Hull Public Health 

The Deep, Hull The Guildhall, Hull King William Statue, Market Place, Hull City Hall, Hull Spurn Lightship, The Marina, Hull

 

 

Life Expectancy


Documents

The main documents which include information on life expectancy are as follows:

JSNA
Hull JSNA Toolkit: Life Expectancy
JSNA Hull Atlas
Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here)
Public Health Outcomes Framework Summary
Life Expectancy Briefing Note 2009-11

For associated information, such as details on the number of deaths and causes of death, also see Mortality.

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Definition

An explanation of life expectancy which includes an example of how it is calculated is given within the Glossary and Hull JSNA Toolkit: Life Expectancy.

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Background - Local Versus National Estimates

Information on all deaths is available locally from the Public Health Mortality File which is provided by the Office for National Statistics (ONS). Using this file in conjunction with the GP registration file, mortality rates and life expectancy figures can be calculated locally. The locally calculated figures will differ slightly from the nationally produced figures from the ONS because ONS use a different estimate of the population. Their estimate of the population is available for Hull, but not for smaller geographical areas or groups, such as at ward level or for different deprivation groups. So the local analysis can only use the GP registration file as this is the only available estimate of resident population at smaller geographies.

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Benchmarking

Comparator Areas gives details of the comparator areas which are similar to Hull and have been used for benchmarking within Hull JSNA Toolkit: Life Expectancy and other local reports. Various factors such as population, ethnicity, deprivation, housing stock, etc are examined in relation to the characteristics of Hull in the Comparator Areas and Hull JSNA Toolkit documents. These comparator areas are also used within the local analysis of the Public Health Outcomes Framework indicators, and the list can be seen within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here).

The general practices in Hull differ with regard to their registered population in terms of deprivation and age of patients. Whilst general practices can be compared, it is better and easier to try to compare like-with-like. As a result, the general practices in Hull have been grouped according to the average deprivation score of their patients and the average age of their patients. The General Practice Comparator Groupings document provides further details.

For associated information, also see Geo-demographic Segmentation.

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Healthy Life Expectancy / Disability-free Life Expectancy

There is some discussion about life expectancy and disability-free or healthy life expectancy in Hull JSNA Toolkit: Life Expectancy. Whilst the over-arching aim is improve life expectancy, it is recognised that this is not sufficient if the quality of the extended life expectancy is poor. However, measuring healthy life expectancy is complex, and generally involves modelling quality of life and incorporating that information into the life expectancy calculation. Healthy life expectancy is an indicator within the Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary.

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Life Expectancy at Birth

The latest data and trends are given in the Life Expectancy Briefing Note 2009-11 where the data for 2009-11 is presented.

Life expectancy figures are given within Hull JSNA Toolkit: Life Expectancy. It is also examined for each ward and in relation to deprivation and Hull City Council's Customer Profiles (housing types).

A discussion of the problems with achieving life expectancy and all age all cause mortality rate (AAACMR) targets is given Hull JSNA Toolkit: Life Expectancy and Hull JSNA Toolkit: Mortality. Some of the discussion relates to AAACMR and life expectancy, but there is also some discussion of these targets specifically in relation to Hull.

Life expectancy trends are presented within JSNA Hull Atlas at ward level.

Healthy life expectancy, life expectancy and the "slope index of inequality" (which measures differences in life expectancy between deprivation groups) are all indicator within the Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary.

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Modelling and Sensitivity Analyses

Predictive modelling with sensitivity analyses was undertaken to assess the effect of increasing the smoking cessation service to achieve life expectancy targets (achieving (historical) target for 2009-11) based on life expectancy for 2003-2005. The local analyses took into account the local prevalence of smoking and the number of people quitting smoking at four weeks through the local Stop Smoking Service. The reduction in the number of deaths required locally to meet the local life expectancy target was calculated. Sensitivity analyses were also undertaken. Further details are given within Hull JSNA Toolkit: Life Expectancy.

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Public Health Outcomes Framework

Life expectancy, healthy life expectancy, national life expectancy "slope index of inequality" and local life expectancy "slope index of inequality" are indicators included within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary. Life expectancy is also presented at ward level in the JSNA Hull Atlas.

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Slope Index of Inequality (SII)

The "slope index of inequality" (SII) measures the difference in life expectancy between the bottom and top deciles of deprivation based on the Index of Multiple Deprivation. This index has been calculated nationally for each local authority. Further details and trends are given in Hull JSNA Toolkit: Life Expectancy. The Life Expectancy Briefing Note 2009-11 presents the latest (2009-11) data for life expectancy data and latest (2006-10) data for the "slope index of inequality". The "slope index of inequality" is an indicator within the Public Health Outcomes Framework and further analysis is given within the Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here) and Public Health Outcomes Framework Summary.

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