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Life Expectancy Mortality

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Life Expectancy Mortality St.Helens Joint Strategic Needs Assessment 2015 2. Life Expectancy, Mortality, and Major and Long Term Conditions 1 Life Expectancy 81.6 79 YEARS 78 YEARS 74.3 YEARS YEARS The increase in male life 2003 expectancy in 2013 St.Helens is the nd 2 highest in the North West Mortality 1837 Deaths Cancer (30%) Cardiovascular (26%) Respiratory (16%) Mental (8%) Digestive (6%) Other (15%) Under 75 Mortality 702 Deaths 2 Male 59% Female 41% Contents 1. Introduction ............................................................................................................. 5 2. Key Findings ............................................................................................................. 6 3. Life Expectancy ........................................................................................................ 7 4. Mortality ................................................................................................................ 11 4.1 Mortality by Condition .......................................................................................................... 14 4.2 Mortality by Age Group ........................................................................................................ 16 4.2.1 Premature Mortality (under 75 years) ............................................................................................ 17 4.3 Specific Causes of Mortality .................................................................................................. 21 4.3.1 Liver Disease ................................................................................................................................... 21 4.3.2 Suicide and Undetermined Injury ................................................................................................... 22 4.3.3 Excess Winter Deaths in St.Helens.................................................................................................. 23 5. Major Long Term Conditions ................................................................................. 26 5.1 Cancer ................................................................................................................................... 26 5.1.1 Introduction .................................................................................................................................... 26 5.1.2 Key Statistics ................................................................................................................................... 26 5.1.3 Cancer Incidence (new cases) and Survival Rates ........................................................................... 30 5.1.4 Cancer Incidence by Site ................................................................................................................. 31 5.1.5 Cancer Mortality by Site ................................................................................................................. 32 5.1.6 Lung Cancer .................................................................................................................................... 33 5.1.7 Colorectal Cancer (Bowel Cancer) .................................................................................................. 34 5.1.8 Breast Cancer .................................................................................................................................. 36 5.1.9 Oesophageal cancer ........................................................................................................................ 38 5.1.10 Prostate cancer ........................................................................................................................... 39 5.1.11 Evidence based treatments ........................................................................................................ 40 5.1.12 Assets for Cancer within St.Helens ............................................................................................. 42 5.1.13 Future and Recommendations ................................................................................................... 42 5.2 Cardiovascular Disease ......................................................................................................... 43 5.2.1 Introduction .................................................................................................................................... 43 5.2.2 Hypertension (High Blood Pressure) ............................................................................................... 44 5.2.3 High Cholesterol ............................................................................................................................. 46 5.2.4 Prevalence of Cardiovascular disease ............................................................................................. 47 5.2.5 Mortality due to Cardiovascular Disease ........................................................................................ 48 5.2.6 NHS Health Checks .......................................................................................................................... 54 5.3 Respiratory Diseases ............................................................................................................. 56 5.3.1 Introduction .................................................................................................................................... 56 5.3.2 Respiratory Disease Mortality ........................................................................................................ 56 5.3.3 Chronic Obstructive Pulmonary Disease (COPD) ............................................................................ 59 5.3.4 Asthma ............................................................................................................................................ 62 5.4 Diabetes ................................................................................................................................ 65 5.4.1 Introduction .................................................................................................................................... 65 5.4.2 Key statistics ................................................................................................................................... 67 3 5.5 Mental Health and Wellbeing ............................................................................................... 69 5.5.1 Introduction .................................................................................................................................... 69 5.5.2 Key Statistics ................................................................................................................................... 69 5.5.3 Local Need ...................................................................................................................................... 70 5.5.4 Social and economic factors ........................................................................................................... 71 5.5.5 Future and recommendations ........................................................................................................ 75 6. Hospital admissions ............................................................................................... 76 6.1 Healthcare Activity and Health Inequalities ......................................................................... 76 6.2 18-64yrs Hospital Admissions ............................................................................................... 78 6.2.1 Summary ......................................................................................................................................... 79 4 1. Introduction This section of the JSNA considers the key public health issues of life expectancy, mortality and major long term causes of illness. Indeed, life expectancy (and inversely, mortality) may be considered one of the ultimate measures of public health. Life expectancy across the UK has been rising continuously over the previous two centuries, (where we have reliable records). As well as improvements in healthcare, much of this increase has been due to improvements in wider determinants of health, such as housing, sanitation and nutrition. Over the last 30 years, life expectancy at birth in the UK increased by eight years for men and six years for women (between 1982 and 2012).1 This is highly positive, however it is also very important to ensure that quality of life stays high as well. Therefore we have also considered healthy life expectancy in comparison against comparator areas. These increases in life expectancy also pose their own challenges, and have contributed to the ageing of the population of St.Helens illustrated in the JSNA Section 1 – Demographics and Wider Determinants. An older population potentially means more people living with long term conditions, such as cancer or respiratory diseases such as chronic obstructive pulmonary disease. Therefore this section also considers these major conditions, including current prevalence. Potentially increases in the number of people living with these conditions both increases the effect on local people and increases pressures on healthcare and social care services. This information should be used by commissioners and providers to plan services to best meet current and future need, both improving people’s quality of life and reducing demands on health and social care services. 1 http://www.ons.gov.uk/ons/rel/lifetables/historic-and-projected-data-from-the-period-and-cohort-life- tables/2012-based/stb-2012-based.html#tab-Life-Expectancy--ex--at-Birth
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