Mortality overview

Summary

This section looks at mortality in general terms and includes:

  • all-age, all-cause mortality;
  • all-cause premature mortality (under the age of 75 years);
  • mortality from causes considered preventable;
  • mortality from causes considered amenable to healthcare; and
  • premature mortality results that form part of the Longer Lives project.

For mortality from specific conditions please see our long-term conditions pages. 

Headline findings

In the Lancashire-14 area:

  • All age, all-cause mortality is significantly higher in Lancashire-12 (1,051.2 per 100,000 persons), Blackburn with Darwen (1,177.8) and Blackpool (1,252.2) compared to England (968.7) (2012-2014).
  • Premature mortality (ages under 75 years) from all causes is significantly higher Lancashire-12 (374.9 per 100,000 persons), Blackburn with Darwen (435.5) and Blackpool (528.0) compared to England (337.2) (2012-2014).
  • Between 1995 and 2014 there has been a decline in the premature mortality rate, which is in line with the England picture.
  • Male and female mortality from causes considered preventable is significantly higher than the England rate (2013-2015) 
  • Male and female mortality from causes amenable to health care is significantly higher than the England rate (2013-2015).

In the Lancashire-12 area:

  • Over the last decade, the six main causes of all deaths have remained the same and are: cancers, circulatory diseases, respiratory diseases, mental and behavioural disorders, diseases of the nervous system and diseases of the digestive system.
  • Cancers and circulatory diseases are the leading causes of death accounting for just over half of all deaths and nearly two-thirds of all premature deaths (2013-2015).
  • Cancers account for 39% of all premature deaths and circulatory diseases account for 23% of all premature deaths (2013-2015).
  • Circulatory diseases (29%) and cancers (21%) account for just under half of all deaths in residents over the age of 75 years; diseases of the respiratory system account for 17% of the deaths in this age group (2013-2015).

Longer Lives project

In June 2013, Public Health England (PHE) launched the Longer Lives project to highlight the inequalities in premature mortality across the country and thereby help communities decide on steps to improve their collective health. PHE quantifies premature deaths (before 75 years of age) from the most common causes of mortality in England, these are lung disease, liver disease, cancer and injury.

Ranking the 150 county and unitary authorities in England for premature deaths (where 1 is the best and 150 the worst) for 2013-15 shows that:

  • The Lancashire-12 area ranked 90 with a premature death rate of 372 per 100,000 population.
  • Blackpool ranked 150 with a premature death rate of 549 per 100,000 population.
  • Blackburn with Darwen ranked 142 with a premature death rate of 449 per 100,000 population. 

End of life

The national End of Life Care strategy (2008) is currently being refreshed and in the interim, NHS England have produced Actions for End of Life Care: 2014-16 (PDF 592 KB). The National Institute for Health and Care Excellence (NICE) has produced quality standards for end of life care for adults, which provides a comprehensive picture of what high quality end of life care should look like.

The place of death: rolling 12-month report for July 2016 to June 2017 (XLSM 2.1 MB) highlights the latest place of death and palliative care figures for the six clinical commissioning groups (CCG) across the Lancashire-12 area. The data shows that over this twelve-month period patients registered to the six local CCGs were more likely to die in either a care home or home setting, than a hospital setting.

In addition to the above, Public Health England has created online, interactive end of life care profiles for clinical commissioning groups (CCGs) and local authorities. 

Further analysis and data

Mortality in Lancashire-14 (PDF 1,175 KB)

All-age, all-cause mortality and premature mortality (XLSX 68 KB)

Cause of death all ages under and above 75 2013-15 (XLSX 516 KB)

Mortality from causes amenable to healthcare (XLSX 32 KB)

Mortality from causes considered preventable (XLSX 989 KB)

Place of death rolling 12-month report, July 2016 - June 2017 (XLSM 2.1 MB)

Page updated September 2017