Circulatory Disease1

This information is sourced from the Department of Health - The Northern Ireland Health and Social Care Inequalities Monitoring System (HSCIMS) Sub-Regional Report 2017.

The information in this report relates to people that are resident within the council area.

Standardised Admission Rate (SAR) due to Circulatory Disease 2 Over a three year period 2012/13-2014/15 within LCCC;

SAR due to Circulatory Disease;

2,066 admissions per 100,000 population has increased from 1,984 admissions per 100,000 population from 2010/11-

2012/13 is 12% lower than Northern Ireland overall (2,337 admissions per 100,000

population) is the lowest across all councils (at council level) ranges from 1,552 admissions per 100,000 population in Castlereagh South

DEA to 2,507 admissions per 100,000 population in Castlereagh East DEA 2,675 admissions per 100,000 population for males and 1,570 admissions per

100,000 population for females.

Over a three year period 2012/13-2014/15 in the most deprived areas within LCCC;

SAR due to Circulatory Disease;

2,560 admissions per 100,000 population has increased from 2,387 admissions per 100,000 population from 2009/10-

2011/12 is 24% higher compared to LCCC overall (Inequality Gap) the Inequality Gap has increased from 21% from 2011/12-2013/14 the highest Inequality Gap across all councils (at council level) along with

Antrim and Newtownabbey (24%)

1 More detailed information or the full report can be found here https://www.health-ni.gov.uk/publications/sub-regional-inequalities-by-local-government-district-lgd-2017 For information on the 95% confidence intervals (for the most recent year’s data) refer to Table A7 within the report.2 Admissions for three years have been aggregated and results are directly standardised to the 2013 European Standard Population (ESP). Circulatory admissions are classified using the ICD‐10 codes I00‐I99.

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Table 1: Standardised Admission Rate due to Circulatory Disease (Admissions Per 100,000 Population) LCCC and NI (2008/09 – 2010/11 to 2012/13-2014/15)

Admissions Per 100,000 Population2008/09-2010/11

2009/10-2011/12

2010/11-2012/13

2011/12-2013/14

2012/13-2014/15

Northern Ireland 2,452 2,357 2,335 2,344 2,337LCCC 2,227 2,040 1,984 2,041 2,066LCCC Deprived 2,627 2,387 2,424 2,471 2,560LCCC-NI Gap -9% -13% -15% -13% -12%LCCC Deprivation Gap 18% 17% 22% 21% 24%

DEA 2008/09-2010/11

2009/10-2011/12

2010/11-2012/13

2011/12-2013/14

2012/13-2014/15

Castlereagh East 2,495 2,397 2,350 2,467 2,507Castlereagh South 1,660 1,591 1,577 1,629 1,552Downshire East 2,514 2,291 2,073 1,935 1,924Downshire West 2,194 2,046 1,977 2,091 2,081Killultagh 2,049 1,766 1,765 1,943 2,136Lisburn North 2,263 2,012 2,051 2,137 2,184Lisburn South 2,468 2,247 2,181 2,201 2,226

2008/09-2010/11

2009/10-2011/12

2010/11-2012/13

2011/12-2013/14

2012/13-2014/15 1,500

1,700

1,900

2,100

2,300

2,500

2,700

Figure 1: SAR due to Circulatory Disease Per 100,000 Popula-tion (LCCC and NI) (2008/09-2010/11 to 2012/13-2014/15)

NI LCCC LCCC DeprivedCastlereagh East Castlereagh South Downshire EastDownshire West Killultagh Lisburn NorthLisburn South

Adm

issi

ons

Per

100

,000

Pop

ulat

ion

2

2008/09-2010/11

2009/10-2011/12

2010/11-2012/13

2011/12-2013/14

2012/13-2014/15

1,400

1,600

1,800

2,000

2,200

2,400

2,600

2,800

3,000

3,200

3,400

Figure 2: SAR due to Circulatory Disease Per 100,000 Popula-tion by Gender

(LCCC and NI ) (2008/09-2010/11 to 2012/13-2014/15)

Adm

issi

ons

Per

100

,000

Pop

ulat

ion

Standardised Admission Rate (SAR) due to Circulatory Disease (Under 75 Years) 3 Over a three year period 2012/13-2014/15 within LCCC;

SAR due to Circulatory Disease (under 75 years);

1,433 admissions per 100,000 population has increased from 1,403 admissions per 100,000 population from 2010/11-

2012/13 is 14% lower than Northern Ireland overall (1,669 admissions per 100,000

population) is the lowest across all councils (at council level) ranges from 1,112 admissions per 100,000 population in Castlereagh South

DEA to 1,948 admissions per 100,000 population in Castlereagh East DEA

3 Admissions for three years have been aggregated and results are directly standardised to the 2013 European Standard Population (ESP). Circulatory admissions are classified using the ICD‐10 codes I00‐I99.

3

Over a three year period 2012/13-2014/15 in the most deprived areas within LCCC;

SAR due to Circulatory Disease (under 75 years);

1,778 admissions per 100,000 population has decreased from 1,759 admissions per 100,000 population from 2011/12-

2013/14 is 24% higher compared to LCCC overall (Inequality Gap) the Inequality Gap has decreased from 26% from 2010/11-2012/13 the third highest Inequality Gap across all councils (at council level) behind

Antrim and Newtownabbey (26%) and Belfast (28%)

Table 2: Standardised Admission Rate due to Circulatory Disease (Under 75 Years) (Admissions Per 100,000 Population) LCCC and NI (2008/09 – 2010/11 to 2012/13-2014/15)

Admissions Per 100,000 Population2008/09-2010/11

2009/10-2011/12

2010/11-2012/13

2011/12-2013/14

2012/13-2014/15

Northern Ireland 1,813 1,721 1,685 1,679 1,669LCCC 1,621 1,470 1,403 1,420 1,433LCCC Deprived 1,964 1,737 1,764 1,759 1,778LCCC-NI Gap -11% -15% -17% -15% -14%LCCC Deprivation Gap 21% 18% 26% 24% 24%

DEA 2008/09-2010/11

2009/10-2011/12

2010/11-2012/13

2011/12-2013/14

2012/13-2014/15

Castlereagh East 1,934 1,824 1,785 1,876 1,948Castlereagh South 1,298 1,242 1,191 1,209 1,112Downshire East 1,871 1,705 1,431 1,311 1,290Downshire West 1,538 1,434 1,353 1,387 1,413Killultagh 1,485 1,217 1,205 1,289 1,454Lisburn North 1,547 1,335 1,362 1,407 1,427Lisburn South 1,691 1,573 1,548 1,523 1,489

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2008/09-2010/11

2009/10-2011/12

2010/11-2012/13

2011/12-2013/14

2012/13-2014/15

1,000

1,200

1,400

1,600

1,800

2,000

2,200

Figure 3: SAR due to Circulatory Disease (Under 75) Per 100,000 Population

(LCCC and NI) (2008/09-2010/11 to 2012/13-2014/15)

NI LCCC LCCC DeprivedCastlereagh East Castlereagh South Downshire EastDownshire West Killultagh Lisburn NorthLisburn South

Adm

issi

ons

Per

100

,000

Pop

ulat

ion

Standardised Death Rate (SDR) due to Circulatory Disease (Under 75 Years) 4 Over a five year period 2010-14 within LCCC;

SDR due to Circulatory Disease (under 75 years);

75 deaths per 100,000 population has decreased from 86 deaths per 100,000 population from 2007-11 is 9% lower than Northern Ireland overall (83 deaths per 100,000 population) is the second lowest across all councils (at council level) along with Mid Ulster

(75 deaths per 100,000 population), behind Ards & North Down (71 deaths per 100,000 population)

105 deaths per 100,000 population for males and 48 deaths per 100,000 population for females.

4 This is calculated by standardising (using the direct method) the average death rate in Northern Ireland (over a five year period) due to circulatory disease to the 2013 European Standard Population (ESP). Circulatory deaths are classified using the ICD‐10 codes I00‐I99.

5

Over a five year period 2010-2014 in the most deprived areas within LCCC;

SDR due to Circulatory Disease (under 75 years);

134 deaths per 100,000 population has decreased from 150 deaths per 100,000 population from 2008-12 is 78% higher compared to LCCC overall (Inequality Gap) the Inequality Gap has decreased from 79% from 2009-13 the highest Inequality Gap across all councils (at council level)

Table 3: Standardised Death Rate due to Circulatory Disease (Under 75 Years) (Deaths Per 100,000 Population) LCCC and NI (2006/10 – 2010/14)

Deaths Per 100,000 Population2006-10 2007-11 2008-12 2009-13 2010-14

Northern Ireland 106 100 93 88 83LCCC 85 86 85 82 75LCCC Deprived 142 146 150 147 134LCCC-NI Gap -20% -14% -9% -7% -9%LCCC Deprivation Gap 66% 69% 77% 79% 78%

2006-10 2007-11 2008-12 2009-13 2010-14 60

70

80

90

100

110

120

130

140

150

160

Figure 4: SDR due to Circulatory Disease (Under 75 Years) Per 100,000 Population (LCCC and NI) (2006-10 to 2010-14)

NI LCCC LCCC Deprived

Dea

ths

Per

100

,000

Pop

ulat

ion

6

2006-10 2007-11 2008-12 2009-13 2010-140

20

40

60

80

100

120

140

160

Figure 5: SDR due to Circulatory Disease (Under 75 Years) Per 100,000 Population by Gender (LCCC and NI) (2006-10 to 2010-14)

Dea

ths

Per

100

,000

Pop

ulat

ion

Standardised Prescription Rate (SPR) of Anti-Hypertensive Drugs 5 In 2014 within LCCC;

SPR of Anti-Hypertensive Drugs (in receipt of at least one Anti-Hypertensive related item);

217 people per 1,000 population has increased from 214 people per 1,000 population in 2012 is 4% lower than Northern Ireland overall (226 people per 1,000 population) is the third lowest across all councils (at council level) behind Causeway

Coast & Glens (215 people per 1,000 population) and Fermanagh & Omagh (214 people per 1,000 population)

ranges from 201 people per 1,000 population in Killutagh DEA to 233 people per 1,000 population in Castlereagh East DEA

5 Standardised Prescription rate of Anti‐hypertensive/Statin drugs – This is a comparison of the rate of people for whom anti‐hypertensive/statin drugs have been dispensed. This comparison takes account of the different age‐sex profiles in different areas directly standardised to the 2013 ESP. The prescription data are extracted from the Electronic Prescribing Eligibility System (EPES). The data provided only covers drugs dispensed in primary care and includes prescriptions issued by all types of prescribers including doctors, nurses and dentists, and all those issued and dispensed by pharmacists, dispensing doctors and appliance suppliers. Drugs prescribed and dispensed in hospital cannot be captured centrally due to the use of different IT systems. Antihypertensive drugs included are detailed in sections 2.2.1, 2.4, 2.5.5.1, 2.5.5.2 and 2.6.2 of the British National Formulary (BNF).

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222 people per 1,000 population for males and 214 people per 1,000 population for females.

In 2014 in the most deprived areas within LCCC;

SPR of Anti-Hypertensive Drugs (in receipt of at least one Anti-Hypertensive related item);

248 people per 1,000 population has decreased from 251 people per 1,000 population in 2013 is 14% higher compared to LCCC overall (Inequality Gap) the Inequality Gap has decreased from 17% in 2011 the second highest Inequality Gap across all councils (at council level) along

with Antrim and Newtownabbey (14%) behind Belfast (17%).

Table 4: Standardised Prescription Rate of Anti-Hypertensive Drugs (Number of People Per 1,000 Population) LCCC and NI (2010 – 2014)

Number of People In Receipt of At Least One Anti-Hypertensive Related Item Per 1,000 Population

2010 2011 2012 2013 2014Northern Ireland 230 224 224 226 226LCCC 219 215 214 217 217LCCC Deprived 253 251 247 251 248LCCC-NI Gap -5% -4% -5% -4% -4%LCCC Deprivation Gap 16% 17% 16% 16% 14%DEA 2010 2011 2012 2013 2014Castlereagh East 241 233 233 233 233Castlereagh South 215 213 209 214 212Downshire East 209 205 202 204 205Downshire West 220 213 216 217 218Killultagh 203 193 194 198 201Lisburn North 214 215 212 218 222Lisburn South 229 230 230 232 231

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2010 2011 2012 2013 2014 170

180

190

200

210

220

230

240

250

260

Figure 6: SPR Per 1,000 Population (In Receipt of at Least One Anti-Hypertensive Related Item)

(LCCC and NI) (2010-14)

NI LCCC LCCC DeprivedCastlereagh East Castlereagh South Downshire EastDownshire West Killultagh Lisburn NorthLisburn South

Num

ber o

f Peo

ple

Per

1,0

00 P

opul

atio

n

2010 2011 2012 2013 2014210

212

214

216

218

220

222

224

226

228

230

Figure 7: SPR Per 1,000 Population (In Receipt of at Least One Anti-Hypertensive Related Item) by Gender

(LCCC and NI ) (2010-2014)

Num

ber o

f Peo

ple

Per

1,0

00 P

opul

atio

n

9

Standardised Prescription Rate (SPR) of Statin Drugs 6 In 2014 within LCCC;

SPR of Statin Drugs (in receipt of at least one Statin related item);

154 people per 1,000 population has decreased from 155 people per 1,000 population in 2013 is 10% lower than Northern Ireland overall (171 people per 1,000 population) is the lowest across all councils (at council level) ranges from 141 people per 1,000 population in Castlereagh South DEA to

179 people per 1,000 population in Castlereagh East DEA 180 people per 1,000 population for males and 131 people per 1,000

population for females.

In 2014 in the most deprived areas within LCCC;

SPR of Statin Drugs (in receipt of at least one Statin related item);

185 people per 1,000 population has decreased from 187 people per 1,000 population in 2013 is 20% higher compared to LCCC overall (Inequality Gap) the Inequality Gap has decreased from 21% in 2012 the highest Inequality Gap across all councils (at council level)

Table 5: Standardised Prescription Rate of Statin Drugs (Number of People Per 1,000 Population) LCCC and NI (2010 – 2014)

6 Standardised Prescription rate of Anti‐hypertensive/Statin drugs – This is a comparison of the rate of people for whom anti‐hypertensive/statin drugs have been dispensed. This comparison takes account of the different age‐sex profiles in different areas directly standardised to the 2013 ESP. The prescription data are extracted from the Electronic Prescribing Eligibility System (EPES). The data provided only covers drugs dispensed in primary care and includes prescriptions issued by all types of prescribers including doctors, nurses and dentists, and all those issued and dispensed by pharmacists, dispensing doctors and appliance suppliers. Drugs prescribed and dispensed in hospital cannot be captured centrally due to the use of different IT systems. Statin drugs are detailed in section 2.12 of the British National Formula (BNF).

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Number of People In Receipt of At Least One Statin Related Item Per 1,000 Population

2010 2011 2012 2013 2014Northern Ireland 168 168 170 172 171LCCC 149 150 151 155 154LCCC Deprived 181 181 182 187 185LCCC-NI Gap -11% -11% -11% -10% -10%LCCC Deprivation Gap 21% 20% 21% 21% 20%DEA 2010 2011 2012 2013 2014Castlereagh East 184 180 179 182 179Castlereagh South 134 136 140 144 141Downshire East 145 144 144 146 145Downshire West 150 151 153 152 153Killultagh 131 134 133 136 138Lisburn North 144 149 149 156 158Lisburn South 158 159 160 167 166

2010 2011 2012 2013 2014100

110

120

130

140

150

160

170

180

190

200

Figure 8: SPR Per 1,000 Population (In Receipt of at Least One Statin Related Item) by Gender (LCCC and NI) (2010-2014)

Num

ber o

f Peo

ple

Per

1,0

00 P

opul

atio

n

Date of Last Update: 10/05/17

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