inequalities - cheshire west and chester

Life expectancy and mortality rates

October 2018 Contact: Insight and Intelligence Team Email: [email protected]

• People in Cheshire West and Chester can expect to spend a higher proportion of their lives in good health than the England average. However females in some of our more deprived areas could expect to spend up to 30% of their lives in poor health.

• Life expectancy for men is slightly higher than the England average but improvement has stalled both locally and nationally. Female life expectancy has reduced and fallen slightly below the England average (82.8 years v 83.1 years).

• The stall in male life expectancy can be attributed to recent rises in liver disease, respiratory and stroke deaths. The same disease groups have seen increases for women, who have also seen a slight increase in cancer mortality, all contributing to the fall in female life expectancy.

• Women have a significantly higher life expectancy than men but life expectancy has been improving at a faster rate in men compared with women so the gender gap has narrowed.

• Inequalities have persisted with significantly lower life expectancy in our more deprived areas. The inequality gap for men has reduced but remains wider than for women (9.4 years v 8.8 years). The inequality gap has increased for women.

• Cancer and heart disease are the key diseases that contribute to inequalities for both men and women. Coronary heart disease (CHD) deaths make the biggest difference for men and lung cancer for women

• The inequality gap often widens due to mortality rates falling more slowly in deprived areas compared to less deprived areas. However rates have increased for a number of diseases in our more deprived areas to widen the inequality gap. These include lung cancer, liver disease and, in recent years, COPD and CHD for women.

Key messages for Cheshire West and Chester

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Healthy life expectancy

Life expectancy and mortality rates Cheshire West and Chester

Joint Strategic Needs Assessment

October 2018

Life expectancy at birth is an overarching indicator of the health of a population. It is an estimate of the average number of years a new-born baby would survive if he or she experienced a particular area’s age‐specific mortality rates for that time period throughout his or her life. Life expectancy is perhaps a more intuitive indicator than all age, all cause, mortality (AAACM) which is a similar measure. Mortality rates are useful locally to monitor trends. Analysis of premature mortality rates (people aged under 75 years) in particular are useful in identifying key disease groups that impact on changes in life expectancy.

Cheshire West and Chester For the three year period 2014-16 estimates were slightly higher than the England average for men and slightly lower for women:

Males 79.7 years (England 79.5 years) Females 82.8 years (England 83.1 years)

Life expectancy at birth for Cheshire West and Chester (CWAC) residents follows a similar trend to England where improvement has stalled for men and reduced for women. In 2014-2016, female life expectancy in Cheshire West and Chester fell for the first time since 2001-2003. The gender gap has narrowed: life expectancy for women in CWAC is 3.1 years higher than for men compared to a difference of 4.2 years in 2001-03.

Source: Public Health England

76.5

79.4 79.7 79.7 80.8

83.2 83.2 82.8

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Life expectancy at birth trend Cheshire West and Chester Council

Cheshire West and Chester - Male Cheshire West and Chester - Female England - Male England - Female

There are, on average, around 3,400 deaths a year in Cheshire West and Chester. Over two thirds of deaths are caused by circulatory diseases, cancer or respiratory disease. Cancer accounted for 29% of all deaths during 2014-16. Just over 1,000 deaths are in the under 75s – a greater proportion of these early deaths are caused by cancer (43%).

Causes of death



October 2018

Premature mortality rates from major disease groups (cancer, circulatory diseases, respiratory disease and liver disease) are measured by Public Health England within the Public Health Outcomes Framework (PHOF). During 2014-16, Cheshire West and Chester had similar under 75 mortality rates to the England average for cancer, circulatory liver and respiratory disease. In previous years rates were significantly better than England for circulatory diseases and respiratory disease.

Rates in West Cheshire CCG reflect a similar pattern to Cheshire West and Chester but with significantly better circulatory disease rates than Vale Royal CCG and England. Vale Royal CCG had statistically similar rates to the England average for the four disease groups in the PHOF.

Source: ONS Mortality Files, ONS MYE, DSR uses ESP2013, PHE (note the definition of liver disease (ICD codes B15-B19, C22, I81, I85, K70-K77,

T86.4) differs to the digestive grouping)

Cheshire West and Chester deaths during

2014-16 ICD10 Codes

Persons all ages Persons aged under 75 years

Cause of death Average Annual Deaths

% by cause

Average Annual Deaths

% by cause

All Causes 3368 1029 Cancer C00-C97 976 29% 443 43% Circulatory I00-I99 842 25% 220 21% Respiratory J00-J99 480 14% 102 10% Digestive K00-K93 162 5% 70 7% External Cause V01-Y98 141 4% 72 7%

Other causes 767 23% 121 12%

Cancer, 29%

Circulatory, 25% Respiratory,

14% Digestive, 5%

External cause, 4%

Other cause, 23%

Cheshire West and Chester deaths by underlying cause of death 2014-2016

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Cheshire West and Chester, All Persons, 2014-2016, Under 75, Mortality by cause of death

NHS WestCheshire

NHS Vale Royal

Cheshire Westand Chester

England



October 2018

Cheshire West and Chester age standardised death rates have fallen since 2001-03 for three of the four main disease groups highlighted by Public Health England. The biggest reduction has been in circulatory diseases for both men and women while early deaths from liver disease have increased. Liver disease, plus recent increases in respiratory disease and stroke mortality give an indication of diseases contributing to the stall in male life expectancy locally. The same disease groups have seen increases for women, who have also seen a slight increase in cancer mortality, all contributing to the fall in female life expectancy.

Source: ONS Mortality Files, ONS MYE, DSR uses ESP2013 and bridge coded deaths, PHE.

Both CCGs have shown improvement in circulatory mortality over time but there has been a recent increase in stroke deaths in both men and women aged under 75. This is particularly evident in NHS Vale Royal CCG although the numbers do not indicate a statistically significant difference between the two CCGs.

Trends in causes of death in under 75 year olds

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Cheshire West and Chester, Stroke, all persons, under 75 mortality by CCG

NHS Vale Royal NHS West Cheshire Cheshire West and ChesterLinear (NHS Vale Royal) Linear (NHS West Cheshire)

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Cheshire West and Chester, under 75 mortality trend by cause of death All cancers

All circulatory diseases

Respiratory disease

Liver disease

Measurement of health inequalities



October 2018

The national measurement of internal health inequality within a Local Authority is the Slope Index of Inequality (SII). The measure compares life expectancies between geographical sub areas that have been ranked by socio economic deprivation. This method calculates the internal inequality gap by calculating the life expectancy for each decile (each 10% band) of the population according to their locally ranked level of deprivation, and looks at the relationship, or inequality, across the whole population. The 2014-16 SII indicates: Life expectancy at birth is 9.4 years lower for men and 8.8 years lower for women in the most deprived areas of Cheshire West and Chester than in the least deprived areas. It also means that the inequality gap is wider for men than women.

Locally we have calculated the inequality gap using national rankings of the Index of Multiple Deprivation 2015 (IMD 2015) which describes the most deprived areas in Cheshire West and Chester in the context of the most deprived areas in England. Therefore national quintile 1 describes those areas of Cheshire West and Chester, or each Clinical Commissioning Group (CCG), that are amongst the 20% most deprived in England. There is a distinct difference in health experience between those local areas that are in the nationally most deprived 40% of areas compared with the rest of the population. Around a third of our population live in these areas – these are shown in the map, and a breakdown of the population by CCG is shown in the scarf chart above.

The inequality gap in life expectancy within Cheshire West and Chester has increased since 2010-12 for women and decreased for men.

9.6 10.1 9.9 10 9.4

7.9 7.8 8.3 8.7 8.8

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2010 - 12 2011 - 13 2012 - 14 2013 - 15 2014 - 16

Year

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Slope index of inequality trend, males and females in Cheshire West and Chester

Male Female 14,109

40,790

54,899

21,924

26,775

48,699

27,453

29,531

56,984

16,364

50,647

67,011

23,852

84,235

108,087

0% 20% 40% 60% 80% 100%

NHS Vale Royal

NHS West Cheshire

Cheshire West and Chester

England2016 ONS resident population estimates by IMD 2015 national quintiles

Q1 - most deprived Q2 Q3 Q4 Q5 - least deprived



October 2018

Inequality gap in Cheshire West and Chester Locally we calculate that life expectancy at birth is significantly lower than the England average for both men and women in the more deprived areas of Cheshire West and Chester. Life expectancy increases in each step in the socio economic gradient and life expectancy in the least deprived quintile is higher than other areas of Cheshire West and Chester. Ellesmere Port locality has a significantly lower life expectancy than both Cheshire West and Chester as a whole and England. In contrast, life expectancy in Rural locality is significantly higher than any other locality in the Borough. Source: ONS PCMD, ONS MYE, IMD 2015

Life expectancy at birth, 2014-2016, Cheshire West and Chester Council

Male FemaleLife

expectancy at birth

Lower 95% CI

Upper 95% CI

Compared to England

Life expectancy

at birth

Lower 95% CI

Upper 95% CI

Compared to England

England 79.5 79.5 79.6 83.1 83.1 83.2

Cheshire West and Chester 79.7 79.3 80.1 Similar 82.8 82.4 83.2 SimilarWest Cheshire CCG 79.8 79.4 80.3 Similar 82.8 82.4 83.2 Similar

Vale Royal CCG 79.5 78.8 80.1 Similar 82.7 82.1 83.3 Similar

Chester 79.0 78.3 79.7 Similar 82.4 81.6 83.1 SimilarEllesmere Port 78.5 77.7 79.3 Low 81.1 80.2 82.0 Low

Northwich and Winsford 79.4 78.8 80.1 Similar 82.6 82.0 83.3 SimilarRural 81.1 80.4 81.9 High 84.3 83.7 84.9 High

Quintile 1 (Most Deprived) 75.1 74.3 76.0 Low 77.9 77.0 78.8 LowQuintile 2 77.0 76.1 78.0 Low 80.9 80.0 81.8 LowQuintile 3 79.4 78.5 80.3 Similar 82.4 81.5 83.2 SimilarQuintile 4 80.4 79.6 81.2 Similar 84.4 83.7 85.1 High

Quintile 5 (Least Deprived) 82.6 82.0 83.3 High 85.3 84.7 85.9 High

IMD

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83.1 82.8 82.8 82.7 82.4 81.1 82.6 84.3

77.9 80.9 82.4

84.4 85.3

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Localities IMD 2015 NationalQuintiles

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Female life expectancy at birth, 2014-2016, Cheshire West and Chester

79.5 79.7 79.8 79.5 79.0 78.5 79.4 81.1

75.1 77.0 79.4 80.4

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Male life expectancy at birth, 2014-2016, Cheshire West and Chester



October 2018

Causes of death that contribute to the gap Public Health England have analysed the internal inequality gap in life expectancy within each local authority, segmenting the gap by cause of death. Cancer and circulatory diseases account for the largest share of the inequality gap for both men and women in Cheshire West and Chester (measured as the gap between Q1 and Q5 local quintiles).

Scarf chart showing the breakdown of the life expectancy gap between Cheshire West and Chester most deprived quintile and Cheshire West and Chester least deprived quintile, by

broad cause of death, 2012-2014 Source: Public Health England

More specifically, coronary heart disease (CHD) deaths make the biggest difference for men and lung cancer for women. If the most deprived quintile in CWAC had the same lung cancer mortality rates as the least deprived quintile then the data suggests that 0.75 years could be added to male life expectancy and 0.85 years added to female life expectancy.

Bar chart showing life expectancy years gained or lost if Cheshire West and Chester’s most deprived quintile had the same mortality rates as Cheshire West and Chester’s least deprived quintile, by detailed cause of death, 2012-2014

Source: PHE segment tool, May 2016

<28 days, 0.0% <28 days, 0.0% Other, 8.3% Other, 13.8%

Mental and behavioural, 3.1%

Mental and behavioural, 3.8%

External causes, 12.3%

External causes, 5.1%

Digestive, 7.3% Digestive, 12.7%

Respiratory, 15.2% Respiratory, 15.2%

Cancer, 27.5% Cancer, 28.0%

Circulatory, 26.3% Circulatory, 21.4%

0%10%20%30%40%50%60%70%80%90%

100%

Male Female



October 2018

Trend in male health inequality Male life expectancy has increased in both deprived and affluent areas but not at equal rates. For men, improvement has not been slowest in our very deprived areas but in those areas that are slightly more deprived than the national picture. The 2014-16 stall in male life expectancy and the reduction of the inequality gap is due to reducing life expectancy in our less deprived areas. Key disease groups identified as contributing to the stall in male life expectancy are respiratory disease, liver disease and stroke. Increased mortality rates across the social gradient, including in our less deprived areas, can be seen in both respiratory disease and liver disease. In the case of liver disease, the steeper increase in less deprived areas compared to more deprived areas also contributes to the narrowing of the inequality gap. Source: ONS PCMD, ONS MYE, IMD2015

64687276808488

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Male life expectancy at birth trend Cheshire West and Chester Council - IMD 2015 national quintiles

Quintile 1 (Most Deprived) Quintile 2 Quintile 3 Quintile 4 Quintile 5 (Least Deprived)

010203040506070

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Cheshire West And Chester, liver disease, male, under 75 mortality trend

Q1 Most Deprived Q2 Q3 Q4 Q5 Least Deprived Cheshire West and Chester

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Cheshire West And Chester, respiratory disease, male, under 75 mortality trend

Q1 Most Deprived Q2 Q3 Q4 Q5 Least Deprived Cheshire West and Chester



October 2018

Trend in male health inequality (continued) The narrowing of the male inequality gap can in part be attributed to liver disease but is also largely attributable to coronary heart disease. Coronary heart disease (CHD) has the biggest impact on male inequality. Mortality rates from CHD have reduced considerably but remain significantly high in more deprived areas compared to less deprived areas of CWAC. In 2014-16, despite reductions in the absolute gap, rates were 3.3 times higher in Q1 compared to Q5. However recent under 75 mortality increases in our least deprived areas indicate this is a key contributor to the narrowing of the life expectancy inequality gap in 2014-16. For some disease groups inequality persists. For example under 75 mortality rates for cancer have not reduced consistently across CWAC. Whilst generally cancer rates have reduced, lung cancer rates in more deprived areas have seen a minimal reduction. In contrast, rates in the least deprived areas have almost halved, widening the inequality gap.

Source: ONS PCMD, ONS MYE, IMD2015

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Cheshire West and Chester, Lung cancer, male under 75 mortality by deprivation 2015

Cheshire West and Chester Q1 Cheshire West and Chester Q5Cheshire West and Chester Linear (Cheshire West and Chester Q1)Linear (Cheshire West and Chester Q5)

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Cheshire West and Chester, Coronary heart disease, male under 75 mortality by deprivation 2015

Cheshire West and Chester Q1 Cheshire West and Chester Q5Cheshire West and Chester Linear (Cheshire West and Chester Q1)

• Key disease groups that have impacted on recent inequality changes are coronary heart disease (CHD) and liver disease with increases in mortality rates in quintile 5 and either decreases or only slight increases in quintile 1.

• Liver disease, respiratory disease and circulatory disease continue to have a longer term influence on male life expectancy with recent rising trends in mortality rates in the more deprived quintiles.

Life expectancy and mortality rates Cheshire West and Chester Joint Strategic Needs Assessment

October 2018

Since 2001-03, female life expectancy in CWAC has increased but more slowly in more deprived areas, widening the inequality gap. The recent reduction in female life expectancy is not consistent within Cheshire West and Chester. Between 2013-15 and 2014-16 female life expectancy has fallen in all but one of the national quintiles. Only quintile 4 has continued to show an increasing trend.

Early deaths in women have reduced for many conditions and the inequality gap has usually widened due to rates falling more slowly in more deprived areas compared to less deprived areas. For some conditions however, early deaths have increased. Death rates from liver disease have been rising for women in CWAC as a whole but this is being driven by increases in our most deprived areas. The under 75 death rate in CWAC quintile 1 areas (among the 20% most deprived in England) has increased 138% between 2001-03 and 2014-16 and is now three times that of quintile 5, our least deprived areas. In the long term, liver disease continues to be an issue , however recently the gap has narrowed with a drop in death rates for quintile 1.

Similarly, lung cancer death rates have increased in our more deprived areas, particularly quintile 2, which has more than doubled since 2001-03, contributing to the widening inequality gap.

Source: ONS PCMD, ONS MYE, IMD2015

05

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Cheshire West and Chester, Liver disease, Female, Under 75 Mortality by Deprivation 2015

Cheshire West and Chester Q1 Cheshire West and Chester Q5Cheshire West and Chester EnglandLinear (Cheshire West and Chester Q1) Linear (Cheshire West and Chester Q5)

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Cheshire West and Chester, Lung cancer, Female, Under 75 Mortality by Deprivation 2015

Cheshire West and Chester Q1 Cheshire West and Chester Q2Cheshire West and Chester Linear (Cheshire West and Chester Q1)Linear (Cheshire West and Chester Q2)

Trend in female health inequality

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Female life expectancy at birth trend Cheshire West and Chester Council - IMD 2015 national quintiles

Quintile 1 (Most Deprived) Quintile 2 Quintile 3 Quintile 4 Quintile 5 (Least Deprived)

Life expectancy and mortality rates Cheshire West and Chester Joint Strategic Needs Assessment

Recent trend in female health inequality

October 2018

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Cheshire West and Chester, Chronic obstructive pulmonary disease, Female, Under 75 Mortality by Deprivation 2015


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Cheshire West and Chester, Coronary heart disease, Female, Under 75 Mortality by

Deprivation 2015


Deaths in under 75 females from chronic obstructive pulmonary disease (COPD) in Cheshire West and Chester have largely remained consistent since 2001-2003 at around 16 per 100,000, however there have been increases in both quintile 1 and quintile 2. Since 2012-2014 under 75 deaths in females in Cheshire West and Chester from COPD in quintile 1 have increased by 81%. Deaths in females from coronary heart disease (CHD) have dropped since 2001-2003 across all quintiles, however in recent years there has been an increase. The increase is not isolated to the more deprived areas but since 2011-2013 death rates for females aged under 75 in quintile 2 have increased 106% for CHD.

2014-2016 has seen female life expectancy fall for the first time since 2001-2003 and the inequality gap continues to widen. Whilst liver disease and lung cancer continue to have a long term impact on female life expectancy, recent trends can also be attributed to other causes.

• Key disease groups that have impacted on recent inequality changes are coronary heart disease (CHD) and chronic obstructive pulmonary disease (COPD) with increases in mortality rates in both quintile 1 and quintile 2.

• Liver disease and lung cancer continue to have a longer term influence on female life expectancy with rising trends in mortality rates in the more deprived quintiles since 2001-2003, even though recent data (particularly in Liver disease) shows a narrowing of the gap.



October 2018

Electoral Wards and Localities Since 2001-03, life expectancy has increased for both men and women in all localities but at different rates. Improvement has been slowest in Ellesmere Port for men and in Chester for women. Rural locality has consistently experienced higher estimates of life expectancy than other areas of Cheshire West and Chester for both men and women. Ellesmere Port has had the lowest estimates of the four locality areas and remains significantly lower for both men and women compared to England. Life expectancy for men shows continued improvement in two localities (Ellesmere Port locality and Northwich and Winsford locality) and a slight drop in the other two (Rural locality and Chester locality). This compares to a drop in life expectancy for women across all four localities.

Source: ONS ADDE, ONS MYE, PHE ward LE

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Male Life Expectancy at Birth Trend Cheshire West and Chester Council - Neighbourhood Localities

Chester Ellesmere Port Northwich & Winsford Rural

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Female Life Expectancy at Birth Trend Cheshire West and Chester Council - Neighbourhood Localities

Chester Ellesmere Port Northwich and Winsford Rural



October 2018

Across Cheshire West and Chester, the variation in life expectancy becomes more pronounced when viewed at a lower geographical level. Statistics do need to be treated with caution however due to the small numbers involved.

Life expectancy estimates for the period 2011-15 indicate a range of 14.2 years for men and 14.2 years for women living in different electoral wards.

The three wards in Cheshire West and Chester with the lowest male life expectancy are all in Ellesmere Port locality. Netherpool ward in Ellesmere Port locality has the lowest life expectancy for men at 73.1 years. Chester City ward in Chester locality has the lowest life expectancy for women at 76.1 years.

Of the 46 wards in Cheshire West and Chester, 13 have significantly low male life expectancy and 13 have significantly high male life expectancy compared to the England average. For female life expectancy, nine wards are significantly low and 16 significantly high compared to the England average.


Electoral Wards and Localities

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CHSt

Pau

l's -

EPW

hitb

y - E

PLa

che

- CH

Win

sfor

d O

ver a

nd V

erdi

n -…

Witt

on a

nd R

udhe

ath

- N&

WBo

ught

on -

CHFr

odsh

am -

RUM

alpa

s - R

UW

eave

r and

Cud

ding

ton

-…Ch

este

r Vill

ages

- RU

Dave

nham

and

Mou

lton

-…Le

dsha

m a

nd M

anor

- EP

Helsb

y - R

UM

arbu

ry -

N&

WGr

eat B

ough

ton

- CH

Dodl

esto

n an

d Hu

ntin

gton

-…Li

ttle

Nes

ton

and

Burt

on -

RUKi

ngsle

y - R

UN

ewto

n - C

HSa

ugha

ll an

d M

ollin

gton

- RU

Stra

wbe

rry

- EP

Tarv

in a

nd K

elsa

ll - R

UGo

wy

- RU

Hand

brid

ge P

ark

- CH

Tarp

orle

y - R

UHa

rtfo

rd a

nd G

reen

bank

-…W

illas

ton

and

Thor

nton

- RU

Farn

don

- RU

Park

gate

- RU

Tatt

enha

ll - R

U

Year

s

Male Life expectancy at birth - Cheshire West and Chester wards - 2011-2015

Average Low High England

81.1

81

.2

81.3

81

.4

81.7

82

.2

82.2

82

.6

83.3

83

.4

83.5

83

.7

84

84.2

84

.2

84.2

84

.3

84.4

84

.8

84.8

85.6

76.1

77

.6

77.9

78

.8

79.6

79

.6

79.8

79

.9

80.3

84.9

84

.9

85.1

85

.3

85.4

86.1

86

.6

86.9

87

87

.3

87.3

87

.4

87.6

87

.7

88.7

90

.3

65

70

75

80

85

90

95

Ches

ter C

ity -

CHGr

ange

- EP

Ross

mor

e - E

PEl

lesm

ere

Port

Tow

n - E

PSh

aker

ley

- N&

WW

inni

ngto

n an

d Ca

stle

- N

&W

Hool

e - C

HBl

acon

- CH

Win

sfor

d W

hart

on -

N&

WN

ethe

rpoo

l - E

PN

esto

n - R

UEl

ton

- RU

Lach

e - C

HW

insf

ord

Swan

low

and

Den

e -…

St P

aul's

- EP

Whi

tby

- EP

Upt

on -

CHSu

tton

- EP

Wea

ver a

nd C

uddi

ngto

n - N

&W

Witt

on a

nd R

udhe

ath

- N&

WSa

ugha

ll an

d M

ollin

gton

- RU

Mal

pas -

RU

Dave

nham

and

Mou

lton

- N&

WFr

odsh

am -

RUW

insf

ord

Ove

r and

Ver

din

- N&

WCh

este

r Vill

ages

- RU

Litt

le N

esto

n an

d Bu

rton

- RU

Boug

hton

- CH

Tatt

enha

ll - R

UHa

ndbr

idge

Par

k - C

HHe

lsby

- RU

King

sley

- RU

Tarv

in a

nd K

elsa

ll - R

UM

arbu

ry -

N&

WGa

rden

Qua

rter

- CH

New

ton

- CH

Leds

ham

and

Man

or -

EPPa

rkga

te -

RUW

illas

ton

and

Thor

nton

- RU

Gow

y - R

UHa

rtfo

rd a

nd G

reen

bank

- N

&W

Grea

t Bou

ghto

n - C

HSt

raw

berr

y - E

PTa

rpor

ley

- RU

Farn

don

- RU

Dodl

esto

n an

d Hu

ntin

gton

- RU

Year

s

Female Life expectancy at birth - Cheshire West and Chester wards - 2011-2015

Average Low High England



October 2018

Healthy life expectancy at birth If life expectancy increases, it is important that these additional years are not spent in poor or disabling health states. If this is the case, it can put greater strain on health and social care resources. Therefore health expectancy estimates are used to monitor whether the “extra” years are spent in favourable health. Healthy life expectancy addresses this by adding a quality of life dimension to estimates of life expectancy. These are the estimates of the average number of years a person would live in a given health state if they experienced that age specific mortality and health status for a particular time period throughout the rest of their lives.


People in Cheshire West and Chester can expect to spend a higher proportion of their lives in good health than the England average and fewer years spent in poor health. In Cheshire West and men can expect to spend over 80% of their lives in good health and women nearly 80% (79%). Estimates of healthy life expectancy for 2014-16 were significantly better for men in Cheshire West and Chester and similar to England for females. Males in Cheshire West and Chester could expect 66.2 years of healthy life compared to 63.3 in England. Females could expect 65.5 years of healthy life, living in Cheshire West and Chester, compared to 63.9 for England. Female life expectancy is higher than for men but women can expect to spend more years, and a higher proportion of their life, living in ‘not good’ health.

Healthy Life Expectancy (HLE) and Life Expectancy (LE) at birth, 2014-2016

HLE (years)

Compared to England

LE (years)

Compared to England

Proportion of life in 'Good' health (%)

Years spent in 'Not Good'

health

Males Cheshire West and Chester 66.2 better 79.7 similar 83.1% 13.5

England 63.3 79.5 79.6% 16.2

Females Cheshire West and Chester 65.5 similar 82.8 similar 79.1% 17.3

England 63.9 83.1 76.9% 19.2

60 65 70 75 80 85


England


England

Mal

eFe

mal

e

Healthy life expectancy (HLE) and Life expectancy (LE) at birth 2014-2016

Life expectancy Healthy life expectancy

17.3 years in 'not good heath'




Based on data for the five year period 2009-2013, estimates of male healthy life expectancy (HLE) for middle super output areas (MSOAs) in Cheshire West and Chester range from 54.3 years to 72.1 years with a slope index of inequality of 15.8 years. There are 17 MSOAs with significantly lower HLE than England (63.5 years), including 12 MSOAs where male HLE is less than 60 years. These areas are located in the more deprived areas of Ellesmere Port, Northwich and Winsford and Chester localities.

Areas with low HLE are more likely to have higher estimates of years lived in 'not good' health. Males in these same areas could expect to live between 15 and 20 years in 'not good' health (over a quarter of their lives). Estimates of years lived in 'not good' health range between 8.9 and 20.0 years across MSOAs in Cheshire West and Chester.

Estimates of female HLE are higher than for men but have similar variation. MSOA estimates range from 55.6 years to 73.4 years with a slope index of inequality of 15.2 years. There are 14 MSOAs with significantly lower HLE than England (64.8 years), including 10 MSOAs where female HLE is less than 60 years. As with men, these areas are located in the more deprived areas of Ellesmere Port, Northwich and Winsford and Chester localities.

Female estimates of years lived in 'not good' health range from 11.9 to 24.3 years across MSOAs in Cheshire West and Chester. Higher estimates of years lived in 'not good' health are often in areas with low HLE and low LE. Females in some of these same deprived areas could expect to spend up to 30% of their lives in poor health.

Inequality in healthy life expectancy at birth




October 2018

October 2018

inequalities - cheshire west and chester

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