has been reformatted following feedback gathered from a user consultation1. We would welcome further feedback from users on the new format. We would also welcome feedback on the content but please consider that one of the drivers for the consultation was to produce these reports in the most costeffective way so any suggestions for including a new data source would have to be considered against this criteria. Please send your feedback to [email protected] and quote “Feedback on Statistics on Alcohol Report” in the subject heading. 1. Consultation http://www.hscic.gov.uk/article/6770/Consultation-on-Lifestyles-Compendia-Reports 36 Published 30th June 2016 by the Health and Social Care Information Centre Part of the Government Statistical Service We are the trusted source of authoritative data and information relating to health and care. 0300 303 5678 www.hscic.gov.uk [email protected] Responsible Statistician: Paul Niblett ISBN Number: 978-1-78386-741-7 Copyright © 2016 Health and Social Care Information Centre. All rights reserved. This work remains the sole and exclusive property of the Health and Social Care Information Centre and may only be reproduced where there is explicit reference to the ownership of the Health and Social Care Information Centre. This work may be re-used by NHS and government organisations without permission. 37
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