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Deaths: Malnutrition

Volume 508: debated on Thursday 25 March 2010

To ask the Minister for the Cabinet Office (1) how many deaths attributed to a malnutrition-related condition there were of people in each age group in each London borough in each year since 2000; (323786)

(2) how many deaths of people resident in (a) private and (b) public care homes who had a malnutrition-related condition there were in each London borough in each year since 2000.

The information requested falls within the responsibility of the UK Statistics Authority. I have asked the authority to reply.

Letter from Stephen Penneck, dated March 2010:

As Director General for the Office for National Statistics, I have been asked to reply to your recent questions asking:

1. How many deaths attributed to a malnutrition-related condition there were of people in each age group in each London borough in each year since 2000 (323786)

2. How many deaths of people resident in (a) private and (b) public care homes who had a malnutrition-related condition there were in each London borough in each year since 2000 (323787).

Internationally accepted guidance from the World Health Organisation requires only those conditions that contributed directly to death to be recorded on the death certificate. Medical practitioners and coroners are not supposed to record all of the diseases or conditions present at or before death. Whether a condition contributed is a matter for their clinical judgement.

There is no official definition of a ‘malnutrition-related condition’. The tables attached provide the number of deaths where:

1. Malnutrition was the underlying cause of death, by broad age group, in each London borough, in the years 2000 to 2008 (the latest year available) combined (Table 1).

2. Malnutrition or effects of hunger were mentioned anywhere on the death certificate, either as the underlying cause or as a contributory factor, by broad age group, in each London borough, in the years 2000 to 2008 combined (Table 2). Figures in Table 2 include those in Table 1.

3. Malnutrition or effects of hunger were mentioned anywhere on the death certificate, either as the underlying cause or as a contributory factor, in (a) private care homes and (b) public care homes in the London government office region, in each year from 2000 to 2008 (Table 3).

There were (a) two deaths in private care homes and (b) one death in a public care home where malnutrition was the underlying cause of death, in the London government office region, in the years 2000 to 2008 combined.1,2,3,4

More detailed breakdowns of the figures provided would include extremely small numbers of deaths in each London borough, age group or category, and might allow the identification of individuals. Consequently this level of detail has not been provided, in line with ONS policy on protecting confidentiality within birth and death statistics.5

1 Cause of death was defined using the International Classification of Diseases, Ninth Revision (ICD-9) codes 260-269 (malnutrition) for the year 2000, and the International Classification of Diseases, Tenth Revision (ICD-10) codes E40-E46 (malnutrition) for 2001 onwards. Deaths were included where one of these causes was the underlying cause of death. The introduction of ICD-10 in 2001 means that the numbers of deaths from malnutrition before 2001 are not completely comparable with later years.

2 ‘Private care home’ includes non-NHS private nursing homes and private residential homes; ‘Public care home’ includes NHS private nursing homes and local authority residential homes.

3 Figures are based on boundaries as of 2010.

4 Figures are for deaths registered in the calendar years 2000-08 combined.

5 The ONS policy on protecting confidentiality within birth and death statistics is available on the National Statistics website at:

http://www.statistics.gov.uk/downloads/theme_health/ConfidentialityBirth&Death.pdf

Table 1: Deaths where malnutrition was the underlying cause of death,1 by age group, for each London borough,2 2000-083

Deaths(persons)

London borough

0-44

45-74

75+

Barking and Dagenham

0

1

1

Barnet

1

0

0

Bexley

0

0

0

Brent

1

0

2

Bromley

0

1

1

Camden

0

0

1

City of London

0

0

0

Croydon

0

0

1

Ealing

1

1

0

Enfield

1

1

0

Greenwich

0

0

0

Hackney

0

2

2

Hammersmith and Fulham

0

0

2

Haringey

0

0

1

Harrow

0

0

0

Havering

0

0

1

Hillingdon

0

2

2

Hounslow

1

1

2

Islington

0

0

0

Kensington and Chelsea

0

1

0

Kingston upon Thames

1

0

1

Lambeth

0

2

6

Lewisham

1

0

0

Merton

0

1

1

Newham

0

2

0

Redbridge

1

0

0

Richmond upon Thames

0

0

0

Southwark

0

1

1

Sutton

0

1

1

Tower Hamlets

1

0

3

Waltham Forest

0

1

1

Wandsworth

0

2

2

Westminster

0

2

1

1 Cause of death was defined using the International Classification of Diseases, Ninth Revision (ICD-9) codes 260-269 (malnutrition) for the year 2000, and the International Classification of Diseases, Tenth Revision (ICD-10) codes E40-E46 (malnutrition) for 2001 onwards. Deaths were included where these codes were the underlying cause of death. The introduction of ICD-10 in 2001 means that the number of deaths from malnutrition before 2001 is not completely comparable with later years.

2 Figures based on boundaries as of 2010.

3 Figures are for deaths registered in the calendar years 2000-08 combined.

Table 2: Deaths where malnutrition and effects of hunger were mentioned on the death certificate,1 by age group, for each London borough,2 2000-083

Deaths (persons)

London borough

0-44

45-74

75+

Barking and Dagenham

0

2

2

Barnet

2

3

4

Bexley

0

3

2

Brent

1

3

3

Bromley

1

2

5

Camden

0

5

3

City of London

0

0

1

Croydon

1

1

3

Ealing

3

6

4

Enfield

1

2

3

Greenwich

1

1

2

Hackney

0

3

8

Hammersmith and Fulham

0

5

2

Haringey

1

0

1

Harrow

0

1

1

Havering

0

1

2

Hillingdon

0

2

7

Hounslow

1

1

4

Islington

0

3

2

Kensington and Chelsea

2

3

2

Kingston upon Thames

1

0

1

Lambeth

1

9

10

Lewisham

3

0

1

Merton

0

2

3

Newham

1

4

1

Redbridge

2

1

2

Richmond upon Thames

0

0

2

Southwark

1

5

4

Sutton

0

1

4

Tower Hamlets

1

3

7

Waltham Forest

0

2

1

Wandsworth

0

6

9

Westminster

3

6

8

1 Cause of death was defined using the International Classification of Diseases, Ninth Revision (ICD-9) codes 260-269 (malnutrition) and E904.1 (effects of hunger) for the year 2000, and the International Classification of Diseases, Tenth Revision (ICD-10) codes E40-E46 (malnutrition) and T73.0 (effects of hunger) for 2001 onwards. Deaths were included where one or more of these causes was mentioned anywhere on the death certificate. The introduction of ICD-10 in 2001 means that the numbers of deaths from these causes before 2001 are not completely comparable with later years.

2 Figures based on boundaries as of 2010.

3 Figures arc for deaths registered in the calendar years 2000-08 combined.

Table 3: Deaths where malnutrition and effects of hunger were mentioned on the death certificate,1 in private and public care homes,2 in London government office region,3 2000-084

Deaths (persons)

Private care home

Public care home

2000

1

2

2001

2

0

2002

0

0

2003

2

0

2004

1

0

2005

2

0

2006

2

0

2007

1

0

2008

1

0

1 Cause of death was defined using the International Classification of Diseases, Ninth Revision (ICD-9) codes 260-269 (malnutrition) and E904.1 (effects of hunger) for the year 2000, and the International Classification of Diseases, Tenth Revision (ICD-10) codes E40-E46 (malnutrition) and T73.0 (effects of hunger) for 2001 onwards. Deaths were included where one or more of these causes was mentioned anywhere on the death certificate. The introduction of ICD-10 in 2001 means that the numbers of deaths from this cause before 2001 are not completely comparable with later years.

2 ‘Private care home’ includes non-NHS private nursing homes and private residential homes; ‘Public care home’ includes NHS private nursing homes and local authority residential homes.

3 Figures are based on boundaries as of 2010.

4 Figures are for deaths registered in each calendar year.