Foetal Alcohol Syndrome:Written question - 48845

Q
(Liverpool, Wavertree)
[N]
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Asked on: 17 October 2016
Department of Health
Foetal Alcohol Syndrome
Commons
To ask the Secretary of State for Health, how many people were diagnosed with (a) foetal alcohol syndrome and (b) foetal alcohol spectrum disorder in each region of England in each year since 2010.
A
Answered by: Mr Philip Dunne
Answered on: 20 October 2016

The following tables contain a count of the number of FAEs1 with a primary2 or secondary3 diagnosis of (a) Foetal Alcohol Syndrome4 or (b) Foetal Alcohol Spectrum disorders5 in each region6 in England for the years 2010-11 to 2014-157

Table 1: Foetal Alcohol Syndrome

Government Office Region

Years

2010-11

2011-12

2012-13

2013-14

2014-15

North East

8

12

3

8

21

North West

65

53

47

43

58

Yorkshire and The Humber

9

33

37

59

49

East Midlands

31

48

21

30

15

West Midlands

12

23

14

18

14

East of England

16

13

20

11

21

London

13

31

21

31

28

South East

31

24

46

44

52

South West

22

12

22

15

18

Scotland (area of residence)

0

0

2

1

0

England - Not Otherwise Specified

0

1

1

0

0

Wales (area of residence)

3

5

2

3

2

Unknown

2

13

16

9

8

Northern Ireland (area of residence)

0

2

0

0

0

Total

212

270

252

272

286

Table 2: Foetal Alcohol Spectrum Disorders

Government Office Region

Years

2010-11

2011-12

2012-13

2013-14

2014-15

North East

0

0

0

1

2

North West

7

1

1

3

2

Yorkshire and The Humber

8

3

2

8

5

East Midlands

1

5

2

2

0

West Midlands

0

1

0

2

0

East of England

3

0

5

2

3

London

6

0

1

3

5

South East

4

0

1

4

4

South West

1

1

0

0

0

Scotland (area of residence)

0

0

0

0

0

England - Not Otherwise Specified

0

0

0

0

0

Wales (area of residence)

0

0

0

0

2

Unknown

9

19

26

5

4

Northern Ireland (area of residence)

0

0

0

0

0

Total

39

30

38

30

27

Activity in English NHS Hospitals and English NHS commissioned activity in the

independent sector

Source: Hospital Episode Statistics (HES), NHS Digital

Notes:

1. Finished admission episodes

A finished admission episode (FAE) is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.

2. Primary diagnosis

The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was admitted to hospital.

3. Secondary diagnosis

As well as the primary diagnosis, there are up to 19 (13 from 2002-03 to 2006-07 and 6 prior to 2002-03) secondary diagnosis fields in HES that show other diagnoses relevant to the episode of care.

4. Foetal Alcohol Syndrome

Diagnosis 4 code = Q860

5. Foetal alcohol spectrum disorders

Diagnosis 4 code = P043

6. Government Office Region of Residence

Government office region of residence = North West

7. Assessing growth through time (Admitted patient care)

HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information.

Note that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.

There are many other codes within ICD-10 which classify the defects found in patients with Foetal Alcohol Spectrum Disorders, however, there is no way of identifying that these conditions are due to prenatal exposure to alcohol. For example, in a child of 8 years old with learning difficulties related to maternal alcohol use, it is not possible to link the learning difficulties with the previous maternal alcohol use. Therefore, it is not possible to identify all Foetal Alcohol Spectrum Disorders using data derived from ICD-10 codes.

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