This dataset presents the relative risk of mortality from diabetic complications. It compares the observed number of deaths among people with diabetes due to specific complications—such as angina, myocardial infarction, heart failure, or stroke—with the expected number of such deaths in the diabetic population. The data is derived from ONS death registrations and modelled estimates from the National Diabetes Audit (NDA).
Rationale
People with diabetes are at increased risk of developing serious cardiovascular complications, which can lead to premature mortality. Monitoring mortality from these complications helps identify disparities in care and outcomes, and supports efforts to improve diabetes management and reduce preventable deaths. This indicator provides a benchmark for evaluating the effectiveness of interventions aimed at reducing cardiovascular risk in people with diabetes.
Numerator
The numerator is the number of people with diabetes, as recorded on their death certificate, who died from complications such as angina, myocardial infarction, heart failure, or stroke.
Denominator
The denominator is the modelled number of people with diabetes who would be expected to die from these complications, based on data from the National Diabetes Audit.
Caveats
No specific caveats are noted for this indicator. However, as with all modelled data, assumptions and estimation methods may influence the accuracy of the expected mortality figures.
External References
More information is available from the following source:
Localities Explained
This dataset contains data based on either the resident locality or registered locality of the patient, a distinction is made between resident locality and registered locality populations:
- Resident Locality refers to individuals who live within the defined geographic boundaries of the locality. These boundaries are aligned with official administrative areas such as wards and Lower Layer Super Output Areas (LSOAs).
- Registered Locality refers to individuals who are registered with GP practices that are assigned to a locality based on the Primary Care Network (PCN) they belong to. These assignments are approximate—PCNs are mapped to a locality based on the location of most of their GP surgeries. As a result, locality-registered patients may live outside the locality, sometimes even in different towns or cities.
This distinction is important because some health indicators are only available at GP practice level, without information on where patients actually reside. In such cases, data is attributed to the locality based on GP registration, not residential address.
Click here to explore more from the Birmingham and Solihull Integrated Care Partnerships Outcome Framework.