London Ambulance Service 999 Emergency Responses to Alcohol Related Incidents Eleanor Reed Crime Analyst Safer Ealing Unit 0208 8256671 Introduction This report is to focus on 999 callout information provided by the London Ambulance Service specific to the London Borough of Ealing. Time frames investigated are based on the financial year from April 1st 2002 until March 30th 2005. Annual Comparisons London Ambulance Service Emergency Callouts for Alcohol Related Incidents 1600 1416 1400 1121 1200 1000 842 800 600 400 200 0 2002/2003 2003/2004 2004/2005 Chart 1. London Ambulance Service Emergency Callouts for Alcohol Related Incidents in Ealing 2002-2005. Ealing has experienced an increase between 2002/2003 and 2004/2005 in emergency callouts to alcohol related incidents of 68%. This has been a steady increase over the three year period with 2003/2004 seeing a 33% increase in occurrence upon 2002/2003 and 2004/2005 experiencing a similar rise upon 2003/2004 findings by 26%. Gender Comparisons When investigating a breakdown based on gender, both males and females have seen increases in occurrence between 2002/2003 and 2004/2005 – males however seeing the largest increase with 73% more callouts in 2004/2005 than 2002/2003. For females this is a similar picture, however the percentage increase is marginally lower with an increase of 55% during the same time frame. London Ambulance Service Emergency Callouts for Alcohol Related Incidents by Gender 1400 1200 1000 800 600 400 200 0 2002/2003 2003/2004 2004/2005 Males 684 930 1185 Females 138 177 214 Chart 2. London Ambulance Service Emergency Callouts for Alcohol Related Incidents in Ealing by gender 2002-2005 London Ambulance Service Callouts by Age and Gender 2004/2005 Male 140 Female 120 100 80 60 40 20 0 10 to 15 to 20 to 25 to 30 to 35 to 40 to 45 to 50 to 55 to 60 to 65 to 70 to 75 to 80 to 85+ 14 19 24 29 34 39 44 49 54 59 64 69 74 79 84 Chart 3. London Ambulance Service Callouts by Age and Gender 2004/2005 Please note, figures may not add up to the precise number of callouts experienced by Ealing for both Charts 2 and 3. This is due to fields being left blank at the time of filling out the personal details of the patient. When considering the ages of those typically being attended to on callouts there is a slight differentiation between males and females. Females tend to be attended to at an earlier age with a peak in the age category 20 to 24. Slight variations continue with a late peak again in the 40 to 44 age bracket - a decline in trends is noticed from this point up until the age 85+. Males steadily increase from 15 to 19 with a slight dip noted between the ages 35 to 39 before peaking during their early 40’s. It is not until after the age range of 50 to 54 that figures decline steadily up until the age of 85+. Pan London Trends Trends identified across London highlight that, of the 33 individual London Boroughs, the City of Westminster had the largest volume of alcohol related callouts during 2004/2005. Camden presented as the 2nd highest and Ealing 3rd; experiencing 1,416 callouts – a figure 64.3% higher than the London wide average of 861.9. 999 Callouts to Alcohol Related Incidents Pan London 2004/2005 2004/2005 3000 London Average 2500 2000 1500 1000 500 0 Brent Ealing Sutton Enfield Barnet Merton Bexley Harrow Islington Camden Bromley Lambeth Croydon Hackney Newham Havering Haringey Hillingdon Redbridge Hounslow Lewisham Southwark Greenwich Wandsworth City of London of City TowerHamlets Waltham Forest Waltham City of Westminster of City Kingston upon Thames upon Kingston Barking and Dagenham and Barking Richmond upon Thames upon Richmond Kensington and Chelsea and Kensington Fulham and Hammersmith Chart 4. Alcohol Related Callouts Pan London 2004/2005 Typically, higher volumes of emergency callouts due to alcohol related incidents are located around the City of London with higher concentrations to the West in the City of Westminster, Camden and Ealing (Map 1). Map 1. Alcohol Related Callouts pan London 2004/2005 Ealing Trends Emergency callouts by ward identify Southall Broadway to have experienced the greatest level of occurrence during 2004/2005 (Map 2, Chart 4). It is here however that levels have remained high throughout the three-year period, with all but 2002/2003 experiencing the highest volume of emergency callouts to alcohol related incidents borough wide. In total that equates to an increase in incidents between 2002/2003 and 2004/2005 of 68.7%. Ealing Broadway, where levels were noted highest during 2002/2003, has still seen an increase, but not to the same extent as Southall Broadway with 13.3% more callouts experienced. Alcohol related emergency callouts is an increasing problem on Borough, and although the highest volume of callouts have been experienced in Southall Broadway, comparisons between 2002/2003 and 2004/2005 highlight that Perivale, Northolt Mandeville and Walpole have seen sharp percentage increases with 287.5%, 200% and 168% more incidents over this time frame respectively. The only area to have seen a decrease is that of South Acton with 9.68% fewer incidents between 2002/2003 and 2004/2005. Map 2. Alcohol Callouts by Ward in Ealing 2004/2005 Alcohol Related Callouts by Ward 2002/2003 - 2004/2005 160 2002/2003 2003/2004 140 2004/2005 120 100 80 60 40 20 0 Walpole Perivale Elthorne Northfield Cleveland Southfield Hobbayne Hanger Hill Hanger East Acton East South Acton South Acton Central Acton LadyMargaret DormersWells Northolt W End W Northolt Green Southall Ealing Common Ealing Southall Brdwy Southall Norwood Green Norwood North GreenfordNorth Ealing Broadway Ealing GreenfordGreen GreenfordBrdwy Mandeville Northolt Chart 5. Alcohol Related Callouts by Ward 2002/2003 – 2004/2005. In order to understand the true extent of occurrence within ward boundaries, data has been provided by Lower Super Output area, and identifies that higher volumes of callouts are typically experienced in the three main Town Centre areas of Ealing Broadway, Southall and Acton (Map 3). Map 3. Alcohol Related Callouts by Lower Super Output Areas in Ealing during 2004/2005 and main Town Centre Boundaries Tables and Figures Tables relate to figures presented in Charts 4 and Charts 5. Callouts by Borough 2004/2005 Emergency Callouts by Ward Ward 2002/2003 2003/2004 2004/2005 Borough 2004/2005 Northolt West End 27 33 53 Wandsworth 883 Greenford Broadway 32 31 56 Waltham Forest 772 Lady Margaret 35 33 49 Tower Hamlets 870 Southall Broadway 83 115 140 Sutton 491 Southall Green 67 106 114 Southwark 1192 Norwood Green 42 65 64 Richmond upon Thames 414 Elthorne 54 81 113 Redbridge 609 Northfield 20 20 23 Walpole 32 47 86 Newham 888 Northolt Mandeville 19 16 57 Merton 473 North Greenford 13 16 29 Lewisham 914 Cleveland 15 18 21 Lambeth 1209 Hobbayne 32 50 66 Kingston upon Thames 458 Greenford Green 20 31 27 Kensington and Chelsea 682 Perivale 8 8 31 Islington 1225 Southfield 11 21 27 Hounslow 720 Acton Central 44 83 68 Hillingdon 861 Ealing Common 37 34 47 Havering 419 South Acton 62 69 56 Hanger Hill 12 16 27 Harrow 574 Dormers Wells 53 87 75 Haringey 771 East Acton 34 40 85 Hammersmith and Fulham 963 Ealing Broadway 90 101 102 Hackney 825 Greenwich 780 Enfield 829 Ealing 1416 Croydon 951 City of Westminster 2846 City of London 329 Camden 1795 Bromley 700 Brent 914 Bexley 444 Barnet 817 Barking and Dagenham 409 .