Beyond the census: a spatial analysis of health and deprivation in England

Whilst the UK is planned to have a census in 2021, it may well be the last and there is official acknowledgement that the country's statistical system should be enhanced by greater use of administrative data. Thus, there is a pressing need to understand whether alternative data sources are fit for social science purposes. This study assesses the potential of utilizing administrative statistics for investigating the relationships between health and socioeconomic distributions for small areas; a type of study regularly carried out using census data. Pairs of administrative measures of health and deprivation indicator variables are compared with census equivalents for lower super output area geographies in England in 2001. The administrative datasets are then used to derive health measures and deprivation indexes for the time points 2001, 2006 and 2010. Inequalities in health are then analysed using administrative data derived area measures with health found to be poorer in areas with socioeconomic disadvantage. Overall, the administrative datasets used here reveal very similar patterns of health and deprivation to the decennial census suggesting they are viable alternatives and have great potential to enhance the country's statistical system given their availability outside census years.