joint strategic needs assessment foundation profile - JSNA

Interative Hull Atlas: www.hullpublichealth.org/Pages/hull_atlas.htm More information: www.jsnaonline.org and www.hullpublichealth.org
Mortality File (PHMF) and the GP registration file. The number of deaths in the local
PHMF and the official mortality statistics will be the same, but the Compendium uses
ONS mid-year population estimates which differ from the estimates of the number of
residents from the GP registration file. Therefore, locally calculated figures differ slightly
from the official figures published in the Compendium, with mortality rates likely to be
slightly lower with locally estimated figures. In the absence of the official statistics, the
locally derived estimates can provide a guide. It is unlikely that the rates will differ
substantially, and it is likely that the official estimate will be slightly higher due to the
difference in the population estimates.
There has been a considerable decrease in the under 75 mortality rate for both men and
women. In 1996, there were 94 deaths under the age of 75 years with a primary cause
of stroke (51 for men and 43 for women), and this has steadily decreased falling to just
under 70 deaths per year between 2001 and 2006. However, in 2007, 2008 and 2009
there were 38, 52 and 37 deaths respectively. Whilst the population may have
increased slightly in the older age groups, it is not surprising that the rate has fallen
given the relatively large reduction in the number of deaths. The decrease has been
particularly large between 2006-2008 and for 2007-2009 as the number of deaths for
2009 (37) was substantially lower than the number for 2006 (68). It is likely that the
2007-2009 target will be achieved for both men and women, but it would be necessary
to wait until the official figures from the Compendium are available for confirmation.
Following the change in the government in May 2010, new outcomes are now under
consultation (see section 3.3.6.2 on page 52). One of the outcomes proposed is the
under 75 mortality rate from circulatory disease, but there is no mention of a separate
target for stroke. Therefore, it is possible that this outcome measure will no longer be a
key outcome measure unless it is retained locally.
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