Under 75 mortality rate from respiratory disease - ICP Outcomes Framework - ICP Outcomes Framework - Resident Locality

This dataset provides the directly age-standardised mortality rate from respiratory diseases in individuals under the age of 75. Respiratory diseases, including conditions such as chronic obstructive pulmonary disease (COPD), asthma, and pneumonia, are a major cause of premature death. This indicator supports the monitoring of respiratory health and the effectiveness of interventions aimed at reducing early mortality in the Birmingham and Solihull area.

Rationale

Reducing premature mortality from respiratory diseases is a key objective in improving population health and reducing health inequalities. This indicator helps to track progress in respiratory disease prevention, early diagnosis, and management, and supports strategic planning and resource allocation.

Numerator

The numerator is the number of deaths from respiratory diseases (ICD-10 codes J00–J99) registered in the respective calendar years, for individuals aged under 75. 

Denominator

The denominator is the population of individuals under 75 years of age, also aggregated into quinary age bands. For single-year rates, the population is based on the 2021 Census. For three-year rolling averages, the denominator is the aggregated population-years over the three years.

Caveats

Data may not align with published Office for National Statistics (ONS) figures due to differences in postcode lookup versions and the application of comparability ratios used in Office for Health Improvement and Disparities (OHID) data.

External references

Fingertips Public Health Profiles – Respiratory Disease Indicator

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.