8. PSA AND DSO PERFORMANCE
8.1.12 The following DSO indicators are reported
using three-year average data (typically data for the period 2005-07 compared
with 1995-97): (a) 1.3 (Reduce mortality rates from suicide
and injury of undetermined intent mortality rate by at least 20%
by 2010); (b) 1.6 (Reduce mortality rates by 2010 from
heart disease, stroke and related diseases by at least 40% in
people under 75, with a 40% reduction in the inequalities gap
between the fifth of areas with worst health and deprivation indicators
(the spearhead group) and the population as a whole); (c) 1.7 (Reduce
mortality rates from cancer by 2010 by at least 20% in people
under 75, with a reduction in the inequalities gap of at least
6% between the fifth of areas with the worst health and deprivation
indicators (the spearhead group) and the population as a whole);
and (d) 1.9 (Healthy life expectancy (HLE) at age 65; PSA
indicator 17.3). Can the Department provide annual data for each
of these indicators? (Q103)
Answer
1. Single calendar year data for 1995 to
2007 for DSOs 1.3, 1.6 and 1.7 are provided in
table 103.
2. For DSO 1.9, the Office for National
Statistics (ONS) merge three years of annual survey data, life-table
and mid-year population estimates to produce the Healthy Life
Expectancy at age 65 estimate.
3. They do this to provide a sufficient
sample size to be able to make robust assumptions about differences
between countries and trends over time. Single year samples using
the current survey would decrease the accuracy of the estimate
and possibly mean that some age bands would not be represented.
This means that estimates based on single years would not be
accurate enough to make a valid comparison to previous years.
At this time, therefore, ONS does not calculate, and the Department
cannot provide, annual data for this indicator.
4. However a new survey is being introduced,
with the first round of data collected in 2008. Once this data
is available, the ONS will investigate whether robust Healthy
Life Expectancy at age 65 estimates can be produced annually.
Table 103
MORTALITY RATES AND MORTALITY RATE GAPS FOR
SELECTED CAUSES OF DEATH (RELEVANT TO DSO 1.3, 1.6 and 1.7 (6))—DATA
FOR SINGLE CALENDAR YEARS
|
| Year | Suicide and injury of undetermined intent mortality rate (1), (3), all ages, England (deaths per 100,000 population)
(DSO1.3)
| Heart disease, stroke and related diseases mortality rate (1), (4), ages under 75, England (deaths per 100,000 population) (DSO1.6)
| Heart disease, stroke and related diseases mortality rate gap (2), (4), ages under 75 (deaths per 100,000 population)
(DSO1.6)
| Cancer mortality rate (1), (5), ages under 75, England (deaths per 100,000 population) (DSO1.7)
| Cancer mortality rate gap (2), (5), ages under 75(deaths per 100,000 population)
(DSO1.7)
|
|
| 1995 | 9.5 |
147.3 | 36.4
| 144.2 | 20.1
|
| 1996 | 9.1 |
142.3 | 36.8
| 142.2 | 21.3
|
| 1997 | 9.0 |
134.3 | 36.8
| 137.2 | 20.7
|
| 1998 | 9.9 |
129.5 | 35.5
| 136.0 | 20.9
|
| 1999 | 9.8 |
121.7 | 33.3
| 131.5 | 20.6
|
| 2000 | 9.3 |
114.1 | 29.3
| 128.7 | 19.4
|
| 2001 | 8.8 |
107.9 | 29.9
| 126.1 | 19.6
|
| 2002 | 8.6 |
102.8 | 28.0
| 124.8 | 19.9
|
| 2003 | 8.5 |
97.8 | 28.2
| 121.3 | 17.7
|
| 2004 | 8.6 |
89.7 | 26.6
| 118.8 | 18.8
|
| 2005 | 8.3 |
84.0 | 24.5
| 116.8 | 17.8
|
| 2006 | 7.8 |
79.0 | 23.5
| 115.5 | 18.6
|
| 2007 | 7.5 |
74.4 | 22.6
| 114.1 | 17.6
|
|
| Source: |
| Rates calculated by Health Improvement Analytical Team, Department of Health, based on death registrations and population estimates from the Office for National Statistics (ONS).
|
Footnotes:
|
| 1. Mortality rates are directly age-standardised to allow for change in the age structure of the population (using the European Standard Population as defined by the World Health Organisation).
|
| 2. The gap is the absolute gap (ie the difference) between the directly age-standardised mortality rates for the Spearhead Group and England.
|
| 3. Covers deaths from suicide and injury of undetermined intent, excluding coroner's verdict pending cases. Cause of death is identified using the following International Classification of Diseases (ICD) codes: for 1999 and 2001 onwards, ICD10 X60-X84, Y10-Y34 (excluding Y33.9 up to 2006); for 1995-1998 and 2000, ICD9 E950-E959, E980-E989 excluding E988.8.
|
| 4. Covers deaths from all circulatory diseases. Cause of death is identified using the following ICD codes: for 1999 and 2001 onwards, ICD10 I00-I99; for 1995-1998 and 2000, ICD9 390-459 (an adjustment factor is applied to ICD9 coded deaths for comparability with ICD10 coded deaths).
|
| 5. Covers deaths from all malignant neoplasms. Cause of death is identified using the following ICD codes: for 1999 and 2001 onwards, ICD10 C00-C97; for 1995-1998 and 2000, ICD9 140-209 (an adjustment factor is applied to ICD9 coded deaths for comparability with ICD10 coded deaths).
|
| 6. The DSO indicators are monitored using three-year rolling average rates in order to smooth out changes over time, ie to reduce the effect of year-on-year fluctuations and make the underlying trend clearer. The three-year average rates are calculated by taking the mean of the single calendar year rates for consecutive years (based on unrounded figures for the single year rates—note that the rates presented in this table are rounded to 1 decimal place).
|
| 7. DATA QUALITY: Death registrations data are National Statistics. The coding system for recording cause of death was changed in 2001 from ICD9 to ICD10 (with 1999 deaths being coded using both ICD9 and ICD10 for comparison), so there may be small discontinuities between data for 1995-1998 and 2000 and data for 1999 and 2001 onwards. Where necessary, an adjustment factor has been applied to ICD9 coded deaths to improve comparability with ICD10 coded deaths. The rates are based on the most up to date series of population estimates published by ONS, but population estimates may be revised from time to time. (Further information on the data used, alongside three-year average data, is available in the DH statistical bulletin Mortality Target Monitoring, Update to include data for 2007, October 2008, available at: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_088867).
|
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