Skip to main content

Cancer has replaced cardiovascular disease as the commonest cause of avoidable mortality

A recent analysis of causes of potentially avoidable deaths in England and Wales by the Mortality Team at the Office for National Statistics (ONS) showed that cardiovascular diseases were the largest cause of avoidable deaths between 2001 and 2006. In 2007, cancers became the leading cause of avoidable deaths and have remained so since then.

This change in ranking has occurred because deaths from cardiovascular diseases have been falling for many years. Deaths from cancer in contrast have been falling much more slowly than deaths from cardiovascular disease and cancer has therefore now become the commonest cause of avoidable deaths. The rapid decline in age-standardised death rates from cardiovascular diseases have been driven by a range of factors. These include medical (e.g. statins) and surgical treatments (e.g. angioplasty); and changes in lifestyle (such as a reduction in the prevalence of smoking).

The findings of this very useful analysis by the ONS illustrate the need to maintain improvements in the management of cardiovascular disease and its risk factors. There is also a clear need to reduce deaths from cancer through lifestyle changes (such as reducing rates of smoking and obesity); improved uptake of cancer screening programmes; and better management of cancer by the NHS.

Comments

Popular posts from this blog

MPH Student Presentations on the NHS Care.Data Programme

As part of a session on primary care data in the Health Informatics module on the Imperial Master of Public Health Programme, I asked students to work in two groups to present arguments for and against the NHS Care.Data programme. Care.Data is an NHS programme that will extract data from the medical records held by general practitioners (GPs) in England. The Care.Data programme takes advantage of the very high level of use of electronic medical records by GPs in England. After extraction, data will be uploaded to the NHS Health and Social Care Information Centre (HSCIC). The data will then be used for functions such as health care planning, monitoring disease patterns and research. The programme has been controversial with proponents arguing that the programme will bring many benefits for the NHS and the population of England; and opponents arguing it is a major breach of privacy. You can view the two presentations to help inform you further about these arguments: Arguments for th

How can we work successfully across the health and care system to make a success of Pharmacy First?

Pharmacies in England to begin treating patients for seven common conditions. How can we work successfully across the health and care system to make a success of Pharmacy First? 1. The Pharmacy First scheme aims to provide convenient access to healthcare through community pharmacies. Patients with minor ailments or common conditions can seek advice and treatment directly from their local pharmacy instead of visiting a general practice, urgent care centre or emergency department. The conditions covered by the scheme may vary depending on local funding arrangements and participation of pharmacies.  2, A potential problem with Pharmacy First is pharmacists misdiagnosing a patient's condition. It may also lead to delays in patients seeing doctors when medical assessment is needed. To mitigate these risks, appropriate safeguards and referral pathways should be established, ensuring timely medical assessment when necessary. The scheme will also increase the workload of pharmacies, thereb

Example ADHD Referral Letter

Dear Dr, I am writing to refer a 28-year-old male patient of mine, Mr [Patient's Name], for assessment for the diagnosis and treatment of Attention Deficit Hyperactivity Disorder (ADHD). After a thorough clinical assessment, I believe that Mr. [Patient's Name] meets the criteria for adult ADHD as outlined in NHS guidance for primary care teams in SE London. Mr [Patient's Name] has been under my care for XX years and, during this time, he reports several symptoms (greater than five symptoms in total) consistent with ADHD in adults that have been present for more than six months. These symptoms include difficulties in focusing, following through on tasks, hyperactivity, forgetfulness, impulsiveness, restlessness, and irritability. Mr [Patient's Name] also reports being easily distracted, struggling with time management, organisation, and completing tasks efficiently. Many of Mr [Patient's Name]'s symptoms have been present since he was under 12 years old; and have