FOI/2022/4490

You asked

Please provide data on the cause of death for all deaths 2018-2021, broken down into 10 year age brackets and separated by sex, with causes of death as a number and proportion of each age and sex bracket. Please also provide the total number of deaths for each age and sex bracket, for each year.

I have used the ICD-10 (https://icd.who.int/browse10/2019/en) to design the following cause of death brackets, some of the descriptors are shortened. If you do not have data to the level of detail I have selected please use brackets as detailed as possible.

  1. Covid-19, U07.1-U12
  2. All other illnesses and diseases, I-XVIII
  3. Poisoning by drugs, T36-T50
  4. Sequelae of injuries/poisonings/external causes, T90-T98
  5. All surgical and medical care complications, T80-T88 and Y40-Y84
  6. All other injuries/poisonings/external causes, S00-T79
  7. Transport accidents, V01-V99
  8. Intentional self-poisoning, X60-X69
  9. Intentional self-harm by hanging, X70
  10. Intentional self-harm by drowning, X71
  11. Intentional self-harm by firearms/explosives/smoke/steam, X72-X77
  12. Intentional self-harm by sharp and blunt object, X78-X79
  13. Intentional self-harm by jumping, X80-X81
  14. Intentional self-harm by crashing, X82
  15. All other intentional self-harm, X83-84
  16. Assault by all chemicals or noxious substances, X85-X90
  17. Assault by hanging/drowning/bodily force, X91-X92 and Y04
  18. Assault by all firearms, X93-X95
  19. Assault by sharp and blunt object, X99-Y00
  20. Assault by pushing/placing, Y01-Y02
  21. Assault by crashing, Y03
  22. Sexual assault, Y05
  23. Neglect and maltreatment, Y06-Y07
  24. All other assault, X96-X98 and Y08-Y09
  25. Sequelae of external causes, Y85-Y89
  26. Undetermined intent/intervention/war, Y10-Y36\

If you have supplementary and health status factors, please also include these brackets.

  1. Alcohol, Y90-Y91
  2. Nosocomial, Y95
  3. Work-related, Y96
  4. Pollution, Y97
  5. Lifestyle, Y98

1.Encountering health services for examination/communicable diseases/specific procedures, Z00-Z29 and Z40-Z54
2. Encountering health services for reproduction, Z30-Z39
3. Hazards from education/housing/childhood/upbringing/, Z55 and Z59 and Z61-Z62
4. Hazards from employment/occupational, Z56-Z57
5. Hazards from physical/social/support group, Z58 and Z60 and Z63
6. All hazards from psychological circumstances, Z64-Z65
7. Encountering health services for counselling/lifestyle/life-management, Z70-Z73
8. Encountering health services for dependency/medical facilities/other, Z74-Z76
9. Hazards from family history mental disorders, Z81
10. Hazards from personal history substance/mental disorders/risk factors, Z86.4-Z86.5 and Z91
11. All other hazards from family and personal history, Z80 and Z82-Z86.3 and Z86.6-Z90 and Z92-Z99

We said

Thank you for your enquiry.

Our data is derived from the death certificate, using information received at the point of death registration.

When a person dies, in most cases a doctor writes a medical certificate of cause of death (MCCD) which is then recorded in the death registration (at a local authority registration office). The details are printed out as the official 'death certificate' for the next of kin. The same information is sent electronically from the registration office to ONS for us to produce statistics about causes of death. For some deaths, such as when the death was due to an accident or violence, there is a coroner's inquest to establish the facts and the coroner then decides the cause of death and sends their findings to the local registrar.

The doctor or coroner certifying a death can record more than one health condition or event on the form. The medical certificate of cause of death has two parts, Part 1 contains the sequence of health conditions or events leading directly to death, while Part 2 can contain other health conditions that contributed to the death but were not part of the direct sequence. For statistical purposes one of the health conditions on the certificate is chosen as the 'underlying cause of death'. The underlying cause of death is defined as the health condition or event that started the train of events leading to death and is worked out according to rules from the World Health Organisation (WHO).

Unfortunately, we do not hold analysis relating to the entirety of your enquiry. However, we do hold some of your requested information in various publications:

Our NOMIS webservice will also provide deaths by underlying cause for the majority of the ICD-10 codes provided by 5-year age group and sex, holding data from 2013-2021 for England and Wales.

  • Select the geography (England and Wales, regional or by local authority).
  • Select Age -- All ages or 5-year age bands.  
  • Select Gender -- Total or Male/Female
  • Select rates -- All deaths, rates or percentage of population for example.  
  • Select cause of death (ICD10 code search is available).  
  • Select format (Excel or CSV for example)  

Our 21st Century mortality files are a record of mortality in England and Wales from 2001 to 2021. The files consist of an aggregated database of deaths by age-group, sex, year and underlying cause in England and Wales.  You can filter by ICD-10 code for each requested year.

Please note this file only contains underlying cause of death and does not include contributory mentions.

Suicides in England and Wales

We hold the following analysis for Suicides in England and Wales. This publication holds registered deaths in England and Wales from suicide analysed by sex, age, area of usual residence of the deceased, and suicide method.

Deaths related to drug poisoning

We hold the following analysis for Alcohol-specific deaths in the UK: registered in 2020. This publication holds deaths related to drug poisoning in England and Wales from 1993 to 2021, by cause of death, sex, age and substances involved in the death.

Alcohol Specific Deaths

We hold the following analysis for Deaths related to drug poisoning in England and Wales. This publication holds deaths caused by diseases known to be a direct consequence of alcohol misuse by sex, age, region and deprivation.

COVID-19

Whilst Nomis will provide deaths where COVID-19 is the underlying cause, we have published specific analysis where COVID-19 is either the underlying cause of death or a contributory cause of death.

Deaths due to COVID-19, registered in England and Wales

We use the term due to COVID-19 where COVID-19 was the underlying cause of death and involving where it is a contributory cause.

User requested data sets:

We have produced some user requested data sets which cover some of the data requested above:

Deaths involving Transport Accidents

Deaths involving assault

Deaths involving undetermined intent

Bespoke analysis:

Further analysis can be requested via our bespoke servcies. Such services are subject to disclosure control, legal frameworks, resources and agreement to costs under the ONS Charging policy.

If you would like to obtain a quote, please contact the HALE customer services team at Health.Data@ons.gov.uk.

For deaths involving the armed forces during wartime and whilst in service, these statistics are published by the Ministry of Defence. They can be contacted on cio-foi@mod.gov.uk.