Introduction NS Consultation on Statistical Products 2013 The Office for National Statistics (ONS) is seeking the views of users to inform necessary reductions to their statistical outputs in the following areas: 1) survey products; 2) regional and local outputs; 3) health statistics and analyses, life events; and 4) health inequalities analysis. The outputs listed in the consultation represent costs in excess of the savings that need to be made, so feedback from users on the need for, and use of, these outputs will help ONS to prioritise reductions. Further information and a link to the consultation questionnaire are on the ONS website, http://www.ons.gov.uk/ons/about-ons/get-involved/consultations/consultations/statistical-products2013/index.html This note gives a summary of the information contained in the consultation questionnaire, to assist in discussions on responding to this consultation. This consultation covers outputs in the following areas: 1) Outputs from the following surveys: a- General Lifestyle Survey b- Integrated Household Survey c- Labour Disputes Survey d- Internet Access Quarterly update e- Annual UK Business: Activity, Size and Location 2) Regional and local outputs: a- Bi-annual local enterprise partnership profiles b- Bi-annual local profiles c- Small area income and poverty measures 3) Health statistics and analyses, life events 4) Health inequalities analysis Indicative cost savings are given for each of the outputs in the consultation questionnaire. This consultation opened on 2 September 2013 and will close on 31 October 2013 and ONS aims to publish a summary of the findings of this consultation in early 2014. The consultation covers the periods 2013/14 and 2014/15. Planning for 2015/16 and beyond may result in a further public consultation in due course. Respondents are asked to say what would be the impact of discontinuing the statistical product on them and their work, by indicating whether the impact would be: - High - Medium - Low - Do not use (so no impact) Where respondents have indicated that there will be an impact on their work, they are asked to provide supporting information giving specific examples of how the statistical outputs are used, and the costs of the information no longer being available. The specific questions posed within the consultation questionnaire are: - What mandatory activities will you no longer be able to carry out? What other activities will you no longer be able to carry out? 1 Introduction - What policies will you be unable to inform? What additional costs will you or others incur? Any other impact? More detailed information is provided within the consultation questionnaire for each of the statistical products being considered, as follows: 2 Section 1 1. Survey Outputs a. Stop production of General Lifestyle Reports (Smoking and Drinking; General Health; Households,Families andPeople;andMarriageandCohabitation)andassociateddata Indicative cost saving: between £100,000 and £500,000. The General Lifestyle Reports are an annual release, first published in 1971. The reports covers a range of lifestyle habits across Great Britain, including smoking and drinking, general health, households, families and people; and marriage and cohabitation. Microdata are also available from the UK Data Service. ONS would stop collecting the General Lifestyle source data via the Opinions and Lifestyle Survey from January 2014, which will mean that the General Lifestyle Reports and supporting microdata will not be available after the 2013 reports. Smoking questions would be asked on another ONS survey as long as a funded demand remains. Smoking microdata will continue to be disseminated via the UK Data Service. Data on general health, households families and people, as well as marriage and cohabitation are collected on other ONS social surveys. However, the detail and content is less than that provided in the General Lifestyle Reports. The English, Scottish and Welsh Health Surveys collect information on drinking; however different questions are asked through these surveys. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact b. Stop Integrated Household Survey core questions in the Living Costs and Food Survey Indicative cost saving: between £50,000 and £100,000. The core questions on the Integrated Household Survey were added to the Living Costs and Food Survey (LCF) in January 2008. These core questions (around 100 in total) were included on a series of ONS and other government household surveys to produce more precise estimates at a lower geographic level (for example national estimates of sexual identity, and smoking prevalence by local authority) than is possible from individual ONS social surveys. Currently the core questions are only asked on the LCF and Annual Population Surveys, with a total achieved sample of around 335,000 respondents. The removal of the core questions from the LCF would result in these questions only being asked on the Annual Population Survey. Some 'core' questions would remain in the LCF questionnaire, as they are needed for the 3 Section 1 survey's outputs. This would slightly reduce the questionnaire length of the LCF and consequently reduce its operational cost and respondent burden. Results for the core questions would continue to be released, and microdata made available from the UK Data Service, based on the Annual Population Survey alone - with an estimated achieved sample size of 325,000, reduced by the 10,000 people contributed by the LCF. This proposal would slightly reduce the precision of estimates derived from the core questions, and would essentially end the concept of an Integrated Household Survey - with core estimates produced from a single social survey. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact c. Stop the Labour Disputes survey Indicative cost saving: between £10,000 and £50,000. The Labour Disputes survey began in 1891 and figures are available for every year since that date. The statistics cover stoppages of work in the United Kingdom caused by labour disputes between employers and workers or between workers and other workers in relation to terms and conditions of employment. They detail the number of working days lost, the number of stoppages and the number of workers involved. The Labour Disputes results are published as part of the monthly Labour Market release. An annual article is also published giving more detailed analysis of labour disputes within a particular year. The ONS wish to consult on the proposal to stop the: survey; monthly data, released as part of the labour market statistics release; and annual article. As far as we are aware, there is no comparable data source. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or 4 Section 1 others incur? Any other impact d. Stop the quarterly output on individuals internet use Indicative cost saving: under £10,000. The Internet Access Quarterly Update provides estimates of internet use by various socio-economic and demographic characteristics, such as sex, age, disability, geographical location and weekly earnings each quarter. It is proposed that the quarterly production of these estimates ceases and an annual update is published in its place. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact e. Stop the UK Business output Indicative cost saving: under £10,000. The annual UK Business: Activity, Size and Location is produced from an extract taken from the Inter-Departmental Business Register (IDBR), recording the position of units as at March of the reference year. It provides tables detailing UK businesses by legal form, broad industry and UK region as well as local site information. The publication is issued in autumn each year. Similar information is published in ONS's Business Demography publication and the Department for Business, Innovation and Skills also publishes statistics on businesses in the UK. However, neither of these alternative sources provides local unit data. If this publication were stopped, we would hope to produce a dataset from the IDBR in an open format on the ONS website. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact Comment What other activities will you no longer be able to carry out? 5 Section 1 What policies will you be unable to inform? What additional costs will you or others incur? Any other impact 6 Section 2 2) Regional and Local Outputs a. Stop bi-annual local enterprise partnership profiles Indicative cost saving: under £10,000. Local Enterprise Partnership (LEP) profiles are released on the Neighbourhood Statistics website. They are updated every 6 months and include data on the economy, environment and society. Much of the data are available elsewhere on other websites but this is the only release specifically about LEP geographies that brings all the topics and all the areas together in one place. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact b. Stop bi-annual Local Profiles Indicative cost saving: under £10,000. Local Profiles are released on the Neighbourhood Statistics website. They are updated every 6 months and include data at local authority level on the economy, environment and society. The data are available elsewhere on other websites, but this release brings all the topics and areas together in one place. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact 7 Section 2 c. Stop small area income and poverty measures Indicative cost saving: under £10,000. ONS produces model based estimates of household income and households in poverty at MSOA level. This information is not available elsewhere. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact 8 Section 3 3) Health statistics and analyses; Life Events a. Stop annual statistical bulletin on Cancer Survival in England Indicative cost saving: between £10,000 and £50,000. This bulletin provides cancer survival estimates for 21 common cancers, for England, by age group and for all ages combined. This is the only source of National Statistics on cancer survival for England as a whole, for this range of cancer types, by age group. There are other (externally funded) bulletins that provide statistics on cancer survival for England, with geographic breakdowns by Primary Care Trust (a combined cancer survival index), Cancer Network (for six types of cancer), and Cancer Network, region and Strategic Health Authority (for eight types of cancer), which will continue to be produced, aligned to new health geographies. If this bulletin were to stop, ONS would no longer fund the additional analysis required to produce cancer survival estimates for England, for the full range of 21 common cancers, by age group. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact b. SMBC would rely on PHE cancer statistics service, such as the National Cancer Information System. Stop weekly figures on Deaths Registered in England and Wales Indicative cost saving: between £10,000 and £50,000. This product gives provisional counts of weekly deaths registered by age group and sex. The figures enable changes in the numbers of deaths to be monitored, for example during periods of extreme weather. ONS would continue to provide weekly data feeds to Health Service organisations for statistical purposes, so organisations such as Public Health England and Public Health Wales, will be able to continue to fulfil their responsibilities on monitoring public health. These are different in definition to the published product. If this output were to stop, weekly figures on deaths registered in England and Wales would no longer be published. Level of impact of discontinuing the statistical product If impact, What mandatory activities will High Medium Low Do not use (so no impact) Comment 9 Section 3 you no longer be able to carry out? What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact c. Stop monthly figures on Deaths Registered by Area of Usual Residence, England and Wales (Provisional) Indicative cost saving: under £10,000. This product provides counts of monthly deaths registered in each local authority district. The figures enable changes in the numbers of deaths to be monitored, for example during periods of extreme weather. If this output were to stop, monthly figures for deaths registered in each local authority district would no longer be published. Annual figures (available via the link above) would continue to be published for each local authority district. If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment Public health monitoring health inequalities such as excess winter deaths What other activities will you no longer be able to carry out? Improving health through joint work with housing services What policies will you be unable to inform? Health and Housing What additional costs will you or others incur? Cost of commissioning comparator data from agencies who have access to national mortality statistics SMBC would have to rely on ONS source of mortality data. Delay of comparator data from national sources if data stopped. Level of impact of discontinuing the statistical product Any other impact d. Stop annual statistical bulletin on Childhood, Infant and Perinatal Mortality in England and Wales Indicative cost saving: between £10,000 and £50,000. The statistical bulletin provides figures on infant deaths and child deaths that occurred during a particular year, by some of the key risk factors affecting infant death. This is produced by linking birth and death registrations. Figures are also provided on babies who were born in a particular year but died before their first birthday. Some infant and perinatal mortality figures will continue to be available, for example in the Death Summary tables, by year of registration. However, the linked birth and death registrations dataset produced for this publication 10 Section 3 would cease to be available for any statistical or research purpose. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment Reporting on health inequalities What other activities will you no longer be able to carry out? What policies will you be unable to inform? Health and Well Being Strategy What additional costs will you or others incur? Cost of commissioning comparator data from agencies who have access to national mortality and birth statistics Any other impact e. Stop production of statistics on Unexplained Deaths in Infancy in England and Wales Indicative cost saving: between £10,000 and £50,000. This bulletin provides statistics on both sudden infant deaths and deaths for which the cause remained unascertained after a full investigation, by some of the key risk factors affecting these deaths. This is produced from a late extract from the deaths registrations database, selecting deaths using a combination of underlying cause and other conditions mentioned on the death certificate. Deaths are then linked to birth records, so figures can be presented by year of birth and by risk factors captured at birth registration. Some infant mortality figures will continue to be available, for example in the Death Summary tables, by year of registration. However, statistics on sudden infant deaths (using the same definition) cannot be derived from this publication. The linked birth and death registrations dataset produced for this publication would cease to be available for any statistical or research purpose. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact 11 Section 3 f. Stop production of statistics on Gestation-specific Births and Infant Deaths in England and Wales Indicative cost saving: between £10,000 and £50,000. The bulletin provides statistics about babies who died before their first birthday, presenting information on gestational age, ethnicity, age of mother and birth weight. This is produced by linking birth registrations to the NHS Numbers for Babies dataset, which is then linked to death registrations. This is the only source of this information, for either birth or death registrations. The linked dataset produced for this publication would cease to be available for any statistical or research purpose. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact g. Stop annual statistical bulletin on Suicides in the United Kingdom Indicative cost saving: between £10,000 and £50,000. This bulletin provides suicide statistics for the UK, England (including figures for regions) and Wales. Information is also presented on the potential impact of narrative verdicts by coroners at regional level in England, and in Wales. ONS holds mortality data for England and Wales. Figures for the UK include data provided by (and published separately by) National Records of Scotland and the Northern Ireland Statistics and Research Agency. Figures on suicides in England and Wales will continue to be available in the Deaths Registrations publication. The suicides bulletin brings together figures for the UK and is the only source of information about narrative verdicts. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment What other activities will you no longer be able to carry out? 12 Section 3 What policies will you be unable to inform? What additional costs will you or others incur? Any other impact h. Stop production of statistics on Excess Winter Mortality in England and Wales (Provisional and Final) Indicative cost saving: between £10,000 and £50,000. This is one in a range of statistical bulletins that provide more in-depth analysis of mortality. These are in addition to the regular products that provide statistics on deaths registrations by age, sex, geography and cause of death which will continue. This bulletin is the only source of National Statistics figures on excess winter mortality and of the number of deaths by year and month of occurrence, by age, sex and geography (rather than by year of registration, as presented in the Deaths Registrations publication) and hence these figures would no longer be available If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment Public health monitoring health inequalities such as excess winter deaths What other activities will you no longer be able to carry out? Improving health through joint work with housing services What policies will you be unable to inform? Health and Housing What additional costs will you or others incur? Cost of commissioning comparator data from agencies who have access to national mortality statistics SMBC would have to rely on ONS source of mortality data. Delay of comparator data from national sources if data stopped. Level of impact of discontinuing the statistical product Any other impact i. Stop production of statistics on Deaths Involving MRSA in England and Wales Indicative cost saving: between £10,000 and £50,000. This is one in a range of statistical bulletins that provide more in-depth analysis of mortality. These are in addition to the regular products that provide statistics on deaths registrations by age, sex, geography and cause of death which will continue (for example, in the Deaths Registrations publication). This bulletin is the only source of figures on the number of deaths where MRSA was mentioned or was identified as the underlying cause of death. ONS would stop the additional cause of death processing which underlies this output, therefore no equivalent data on deaths involving MRSA would be available for any statistical or research 13 Section 3 purpose. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact j. Stop production of statistics on Deaths Involving Clostridium difficile in England and Wales Indicative cost saving: between £10,000 and £50,000. This This is one in a range of statistical bulletins that provide more in-depth analysis of mortality. These are in addition to the regular products that provide statistics on deaths registrations by age, sex, geography and cause of death which will continue (for example, in the Deaths Registrations publication). This bulletin is the only source of figures on the number of deaths where a Clostridium difficile infection was mentioned on the death certificate, or was identified as the underlying cause of death. ONS would stop the additional cause of death processing which underlies this output, therefore no equivalent data on deaths involving Clostridium difficile would be available for any statistical or research purpose. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact k. Stop annual statistical bulletin Avoidable Mortality in England and Wales 14 Section 3 Indicative cost saving: between £10,000 and £50,000. This is one in a range of statistical bulletins that provide more in-depth analysis of mortality. These are in addition to the regular products that provide statistics on deaths registrations by age, sex, geography and cause of death which will continue (for example, in the Deaths Registrations publication). This bulletin presents mortality figures for causes of death that are considered avoidable in the presence of timely and effective healthcare or public health interventions. Users could produce figures on avoidable deaths using the definition and other sources such as the Deaths Registrations publication. However, the avoidable mortality bulletin is the only source of the collated information and of estimates of years of life lost. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact l. Stop annual statistical bulletin on Injury and Poisoning Mortality in England and Wales Indicative cost saving: under £10,000. This is one in a range of statistical bulletins that provide more in-depth analysis of mortality. These are in addition to the regular products that provide statistics on deaths registrations by age, sex, geography and cause of death which will continue (for example, in the Deaths Registrations publication). The injury and poisoning bulletin does not contain any new statistics; it provides a different way of viewing figures that are published elsewhere. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or 15 Section 3 others incur? Any other impact m. Stop production of statistics on Deaths Related to Drug Poisoning in England and Wales Indicative cost saving: between £10,000 and £50,000. This is one in a range of statistical bulletins that provide more in-depth analysis of mortality. These are in addition to the regular products that provide statistics on deaths registrations by age, sex, geography and cause of death which will continue (for example, in the Deaths Registrations publication). The bulletin provides detailed figures on deaths related to drug poisoning and drugs misuse. This is the only source of information on deaths from drug misuse, and deaths that mention specific substances. ONS would stop the additional cause of death processing which underlies this output, therefore no equivalent data on deaths related to drug poisoning would be available for any statistical or research purpose. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact n. Stop annual statistical bulletin on Alcohol-related deaths in the United Kingdom Indicative cost saving: between £10,000 and £50,000. This is one in a range of statistical bulletins that provide more in-depth analysis of mortality. Alcohol-related deaths are of interest because excessive consumption of alcohol is a major preventable cause of premature mortality. These are in addition to the regular products that provide statistics on deaths registrations by age, sex, geography and cause of death which will continue (for example, in the Deaths Registrations publication). ONS holds mortality data for England and Wales. Figures for the UK include data provided by (and published separately by) National Records of Scotland and the Northern Ireland Statistics and Research Agency. Users could produce figures on alcohol-related deaths using the definition and other sources such as the Deaths Registrations publication. However, the alcohol-related deaths bulletin is the only source of the collated information for England and Wales, which also brings together figures for the countries of the UK. Level of impact of discontinuing the statistical product High Medium 16 Section 3 If impact, What mandatory activities will you no longer be able to carry out? Low Do not use (so no impact) Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Commissioning of comparator data Any other impact o. Stop production of ONS adoption statistics Indicative cost saving: between £10,000 and £50,000. At present, ONS and the Ministry of Justice (MoJ) produce statistics on adoptions. The MoJ statistics are frequent, timely and provide more detail such as on the adopting parents. Thus it is proposed that ONS stop their publication leaving users to access data from the MoJ or Department for Education who publish some adoption-related statistics. It would mean that information on whether the adopted child was born inside or outside marriage would no longer be available. A link to further information about the differences between ONS and MoJ figures on adoptions is given in the consultation questionnaire. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact p. Stop production of quarterly births and deaths statistics (currently published as quarterly tables in Vital Statistics: Population and Health Reference Tables) Indicative cost saving: between £10,000 and £50,000. These tables provide quarterly data for the UK and its four constituent countries. Annual figures (available via the link above) would continue to be published. 17 Section 3 There is no other source of sub-annual births data, so these figures would no longer be published. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact q. Stop production of quarterly conception statistics (currently published as quarterly tables in Vital Statistics: Population and Health Reference Tables) Indicative cost saving: under £10,000. The tables provide quarterly conceptions in England and Wales by age group. Annual figures (available via the link above) and (externally funded) quarterly conceptions to women aged under 18 years would continue to be published. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact r. Reduce scope of the sub-national life expectancy statistics bulletin Indicative cost saving: between £10,000 and £50,000. Life expectancy at birth is a long used measure of health status. The statistical bulletin currently provides life expectancy figures for sub-national areas for the whole of the UK, enabling comparisons between different areas. 18 Section 3 The proposal is to reduce the scope of this bulletin to cover only sub-national areas in England and Wales. Figures for Scotland and Northern Ireland would continue to be published separately by National Records of Scotland and the Northern Ireland Statistics and Research Agency. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact s. Stop annual statistical bulletin on cancer incidence and mortality in the UK Indicative cost saving: between £10,000 and £50,000. The bulletin provides figures on newly diagnosed cases of cancer and deaths from cancer in the UK. It brings together and compares figures produced by the four countries of the UK. ONS holds cancer incidence data for England and mortality data for England and Wales. Figures for the UK include data provided by (and published separately by) the Welsh Cancer Intelligence and Surveillance Unit, the Scottish Cancer Registry, the National Records of Scotland, the Northern Ireland Cancer Registry and the Northern Ireland Statistics and Research Agency. Figures on cancer incidence for England and cancer mortality for England and Wales would continue to be available, as would comparable figures for the other countries of the UK. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact 19 Section 4 4. Health Inequalities Analysis a. Stop outputs on Health Expectancies at birth and at age 65 for the United Kingdom and Constituent Countries, update to years 2009-11 Indicative cost saving: between £10,000 and £50,000. This provides an estimate of health expectancy for the UK at birth and enables life expectancy and health expectancy changes to be tracked. The European Health and Life Expectancy Information System Joint Action provides a measure of healthy life years, similar in concept to disability-free life expectancy at age 65 in an annual country report which compares the UK with other member states. This is based on EU-SILC annual data since 2005 and the British Household Panel Survey between 1995 and 2001. Figures for Scotland and Wales are available separately, but neither are comparable with the national series. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment Absence of UK data does not impact on local level analysis What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact b. Stop Sub-national estimates of Disability-free life expectancy at birth and at age 65 for Upper Tier Local Authorities, 2006-08 to 2009-11 Indicative cost saving: between £50,000 and £100,000. The Disability-free life expectancy summary measure is based on activity-limiting health problems and disabilities and therefore has a different service and policy use to the healthy life expectancy measure. This is the only recurrent source of these summary measures of population health at sub-national level. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? What other activities will you no longer be able to carry out? What policies will you be unable High Medium Low Do not use (so no impact) Comment Monitor health inequalities over time and improve health Compare ourselves against like Authorities. Know if we are improving health over time. H&WB strategy 20 Section 4 to inform? What additional costs will you or others incur? Commissioning of the data by external organisation Any other impact More work for depleted local information team c. Stop outputs on Inequality in Disability-free life expectancy (DFLE) at birth and at age 65 for National Index of Multiple Deprivation 2010 deprivation deciles of small areas, 2006-08 to 2009-11 Indicative cost saving: between £10,000 and £50,000. The purpose of this output is to provide a recurrent source of a complementary measure of the inequality in disability-free life expectancy by area of deprivation. It is currently in development, so a link to the output is not yet available. This is the only recurrent source of these summary measures of population health at sub-national level. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? What other activities will you no longer be able to carry out? What policies will you be unable to inform? High Medium Low Do not use (so no impact) Comment Monitor health inequalities over time and improve health. Especially within the local authority area, by small area Targeting areas within the LA to make the most of scare resources H&WB strategy What additional costs will you or others incur? Commissioning of the data by external organisation Any other impact More work for depleted local information team d. Stop validation of all Disability-free Life expectancy estimates based on Annual Population Survey using Census 2011 data for Upper Tier and Lower Tier LAs and area deprivation deciles and exploration of Clinical Commissioning Group estimates Indicative cost saving: between £10,000 and £50,000. These analyses are designed to produce disability-free life expectancy at birth and selected other ages for local areas in England and Wales for the period 2010-12. There are no alternative statistics at birth, but there are two releases at age 16 for the periods 2006-08 and 2007-09 for local areas in England. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? What other activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment Monitor health inequalities over time and improve health. CCG responsibility for these activities. Advise CCG on their needs and thus for them to commission appropriately. 21 Section 4 What policies will you be unable to inform? H&WB strategy What additional costs will you or others incur? Any other impact e. Would add to lack of information at a CCG level. Stop outputs on social inequality in health expectancy by NS-SEC and area deprivation 2010-12, England Indicative cost saving: between £10,000 and £50,000. Social inequality refers to the differences in health among people with different occupations. These occupations are grouped into classes which reflect their relative advantage in terms of pay and other rewards, job security, ways of working and career prospects. There are no other large scale data sources available to produce these measures and no alternative outputs exist. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment Target specific occupations for lifestyle interventions. Monitor improvements over time in the health of certain occupations. What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact f. Stop small area analysis of Health Expectancy by MSOA 2009-2013, England (started this financial year but not completed until 2015) Indicative cost saving: between £10,000 and £50,000. The first output was commissioned by the Marmot review and these estimates featured as a headline statement on health inequality and how it straddles policy areas. These estimates were dated though, based on 2001 Census. This update would provide more contemporary evidence of the state of inequality at the time the review was published as well as have value across the inequalities policy agenda. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? What other activities will you no longer be able to carry out? High Medium Low Do not use (so no impact Comment Monitor health inequalities over time and improve health. Especially within the local authority area, by small area Targeting areas within the LA to make the most of scare 22 Section 4 What policies will you be unable to inform? resources H&WB strategy What additional costs will you or others incur? Commissioning of the data by external organisation Any other impact More work for depleted local information team g. Stop producing trends in intercensal mortality by NS-SEC, sex, English regions and Wales update to 2009-11 Indicative cost saving: between £10,000 and £50,000. The social gradient in mortality is usually something that could only be assessed decennially. This output is the only source which provides more timely updates to monitor this inequality. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment Regional view no longer relevant at a local level. What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact h. Stop producing trends in social inequality in life expectancy at birth and at age 65, update to period 2007-11, England and Wales Indicative cost saving: between £10,000 and £50,000. This output measures the social inequality in longevity using a valid and reliable data source. Such estimates provide value for health organisations to gauge progress on reducing inequalities following actions, as well as assessment of the fairness of changes to the state pension age. There are currently no alternative sources measuring socio- economic differences and life expectancy over time. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment What other activities will you no longer be able to carry out? 23 If it means for combined E&W then no impact, if it menas England – yes impact. Section 4 What policies will you be unable to inform? What additional costs will you or others incur? Any other impact i. Stop the Decennial Analysis of social inequality in all-cause and cause specific mortality by NS-SEC and sex, 2010-12 England and Wales Indicative cost saving: between £50,000 and £100,000. This is the only decennial update available to describe the social inequality in all-cause and cause-specific mortality. It shows comparisons of mortality risk between different social groups and occupations, across different causes of death. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment Prioritising areas by need, JSNA, as the big killers change over time and affect groups in different ways. What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact j. Stop the Decennial Analysis of social inequality in alcohol-related causes of death by NS-SEC and sex Indicative cost saving: between £10,000 and £50,000. Alcohol-related causes of death give a clear pointer to alcohol misuse across the socio- economic strata and therefore provide evidence for commissioning purposes in both the prevention and treatment areas, as well as the wider public service sector. There are no alternative sources of this analysis. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact Comment What other activities will you no longer be able to carry out? 24 Section 4 What policies will you be unable to inform? What additional costs will you or others incur? Any other impact k. Stop the Decennial Analysis of social inequality in preventable causes of mortality by NS-SEC and sex Indicative cost saving: between £10,000 and £50,000. Preventable mortality is defined in terms of causes that are considered preventable through individual behaviour or public health measures limiting individual exposure to harmful substances or conditions. Examples include lung cancer, illicit drug use disorders, land transport accidents and certain infectious diseases. There are no alternative sources of this analysis. Level of impact of discontinuing the statistical product If impact, What mandatory activities will you no longer be able to carry out? High Medium Low Do not use (so no impact) Comment Prioritising areas by need, JSNA, as the big killers change over time and affect NS-SEC groups and genders in different ways. What other activities will you no longer be able to carry out? What policies will you be unable to inform? What additional costs will you or others incur? Any other impact 25
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