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The mortality rate from respiratory disease in people younger than 75 years of age is significantly higher in Gateshead (46.2) than in England overall (34.3) [Chart - U75 mortality from respiratory disease]. A similar difference is seen for preventable mortality from respiratory disease [Chart - U75 mortality from preventable respiratory disease].[1] For every 100 deaths due to respiratory disease that would be expected (based on the England average) there are 191 in Bridges ward and 173 in High Fell, both of which are significantly higher than Gateshead's ratio of 123 to 100 that would be expected. There are several other wards with a high ratio [Map - Ward all mortality from respiratory disease].[2]

U75 Preventable Mortality From Respiratory Disease

See also: 'Heatwaves'

Chronic obstructive pulmonary disease accounts for more time off work than any other illness and is a major cause of hospital admissions, with 1 in 8 hospital admissions being due to a flare-up (exacerbation). The main cause is smoking.[3]

The prevalence of diagnosed COPD in Gateshead was 2.7% in 2013/14. In the most recent update of this data, it is now only made available at Newcastle and Gateshead CCG level, and was 2.4% in 2016/17; this has changed little over recent years and remains higher than in England (1.9%) [Chart - COPD Prevalence].[4] It is estimated that 40% of (3,555) people with COPD in Gateshead are undiagnosed.[3] [5]

emergencyThere were 896 emergency hospital admissions of people aged 35+ in Gateshead for COPD in 2016/17. This equates to 756 per 100,000 people (DSR) aged 35+, which is significantly higher than the England average of 417. [Chart - COPD emergency hospital admissions].[6] Looking at admissions at a ward level, for every 100 COPD emergency admissions that would be expected (based on the England average), there are 368 in Bridges ward, 322 in High Fell, 286 in Felling, and 253 in Deckham. All of these wards have a significantly higher ratio than Gateshead's ratio of 189 to 100 that would be expected. There are a number of other wards with high ratios [Map - Ward COPD emergency hospital admissions].[7]

Deaths from COPD have significantly declined over the last 15 years. In 2002-04, there were 95.2 per 100,000 (DSR) compared with 75.1 in 2015-17. That's 479 down to 442 deaths [Chart - Deaths from COPD].[8]

There is scope for further improvement in the quality of care of people with COPD in Gateshead that could improve quality of life and reduce unplanned hospital admissions.[5]

inhalerThe prevalence of diagnosed asthma in NewcastleGateshead CCG area is 6.1% and is similar to the England average of 5.9% [Chart - Asthma Prevalence].[9]

The rate of hospital admissions for exacerbated asthma has also been significantly higher in Gateshead (14.2 per 1000 on asthma registers) than in England overall (11.6 per 1000).[10]

According to Asthma UK, asthma is the most common long term condition in childhood, affecting 1 in 11 children. In NewcastleGateshead CCG area during 2016/17 there were 224 emergency hospital admissions of children and young people (aged under 19) because of asthma. This equates to 224 per 100,000 and is similar to the England average of 200 [Chart - Hospital admissions for asthma (under 19 years)].[11]

[1] Annual Death Extracts, ONS 2015-17 (PHOF website)

[2] Annual Death Extracts, ONS 2011-15 (Local Health)

[3] PHE. North East England Respiratory Profile: Gateshead CCG

[4] QOF Prevalence, HSCIC 2016/17 (Disease and Risk Factor Prevalence website)

[5] NEQOS, COPD NICE Quality Standards, Gateshead CCG, April 2013

[6] Hospital Episode Statistics, HSCIC/ONS 2016/17 (Local Tobacco Control Profiles website)

[7] Hospital Episode Statistics, HSCIC 2011/12-15/16 (Local Health website)

[8] Deaths from COPD, PHE 2015-17 (Local Tobacco Control Profiles website)

[9] QOF Prevalence, HSCIC 2016/17 (INHALE - Interactive Health Atlas of Lung conditions in England website)

[10] NHS Information Centre - Hospital Episode Statistics & QMAS database, 2010/11. (PHE North East England Respiratory Profile: Gateshead CCG)

[11] Hospital Episode Statistics and ONS, 2016/17 (Overview of child health website) 

Last modified on 12th March 2019

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