§ Adam PriceTo ask the Secretary of State for Health what the incidence of coronary heart disease among women and men, broken down by UK standard region, was(a) in the last 12 months and (b) (i) 10, (ii) 20 and (iii) 30 years ago. [9853]
§ Jacqui SmithFigures for the incidence of coronary heart disease across the United Kingdom are not available on a consistent basis over 30 years.
The table shows the number of finished consultant episodes for hospital in-patients in England (this is not the same as incidence data) where the main diagnosis was ischaemic heart disease. Hospital episode statistics (HES) 364W data only go back as 1989–90. Prior to this, information is not available in the format requested. Until 1985, data were collected via the hospital in-patient inquiry, which is not directly comparable with HES data due to a number of changes in the methods of collection. Changes in the boundaries between regional health authorities which existed in 1989–90 and the regional offices which are in place now mean it is not possible to make direct comparisons by region over the 10 years.
Finished consultant episodes where the main diagnosis was ischaemic heart disease, by Regional Office (Regional Health Authority) area of residence NHS Hospitals, England 1989–90 and 1999–2000 Male Female Not known/not specified 1999–2000 Northern & Yorkshire Region 32,951 20,455 8 Trent Regional Office 26,693 16,420 2 West Midlands Regional Office 24,125 12,855 8 North West Regional Office 35,639 22,098 2 Eastern Regional Office 25,423 12,492 8 London Regional Office 28,432 14,039 28 South East Regional Office 34,698 18,039 130 South West Regional Office 23,815 12,690 5 Other 3,238 1,309 1 Not known 221 79 0 Total 235,235 130,494 192 1989–90 Northern RHA 10,348 6.647 0 Yorkshire RHA 12,862 7,610 0 Trent RHA 14,647 8,373 0 East Anglian RHA 5,711 2,538 0 North West Thames RHA 11,069 5,090 2 North East Thames RHA 13,236 6,926 11 South East Thames RHA 11,723 5,681 0 South West Thames RHA 7,703 3,976 0 Wessex RHA 6,950 3,733 2 Oxford RHA 6,292 2,988 9 South Western RHA 8,959 4,658 0 West Midlands RHA 14,612 7,593 0 Mersey RHA 8,235 5,324 1 North Western RHA 14,468 9,529 1 Other 5,496 2,510 4 Not known 3,431 1,812 0 Total 155,742 84,988 30 Notes
1. 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.
2. 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.
3. Regional Health Authority/Regional office boundaries have changed since 1989–90, but the HES database system does not have the facility to present earlier years in terms of 1999–2000 RO boundaries.
4. Data for 1989–90 are adjusted for both coverage and unknown/invalid clinical data, 1999–2000 figures are not yet adjusted for shortfalls.
Source:
Hospital Episode Statistics (HES), Department of Health.