Headline data

The mortality rate from respiratory disease in people younger than 75 years of age is significantly higher in Gateshead (46.9) than in England overall (34.7) [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 181 in Felling ward, 181 in Bridges, 179 in High Fell, and 179 in Dunston & Teams. All of these are significantly higher than Gateshead's ratio of 117 to 100 that would be expected. [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 2017/18; this has changed little over recent years and remains higher than in England (1.9%) [Chart - COPD prevalence][4] [See also: COPD prevalence by GP practice] It is estimated that 40% of (3,555) people with COPD in Gateshead are undiagnosed.[3] [5]

emergencyThere were 810 emergency hospital admissions of people aged 35+ in Gateshead for COPD in 2017/18. This equates to 672 per 100,000 people (DSR) aged 35+, which is significantly higher than the England average of 415, although the gap to England has narrowed over time. [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 345 in High Fell ward, 320 in Bridges, 277 in Felling, 246 in Dunston & Teams, 237 in Deckham, 222 in Windy Nook & Whitehills, 222 in Pelaw & Heworth, and 212 in Lamesley. All of these wards have a significantly higher ratio than Gateshead's ratio of 179 to 100 that would be expected. [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 75.5 in 2016-18. That's 479 down to 453 deaths [Chart - Deaths from COPD]. The lowest number and rate of deaths due to COPD was in 2009-11 when there were 387 deaths, a rate of 71.3 per 100,000.[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] [See also: Asthma prevalence by GP practice].

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 2017/18 there were 116 emergency hospital admissions of children and young people (aged under 19) because of asthma. This equates to 275 per 100,000 and is significantly worse than the England average of 186 [Chart - Hospital admissions for asthma (under 19 years)].[11]

[1] Annual Death Extracts, ONS 2016-18 (PHOF website)

[2] Annual Death Extracts, ONS 2013-17 (Local Health)

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

[4] QOF Prevalence, NHS Digital 2017/18 (INHALE - Interactive Health Atlas of Lung conditions in England website)

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

[6] Hospital Episode Statistics, HSCIC/ONS 2017/18 (Local Tobacco Control Profiles website)

[7] Hospital Episode Statistics, HSCIC 2013/14-17/18 (Local Health website)

[8] Deaths from COPD, PHE 2016-18 (Local Tobacco Control Profiles website)

[9] QOF Prevalence, NHS Digital 2017/18 (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, 2017/18 (Child and maternal health website) 

Last modified on 28th February 2020

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