§ Mr. HammondTo ask the Secretary of State for Health, pursuant to his oral answer of 5 February 1998,Official Report, columns 1229–30, if he will list, for each of the target headings listed in the Green Paper, "Our Healthier Nation", the target reduction in mortality, expressed as a percentage, contained within the Green Paper and the corresponding target or targets, where sub-headings are applicable, for those headings within the White Paper, "The Health of the Nation". [28852]
§ Ms JowellAlthough there are similarities between the priority areas covered in "Our Healthier Nation" and the old key areas in "The Health of the Nation", the targets differ because they cover different time periods, different combinations of diseases, different age groups (for cancers) and, in the case of accidents, a morbidity measure rather than one for mortality. "Our Healthier Nation" focuses on health outcome measures, while "The Health of the Nation" targets contained a mixture of outcomes and determinants.
Circulatory diseases
Our Healthier Nation target proposed:
To reduce the death rate from heart disease and stroke and related diseases (i.e all circulatory diseases combined) among people aged under 65 by at least one third (33 per cent.) by the year 2010 from a baseline at 1996.Related Health of the Nation targets:
To reduce the death rate from coronary heart disease among people aged under 65 by at least 40 per cent. by the year 2000 from a baseline at 1990.To reduce the death rate from stroke among people aged under 65 by at least 40 per cent. by the year 2000 from a baseline at 1990.Cancers
Our Healthier Nation target proposed:
To reduce the death rate from all cancers combined among people aged under 65 by at least one fifth (20 per cent.) by the year 2010 from a baseline at 1996.Related Health of the Nation targets:
To reduce the death rate from breast cancer in the population invited for screening (measured using females aged 50–69) by at least 25 per cent. by the year 2000 from a baseline at 1990.To reduce the death rate from lung cancer by at least 30 per cent. in men aged under 75 by 2010 from a baseline at 1990.To reduce the death rate from lung cancer by at least 15 per cent. in women aged under 75 by 2010 from a baseline at 1990.Suicide and undetermined injury
Our Healthier Nation target proposed:
To reduce the rate of suicide and undetermined injury deaths for all ages by at least one sixth (17 per cent.) by the year 2010 from a baseline at 1996.Related Health of the Nation target:
To reduce the rate of suicide and undetermined injury deaths for all ages by at least 15 per cent. by the year 2000 from a baseline at 1990.Accidents
Our Healthier Nation target proposed:
To reduce the rate of occurrence of "major" accidents (defined as those accidents requiring medical attention at a hospital or by a family doctor) for all people aged 2 and above by at least one fifth (20 per cent.) by the year 2010 from a baseline at 1996.The Health of the Nation targets on accidents were in terms of mortality, not morbidity, and so no direct comparisons are possible.
154WIn each case, the baseline "at 1996" means the three year average mortality rate (adjusted to account for differences in the age structure of the population) for the years 1995/96/97, and the Health of the Nation baselines "at 1990" were the three year average mortality rates for the years 1989/90/91.