FOI ref: FOI-2023-1056

You asked

Please provide the number of heart attacks and sudden cardiac arrests which have occurred in all education settings (primary/secondary/further/higher/other) and by age range over the last 5 years (01/01/2018 - 01/01/2023). Include the number of deaths due to heart attacks/sudden cardiac arrests. Please also provide information on all primary, secondary, academy, college, and university settings whereby an accessible defibrillator is in place and available for use in the unfortunate case of a Sudden Cardiac Arrest. Please provide the most up-to-date records as of the time and date of this message.

We said

Thank you for your request.  

We hold analysis of the number of deaths due to heart attacks and sudden cardiac arrest in our NOMIS webservice.  

Our mortality data comes from the information collected at death registration. All the conditions mentioned on the death certificate are coded using the International Classification of Diseases, Tenth Revision (ICD-10). From all of these causes an underlying cause of death is selected using ICD-10 coding rules.   

The underlying cause of death is defined by WHO as:  

a) the disease or injury that initiated the train of events directly leading to death, or\ b) the circumstances of the accident or violence that produced the fatal injury  

 The ICD-10 cause codes used are: 

  • I21 – Myocardial infarction 

  • I46 – Cardiac arrest 

You may also wish to include: 

  • I46.1 – Sudden cardiac death 

  • I49.9 Cardiac arrhythmia, unspecified

  • R96.0 Instantaneous death

  • R96.1 Death occurring less than 24 hours from onset of symptoms, not otherwise explained

NOMIS Instructions 

  • Select period – 2013 to 2021 (2022 data available in July 2023)  

  • 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)    

2022 and 2023 data can be created as a user requested dataset and include provisional data for deaths registered in 2022 and 2023. Special extracts and tabulations of mortality data are available order from the Heath Analysis and Pandemic Insight Customer Service Team. These extracts 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 for this work, please contact Health.data@ons.gov.uk

Unfortunately we do not hold data for the above ICD-10 codes by place of occurrence at the level necessary to identify educational settings. The available categories are home, hospital, care home, hospice and elsewhere. Educational settings would form part of the elsewhere group.

Incidence of sudden cardiac death and myocardial infarction

Unfortunately, we do not hold data relating to the incidence of myocardial infarction or sudden cardiac arrest. NHS Digital may be better placed to answer your enquiry, they can be contacted at enquiries@nhsdigital.nhs.uk

Defibrillator placement and usage

Unfortunately, we do not hold data relating to the use or placement of defibrillators. 

The National Defibrillator Database | (nddb.uk) may be of some assistance to you, they can be contacted at nddb@communityheartbeat.org.uk.

The Department of Education may also be able to assist with regards to defibrillator placement in schools as part of their Every school will have a life-saving defibrillator by 22/23  campaign. They can be contacted by telephone 0370 000 2288 or by using this contact form Contact the Department for Education - Contact type - DFE Online Forms