Cardiovascular disease accounts for approximately 25% of all local deaths and such deaths account for some of the gap in life expectancy between Knowsley and England. In 2012, 349 people died of Cardiovascular Disease. Tackling premature CVD death is vitally important if we are to reduce health inequalities in the borough.
Programme budgeting analysis done by Yorkshire and Humber Public Health Observatory suggests Knowsley CCG spends £146 per head of population on Circulatory disease conditions (2013/2014) compared to £120 for England and £119 for comparable CCGs. This means relatively higher spend and worse outcomes compared to other areas in England (SPOT, 2013/14 figures). The total spend on circulatory conditions was reported to be £7,178,675 in 2013/14 with approximately 60% of this spent within secondary care – this includes elective and Non elective points of delivery ( Planned and Unplanned care treatments).
In 2013/14 the prevalence of coronary heart disease (CHD) in Knowsley was higher than observed nationally (4.45% in Knowsley compared to 3.4% nationally), this is a slight reduction on that reported the previous year of 4.53% (-129 cases).
Hypertension (high blood pressure) is also higher in Knowsley compared to nationally (14.69%, 23,619 people, compared to 13.7%). However, prevalence of stroke and TIA was 1.7%, just short of that reported as the national position.
Knowsley had the 27th highest mortality rate due to cardiovascular disease in England out of 326 local authority areas in 2011- 13. The premature mortality rate from cardiovascular disease in Knowsley between 2011 and 2013 was 74.7 deaths per 100,000 population. Knowsley’s rate was significantly higher than England (78.2), and marginally higher than the North West region (92.8); the Liverpool City Region (92.2) and Knowsley Statistical Neighbour Group (97.8)
Premature CVD mortality is just under double (43%) the rate in males compared to females. Premature mortality rate was 131.0 deaths per 100,000 population in 2011-13 for males in comparison to a female rate of 74.7 deaths per 100,000 population. Premature female and male CVD mortality has fallen by 82% during the period 2000-02 to 2010-12.
Since 2001/02, there has been an average of 70 excess winter deaths per year in Knowsley meaning that the number of EWDs in 2012/13 was 71% above average. Excess mortality in England in 2012/13 coincided with influenza, respiratory syncytial virus (RSV) and cold weather, with an unusually prolonged influenza season and late cold period reported and is the likely cause of the excess mortality in Knowsley during this period. EWD for CVD was 24.5 in 2012/13, approximately 20% of all EWDs
For further information the full JSNA report can be read here: JSNA Report Cardiovascular Disease
Published: January 2016