Key Health Data for the West Midlands 2000: Chapter 2

Key Health Data for the West Midlands 2001

Chapter 2: Our Healthier Nation

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2: Our Healthier Nation

12: Inequalities, Focusing on the early years

This chapter updates the progress of the West Midlands towards the targets laid out in Saving Lives: Our Healthier Nation (see http://www.ohn.gov.uk/ohn/ohn.htm). It was published as a White Paper in July 1999 with twin goals:

to improve health;
to reduce the health gap (health inequalities).

The strategy aims to prevent up to 300,000 untimely and unnecessary deaths by the year 2010 by targeting four key areas: cancer, coronary heart disease and stroke, accidents, and mental illness.

The data sources used within this chapter are Hospital Episode Statistics, as provided by the Department of Health, for hospital admissions and ONS mortality files for deaths.

2.1. Accidents

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.

Serious injury is defined as an admission that resulted in a stay in hospital of longer than 3 days.

Figures 2.1 and 2.2 show the statistics for StHAs and tables 2.1 and 2.2 for PCTs.

	Figure 2.1. Deaths from accidental causes, West Midland Residents 1994 to 1999, rate per 10,000 for the three StHA.

	Figure 2.2. Admissions to Hospitals for severe injury, West Midland Residents 1995/6 to 1999/0, rate per 10,000 for the three StHA.

	Table 2.1. Deaths from accidental causes, for Residents by Primary Care Trust and StHA, rate per 10,000, 1995 to 1999.

	Table 2.2. Admissions to Hospitals across the West Midlands for severe injury, Residents by Primary Care Trust and StHA, rate per 10,000, 1995/6 to 1999/00.

2.2. Coronary Heart Disease and Stroke

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.

Figures 2.3 through 2.6 show the statistics for StHA and Tables 2.3 through 2.6 for PCTs.

	Figure 2.3. Mortality from CHD, West Midland Residents 1994 to 1999, rate per 10,000 for the three StHA.

	Figure 2.4. Hospital Admissions for CHD, West Midland Residents 1995/6 to 1999/0, rate per 10,000 for the three StHA.

	Figure 2.5. Mortality from stroke, West Midland Residents 1994 to 1999, rate per 10,000 for the three StHA.

	Figure 2.6. Hospital Admissions for stroke, West Midland Residents 1995/6 to 1999/0, rate per 10,000 for the three StHA.

	Table 2.3. Deaths from CHD, for Residents by Primary Care Trust and StHA, rate per 10,000, 1995 to 1999.

	Table 2.4. Admissions to Hospitals across the West Midlands for CHD, Residents by Primary Care Trust and StHA, rate per 10,000, 1995/6 to 1999/00.

	Table 2.5. Deaths from Stroke, for Residents by Primary Care Trust and StHA, rate per 10,000, 1995 to 1999.

	Table 2.6. Admissions to Hospitals across the West Midlands for Stroke, Residents by Primary Care Trust and StHA, rate per 10,000, 1995/6 to 1999/00.