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Home , Alcoholic polyneuropathy

Freedom of Information (FOI) Garden House New Scapa Road Kirkwall Orkney KW15 1BQ www.ohb.scot.nhs.uk

RE: Freedom of Information Request 201617 / 059 – and drug treatment for children

Your Query Date of Request May 2016

In accordance with the Freedom of Information Act, I would be grateful if you could comply with the following request.

On how many occasions were children treated for (a) alcohol-related, or (b) drug-related injuries or illnesses in (i) 2014-15, and (ii) 2015-16, broken down by (A) 0-4 years olds, (B) 5-9 year olds, (C) 10-14 year olds, (D) 15-17 year olds.

Clarification I would be grateful if treatment could cover (a) attendances at an emergency department and (b) admissions to hospital.

Response

Please note: • NHS Orkney is a small remote and rural health board which operates one hospital, Balfour Hospital. • The data provided does not differentiate between non-intentional and intentional ingestion of alcohol • A&E data has been interrogated based on the alcohol involvement data field and electronically recorded diagnostic information. • The information provided below relating to inpatient admissions is taken from the SMR01 data set. • NHS Orkney can provide the number of patients diagnosed with an alcohol related condition at any one of the six available diagnostic coding positions. • As per rationale followed by ISD the ICD10 codes listed at the bottom of this response relating to alcohol and drug admissions have been used (please see for further information: ISD drugs and alcohol misuse webpage)

Please see the table below which provides information on the number of inpatient admissions and A & E presentations to the Balfour Hospital, patient aged 17 and under.

2014/15 2015/16 A&E presentations Alcohol related 17 10 Drug related 0 0 Inpatient admissions Alcohol related * 6 <5 Drug related * <5 0

* Due to the small number of patients involved (< 5 individuals) there is a potential risk of patients being identified from the information. Therefore a further breakdown to provide the number of admissions per year is exempt under Section 38(1) of the Freedom of Information (Scotland) Act 2002.

ICD10 codes used to identify alcohol related episodes (as per rationale followed by ISD) E24.4 - Alcohol induced Pseudo-Cushing’s syndrome E51.2 - Wernicke’s Encephalopathy F10 - Mental and behavioural disorders due to use of alcohol. G31.2 - Degeneration of nervous system due to alcohol G62.1 - Alcoholic G72.1 - Alcoholic myopathy I42.6 - K29.2 - Alcoholic K70 - Alcoholic liver K85.2 - Alcohol-induced acute pancreatitis (code introduced 1/4/2013) K86.0 - Alcohol-induced chronic pancreatitis R78.0 - Finding of alcohol in blood T51.0 - Toxic effect of T51.1 - Toxic effect of methanol T51.9 - Toxic effect of alcohol, unspecified X45 - Accidental poisoning by and exposure to alcohol X65 - Intentional self-poisoning by and exposure to alcohol Y15 - Poisoning by and exposure to alcohol undetermined intent Y57.3 - Alcohol deterrents Y90 - Evidence of alcohol involvement determined by blood alcohol level Y91 - Evidence of alcohol involvement determined by level intoxication Z50.2 - Alcohol rehabilitation Z71.4 - counselling and surveillance Z72.1 - Alcohol Use

ICD10 codes used to identify drug related episodes (as per rationale followed by ISD) F11 - Mental and behavioural disorders due to use of opoids. F12 - Mental and behavioural disorders due to use of cannabinoids F13 - Mental and behavioural disorders due to use of or F14 - Mental and behavioural disorders due to use of F15 - Mental and behavioural disorders due to use of other , including F16 - Mental and behavioural disorders due to use of F18 - Mental and behavioural disorders due to use of volatile solvents F19 - Mental and behavioural disorders due to multiple drug use and use of other psychoactive substances