Under 75 mortality rate from Heart Failure - ICP Outcomes Framework - Resident Locality

This dataset provides the crude mortality rate from Heart Failure among individuals under the age of 75. It reflects the number of deaths where Heart Failure is identified as the primary cause, based on ICD-10 codes I500, I501, and I509. The data supports public health surveillance and strategic planning aimed at reducing premature deaths from cardiovascular conditions.

Rationale

Heart Failure is a major cause of premature mortality and a key indicator of cardiovascular health. Tracking the under 75 mortality rate from Heart Failure enables health authorities to monitor trends, evaluate the impact of interventions, and inform policies aimed at improving outcomes and reducing avoidable deaths.

Numerator

The numerator is the number of deaths where Heart Failure is recorded as the primary condition. This is determined using ICD-10 codes I500, I501, and I509, with data sourced from the Death Register.

Denominator

The denominator is the total population under the age of 75, as reported in the 2021 Census. This provides the population base for calculating the crude rate per 100,000 individuals.

Caveats

There are no specific caveats noted for this dataset. However, users should be aware that crude rates do not adjust for differences in age distribution within the under 75 population, which may affect comparisons across regions or time periods.

External References

For more information on ICD-10 codes and mortality classifications, refer to the World Health Organization ICD-10 Browser.

Localities Explained

This dataset contains data based on either the resident locality or registered locality of the patient, a distinction is made between resident locality and registered locality populations:

• Resident Locality refers to individuals who live within the defined geographic boundaries of the locality. These boundaries are aligned with official administrative areas such as wards and Lower Layer Super Output Areas (LSOAs).
• Registered Locality refers to individuals who are registered with GP practices that are assigned to a locality based on the Primary Care Network (PCN) they belong to. These assignments are approximate—PCNs are mapped to a locality based on the location of most of their GP surgeries. As a result, locality-registered patients may live outside the locality, sometimes even in different towns or cities.

This distinction is important because some health indicators are only available at GP practice level, without information on where patients actually reside. In such cases, data is attributed to the locality based on GP registration, not residential address.

Click here to explore more from the Birmingham and Solihull Integrated Care Partnerships Outcome Framework.