title: Mortality in NHS Greater Glasgow and Clyde employees: 2007-2009.
abstract: BACKGROUND
  Just over a fifth of all deaths in Scotland occur in those under the age of 65. This study examined deaths in service in employees of the National Health Service Greater Glasgow and Clyde (NHS GG&C) Health Board over a 3-year period.
  
  
  OBJECTIVE
  To assess crude death rates by occupational group, the main causes of death and evidence of causes that could have been prevented or modified by lifestyle changes.
  
  
  METHODS
  Demographic details, occupational grouping and death certificate data were obtained for all NHS GG&C employees who died in service between 2007 and 2009.
  
  
  RESULTS
  A total of 138 employees died in this period. The occupational groups in which most deaths occurred were support services (porters, domestic and catering staff; 35%) and nurses (34%). The commonest causes of death were lung cancer (15%), ischaemic heart disease (9%) and suicide (9%). The overall crude death rate was 1.2/1000 persons/year (females 1.0 and males 1.7) and was highest among support services employees (2.4) and lowest among medical staff (0.5). The relative risk of death in support services was significantly greater than the majority of occupational groups.
  
  
  CONCLUSIONS
  These findings suggest health inequality within this workforce. The main causes of death identified in the support services group could potentially be modified through workplace risk factor screening and health promotion.
authors.affiliation: Speciality Trainee in Occupational Medicine, Occupational Health Service, NHS Greater Glasgow and Clyde, Glasgow G42 9TY, UK. kerry.freer@ggc.scot.nhs.uk
authors.forename: K
authors.initials: K
authors.lastname: Freer
authors.forename: E
authors.initials: E
authors.lastname: Waclawski
mesh_terms: D000328:Adult; D002423:Cause of Death / Q000639:trends*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009026:Mortality / Q000639:trends*; D009790:Occupations / Q000706:statistics & numerical data*; D012307:Risk Factors; D012606:Scotland / Q000453:epidemiology; D013222:State Medicine / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Death rates; NHS workforce.; disease; health promotion; healthy workplaces; hospital employees