Premature Deaths[1]

This information is sourced from the Department of Health - The Northern Ireland Health and Social Care Inequalities Monitoring System (HSCIMS) Sub-Regional Report 2017.

The information in this report relates to people that are resident within the council area.

Potential Years of Life Lost (PYLL)[2]

Over a three year period 2012-14 within LCCC;

PYLL;

·  6.8 years lost per 100 persons

·  has decreased from 8.0 years lost per 100 persons from 2008-10

·  is 20% lower than Northern Ireland overall (8.5 years lost per 100 persons)

·  is the lowest across all councils (at council level)

·  ranges from 5.7 years lost per 100 persons in Killutagh DEA to 8.6 years lost per 100 persons in Castlereagh East DEA

Over a three year period 2012-14 in the most deprived areas within LCCC;

PYLL

·  10 years lost per 100 persons

·  has decreased from 11.9 years lost per 100 persons from 2008-10

·  is 47% higher compared to LCCC overall (Inequality Gap)

Table 1: Potential Years of Life Lost (Per 100 Persons) LCCC and NI

(2008-10 to 2012-14)

Years Lost Per 100 Persons
2008-10 / 2009-11 / 2010-12 / 2011-13 / 2012-14
Northern Ireland / 9.5 / 9.3 / 9.0 / 8.6 / 8.5
LCCC / 8.0 / 8.0 / 7.7 / 7.1 / 6.8
LCCC Deprived / 11.9 / 11.8 / 11.3 / 10.5 / 10.0
LCCC-NI Gap / -15% / -13% / -14% / -18% / -20%
LCCC Deprivation Gap / 48% / 48% / 48% / 48% / 47%
DEA / 2008-10 / 2009-11 / 2010-12 / 2011-13 / 2012-14
Castlereagh East / 10.5 / 9.3 / 7.9 / 7.3 / 8.6
Castlereagh South / 7.5 / 8.0 / 6.9 / 6.3 / 5.8
Downshire East / 7.1 / 6.4 / 7.2 / 6.9 / 6.3
Downshire West / 7.9 / 7.3 / 6.6 / 6.6 / 6.1
Killultagh / 5.9 / 6.6 / 7.0 / 6.2 / 5.7
Lisburn North / 7.8 / 8.2 / 8.3 / 7.5 / 7.3
Lisburn South / 9.5 / 10.0 / 9.8 / 8.9 / 8.2

Standardised Death Rate (SDR) due to Amenable Causes[3]

Over a five year period 2010-14 within LCCC;

SDR due to amenable causes;

·  118 deaths per 100,000 population

·  has decreased from 131 deaths per 100,000 population from 2006-10

·  is 11% lower than Northern Ireland overall (132 deaths per 100,000 population)

·  is the second lowest (along with Causeway Coast and Glens) across all councils (at council level) behind Ards & North Down (117 deaths per 100,000 population)

·  ranges from 72 deaths per 100,000 population in Downshire West DEA to 160 deaths per 100,000 population in Castlereagh East DEA

·  140 deaths per 100,000 population for males and 98 deaths per 100,000 population for females

Over a five year period 2010-14 in the most deprived areas within LCCC;

SDR due to amenable causes;

·  186 deaths per 100,000 population

·  has decreased from 214 deaths per 100,000 population from 2006-10

·  is 58% higher compared to LCCC overall (Inequality Gap)

·  the Inequality Gap has decreased from 67% from 2008-12

·  the second highest Inequality Gap across all councils (at council level) behind Belfast 64%

Table 2: Standardised Death Rate due to Amenable Causes (Deaths per 100,000 population) LCCC and NI (2006-10 to 2010-14)

Deaths Per 100,000 Population
2006-10 / 2007-11 / 2008-12 / 2009-13 / 2010-14
Northern Ireland / 159 / 152 / 144 / 138 / 132
LCCC / 131 / 132 / 125 / 121 / 118
LCCC Deprived / 214 / 215 / 209 / 197 / 186
LCCC-NI Gap / -18% / -13% / -13% / -12% / -11%
LCCC Deprivation Gap / 64% / 63% / 67% / 63% / 58%
DEA / 2006-10 / 2007-11 / 2008-12 / 2009-13 / 2010-14
Castlereagh East / 162 / 159 / 159 / 154 / 160
Castlereagh South / 108 / 121 / 113 / 108 / 107
Downshire East / 120 / 126 / 126 / 124 / 115
Downshire West / 113 / 107 / 91 / 80 / 72
Killultagh / 116 / 109 / 94 / 94 / 101
Lisburn North / 121 / 120 / 124 / 121 / 117
Lisburn South / 174 / 176 / 164 / 159 / 147

Standardised Death Rate (SDR) due to Avoidable Causes[4]

Over a five year period 2010-14 within LCCC;

SDR due to avoidable causes;

·  210 deaths per 100,000 population

·  has decreased from 244 deaths per 100,000 population from 2006-10

·  is 17% lower than Northern Ireland overall (251 deaths per 100,000 population)

·  is the lowest across all councils (at council level)

·  ranges from 163 deaths per 100,000 population in Downshire West DEA to 261 deaths per 100,000 population in Lisburn South DEA

·  264 deaths per 100,000 population for males and 161 deaths per 100,000 population for females

Over a five year period 2010-14 in the most deprived areas within LCCC;

SDR due to avoidable causes;

·  322 deaths per 100,000 population

·  has decreased from 378 deaths per 100,000 population from 2006-10

·  is 54% higher in the most deprived areas within LCCC (Inequality Gap)

·  the Inequality Gap has decreased from 58% from 2008-12

Table 3: Standardised Death Rate due to Avoidable Causes (Deaths per 100,000 population) LCCC and NI (2006-10 to 2010-14)

Deaths Per 100,000 Population
2006-10 / 2007-11 / 2008-12 / 2009-13 / 2010-14
Northern Ireland / 290 / 280 / 270 / 261 / 251
LCCC / 244 / 239 / 230 / 219 / 210
LCCC Deprived / 378 / 373 / 362 / 344 / 322
LCCC-NI Gap / -16% / -15% / -15% / -16% / -17%
LCCC Deprivation Gap / 55% / 56% / 58% / 57% / 54%
DEA / 2006-10 / 2007-11 / 2008-12 / 2009-13 / 2010-14
Castlereagh East / 303 / 297 / 287 / 264 / 255
Castlereagh South / 211 / 214 / 200 / 196 / 193
Downshire East / 220 / 218 / 216 / 207 / 198
Downshire West / 195 / 194 / 186 / 173 / 163
Killultagh / 210 / 199 / 178 / 169 / 168
Lisburn North / 229 / 226 / 229 / 227 / 219
Lisburn South / 327 / 314 / 304 / 286 / 261

Standardised Death Rate (SDR) due to Preventable Causes[5]

Over a five year period 2010-14 within LCCC;

SDR due to preventable causes;

·  169 deaths per 100,000 population

·  has decreased from 200 deaths per 100,000 population from 2006-10

·  is 20% lower than Northern Ireland overall (211 deaths per 100,000 population)

·  is the lowest across all councils (at council level)

·  ranges from 133 deaths per 100,000 population in Killutagh DEA to 218 deaths per 100,000 population in Lisburn South DEA

·  215 deaths per 100,000 population for males and 129 deaths per 100,000 population for females

Over a five year period 2010-14 in the most deprived areas within LCCC;

SDR due to preventable causes;

·  268 deaths per 100,000 population

·  has decreased from 322 deaths per 100,000 population from 2006-10

·  is 58% higher in the most deprived areas within LCCC (Inequality Gap)

·  the Inequality Gap has decreased from 63% from 2009-13

·  third highest Inequality Gap across all councils (at council level) behind Belfast (70%) and Derry City and Strabane (63%)

Table 4: Standardised Death Rate due to Preventable Causes (Deaths per 100,000 population) LCCC and NI (2006-10 to 2010-14)

Deaths Per 100,000 Population
2006-10 / 2007-11 / 2008-12 / 2009-13 / 2010-14
Northern Ireland / 243 / 234 / 226 / 220 / 211
LCCC / 200 / 195 / 187 / 179 / 169
LCCC Deprived / 322 / 317 / 305 / 291 / 268
LCCC-NI Gap / -17% / -17% / -17% / -19% / -20%
LCCC Deprivation Gap / 61% / 63% / 63% / 63% / 58%
DEA / 2006-10 / 2007-11 / 2008-12 / 2009-13 / 2010-14
Castlereagh East / 244 / 239 / 231 / 220 / 205
Castlereagh South / 177 / 173 / 160 / 157 / 149
Downshire East / 186 / 177 / 175 / 164 / 160
Downshire West / 158 / 155 / 152 / 147 / 139
Killultagh / 171 / 162 / 149 / 134 / 133
Lisburn North / 188 / 191 / 186 / 184 / 174
Lisburn South / 270 / 258 / 249 / 235 / 218

Date of Last Update: 08/05/17

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[1] More detailed information or the full report can be found here https://www.health-ni.gov.uk/publications/sub-regional-inequalities-by-local-government-district-lgd-2017 For information on the 95% confidence intervals (for the most recent year’s data) refer to Table A7 within the report

[2] This is a summary measure of premature mortality which provides an explicit way of weighting deaths occurring at younger ages. PYLL uses the average age‐specific life expectancy for each five year age band as the age to which a person in that age band might be expected to live. The calculation of PYLL involves the standardisation of the average number of years that would have been lived had individuals reached their life expectancy.

[3] a death is amenable (treatable) if, in the light of medical knowledge and technology at the time of death, all or most deaths from that cause (subject to age limits if appropriate) could be avoided through good quality healthcare https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/causesofdeath/bulletins/avoidablemortalityinenglandandwales/2014#how-have-we-defined-avoidable-mortality

Please note: the 2008-12 figure used in the LCCC Baseline (114 deaths per 100,000 population) has since been revised to 125 deaths per 100,000 population. This is due to modifications to geography lookups in addition to data and methodological changes.

For the various causes of death (ICD-10 classification) and associated age bands considered to be amenable to medical intervention are defined by the Office of National Statistics, and are set out in the report that can be found here (Table A2) https://www.health-ni.gov.uk/publications/sub-regional-inequalities-by-local-government-district-lgd-2017

[4] avoidable deaths are all those defined as preventable, amenable (treatable) or both, where each death is counted only once; where a cause of death is both preventable and amenable, all deaths from that cause are counted in both categories when they are presented separately https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/causesofdeath/bulletins/avoidablemortalityinenglandandwales/2014#how-have-we-defined-avoidable-mortality

Please note: the 2008-12 figure used in the LCCC Baseline (229 deaths per 100,000 population) has since been revised to 230 deaths per 100,000 population. This is due to modifications to geography lookups in addition to data and methodological changes.

For the various causes of death (ICD-10 classification) and associated age bands considered to be avoidable to medical intervention are defined by the Office of National Statistics, and are set out in the report that can be found here (Table A2) https://www.health-ni.gov.uk/publications/sub-regional-inequalities-by-local-government-district-lgd-2017

[5] a death is preventable if, in the light of understanding of the determinants of health at time of death, all or most deaths from that cause (subject to age limits if appropriate) could be avoided by public health interventions in the broadest sense https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/causesofdeath/bulletins/avoidablemortalityinenglandandwales/2014#how-have-we-defined-avoidable-mortality

Please note: the 2008-12 figure used in the LCCC Baseline (184 deaths per 100,000 population) has since been revised to 187 deaths per 100,000 population. This is due to modifications to geography lookups in addition to data and methodological changes.

For the various causes of death (ICD-10 classification) and associated age bands considered to be preventable to medical intervention are defined by the Office of National Statistics, and are set out in the report that can be found here (Table A2) https://www.health-ni.gov.uk/publications/sub-regional-inequalities-by-local-government-district-lgd-2017