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Mortality, premature mortality and place of death

In 2017 there were 2,085 deaths in Herefordshire residents with a directly standardised all age mortality rate of 910 per 100,000 population, lower than the England rate (959) and represents an overall downward trend from 1,295 in 1995.

Of the 2,085 deaths recorded in Herefordshire in 2017 the most common underlying causes were cancer, which each accounted for 29.0 and 28.2 per cent of all mortality in the county respectively. Other causes of note were diseases of the respiratory system (13.1 per cent) and mental and behavioural disorders (9.3 per cent).

In 2017 there were 605 deaths from cancer in Herefordshire, which corresponds to a directly standardised cancer specific mortality rate of 264 per 100,000. The local rate was not significantly different from that for England of 272 per 100,000.

In 2017 there were 589 circulatory disease specific deaths in Herefordshire, which corresponds to a directly standardised mortality rate of 252 per 100,000. The local rate was not significantly different from that for England of 242 per 100,000.

In 2017 there were 274 respiratory disease specific deaths in Herefordshire, which corresponds to a directly standardised specific mortality rate of 119 per 100,000. The local rate was not significantly different from that for England of 134 per 100,000.

Premature mortality is defined as death occurring in individuals aged less than 75 years. In 2017 there were 588 premature deaths in Herefordshire, corresponding to an age standardised rate of 292 per 100,000. The local rate was significantly lower than that recorded for England (327 per 100,000).

Between 2008 and 2014 the directly standardised premature mortality rate in Herefordshire showed a steady downward trend and although the rate subsequently rose the figure recorded in 2017 was significantly lower than that recorded in 2008 (365 per 100,000).

The premature mortality rate in Herefordshire is significantly higher in the most deprived areas of the county compared to less deprived areas.

Between 2007 and 2016 the highest proportion of deaths in Herefordshire occurred in hospital, although there has been a downward trend in the proportion of deaths recorded in hospital over this period with the all age figure falling from 48.0 to 42.7 per cent.

Between 2007 and 2016 the proportion of all deaths accounted for by deaths in usual place of residence (DiUPR) in Herefordshire showed a steady increase, rising from 40.5 to 48.7 per cent and since 2014 has been higher than the proportion of deaths occurring in hospital.

In 2017 there were 1,259 deaths (all patients) recorded in Wye Valley NHS Trust (WVT) compared to an expected number of 1,079, which equates to 180 deaths more than expected. The resulting Summary Hospital-level Mortality Indicator (SHMI) value of 1.17 was the fifth highest across 134 non-specialist acute NHS trust in England and was considered as being higher than expected. 

Herefordshire’s premature mortality rate rank against other authorities across England and performance against the national average for the major causes of premature mortality rates are given below:

Major Cause of Premature Mortality

Rank of all English Authorities
  (1 = best; 150 = worst)

Performance against National Average

Period of Data

Cancer

47

Better than average

 2015/17

Colorectal cancer

96

Worse than average

 2015/17

Breast cancer

54

Better than average

 2014/16

Heart disease

44

Better than average

 2014/16

Stroke

23

Better than average

 2014/16

Lung disease

55

Better than average

 2014/16

Liver disease

35

Better than average

 2014/16

Injuries

11

Worse than average

 2014/16

Source: Public Health England. Longer Lives.



[1] Longer Lives: Premature Mortality, Mortality Rankings, Public Health England, 2016. Available from: http://healthierlives.phe.org.uk/topic/mortality/comparisons#are//par/E92000001/ati/102/pat/

[2] Living Well for Longer:  National Support for Local Action to Reduce Premature Avoidable Mortality, Department of Health,  2014. Available from: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/307703/LW4L.pdf

 

Last updated: Thursday, November 15, 2018