Table 3.1a
AGE STANDARDISED RATES FOR OUR HEALTHIER
NATION INDICATORS ENGLAND, 1994-96 / 1995-96 (1)
Mortality Rates per 100,000 population
Accident Rate per 100 persons
| Indicators for monitoring suggested OHN targets
| Rates |
Circulatory Diseases mortality rate
(aged under 65)
| 66.1 |
All Cancers mortality rate
(aged under 65)
| 81.2 |
Suicide and undetermined injury mortality rate
(all ages)
| 9.2 |
Major accident rate per 100 persons
(aged 2 and over)
| 20.0 |
Footnotes:
1. The data for mortality rates are the average of the European age standardised rates for the three years 1994, 1995 and 1996. The major accident rate is the average of the major accident rates for the years 1995 and 1996.
2. The sources of the data are:
Mortality rates: Office for National Statistics (ONS) mortality statistics from death registrations. Mortality rates are age standardised to allow for changes in the age structure of the population (using the European standard population as defined by the WHO).
Major accident rate: Estimated major accident rates from the Health Survey for England.
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Local Targets
5. The Green Paper raises questions on local target setting
and monitoring for consultation, and no decisions on how this
is to be done have yet been taken. The Department should be in
a position to report to the Committee on this next year, following
the publication of the "Our Healthier Nation" White
Paper.
3.1b Does the Government intend to estimate the costs to
other Departments of implementing the proposals in Our Healthier
Nation?
1. Our Healthier Nation is to be the Government's
health strategy, and as such, will be supportedco-operatively
by the spending plans of a range of Government Departments. The
contracts suggested in Our Healthier Nation illustrate
the range of activity at Government, local and individual level
which affects health. These show how the policies of other Government
Departments can have a beneficial effect on health eg the Integrated
Transport Policy which will reduce congestion and pollution, reduce
accidents and help to build a more inclusive society.
2. Health Impact Assessments on relevant Government policies
will seek to ensure that policies do not damage health, and that
if they have an impact on health, it will be a beneficial one.
3.1c Could the Department provide information about former
Health of the Nation key areas which have been set as local targets
and give the baseline performance figures for the new Health Action
Zones?
1. The Department did not require detailed reports on
the 27 Health of the Nation targets set in the five key areas
for every health authority—it was for the Regional Offices
to agree suitable targets with the health authorities in their
regions, and to monitor these on a regular basis, as part of their
general performance monitoring responsibilities. For some targets,
monitoring data are not available at local level. The Department
has concentrated on monitoring the targets at national level (and
it is this information which has been reported to the Committee
in recent years).
2. Some data at local level for the proposed Our Healthier
Nation mortality targets (ie those referring to circulatory
diseases, cancers and suicide) are available to the Department,
and it is planned that these will be issued to the NHS within
the 1998 Public Health Common Data Set. At present, however, no
local level data on accident morbidity are available. The
Department is currently using accident mortality rates
as a proxy for the proposed accident morbidity target. The following
table shows the latest available baseline data for the health
authority areas which most closely approximate to the new Health
Action Zones.
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