HC Deb 31 January 2002 vol 379 cc559-61W
Chris Ruane

To ask the Secretary of State for Health how many winter excess deaths there were, by region, in each of the last 10 years(a) in total number and (b) as a percentage of the elderly population; and what recent measures the Government have taken to reduce the number of winter excess deaths. [30611]

Yvette Cooper

[holding answer 30 January 2002]: The information requested is shown in the table.

The information is not available as a percentage of the elderly population.

Excess winter deaths1 by age-group and Government office region of usual residence, 1991–92 to 1999–2000, and 2000–012
Age group 1991–923 1992–933 1993–943 1994–953 1995–963 1996–973 1997–983 1998–993 1999–20003 2000–014
England, Wales and elsewhere
0–64 2,740 2,120 2,120 2,200 2,900 3,040 1,700 3,100 3,770 2,300
65–74 6,360 4,710 4,160 5,490 7,070 6,970 4,200 6,950 7,440 3,300
75–84 13,500 9,330 9,290 9,700 14,370 17,540 7,870 16,340 16,840 8,400
85+ 12,250 9,490 10,330 9,910 15,850 20,140 9,130 20,450 20,390 11,000
All ages 34,850 25,650 25,900 27,290 40,190 47,690 22,900 46,840 48,440 25,000
North-east
0–64 260 160 210 130 250 130 110 90 280 100
65–74 510 280 340 270 520 500 360 470 480 300
75–84 930 550 630 400 650 920 530 890 1,030 600
85+ 560 420 440 420 650 680 550 920 880 500
All ages 2,260 1,410 1,610 1,210 2,080 2,230 1,550 2,370 2,680 1,500
North-west
0–64 430 530 330 230 630 510 280 630 420 200
65–74 1,050 740 510 960 1,000 1,070 500 1,230 1,090 600
75–84 2,020 1,310 1,050 1,410 2,060 2,260 980 2,600 2,060 1,300
85+ 1,480 1,320 1,080 1,190 1,940 2,520 1,010 2,880 2,520 1,600
All ages 4,980 3,880 2,980 3,790 5,630 6,360 2,770 7,350 6,090 3,800
Yorkshire and the Humber
0–64 340 40 190 120 250 240 210 260 350 200
65–74 800 500 620 520 820 700 480 810 680 500
75–84 1,520 870 1,170 1,030 1,440 1,810 860 1,800 1,690 800
85+ 1,320 1,060 1,120 1,100 1,530 1,800 910 1,890 1,900 1,000
All ages 3,970 2,470 3,110 2,780 4,030 4,540 2,460 4,760 4,620 2,600

The causes of excess winter deaths are complex but cold weather and illnesses such as influenza play an important part.

We have introduced a programme of measures, outlined in the United Kingdom fuel poverty strategy, aimed at ensuring people, especially older people, are able to keep adequately warm at reasonable cost.

Health professionals have been encouraged to identify cold/health related issues and raise awareness of help available.

A "Keep Warm, Keep Well" campaign operates in England each winter which provides free booklets for the public and special literature for health professionals; a telephone helpline, and advice on how those most in need may apply for grants (such as the Home Energy Efficiency Scheme—a scheme providing grants for comprehensive packages of insulation and heating improvements for those most vulnerable to cold-related ill health); advice on benefit payments; as well as the health benefits of keeping warm.

Influenza vaccine is offered free to everybody aged 65 and over and to those of any age who are in at risk groups, for example with conditions where their health would be at particular risk if they caught influenza. At risk groups are those with chronic heart disease; chronic respiratory disease (including asthma); renal disease,; diabetes mellitus; and immunosuppression due to disease or treatment and also to residents of long-stay residential homes or care facilities.

In 2000–01, 65 per cent. of those aged 65 and over were immunised (the target was a minimum of at least 60 per cent., it was also the first time a target had been set).

Final monitoring figures at the end of December 2001, show that 68 per cent. of those aged 65 and over were immunised this winter. This is 3 percentage points higher than the 65 per cent. target set at the start of the campaign.

Excess winter deaths1 by age-group and Government office region of usual residence, 1991–92 to 1999–2000, and 2000–012
Age group 1991–923 1992–933 1993–943 1994–953 1995–963 1996–973 1997–983 1998–993 1999–20003 2000–014
East midlands
0–64 260 230 240 240 170 250 130 310 350 200
65–74 640 460 350 580 500 470 360 550 590 300
75–84 1,150 700 900 850 1,110 1,280 700 1,560 1,270 800
85+ 1,090 790 980 660 1,140 1,540 820 1,680 1,620 1,000
All ages 3,140 2,180 2,470 2,330 2,930 3,540 2,000 4,090 3,820 2,200
West midlands
0–64 380 270 280 250 250 410 250 470 440 300
65–74 670 520 320 600 880 740 510 750 950 400
75–84 1,260 970 860 700 1,580 1,650 800 1,730 1,810 1,000
85+ 1,060 830 950 760 1,460 1,740 900 1,920 2,090 900
All ages 3,370 2,590 2,400 2,310 4,160 4,530 2,460 4,860 5,290 2,600
East
0–64 150 180 170 240 180 240 170 130 330 100
65–74 560 400 550 560 480 710 410 640 670 200
75–84 1,180 850 1,010 1,110 1,380 1,720 930 1,590 1,800 1,000
85+ 1,240 940 1,220 1,090 1,830 2,320 1,030 2,440 2,070 1,200
All ages 3,130 2,360 2,940 3,000 3,870 5,000 2,540 4,800 4,880 2,400
London
0–64 300 310 290 380 440 430 150 420 470 300
65–74 720 560 490 530 860 870 320 670 930 300
75–84 1,690 1,220 1,130 1,370 1,680 2,240 930 1,690 2,050 800
85+ 1,540 1,260 1,240 1,230 1,840 2,390 1,120 2,160 2,430 1,400
All ages 4,240 3,360 3,150 3,500 4,830 5,940 2,520 4,940 5,870 2,800
South east
0–64 360 160 90 220 310 420 250 370 630 300
65–74 660 840 530 690 940 870 570 890 1,050 200
75–84 1,790 1,360 1,340 1,330 2,230 2,770 990 2,190 2,470 1,000
85+ 1,760 1,400 1,780 1,750 2,670 3,600 1,410 3,260 3,530 1,600
All ages 4,560 3,770 3,750 3,990 6,150 7,650 3,210 6,710 7,680 3,200
South-west
0–64 110 120 310 280 250 300 120 230 310 300
65–74 440 220 330 550 690 600 400 420 620 200
75–84 1,380 850 810 920 1,320 1,830 700 1,380 1,580 500
85+ 1,420 990 1,150 1,100 1,880 2,320 1,020 2,100 2,220 1,200
All ages 3,350 2,180 2,600 2,850 4,140 5,060 2,240 4,130 4,730 2,300
Wales
0–64 240 200 50 200 180 120 90 230 220 200
65–74 360 260 180 270 420 490 360 540 420 200
75–84 610 670 420 570 920 1,050 480 930 1,090 600
85+ 780 490 370 600 910 1,220 350 1,200 1,150 600
All ages 1,980 1,610 1,010 1,650 2,440 2,880 1,290 2,900 2,880 1,700
England
0–64 2,590 2,010 2,100 2,090 2,720 2,930 1,660 2,900 3,570 2,100
65–74 6,050 4,510 4,050 5,250 6,690 6,520 3,890 6,430 7,070 3,100
75–84 12,900 8,670 8,900 9,110 13,450 16,490 7,410 15,430 15,770 7,800
85+ 11,470 9,000 9,960 9,300 14,940 18,910 8,770 19,250 19,250 10,400
All ages 33,010 24,190 25,020 25,750 37,810 44,850 21,740 44,010 45,650 23,400
England and Wales
0–64 2,820 2,210 2,150 2,290 2,910 3,050 1,760 3,130 3,790 2,300
65–74 6,410 4,770 4,230 5,520 7,120 7,010 4,260 6,970 7,490 3,300
75–84 13,520 9,340 9,320 9,690 14,380 17,540 7,890 16,360 16,850 8,400
85+ 12,250 9,490 10,330 9,900 15,850 20,130 9,120 20,450 20,400 11,000
All ages 35,000 25,810 26,030 27,400 40,250 47,730 23,030 46,900 48,520 25,000
1 Excess winter deaths are defined by the Office for National Statistics as the difference between the number of deaths during the four winter months (December to March) and the average number of deaths during the preceding autumn (August to November) and the following summer (April to July).
2 Provisional.
3 Rounded to the nearest 10.
4 Provisional, rounded to the nearest 100.

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