Burden of Liver Disease and Inequalities in the North West of England

Burden of Liver Disease and Inequalities in the North West of England


Liver disease causes approximately 2% of all deaths in England. While other major causes of death are falling, the number of people who die from liver disease is rising and younger age groups are disproportionately affected.

This report collates routinely available data on the burden of liver disease and describes its relationship with inequalities. We hope that it will be a useful resource for Directors of Public Health, health and wellbeing boards, commissioners and providers of services as well as others involved in or with an interest in liver disease. We realise that there are gaps in the information where data are not routinely available. However, we hope the report serves as an important baseline to measure progress on reducing ill health caused by liver disease.

Before embarking on this report, we knew that mortality from liver disease and prevalence of certain causes, including alcohol-related liver disease and hepatitis C, were higher in the North West than in any other English region. This report adds important depth to this picture and identifies that several other indicators are higher in the North West than the national average. Overall it indicates the extent of the burden liver disease represents and the challenge we face tackling it.

Public Health England, which will be established in April 2013, will provide strategic leadership and vision for the protection and improvement of the nation’s health. We are delighted that each of our organisations has collaborated on this important topic during transition into the new service. The teamwork involved in producing this report bodes well for the way we will continue to work together in Public Health England. Many people have contributed to this report but we are especially indebted to Professor Martin Lombard, National Clinical Director for Liver Disease for his advice and support in the production of this report.

Professor Mark Bellis
Mr Phil Conley
Dr Ann Hoskins
Mr Stephen Raynor
Professor Qutub Syed