§ Mr. RuaneTo ask the Secretary of State for Health what targets he has set to reduce heart disease over the next 10 years. [152624]
§ Yvette CooperWe have set a target to reduce the death rate from coronary heart disease and stroke and related diseases in people under 75 by at least two fifths by 2010. The National Service Framework for coronary heart disease sets out a 10-year programme to transform the prevention and diagnosis of heart disease and the care and treatment of patients.
§ Mr. RuaneTo ask the Secretary of State for Health if he will list in descending order the health authorities with the highest incidence of heart disease; and if he will include the budget allocated for reducing the number of heart attacks in each of these authorities. [152623]
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§ Yvette CooperInformation on the incidence of heart disease is not routinely available. Data are available showing admissions for heart disease and these provide some indication of levels of heart disease in the population. The health authorities which show the greatest number of hospital admissions for heart disease are shown in the table.
It is for health authorities in partnership with primary care groups/trusts and other local stakeholders to determine how best to use their funds to meet national and local priorities for improving health, tackling health inequalities and modernising services. In addition to existing resources in unified allocations, extra funding made available in 2000–01 includes £100 million for heart disease.
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Finished consultant episodes (FCEs) where ischaemic heart disease is the main diagnosis (ICD10 codes 120–125), by HA of
residence NHS hospitals, England 1999–2000
Health authority of residence FCEs QD9 Birmingham HA 7,210 QET Norfolk 7,027 QD8 Avon 6,716 QCL Leicestershire 6,297 QAM East Sussex Brighton and Hove 6,015 QCM Lincolnshire 6,015 QDP Tees 5,965 QAX North Essex 5,938 QDE County Durham 5,925 QDH Leeds 5,677 QER Cambridge 5,630 QAF West Kent 5,598 QDW Dorset 5,401 QC2 Liverpool 5,336 QAY South Essex 5,003 QDV Cornwall and Isles of Scilly 4,921 QAN West Sussex 4,903 QDR North Yorkshire 4,876 QDT Calderdale and Kirklees 4,873 QCF Suffolk 4,816 QCP Nottingham 4,750 QDA Wigan and Bolton 4,724 QCJ South Derbyshire 4,709 QAW East London and The City 4,704 QD6 South and West Devon 4,532 QCW South Cheshire 4,527 QAE East Kent 4,487 QCX East Lancashire 4,457 QC5 St. Helens and Knowsley 4,375 QDF East Riding 4,363 QAV Ealing Hammersmith and Hounslow 4,266 QDJ Newcastle and North Tyneside 4,234 QCR Sheffield 4,207 QCC Northamptonshire 4,135 QD3 Southampton and South West Hampshire 4,036 QCY North West Lancashire 3,953 QDX North and East Devon 3,936 QEJ South Staffordshire 3,891 QC6 Salford and Trafford 3,872 QC9 West Pennine 3,822 QA8 Buckinghamshire 3,765 QDG Gateshead and South Tyneside 3,702 QCN North Nottinghamshire 3,691 QA7 Berkshire 3,655 QD5 Somerset 3,627 QD7 Wiltshire 3,594 QAL West Surrey 3,561 QC3 Manchester 3,524 QD2 Portsmouth and South East Hampshire 3,500 QAH Lambeth, Southwark and Lewisham 3,427 QA5 Redbridge and Waltham Forest 3,413 QCT Bury and Rochdale 3,410
Finished consultant episodes (FCEs) where ischaemic heart disease is the main diagnosis (ICD10 codes 120–125), by HA of
residence NHS hospitals, England 1999–2000
Health authority of residence FCEs QEL Warwickshire 3,401 QDY Gloucestershire 3,398 QAJ Merton, Sutton and Wandsworth 3,384 QDD Bradford 3,361 QEH North Staffordshire 3,361 QEQ West Hertfordshire 3,314 QEN Worcestershire 3,262 QAR Brent and Harrow 3,258 QEP East and North Hertfordshire 3,219 QDC Wirral 3,097 QD1 North and Mid Hampshire 3,091 QCE Oxfordshire 3,077 QCG Barnsley 2,989 QCK Doncaster 2,941 QA6 Bedfordshire 2,886 QEA Coventry 2,847 QDQ Wakefield 2,842 QCH North Derbyshire 2,817 QDM Northumberland 2,811 QDN Sunderland 2,718 QAA Bexley and Greenwich 2,671 QDL South Humber 2,642 QCV North Cheshire 2,614 QC1 South Lancashire 2,550 QA4 Enfield & Haringey 2,524 QDK North Cumbria 2,468 QEF Shropshire 2,464 QAP Barking and Havering 2,438 QC7 Sefton 2,341 QEE Sandwell 2,268 QC4 Morecambe Bay 2,173 QEK Walsall 2,125 QC8 Stockport 2,116 QEC Dudley 2,062 QCQ Rotherham 2,051 QAQ Barnet 1,906 QAD Croydon 1,901 QAK East Surrey 1,878 QA3 Kensington, Chelsea and Westminster 1,870 QAT Camden and Islington 1,851 QEM Wolverhampton 1,823 QAC Bromley 1,755 QAG Kingston and Richmond 1,561 QA2 Hillingdon 1,450 QEG Solihull 1,388 QED Herefordshire 889 QD4 Isle of Wight 808 Scotland 254 Wales 2,396 Not known 1,812 Northern Ireland 55 Total 364,168 Notes:
An FCE is defined as a period of patient care under one consultant in one health care provider.
The figures do not represent the number of patients, as one person may have several episodes within the year.
The main diagnosis is the first of seven diagnosis fields in the HES data set, and provides the main reason why the patient was in hospital.
Figures in this table are provisional (version 2) and have not yet been adjusted for shortfalls in data.
Source:
Hospital Episode Statistics (HES), Department of Health
§ Mr. RuaneTo ask the Secretary of State for Health if he will list in descending order the 100 council wards with(a) the highest rate of heart disease and (b) the highest rates of death due to heart disease. [152622]
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§ Yvette CooperInformation on the incidence of heart disease is not routinely available. We recognise the importance of better information, not least to ensure that we are able to identify and treat those with heart disease. That is why one of the early priorities for the National Service Framework for Coronary Heart Disease (CHD) is the systematic development and maintenance of practice-based CHD registers.
Data for the 25 health authorities with the highest rates of mortality from all circulatory disease, which includes all forms of heart disease, for men and women, are shown in the table. Information at council ward level on rates of death from specific causes is not collected.
Last week my right hon. Friend the Secretary of State announced new national health inequalities targets to reduce the health gap between children in different social classes and to reduce the difference in life expectancy between areas with the lowest life expectancy and the national average. This is not a short term process, but it is only by tackling inequalities now that we can impact on the incidence of disease in the future.
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Standardised Mortality Ratio (SMR) for all circulatory disease (ICD9 390–459), 1997–99: 25 health authorities with highest
(worst) mortality rates
Health authority SMR Men West Pennine 130 Manchester 128 Rotherham 128 Liverpool 125 Sandwell 124 Wigan and Bolton 122 St. Helens and Knowsley 122 East Lancashire 121 County Durham 119 Bury and Rochdale 118 Northumberland 118 Barnsley 117 Wolverhampton 116 Tees 116 Gateshead and South Tyneside 114 North Staffordshire 114 Doncaster 113 Salford and Trafford 113 Sunderland 113 Birmingham 112 East London and the City 112 Bradford 111 Coventry 110 Wakefield 110 North Cheshire 110 Women West Pennine 128 East Lancashire 126 Bury and Rochdale 123 County Durham 123 Northumberland 122 Doncaster 121 Wigan and Bolton 120 Rotherham 119 Manchester 119 North Cumbria 119 St. Helens and Knowsley 116 Gateshead and South Tyneside 116 North Cheshire 116 Tees 114 North Derbyshire 113 Sunderland 113
Standardised Mortality Ratio (SMR) for all circulatory disease (ICD9 390–459), 1997–99: 25 health authorities with highest
(worst) mortality rates
Health authority SMR Sandwell 112 Barnsley 112 Morecambe Bay 111 Coventry 111 South Lancashire 111 North Staffordshire 111 South Staffordshire 110 Liverpool 110 Dudley 110 Source:
Data from Department of Health Compendium of Clinical and Health Indicators 2000
§ Mr. RuaneTo ask the Secretary of State for Health what progress has been made in reducing avoidable heart disease for under-65s; and if he will make statement. [152616]
§ Yvette CooperThe number of deaths from coronary heart disease for the under-65s in England has decreased from 17,140 in 1995 to 14,158 in 1999 (the latest year for which figures are available). Advances in technology, new investment and an increased focus on prevention should reduce this number still further.
§ Mr. RuaneTo ask the Secretary of State for Health what steps he is taking to use the findings of the genome project to identify and reduce the risks of heart disease. [152621]
§ Yvette CooperAs indicated in the NHS Plan, the Department, in association with the Medical Research Council and the Wellcome Trust, is planning to establish a prospective survey to investigate genetic and environmental influences on the development of the commoner diseases of adult life, including heart disease.
§ Mr. RuaneTo ask the Secretary of State for Health what assessment he has made of familial and hereditary factors in the occurrence of heart disease; and what measures he intends to introduce to reduce these factors. [152618]
§ Yvette CooperThe Department, in association with the Medical Research Council and the Wellcome Trust, is planning to establish a prospective survey to investigate genetic and environmental influences on the development of the commoner diseases of adult life, including heart disease.
Heart disease risk is cumulative. The risk of heart disease can be significantly reduced, even for those individuals with a family history of heart disease, by stopping smoking, eating a low fat, low cholesterol diet and exercising regularly.
Many of the factors which influence the occurrence of heart disease are linked back to inequalities. Last week my right hon. Friend the Secretary of State announced new national health inequalities targets to reduce the health gap between children in different social classes and to reduce the difference in life expectancy between areas with the lowest life expectancy and the national average. This is not a short-term process—but it is only by tackling inequalities now that we can impact on familial and hereditary factors in the future.