Key Health Data for the West Midlands 2000: Chapter 6 - Progress on Targets set by Our Healthier Nation

Key Health Data for the West Midlands 2000

Chapter 6: Progress on Targets set by "Our Healthier Nation"

Home

Contacts

Preface

Contents

List of Tables
List of Figures

Abbreviations

Main Body

1: West Midlands Geography
2: Inequalities and Health
3: The Burden of Disease
4: Communicable Disease
5: Environment and Health
6: Progress on Targets set by "Our Healthier Nation"
7: Crime and Health
8: Drug Misuse

6.1 Introduction

This chapter updates the progress of the West Midlands towards the targets laid out in Saving Lives: Our Healthier Nation¹.

6.2 Accidents

OHN Target : To reduce the death rates from accidents by at least one fifth and to reduce the rate of serious injury from accidents by at least one tenth by 2010 - saving up to 12,000 lives in total.

Accidents are responsible for 10,000 deaths a year across England. They are the greatest single life threat to children and young people. Accidents, particularly falls, are a major cause of death and disability in older people. Children from poorer backgrounds are more likely to die as the result of an accident than children from better off families.

Government policies are aimed at reducing accidents particularly among children up to 15 years; young people aged 16-24 years involved in road traffic accidents; and older people who are at risk of stumbling or falling.

The data presented here are from two sources. The mortality data is from Office of National Statistics (ONS) Death tapes for all West Midlands residents. The morbidity data is from Hospital Episode Statistics (HES) and reports on all West Midlands residents treated both inside and outside the Region. The rates are calculated using direct standardisation and ONS population projections for the relevant year. Deaths and admissions were allocated to PCGs on the basis of resident populations, that is they live in the area served by the PCG rather than responsible populations that is those persons registered with a GP in a PCG.

An accident admission was defined as one requiring at least an overnight stay in hospital after arriving as an emergency.

Figure 6.1: Deaths from accidental causes, West Midland Residents 1990 to 1998, rate per 10,000.

Figure 6.2: Admissions to Hospitals across the West Midlands for accidents, 1990/1 - 1998/9, rate per 10,000

Figure 6.3: Mortality from accidents, by HA and PCG, 1990 - 1998

Figure 6.4: Hospital Admissions for accidents, by HA and PCG, 1990/1 - 1998/9

6.3 Cancers

OHN Target : To reduce the death rate from cancer in people under 75 years by at least a fifth by 2010 - saving up to 100,000 lives in total.

Cancer still affects almost every family in Britain at some time. Around two in five people develop cancer during their lifetime, and one in four people die from it. There are a wide range of cancers with different causes, different trends and different scope for prevention, early detection and treatment.

The data presented here are from the West Midlands Cancer Intelligence Unit’s database of cancer registrations based on West Midlands’ residents. They were allocated to PCGs on the basis of resident populations that is they live in the area served by a PCG rather than responsible populations that is those persons registered with a GP in a PCG.

The rates were calculated using direct standardisation and are presented as three year moving averages.

The year shown is the midpoint of the average.

Figure 6.5: Mortality from all cancers in the West Midlands, rate per 100,000, 1982-1997

Figure 6.6: Mortality from Breast Cancer in the West Midlands, rate per 100,000, 1982-1997

Figure 6.7: Mortality from Lung Cancer in the West Midlands, rate per 100,000, 1982-1997

Figure 6.8: Mortality from all cancers, rate per 100,000, 1982-1997 by HA and PCG

Figure 6.9: Breast Cancer mortality, rate per 100,000, 1982-1997 by HA and PCG

Figure 6.10: Lung Cancer mortality, rate per 100,000, 1982-1997 by HA and PCG

6.4 Coronary Heart Disease and Stroke

OHN Target : To reduce the death rate from coronary heart disease and stroke and related diseases in people under 75 years by at least two-fifths by 2010 - saving up to 200,000 lives in total.

Coronary heart disease (CHD), stroke and related conditions are a major cause of early death, accounting for about 66,000 deaths each year in people aged under 75, 18,000 deaths (a third of all deaths in men) and 7,000 deaths (one fifth of all deaths in women) aged under 65 years.

The data presented here are from two sources. The mortality data is from ONS Death tapes for all West Midlands resident. The morbidity data if from the HES and reports on all West Midlands residents treated both inside and outside the Region. The rates are calculated using direct standardisation and ONS population projections for the relevant year. Deaths and admissions were allocated to PCGs on the basis of resident populations, that is they live in the area served by the PCG rather than responsible populations that is those persons registered with a GP in a PCG.

An admission for CHD or Stroke was defined as one requiring at least an overnight stay in hospital after arriving as an emergency and with a diagnosis in the range I60 - I64 (ICD 10) for stroke or I10 to I99 excluding Stroke, for Coronary Heart Disease. For mortality analogous ICD9 codes were used.

Figure 6.11: Mortality from CHD, rate per 100,000, 1990-1998 by HA and PCG.