Addiction rehabilitation experts at Rehabs UK explore both the figures and the underlying causes driving these regional disparities.
- The North East continues to bear the highest burden, with 25.7 deaths per 100,000 people, followed by the North West with a death rate of 18.5.
- In Tyne and Wear (Met County), alcohol-specific deaths more than doubled (increased by 106%) in the past decade, from 155 in 2013 to 319 in 2023.
- The highest rates in the country can be found in Sunderland (29.3), with South Tyneside (26.2) ranking third - both far above the national average of 14.4.
This divide is not accidental. Factors such as economic hardship, access to healthcare, and social deprivation all play a role in shaping alcohol-related harm. Rehabs UK Director Lester Morse explains:
“Addressing these disparities would require targeted government investment in healthcare infrastructure, as well as initiatives to reduce stigma and increase awareness. It's crucial for policies to reflect the specific needs of rural communities, ensuring that people have equal access to treatment and support. If the barriers to treatment are addressed, recovery outcomes could improve significantly.”
Looking at the data at a regional level, the clear divergence between the North and the South is immediately apparent as the death rate generally reduces the further south the region is situated. It is interesting to note that the main exception to this is in the East of England, where the lowest death rate can be found, before increasing slightly in the southern coastal regions, albeit still under the national average.
Source: ONS “ Alcohol-specific deaths in England and Wales by local authority”
Taking a closer look at the alcohol-related death rates of individual areas across England reveals that alcohol-related harm is disproportionately concentrated in northern regions - just one area in the top ten, Southampton, is in the South of England. North Eastern regions South Tyneside and Middlesbrough rank 3rd and 4th, with alcohol-specific death rates of 26.2 and 24.9 respectively.
Highest alcohol-specific death rates in England
| Area | Alcohol-specific death rate (per 100,000 people) |
| Sunderland | 29.3 |
| Blackpool | 28.4 |
| South Tyneside | 26.2 |
| Middlesbrough | 24.9 |
| Lincoln | 24.2 |
| Liverpool | 24.0 |
| Bolsover | 23.8 |
| Derby | 23.6 |
| Southampton | 23.6 |
| Stoke-on-Trent | 23.3 |
Source: ONS “ Alcohol-specific deaths in England and Wales by local authority”
Investment in accessible and affordable rehab services could play a critical role in narrowing the gap between regions and reducing alcohol-related deaths nationwide, as Morse explains;
“In the South, the trend toward defunding long-term rehab placements and focusing less on abstinence recovery could indeed lead to worse outcomes over time. Without investment in quality rehab programs and long-term recovery strategies, the overall national death rate could rise, mirroring the crisis seen in the North. For effective long-term solutions, a balanced approach – incorporating both harm reduction and strong rehab facilities for abstinence recovery – is needed, along with sustained funding to support all aspects of addiction treatment.”
A call to improve access to alcohol addiction support in non-urban areas
If we are to reduce alcohol-related harm across the country, a multifaceted approach is required. Increased investment in abstinence-based addiction treatment, awareness and personalised recovery programs are all key components for narrowing the gap between regions and reducing alcohol-related deaths nationwide.
“The main reason we set up Rehabs UK, alongside East-Coast Recovery, was to address the significant challenges people face with travel and the cost of residential rehab, especially in rural areas.” Says Morse.
“Our approach focuses on accessibility, flexibility, and personalised care - ensuring that everyone has the opportunity to heal and thrive. By offering thorough assessments, we ensure individuals understand their options and can make informed decisions about their treatment. This personalised approach helps overcome barriers and ensures people receive the right care for their unique needs.”
If you or someone you know is struggling with addiction, Rehabs UK is here to help. Rehabs UK is committed to continuing to support those battling alcoholism, drug addictions and behavioural addictions. To access free assessments with trained treatment advisors, contact Rehabs UK here.
* Source: https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/causesofdeath/bulletins/alcoholrelateddeathsintheunitedkingdom/latest