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This topic includes statistics which show variation in health outcomes, eg mortality and life expectancy, by factors such as region and socio-economic status.

Publications

A section 75 analysis of mortality patterns in Northern Ireland
Department: Health, Social Service and Public Safety (Northern Ireland)
An analysis of mortality within Northern Ireland using the NI Mortality Study.
Action Plan for Improving Oral Health and Modernising NHS Dental Services - NHS Monitoring Report
Department: ISD Scotland (part of NHS National Services Scotland)
The Action Plan for Improving Oral Health and Modernising NHS Dental Services was published in 2005. It set out the then Scottish Executive's policy and plans for dentistry and dental public health for the next 3 years (SEHD, 2005). This plan has brought increased investment to dentistry, and to ensure this investment is achieving its goals a range of targets was set around oral health improvement, primary care dental service delivery and quality, and dental workforce and training. This is a 6-monthly report monitoring NHS Boards progress towards the targets.
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.
Cardiovascular Anticipatory Care Screenings
Department: ISD Scotland (part of NHS National Services Scotland)
Annual update of inequalities targeted cardiovascular health screening statistics to 31 March, carried out as part of the Keep Well and Well North programmes.
Child Health Profiles
Department: Health
Child Health Profiles provide a snapshot of child health and well-being for each local authority in England using key health indicators, which enable comparison locally, regionally and nationally. Public Health England is now responsible for the publication of Child Health Profiles.
Child Health Profiles
Department: Public Health England
Child Health Profiles provide a snapshot of child health and well-being for each local authority in England using key health indicators, which enable comparison locally, regionally and nationally. The Department of Health was previously responsible for the publication of Child Health Profiles.
Child Healthy Weight Interventions Statistics
Department: ISD Scotland (part of NHS National Services Scotland)
Annual update of the number of child healthy weight interventions undertaken by NHS boards. This data is used to monitor HEAT Targets.
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 Inequalities
Department: Office for National Statistics
Current patterns and recent trends in ill health and death in England and Wales by measures of socio-economic status.
Health Inequality PSA Target Monitoring
Department: Health
Health inequality monitoring.
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.
Lifetime Opportunities Monitoring Framework
Department: Office of the First and Deputy First Minister
This report presents a range of statistical targets and indicators in support of the Northern Ireland Executive¡¯s anti poverty and social inclusion strategy ¡®Lifetime Opportunities'. The monitoring framework is structured around 3 ¡®layers¡¯: ? Child poverty targets ? Poverty and social inclusion indicators ? Public service agreement targets Analyses of statistics are on a lifecycle basis and are benchmarked against other jurisdictions when possible
Local Alcohol Profiles for England
Department: Public Health England
The Local Alcohol Profiles for England 2014 provide a national indicator set intended to inform and support local, sub-national and national alcohol policies. In addition, these measures provide a baseline for monitoring progress in reducing alcohol-related harm whilst helping to prioritise and target local areas of concern. The profiles contain 26 alcohol-related indicators for every local authority, and the majority are also available for all Public Health England (PHE) centres in England.
Local Health Profiles
Department: Health
Health profiles for all LA areas presenting a range of indicators and a snapshot of the overall health of the local population. Public Health England is now responsible for the publication of Local Health Profiles.
Local Health Profiles
Department: Public Health England
Health profiles for all LA areas presenting a range of indicators and a snapshot of the overall health of the local population. The Department of Health was previously responsible for the publication of Local Health Profiles.
Local Tobacco Control Profiles for England
Department: Public Health England
The Local Tobacco Control Profiles for England provides a snapshot of the extent of tobacco use, tobacco related harm, and measures being taken to reduce this harm at local level. The profiles have been designed to help local government and health services assess the effect of tobacco on their local populations. The tool allows you to compare your local authority with others in the region and benchmark against the England average.
Long-Term Monitoring of Health Inequalities, Scotland
Department: National Records of Scotland
Report on definitions, trends and baselines for measures adopted by the Ministerial Task Force, to monitor future progress towards reducing health inequalities in Scotland.
Mortality Monitoring Bulletin
Department: Health
Mortality monitoring
Mortality Target Monitoring
Department: Health
Mortality monitoring.
NHS Health Check quarterly statistics
Department: Public Health England
Number of NHS Health Checks offered and uptake each quarter, for the year to date and over five years April 2013-March 2018
Northern Ireland Annual Cancer Incidence and Survival Statistics
Department: Cancer Registry Northern Ireland
This report presents trends in cancer incidence and survival updated with incidence and mortality.
Northern Ireland Health & Social Care Inequalities Monitoring System - Life Expectancy Decomposition
Department: Health, Social Service and Public Safety (Northern Ireland)
Life expectancy at birth is the average number of years a person can expect to live should current mortality patterns stay constant. This report details how trends in mortality by age and cause of death explain recent changes in life expectancy. The results are examined in the context of changes in the recording, measuring and classifi cation of demographic data over recent years.
Northern Ireland Health & Social Care Inequalities Monitoring System - Sub-regional analysis
Department: Health, Social Service and Public Safety (Northern Ireland)
The Health & Social Care Inequalities Monitoring System comprises a basket of indicators to assess area differences in mortality, morbidity, utilisation of and access to health and social care services in Northern Ireland. Trends in Health Inequalities between both the 20% most deprived areas and rural areas within Trust areas compared with Trusts as a whole are reported.
Northern Ireland Health & Social Care Inequalities Monitoring System Bulletin
Department: Health, Social Service and Public Safety (Northern Ireland)
The Health and Social Care Inequalities Monitoring System (HSCIMS) comprises a basket of indicators which are monitored over time to assess area differences in mortality, morbidity, utilisation of and access to health and social care services in Northern Ireland. Inequalities between the 20% most deprived areas (defi ned using the NISRA 2005 Northern Ireland Multiple Deprivation Measure) and Northern Ireland as a whole are measured.
Northern Ireland Health & Social Care Inequalities Monitoring System: An equality analysis of mortality within NI
Department: Health, Social Service and Public Safety (Northern Ireland)
An analysis of mortality within Northern Ireland using the NI Mortality Study.
Northern Ireland Health and Social Care Inequalities Monitoring System Third Update Bulletin
Department: Health, Social Service and Public Safety (Northern Ireland)
The Health and Social Care Inequalities Monitorting System comprises a basket of indicators to assess area differences in mortality, morbidity, utilisation of and access to health and social care services in Northern Ireland. Trends in Health Inequalities between both the 20% most deprived areas and rural areas compared with Northern Ireland as a whole are reported.
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.
Socio-economic inequalities in mortality summary
Department: Office for National Statistics
Socio-economic Inequalities in mortality Podcast summary (22-11,2011)
Trends in Life Expectancy by NS-SEC
Department: Office for National Statistics
Life expectancy at birth and age 65 for men and women separately, for each socioeconomic class.

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Overview

The Department of Health publishes Mortality Monitoring Bulletins, which include trend data for inequalities in life expectancy, all age all cause mortality, cancer mortality in people aged under 75, circulatory disease mortality in people aged under 75 and infant mortality.? These are based on data from the Office for National Statistics (ONS).

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Technical Data

The Department of Health publishes Mortality Monitoring Bulletins, which include trend data for inequalities, based on data from the Office for National Statistics (ONS).

Trends in inequalities are presented for life expectancy, all age all cause mortality, cancer mortality in people aged under 75, circulatory disease mortality in people aged under 75 and infant mortality.

For life expectancy, all age all cause mortality, cancer mortality in people aged under 75 and circulatory disease mortality in people aged under 75, the inequalities measures used are the absolute gap (i.e. difference) and relative gap (i.e. percentage difference) in life expectancy / mortality rates between the former Spearhead Group of health deprived local authority areas and the England average.

For infant mortality, data are presented by the National Statistics Socio-economic Classification (NS-SEC) and the inequalities measures used are the absolute gap and the relative gap between the Routine and Manual group and the average for all groups with NS-SEC assigned (i.e. all births registered jointly by both parents).

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Glossary

  • Absolute / Relative gap

    The absolute gap and the relative gap are measures of inequality between two groups, usually a disadvantaged group and a reference group (such as the most advantaged group or the whole population).?The absolute gap is the difference between the indicator values for the two groups.? The relative gap is the percentage difference between the indicator values for the two groups (i.e. the difference between the indicator values taken as a percentage of the reference group value).? Both the absolute and relative gaps are important measures of inequality and should be used in combination to understand the extent of the inequalities.

  • All Age All Cause Mortality rate

    The measure used is the three-year average directly age standardised death rate per 100,000 population (standardised against the European Standard Population) ? for all ages and all causes of death (ICD-10 A00-Y99). Rates are calculated using Office for National Statistics death registrations and population estimates.

  • Cancer mortality

    ICD-10 codes C00?C97 (Malignant Neoplasms).

  • Cause of death

    Defined using the International Classification of Diseases, Ninth Revision (ICD-9) for the years 1991 to 2000, and the International Classification of Diseases, Tenth Revision (ICD-10) for 2001 onwards.

  • Circulatory disease (also called Cardiovascular, or CVD) mortality

    CD-10 codes I00?I99 (Diseases of the circulatory system).

  • Infant Mortality rate

    The number of infant deaths (deaths under one year of age) per 1,000 live births.

  • International Classification of Diseases (ICD)

    The ICD is the international standard diagnostic classification for all general epidemiological, many health management purposes and clinical use. It is used to classify diseases and other health problems recorded on many types of health and vital records including death certificates. In addition to enabling the storage and retrieval of diagnostic information for clinical, epidemiological and quality purposes, these records also provide the basis for the compilation of national mortality and morbidity statistics.

  • Life expectancy at birth

    This is the average number of additional years a person would live if he or she experienced the age-specific mortality rates of the given area and time period for the rest of their life. Therefore it is not the number of years someone in the area in that time period is actually likely to live. This is because the death rates of the area are likely to change and because people may live in other areas for at least part of their lives. (This is referred to as the period life expectancy).

  • Mortality rate

    The usual practice in Office for National Statistics publications is to calculate age-standardised mortality rates per 100,000 population, standardised to the European Standard Population. The use of age-standardised rates allow comparison between populations, which may contain different proportions of people of different ages.

  • National Statistics Socio-economic Classification (NS-SEC)

    In June 1998 the Government Statistical Service Social Statistics Committee agreed to adopt a new National Statistics Socio-economic Classification (NS- SEC) for use with government statistics. It replaced both Social Class (SC) and Socio-economic Group (SEG). Like both SC and SEG, the NS-SEC is based on occupation and employment status, but the NS-SEC was developed to reflect more accurately the socio-economic structure of 21st century societies and the major shift in the UK economy from manufacturing to service industries.

  • Routine and Manual socio-economic group

    The Routine and Manual group is composed of ¡®Lower supervisory and technical occupations¡¯, ¡¯Semi-routine¡¯ and ¡¯Routine¡¯ occupations. The infant mortality rate among these groups is currently higher than the national average.

  • Standard population

    This is used in the calculation of the age-standardised death rates.? An element of the population (such as age and sex) is ¡®held constant¡¯ to control its effect. An example of a standard population is the European Standard Population.

  • Underlying cause of death

    The cause of death selected for primary tabulation based on International Classification of Diseases (ICD) rules.

  • WHO

    The World Health Organisation is the directing and co-ordinating authority for health within the United Nations system. It is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence-based policy options, providing technical support to countries and monitoring and assessing health trends.

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Contact Details

For statistical enquiries about this topic, please contact:

Health Improvement Analytical Team Monitoring Unit

Email: sue.graves@dh.gsi.gov.uk

Telephone: +44 (0) 20 7972 3753

Department of Health 6th floor South Wellington House 133-155 Waterloo Road London SE1 8UG

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