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This topic covers statistical outputs that are mainly used to measure and monitor health expectancy, taking account of the number of years lived in good health or free from disability at birth and at age 65 by sex in the UK and constituent countries. These figures are also produced decennially for local authorities and electoral wards.

Publications

Atlas of Deprivation: England
Department: Office for National Statistics
The Indices of Multiple Deprivation for England combine a number of areas, chosen to cover a range of economic, social and housing issues into a single deprivation score for each Lower Layer Super Output Area in England. The Atlas of Deprivation allows a map visualisation of the overall LSOA deprivation score (rank) and the score (rank) for each of the seven domains by local authority.
Census 2001 Commentaries by theme and region
Department: Office for National Statistics
The Census paints a big picture of society and is a benchmark at the start of the 21st Century. Census 2001 commentaries look in a little more depth at the 'big picture' for the UK, and provide commentary on aspects of a topic in England and Wales as a whole, and on topics in Wales or the English regions. The counts that the commentaries are based on come from the Key Statistics for local authorities in England and Wales released in February 2003.
Census 2001 Key Statistics
Department: Office for National Statistics
The Census 2001 Key Statistics series of reports provide a compact and self-contained reference of key results from the Census in an easily digestible form. Each report includes results for every topic covered by the Census, for a range of different geographical breakdowns of England and Wales.
Census 2001 Local Authority Profiles
Department: Office for National Statistics
The Census 2001 population profiles collect key figures from the first major reports on the 2001 Census - the 'key statistics for local authorities in England and Wales' - originally released in February 2003. This snapshot of the resident population provides population totals by age and sex and summary profile information covering People, Places and Families, Ethnicity and Religion, Health, Work and Housing.
Census 2001 National Report for England and Wales
Department: Office for National Statistics
The Census 2001 National Report for England and Wales contains detailed statistical tables that cover the range of topics from the 2001 Census. Released in two parts, the report contains results for England and Wales as a whole, in a variety of tables. Standard tables provide cross-tabulation of two or more variables, theme tables bring together a range of results on a particular population and supplementary tables provide further information on some individual variables.
Census 2001 Report for Parliamentary Constituencies
Department: Office for National Statistics
The Census 2001 Report for parliamentary constituencies provides a compact and self-contained reference of key results for constituencies throughout the UK. The constituency profiles are a summary of the main Census indicators for each consituency, with more detailed results available on the CD accompanying the printed report. Results are provided for European Electoral Regions, Scottish Parliamentary Regions and Parliamentary Constituencies in England and Wales, Scotland and Northern Ireland.
Census 2001 Summary theme figures and rankings
Department: Office for National Statistics
The Census 2001 Summary theme figures and rankings provide counts and rankings on aspects of a topic for each local authority in England and Wales. Each local authority has an England and Wales ranking, and local authorities are also grouped into Government Office Regions to provide a regional ranking. The counts and rankings are based on figures from the Key Statistics for local authorities in England and Wales which was originally released in February 2003.
Continuous Household Survey Bulletin
Department: Northern Ireland Statistics and Research Agency
The Bulletin provides summary information as well as some trend data from previous years. It includes information on - smoking, household composition, debt, internet access, health, sport and leisure, environmental issues, mobile phones and job applications.
Health Expectancies at birth and age 65 in the United Kingdom
Department: Office for National Statistics
This report presents the latest figures on male and female health expectancy, at birth and at age 65, for the UK and its four constituent countries. While life expectancy (LE) provides an estimate of average expected life-span, healthy life expectancy (HLE) divides total LE into years spent in good or ¡®not good¡¯ health. Disability-free life expectancy (DFLE) divides LE into years lived with and without a chronic illness or disability. These figures are three-year averages. LE is taken from the UK national interim life tables published annually by ONS, and the measures of health and chronic illness from the General Household Survey (GHS) in Great Britain and the Continuous Household Survey (CHS) in Northern Ireland.
Healthy Life Expectancy at birth for Upper Tier Local Authorities: England
Department: Office for National Statistics
Estimates of healthy life expectancy by upper tier local authority, using a number of data sources including national surveys, population estimates and death registrations over a range of time periods.
Inequality in Healthy Life Expectancy at birth by national deciles of area deprivation: England
Department: Office for National Statistics
Healthy life expectancy at birth by groupings of LSOAs into national deciles of area deprivation.
Learning Disabilities Census Report, England
Department: Health and Social Care Information Centre
Learning Disabilities Census Report, England
Life Opportunities Survey
Department: Office for National Statistics
Statistics on the life opportunities people in Great Britain have and how these vary by social and demographic characteristics.
Local Authority Registers of People with Disabilities, Wales
Department: Welsh Government
Provides data on the numbers of people on disability registers maintained by local authority social services departments.
Measuring National Well-being
Department: Office for National Statistics
Measures of National Well-being. Drawing social and economic data from government and other organisations; painting a picture of UK society and how it changes.
Prevalence of Disability in Wales
Department: Welsh Government
This statistical bulletin provides a comprehensive overview of the statistics available on disability in people of working age from the Annual Population Survey.
Public Health Outcomes Framework
Department: Health
Compendium of public health outcomes indicators presented at England and upper tier LA level. Indicators are split over 4 domains: improving the wider determinants of health; health improvement; health protection; healthcare, public health and preventing premature mortality. Public Health England is now responsible for the publication of the Public Health Outcomes Framework.
Public Health Outcomes Framework
Department: Public Health England
Compendium of public health outcomes indicators presented at England and upper tier LA level. Indicators are split over 4 domains: improving the wider determinants of health; health improvement; health protection; healthcare, public health and preventing premature mortality. The Department of Health was previously responsible for the publication of the Public Health Outcomes Framework.
Registered Blind and Partially Sighted Persons, Scotland
Department: Scottish Government
New registrations and people currently registered as blind or partially sighted, by age, gender and disabilities.
Sub-national health expectancies
Department: Office for National Statistics
Estimates of health expectancy by administrative geography and area-based measures of deprivation, using a number of data sources including the census, national surveys, population estimates and death registrations over a range of time periods. These estimates are used to detect geographical inequalities in health expectancy and inequalities between relatively advantaged and disadvantaged populations, which support policy development and monitoring of inequalities over time.

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Overview

These estimates are used by the Department of Health and the Department for Work and Pensions to monitor the Public Service Agreement (PSA) covering fairness and opportunity for all.

Health expectancy estimates for a given year are constructed through combining three-year pooled population estimates, death registrations, General Household Survey and Continuous Household Survey data on general health and limiting long-standing illness, and general health and limiting long-term illness data for communal establishment populations at the 2001 Census.

Healthy Life Expectancy at a given age is the average number of years that a person can expect to live in good or fairly good health, based on people¡¯s own assessment of their general health. Disability-free Life Expectancy is the average number of years that a person can expect to live free from a limiting long-standing illness, or disability.

All of the information in this section relates to information collected and published by the Office for National Statistics, the General Register Office Scotland and the Northern Ireland Statistics and Research Agency. These outputs are designated as National Statistics, apart from ward level outputs.

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Technical Data

This dataset contains Healthy Life Expectancy (HLE) and Disability-free Life Expectancy (DFLE) results at birth and age 65 for the UK and constituent countries between 2001 and 2004, calculated by the Office for National Statistics.

Healthy Life Expectancy

The HLE estimates were calculated by combining: age and sex specific mortality rates (life tables) pooled over three years and centred on the estimate year, with age and sex specific rates of good or not good general health from the General Household Survey and the Continuous Household Survey pooled over three years and centred on the estimate year, and persons resident in communal establishments at the time of the 2001 Census.

HLE at age x (usually birth or 65) for the year 2001 is defined as the average number of years a person aged x would live in good or fairly good health if he or she experienced the particular country¡¯s age-specific mortality and health rates for 2000-02 throughout his or her life. The figure reflects current mortality and morbidity experiences of those living in the country in 2001. It does not indicate how long people living in the country (newly born or aged 65) can expect to live in good or fairly good health in the future as both death and health rates are likely to change in the future, and some of those living in the country are likely to move and live elsewhere at least for some part of their lives.

HLE is also not a guide to the remaining years of healthy life at any given age as it changes with age. For example, if female HLE at birth was 70 years for a particular country, HLE of women aged 65 years in that country would exceed five years. This reflects the fact that HLE at age x depends only on the mortality and general health rates beyond that age, whereas healthy life at birth is based on mortality and morbidity rates at all ages.

Disability-free Life Expectancy

The DFLE estimates were calculated by combining: age and sex specific mortality rates (life tables) pooled over three years and centred on the estimate year, with age and sex specific rates of limiting long-standing illness or disability from the General Household Survey and Continuous Household Survey pooled over three years and centred on the estimate year and limiting long-term illness or disability of persons resident in communal establishments as of the 2001 Census.

DFLE at age x (usually birth or 65) for the year 2001 is defined as the average number of years a person aged x would live without a limiting long-standing illness or disability if he or she experienced the particular country¡¯s age-specific mortality and illness or disability rates for 2000-02 throughout his or her life.

The figure reflects current mortality and morbidity experiences of those living in the country in 2001. It does not indicate how long people living in the country (newly born or aged 65) can expect to live in future free of limiting illness or disability as both death and illness and/or disability rates are likely to change in the future, and some of those living in the country are likely to move and live elsewhere at least for some part of their lives.

DFLE is also not a guide to the remaining years of life free of limiting illness or disability at any given age as it also changes with age in the same way described above for HLE.

Like most statistics, health expectancy estimates are subject to margins of error depending upon the population size of countries and the magnitude of the estimates. The 95 per cent confidence intervals, which show the relative precision of the estimates, are also shown alongside the estimates. These confidence intervals allow comparisons between countries to be made and establish whether differences between countries are statistically significant or not. Countries with non-overlapping confidence intervals are considered to have significantly different estimates.

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Glossary

  • Aggregation

    Pooled years of survey data.

  • Cohort Health Expectancy

    The number of years an individual can expect to live beyond a given age in good/fairly good health or free from a limiting illness or disability which allow for known or projected changes in mortality and prevalence of good or fairly good health or limiting illness or disability in future years. For example, cohort Healthy Life Expectancy at age 65 in 2000 would be worked out using the mortality and good or fairly good prevalence rates for age 65 in 2000, for age 66 in 2001 and so on. This requires information on the transition rate into an alternative health state usually available only from longitudinal data sources.

  • Confidence interval

    A confidence interval gives an estimated range of values which is likely to include an unknown population parameter such as an estimate of health expectancy.

  • Disability-free Life Years

    The number of years lived free of a limiting illness or disability.

  • General Health Status

    Subjective well-being reported by the individual.

  • Healthy Life Years

    The number of years lived in good or fairly good health.

  • Limiting long-term illness status

    Subjective functional status being reported by the individual.

  • Period Health Expectancy

    The number of years an individual can expect to live beyond a given age in good or fairly good health or free from a limiting illness or disability if the individual experienced the mortality and prevalence of good or fairly good health or limiting illness or disability pertaining to a specific period for the remainder of his or her life.

  • Precision

    Precision is defined as the proximity of an estimator to the true value of a parameter.

  • Prevalence

    The proportion of the survey population reporting a given state.

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Contact Details

For statistical enquiries about this topic, please contact:

Chris White

Email: chris.white@ons.gsi.gov.uk

Telephone: +44 (0) 1633 455865

Centre for Health Analysis and Reporting Room 1.276 Office for National Statistics Government Buildings Cardiff Road Newport, NP10 8XG

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