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Birmingham Health and Wellbeing Partnership Suite 203, CIBA Building, 146 Hagley Road, Edgbaston, Birmingham. B16 9NX phit@bhwp.nhs.uk 0121 465 2999

Birmingham Public Health Information Team

Causes of Gap in Life Expectancy between England and Birmingham (PCTs) based on 2005-2007 mortality rates June, 2009 Version Control and Document Governance Author Version Date created Status

Yang Tian and Mohan Singh 1 08/06/2009 First draft

Data source

England age-specific mortality rates 2005 - 2007: NHS Information Centre and West Midlands Public Health Observatory; Birmingham and PCTs deaths 2005 -2007: ONS death registration 2005-2007; Birmingham and PCTs population 2005 - 2007: ONS Resident Single Age population estimates 2005-2007; Life expectancy gap: PHIT calculation (see methods in the 'Description' sheet for details)

File location

Y:\Public Health\PHIT\Public Health Server\5. PHIT output data\Life expectancy\LE gap calculation

part of the Birmingham Health and Wellbeing Partnership


Methods This analysis considers the impact on the gap in life expectancy at birth between England and Birmingham (and the three PCTs) from i) key causes of death and ii) age groups of death. This is done by 1. Calculating life expectancy for England, Birmingham and the PCTs based on age-specific mortality rates for 2005-2007. 2. Calculating age-specific number of excess deaths (as compared with England's mortality rates) from one cause of death or an age group for Birmingham and the PCTs. 3. Calculating new estimated life expectancy if excess deaths from the cause or age group were prevented. 4. Calculating the contribution from each cause of death (or age group) to the life expectancy gap between local and England.

Step 1: Calculating life expectancy for England, Birmingham and the PCTs based on age-specific mortality rates for 2005-2007 a) b) c)

Taking age-specific number of deaths from all-cause and all-age for England, Birmingham and the PCTs; Taking age-specific population for England, Birmingham and the PCTs; Using ONS life table template to calculate life expectancy at birth for England, Birmingham and the PCTs. Template available at: http://www.statistics.gov.uk/statbase/ssdataset.asp?vlnk=6949

Step 2: Calculating age-specific number of excess deaths from a cause of death (e.g. all cancers) or an age group (e.g. Age 10-19) a) b)

Calculating expected deaths in Birmingham and the PCTs, had the local mortality rates from the cause (or age group) the same as England; Calculating excess deaths locally by taking the expected deaths (as calculated in Step 2a) from the observed deaths from the cause or in the age group.

Step 3: Calculating new estimated life expectancy if excess deaths from certain cause or age group were prevented a) b)

Calculating estimated number of age-specific deaths from all-age and all-cause in Birmingham and the PCTs if excess deaths (as calculated in Step 2b) were prevented; Calculating life expectancy (as in Step 1c) based on the estimated all-cause all-age deaths if excess deaths were prevented (as calculated in Step 3a).

Step 4: Calculating the contribution of the cause (and/or age group) to the gap in life expectancy between Birmingham (and the PCTs) and England a) b)

Calculating difference in actual life expectancy locally (as calculated in Step 1) and estimated life expectancy if excess deaths were prevented (as calculated in Step 3); This gives the contribution in years (or months) of the cause of death (or age group) to the life expectancy gap between local and England.

Data sources England age-specific mortality rates 2005 - 2007: NHS Information Centre and West Midlands Public Health Observatory; Birmingham and PCTs deaths 2005-2007: ONS death registration 2005-2007; Birmingham and PCTs population 2005 - 2007: ONS Resident Single Age population estimates 2005-2007;


Gap in life expectancy between Birmingham and England by cause of death, 2005/07 (PHIT Calculation)

Gap in life expectancy between Birmingham and England by cause of death - Females, 2005/07 Gap in life expectancy between Birmingham and England by cause of death, females, 2005/07 Life expectancy gap (month) -5.0

Group Neonatal death (death under 28 days) All circulatory diseases CHD Stroke Respiratory diseases Chronic obstructive airway disease (COPD) Endocrine, nutritional and metabolic disorders All cancers Lung cancer Colorectal cancer Breast cancer External causes Infection and parasitic diseases Digestive Chronic liver cirrhosis Mental diseases Diseases of the nervous system

Sex Females Females Females Females Females Females Females Females Females Females Females Females Females Females Females Females Females

Area Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham

-3.0

-2.0

-1.0

0.0

1.0

1.9

CHD 0.9

Stroke

1.8

Respiratory diseases 0.9

Chronic obstructive airway disease (COPD)

1.7

Endocrine, nutritional and metabolic disorders 1.3

All cancers 0.9

Lung cancer Colorectal cancer

-0.2

Breast cancer

-0.7 1.2

External causes 0.7

Infection and parasitic diseases

0.7

Digestive

0.5 0.3

Mental diseases

0.1

Gap in life expectancy between Birmingham and England by cause of death - Males, 2005/07

Gap in life expectancy between Birmingham and England by cause of death, males, 2005/07

Sex Males Males Males Males Males Males Males Males Males Males Males Males Males Males Males Males Males

Area Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham

Life expectancy gap (month) -10.0

-9.0

-8.0

-7.0

-6.0

-5.0

-4.0

-3.0

-2.0

-1.0

0.0

1.0

2.0

3.0

4.0

5.0

6.0

5.6

CHD 1.6

Stroke

3.2

Neonatal death (death under 28 days)

3.0

Respiratory diseases 1.1

Chronic obstructive airway disease (COPD)

2.3

All cancers

2.4

Lung cancer Colorectal cancer Prostate cancer

0.2 -0.4 1.8

Digestive

1.3

Chronic liver cirrhosis Endocrine, nutritional and metabolic disorders

1.4

Infection and parasitic diseases

1.0 0.7

Mental diseases Diseases of the nervous system External causes

7.0

8.0

7.8

All circulatory diseases

Causes of death

Group All circulatory diseases CHD Stroke Neonatal death (death under 28 days) Respiratory diseases Chronic obstructive airway disease (COPD) All cancers Lung cancer Colorectal cancer Prostate cancer Digestive Chronic liver cirrhosis Endocrine, nutritional and metabolic disorders Infection and parasitic diseases Mental diseases Diseases of the nervous system External causes

4.0

2.1

All circulatory diseases

Diseases of the nervous system

Year 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07

3.0 2.2

Chronic liver cirrhosis

Months of LE Disease saved if taken to contribution England rate to LE gap 7.8 31.3% 5.6 22.6% 1.6 6.3% 3.2 13.0% 3.0 12.0% 1.1 4.3% 2.3 9.6% 2.4 9.6% 0.2 1.0% -0.4 0.0% 1.8 7.2% 1.3 5.3% 1.4 5.8% 1.0 3.8% 0.7 2.9% 0.5 1.9% 0.0 0.0%

2.0

Neonatal death (death under 28 days)

Causes of death

Year 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07

Months of LE Disease saved if taken to contribution England rate to LE gap 2.2 17.3% 2.1 16.3% 1.9 15.4% 0.9 6.8% 1.8 14.4% 0.9 6.8% 1.7 13.5% 1.3 10.6% 0.9 6.8% -0.2 0.0% -0.7 0.0% 1.2 9.7% 0.7 5.9% 0.7 5.9% 0.5 4.0% 0.3 2.1% 0.1 1.1%

-4.0

0.5 0.0

9.0


Gap in life expectancy between Birmingham and England by age group, 2005/07 (PHIT Calculation) Gap in life expectancy between Birmingham and England by age group - Females, 2005/07

Gap in life expectancy between Birmingham and England by age group, females, 2005/07

Group

Sex

Area

2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07

Age <1 (infant mortality) Age 1-9 Age 10-19 Age 20-29 Age 30-39 Age 40-49 Age 50-59 Age 60-69 Age 70-79 Age 80+

Females Females Females Females Females Females Females Females Females Females

Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham

2.5 0.6 -0.1 -0.1 0.7 1.7 1.3 3.7 3.3 -0.9

20.1% 4.9% -0.8% -0.8% 5.9% 13.5% 10.6% 29.6% 25.8% -7.4%

Life expectancy gap (month) -2.0

-1.0

0.0

1.0

2.0

3.0

0.6

Age 1-9 Age 10-19

-0.1

Age 20-29

-0.1 0.7

Age 30-39 Age 40-49

1.7 1.3

Age 50-59

3.7

Age 60-69 Age 70-79

3.3 -0.9

Age 80+

Gap in life expectancy between Birmingham and England by age group, males, 2005/07

Group

Sex

Area

2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07

Age <1 (infant mortality) Age 1-9 Age 10-19 Age 20-29 Age 30-39 Age 40-49 Age 50-59 Age 60-69 Age 70-79 Age 80+

Males Males Males Males Males Males Males Males Males Males

Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham Birmingham

Gap in life expectancy between Birmingham and England by age group - Males, 2005/07

Months of LE Age group saved if taken to contribution to England rate LE gap 4.1 0.5 -0.4 -0.1 1.0 2.5 5.2 6.5 5.0 0.4

16.3% 1.9% -1.4% -0.5% 3.8% 10.1% 20.7% 26.0% 20.2% 1.4%

Life expectancy gap (month) -3.0

-2.0

-1.0

0.0

1.0

2.0

3.0

Age 1-9

4.0

5.0

6.0

0.5

Age 10-19

-0.4

Age 20-29

-0.1

Age 30-39

1.0 2.5

Age 40-49

5.2

Age 50-59

6.5

Age 60-69 Age 70-79 Age 80+

7.0

4.1

Age <1 (infant mortality)

Age group

Year

4.0

2.5

Age <1 (infant mortality)

Age group

Year

Months of LE Age saved if taken to contribution to England rate LE gap

5.0 0.4


Gap in life expectancy between Birmingham East and North PCT and England by cause of death, 2005/07 (PHIT Calculation) Gap in life expectancy between Birmingham East and North PCT and England by cause of death - Females, 2005/07 Life expectancy gap (month)

Gap in life expectancy between Birmingham East and North PCT and England by cause of death, females, 2005/07

-5.0

-4.0

-3.0

-2.0

-1.0

0.0

1.0

2.0

3.0

4.0 3.6

Respiratory diseases

Group

Sex

Area

2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07

Respiratory diseases Chronic obstructive airway disease (COPD) All circulatory diseases CHD Stroke Neonatal death (death under 28 days) All cancers Lung cancer Colorectal cancer Breast cancer Endocrine, nutritional and metabolic disorders External causes Digestive Chronic liver cirrhosis Infection and parasitic diseases Diseases of the nervous system Mental diseases

Females Females Females Females Females Females Females Females Females Females Females Females Females Females Females Females Females

BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT

Months of LE Disease saved if taken to contribution to England rate LE gap 3.6 0.6 3.1 2.5 1.4 2.8 1.6 1.8 -0.2 -0.7 1.6 1.2 0.7 0.7 0.7 -0.1 -0.1

21.6% 3.6% 18.7% 15.1% 8.6% 16.5% 9.4% 10.8% -1.4% -4.3% 9.4% 7.2% 4.3% 4.3% 4.3% -0.7% -0.7%

Chronic obstructive airway disease (COPD)

0.6 3.1

All circulatory diseases CHD

2.5 1.4

Stroke

2.8

Neonatal death (death under 28 days)

Causes of death

Year

1.6

All cancers

1.8

Lung cancer Colorectal cancer

-0.2

Breast cancer

-0.7 1.6

Endocrine, nutritional and metabolic disorders 1.2

External causes Digestive

0.7

Chronic liver cirrhosis

0.7 0.7

Infection and parasitic diseases Diseases of the nervous system

-0.1

Mental diseases

-0.1

Gap in life expectancy between Birmingham East and North PCT and England by cause of death - Males, 2005/07 Gap in life expectancy between Birmingham East and North PCT and England by cause of death, males, 2005/07 Life expectancy gap (month)

Group

Sex

Area

2005/07 2005/07 2005/07 2005/07 2005/07 2005/10 2005/11 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/08 2005/07

All circulatory diseases CHD Stroke All cancers Lung cancer Colorectal cancer Prostate cancer Respiratory diseases Chronic obstructive airway disease (COPD) Neonatal death (death under 28 days) Digestive Chronic liver cirrhosis Endocrine, nutritional and metabolic disorders Diseases of the nervous system Infection and parasitic diseases Mental diseases External causes

Males Males Males Males Males Males Males Males Males Males Males Males Males Males Males Males Males

BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT

6.5 4.4 1.0 3.7 3.2 -0.1 -0.5 2.9 0.5 2.8 1.6 0.8 1.0 0.4 0.2 0.0 -1.1

31.6% 21.6% 4.7% 18.1% 15.8% -0.6% -2.3% 14.0% 2.3% 13.5% 7.6% 4.1% 4.7% 1.8% 1.2% 0.0% -5.3%

-9.0 -8.0 -7.0 -6.0 -5.0 -4.0 -3.0 -2.0 -1.0 0.0

1.0

2.0

3.0

4.0

5.0

CHD

4.4 1.0

Stroke All cancers

3.7 3.2

Lung cancer Colorectal cancer

-0.1

Prostate cancer

-0.5

Respiratory diseases Chronic obstructive airway disease (COPD)

2.9 0.5 2.8

Neonatal death (death under 28 days) 1.6

Digestive 0.8

Chronic liver cirrhosis

1.0

Endocrine, nutritional and metabolic disorders Diseases of the nervous system Infection and parasitic diseases

6.0

7.0 6.5

All circulatory diseases

Causes of death

Year

Months of LE Disease saved if taken to contribution to England rate LE gap

0.4 0.2

Mental diseases

0.0

External causes

-1.1

8.0


Gap in life expectancy between Birmingham East and North PCT and England by age group, 2005/07 (PHIT Calculation) Gap in life expectancy between Birmingham East and North PCT and England by age group - Females, 2005/07

Gap in life expectancy between Birmingham East and North PCT and England by age group, females, 2005/07

Group

Sex

Area

2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07

Age <1 (infant mortality) Age 1-9 Age 10-19 Age 20-29 Age 30-39 Age 40-49 Age 50-59 Age 60-69 Age 70-79 Age 80+

Females Females Females Females Females Females Females Females Females Females

BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT

3.4 0.5 0.1 0.2 0.5 1.6 1.9 3.5 3.7 1.1

Age group contribution to LE gap 20.1% 2.9% 0.7% 1.4% 2.9% 9.4% 11.5% 20.9% 22.3% 6.5%

0.5

1.0

1.5

2.0

2.5

3.0

3.5

Age <1 (infant mortality)

4.0

3.4

Age 1-9

0.5

Age 10-19

0.1

Age 20-29

Age group

Year

Months of LE saved if taken to England rate

Life expectancy gap (month) 0.0

0.2

Age 30-39

0.5

Age 40-49

1.6

Age 50-59

1.9

Age 60-69

3.5 3.7

Age 70-79 Age 80+

1.1

Gap in life expectancy between Birmingham East and North PCT and England by age group - Males, 2005/07

Gap in life expectancy between Birmingham East and North PCT and England by age group, males, 2005/07

Life expectancy gap (month)

Group

Sex

Area

2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07

Age <1 (infant mortality) Age 1-9 Age 10-19 Age 20-29 Age 30-39 Age 40-49 Age 50-59 Age 60-69 Age 70-75 Age 80+

Males Males Males Males Males Males Males Males Males Males

BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT BEN PCT

3.7 0.7 -0.6 -0.8 0.7 2.3 3.8 4.8 4.6 0.6

Age group contribution to LE gap 18.1% 3.5% -2.9% -4.1% 3.5% 11.1% 18.7% 23.4% 22.2% 2.9%

-3.0

-2.0

-1.0

0.0

1.0

2.0

3.0

-0.6

Age 20-29

-0.8 0.7

Age 40-49

2.3 3.8

Age 50-59

4.8

Age 60-69

4.6

Age 70-75 Age 80+

5.0

0.7

Age 1-9 Age 10-19

Age 30-39

4.0 3.7

Age <1 (infant mortality)

Age group

Year

Months of LE saved if taken to England rate

0.6

6.0


Gap in life expectancy between Heart of Birmingham tPCT and England by cause of death, 2005/07 (PHIT Calculation) Gap in life expectancy between Heart of Birmingham tPCT and England by cause of death - Females, 2005/07 Gap in life expectancy between Heart of Birmingham tPCT and England by cause of death, females, 2005/07

Group

Sex

Area

All circulatory diseases CHD Stroke Endocrine, nutritional and metabolic disorders Neonatal death (death under 28 days) Infection and parasitic diseases External causes Respiratory diseases Chronic obstructive airway disease (COPD) All cancers Lung cancer Breast cancer Colorectal cancer Digestive Chronic liver cirrhosis Diseases of the nervous system Mental diseases

Females Females Females Females Females Females Females Females Females Females Females Females Females Females Females Females Females

HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT

6.1 4.3 0.0 2.6 2.5 1.8 1.3 1.2 -0.2 1.0 0.1 -1.1 -1.3 0.7 0.0 0.5 -0.8

31.5% 22.2% 0.0% 13.6% 13.0% 9.3% 6.8% 6.2% -1.2% 4.9% 0.6% -5.6% -6.8% 3.7% 0.0% 2.5% -4.3%

-7.0

-6.0

-5.0

-4.0

-3.0

-2.0

-1.0

0.0

1.0

Sex

Area

Males Males Males Males Males Males Males Males Males Males Males Males Males Males Males Males Males

HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT

2.6

1.8

External causes

1.3

Respiratory diseases Chronic obstructive airway disease (COPD)

1.2 -0.2

All cancers Lung cancer

1.0 0.1

Breast cancer

-1.1

Colorectal cancer

-1.3

Digestive Chronic liver cirrhosis

31.9% 21.5% 6.6% 10.1% 9.6% 8.8% 6.1% 8.0% 6.1% 0.5% -0.5% 5.6% 5.3% 5.3% 2.9% 2.4% 1.1%

7.0

2.5

Infection and parasitic diseases

0.7 0.0 0.5 -0.8

Gap in life expectancy between Heart of Birmingham tPCT and England by cause of death - Males, 2005/07

Disease Months of LE saved if taken to contribution England rate to LE gap 14.4 9.7 3.0 4.6 4.3 4.0 2.8 3.6 2.8 0.2 -0.2 2.5 2.4 2.4 1.3 1.1 0.5

6.0

4.3

Neonatal death (death under 28 days)

Life expectancy gap (month) -25.0

-20.0

-15.0

-10.0

-5.0

0.0

5.0

10.0

9.7

CHD Stroke

3.0

Neonatal death (death under 28 days)

4.6

Respiratory diseases

4.3 4.0

Digestive Chronic liver cirrhosis

2.8 3.6

All cancers

2.8

Lung cancer Colorectal cancer Prostate cancer

0.2 -0.2

Endocrine, nutritional and metabolic disorders 2.5 External causes

2.4

Infection and parasitic diseases Accidents Mental diseases Diseases of the nervous system

15.0 14.4

All circulatory diseases

Causes of death

Group

5.0

0.0

Endocrine, nutritional and metabolic disorders

Gap in life expectancy between Heart of Birmingham tPCT and England by cause of death, males, 2005/07

All circulatory diseases CHD Stroke Neonatal death (death under 28 days) Respiratory diseases Digestive Chronic liver cirrhosis All cancers Lung cancer Colorectal cancer Prostate cancer Endocrine, nutritional and metabolic disorders External causes Infection and parasitic diseases Accidents Mental diseases Diseases of the nervous system

4.0

CHD Stroke

Mental diseases

2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07

3.0

6.1

Diseases of the nervous system

Year

2.0

All circulatory diseases

Causes of death

Year 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07

Life expectancy gap (month) -8.0

Months of LE Disease saved if taken to contribution England rate to LE gap

2.4 1.3 1.1 0.5

20.0


Gap in life expectancy between Heart of Birmingham tPCT and England by age group, 2005/07 (PHIT Calculation) Gap in life expectancy between Heart of Birmingham tPCT and England by age group - Females, 2005/07

Gap in life expectancy between Heart of Birmingham tPCT and England by age group, females, 2005/07

Sex

Area

2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07

Age Age Age Age Age Age Age Age Age Age

Females Females Females Females Females Females Females Females Females Females

HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT

Age <1 (infant mortality) Age 1-9 Age 10-19 Age 20-29 Age 30-39 Age 40-49 Age 50-59 Age 60-69 Age 70-79 Age 80+

3.1 1.4 -0.5 -0.5 1.2 2.5 2.6 7.2 3.4 -1.7

16.0% 7.4% -2.5% -2.5% 6.2% 13.0% 13.6% 37.0% 17.3% -8.6%

-3.0

-2.0

-1.0

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

1.4

Age 1-9 Age 10-19

-0.5

Age 20-29

-0.5 1.2

Age 30-39

2.5

Age 40-49

2.6

Age 50-59

7.2

Age 60-69 3.4

Age 70-79 Age 80+

8.0

3.1

Age <1 (infant mortality)

Age group

Year

Age/Disea se Group

Life expectancy gap (month)

Months of LE Age group saved if taken contribution to to England rate LE gap

-1.7

Gap in life expectancy between Heart of Birmingham tPCT and England by age group - Males, 2005/07

Gap in life expectancy between Heart of Birmingham tPCT and England by age group, males, 2005/07

Life expectancy gap (month)

2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07

Age Age Age Age Age Age Age Age Age Age

Age <1 (infant mortality) Age 1-9 Age 10-19 Age 20-29 Age 30-39 Age 40-49 Age 50-59 Age 60-69 Age 70-79 Age 80+

Sex Males Males Males Males Males Males Males Males Males Males

Area HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT HoB tPCT

5.4 0.4 0.2 0.2 1.9 4.2 11.2 11.5 7.8 0.2

12.0% 0.8% 0.5% 0.5% 4.3% 9.3% 24.7% 25.5% 17.3% 0.5%

0.0

2.0

4.0

6.0

Age <1 (infant mortality)

Age group

Year

Age/Disea se Group

Months of LE Age group saved if taken contribution to to England rate LE gap

8.0

12.0

5.4

Age 1-9

0.4

Age 10-19

0.2

Age 20-29

0.2

Age 30-39

1.9

Age 40-49

4.2 11.2

Age 50-59 Age 60-69

11.5

Age 70-79 Age 80+

10.0

7.8 0.2

14.0


Gap in life expectancy between South Birmingham PCT and England by cause of death, 2005/07 (PHIT Calculation) Gap in life expectancy between South Birmingham PCT and England by cause of death - Females, 2005/07 Gap in life expectancy between South Birmingham PCT and England by cause of death, females, 2005/07

Life expectancy gap (month) -3.0

Group Endocrine, nutritional and metabolic disorders Mental diseases All cancers Lung cancer Colorectal cancer Breast cancer External causes Neonatal death (death under 28 days) Digestive Chronic liver cirrhosis Diseases of the nervous system Infection and parasitic diseases Respiratory diseases Chronic obstructive airway disease (COPD) All circulatory diseases Stroke CHD

Sex Females Females Females Females Females Females Females Females Females Females Females Females Females Females Females Females Females

Area SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT

-2.0

-1.0

0.0

1.0

1.2

Mental diseases

1.1

All cancers 0.2

Lung cancer

0.4

Colorectal cancer -0.4

Breast cancer

1.1

External causes

1.0

Neonatal death (death under 28 days) 0.7

Digestive

0.6

Chronic liver cirrhosis Diseases of the nervous system

0.0

Infection and parasitic diseases

0.0 -0.1

Respiratory diseases

1.7

Chronic obstructive airway disease (COPD) -1.6

All circulatory diseases

0.4

Stroke -0.2

CHD

Gap in life expectancy between South Birmingham PCT and England by cause of death, males, 2005/07

Group All circulatory diseases CHD Stroke All cancers Lung cancer Colorectal cancer Prostate cancer Neonatal death (death under 28 days) Respiratory diseases Chronic obstructive airway disease (COPD) Endocrine, nutritional and metabolic disorders Mental diseases Chronic liver cirrhosis Digestive Infection and parasitic diseases Diseases of the nervous system External causes

Sex Males Males Males Males Males Males Males Males Males Males Males Males Males Males Males Males Males

Area SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT

Gap in life expectancy between South Birmingham PCT and England by cause and death - Males, 2005/07 Life expectancy gap (month) -7.0

-5.0

-3.0

-1.0

1.0

3.0

5.0 5.4

All circulatory diseases 3.8

CHD 1.4

Stroke

3.2

All cancers 1.0

Lung cancer Colorectal cancer

Causes of death

Year 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07

Months of LE Disease saved if taken to contribution to England rate LE gap 5.4 32.8% 3.8 23.4% 1.4 8.8% 3.2 19.7% 1.0 5.8% 0.6 3.6% -0.5 -2.9% 2.3 13.9% 2.2 13.1% 1.0 5.8% 1.2 7.3% 1.1 6.6% 0.7 4.4% 0.6 3.6% 0.6 3.6% 0.5 2.9% -0.7 -4.4%

2.0 1.2

Endocrine, nutritional and metabolic disorders

Causes of death

Year 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07

Months of LE Disease saved if taken to contribution to England rate LE gap 1.2 47.6% 1.2 47.6% 1.1 42.9% 0.2 9.5% 0.4 14.3% -0.4 -14.3% 1.1 42.9% 1.0 38.1% 0.7 28.6% 0.6 23.8% 0.0 0.0% 0.0 0.0% -0.1 -4.8% 1.7 66.7% -1.6 -61.9% 0.4 14.3% -0.2 -9.5%

Prostate cancer

0.6 -0.5 2.3

Neonatal death (death under 28 days)

2.2

Respiratory diseases 1.0

Chronic obstructive airway disease (COPD)

1.2

Endocrine, nutritional and metabolic disorders

1.1

Mental diseases Chronic liver cirrhosis Digestive Infection and parasitic diseases Diseases of the nervous system External causes

0.7 0.6 0.6 0.5 -0.7


Gap in life expectancy between South Birmingham PCT and England by age group, 2005/07 (PHIT Calculation)

Life expectancy gap (month) -3.0

-2.0

-1.0

0.0

-0.5

Age 10-19

-0.1

Age 20-29

-0.2

Sex Males Males Males Males Males Males Males Males Males Males

Area SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT SB PCT

-0.2 1.8

Age 60-69

2.4

Age 70-79 -2.9

Gap in life expectancy between South Birmingham PCT and England by age group - Males, 2005/07 Life expectancy gap (month) -3.0

-2.0

-1.0

0.0

1.0

2.0

Age 1-9

4.0

-0.5

Age 20-29

0.1

6.0

0.2 1.4

Age 40-49

3.2

Age 50-59

5.3

Age 60-69 3.8

Age 70-79 Age 80+

5.0

0.4

Age 10-19

Age 30-39

3.0 2.3

Age <1 (infant mortality)

Age group

Group Age <1 (infant mortality) Age 1-9 Age 10-19 Age 20-29 Age 30-39 Age 40-49 Age 50-59 Age 60-69 Age 70-79 Age 80+

1.2

Age 40-49

Gap in life expectancy between South Birmingham PCT and England by age group, males, 2005/07

Year 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07 2005/07

3.0

0.5

Age 30-39

Age 50-59

2.0

0.7

Age 1-9

Age 80+

Months of LE saved Age group if taken to England contribution to rate LE gap 2.3 13.9% 0.4 2.2% -0.5 -2.9% 0.1 0.7% 0.2 1.5% 1.4 8.8% 3.2 19.7% 5.3 32.1% 3.8 23.4% 0.4 2.2%

1.0

Age <1 (infant mortality)

Age group

Gap in life expectancy between South Birmingham PCT and England by age group, females, 2005/07 Months of LE saved Age group if taken to England contribution to Year Group Sex Area rate LE gap 2005/07 Age <1 (infant mortality) Females SB PCT 0.7 28.6% 2005/07 Age 1-9 Females SB PCT -0.5 -19.0% 2005/07 Age 10-19 Females SB PCT -0.1 -4.8% 2005/07 Age 20-29 Females SB PCT -0.2 -9.5% 2005/07 Age 30-39 Females SB PCT 0.5 19.0% 2005/07 Age 40-49 Females SB PCT 1.2 47.6% 2005/07 Age 50-59 Females SB PCT -0.2 -9.5% 2005/07 Age 60-69 Females SB PCT 1.8 71.4% 2005/07 Age 70-79 Females SB PCT 2.4 95.2% 2005/07 Age 80+ Females SB PCT -2.9 -114.3%

Gap in life expectancy between South Birmingham PCT and England by age group - Females, 2005/07

0.4


LE gap Bham and PCTs 2005-2007 printable