COVID-19 confirmed deaths in England (to 31 July 2021): report
Updated 28 April 2023
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COVID-19 deaths
Public Health England (PHE) has published statistics on deaths in people with laboratory-confirmed COVID-19 since 29 April 2020. In this report we present the latest data on COVID-19 mortality. Further information on the data series can be found here.
Data sources
Cases of laboratory diagnosed COVID-19 resident in England were identified from the Second Generation Surveillance System (SGSS).
Fact and date of death were derived from combined sources: NHS England hospital deaths, Office for National Statistics (ONS) death registrations, PHE Health Protection Team direct reporting and Demographic Batch Service tracing of laboratory-confirmed cases.
Definitions
In this report deaths are defined as a death in a person with a laboratory-confirmed positive COVID-19 test and either:
- died within 60 days of the first specimen date
or
- died more than 60 days after the first specimen date with COVID-19 mentioned on the death certificate
This data does not include deaths in people where COVID-19 is suspected but not confirmed by testing (SARS-CoV-2 PCR either negative or not tested).
This data does not report cause of death, and as such represents all deaths in people with laboratory-confirmed COVID-19, not just those caused by COVID-19.
In this report, data is reported from 31 July 2020 to 31 July 2021.
Mortality rates are calculated using 2019 ONS population estimates data.
Age-standardised rates adjust for differences in the age structure of populations. The standard used throughout this report is the European Standard Population 2013.
Methods
Mortality rates presented for different time periods have been annualised in order to enable comparisons. This method involves adjusting the population data used to calculate rates for the time period covered, these are expressed as mortality rates per 100,000 population per year. These rates cannot be compared with rates that do not have this adjustment.
Mortality rates by region, local authority, sex, ethnic group and Index of Multiple Deprivation (IMD) have been age-standardised to account for the different age distributions within different populations.
All figures displaying mortality rates have been calculated using a 7-day rolling average, to allow for smoothing of fluctuating data.
To note, from 6 July 2021, ethnicity data has been updated based on a new method for assigning ethnicity developed by PHE. The previous method used the most recent ethnicity recorded through linkage to Hospital Episode Statistics and was supplemented by self-reported ethnicity recorded on test request forms. The new method uses self-reported ethnicity from test request forms and supplements this with the most frequent ethnicity recorded through linkage to Hospital Episode Statistics, unless the most frequent was ‘Other’ when the second most frequent was chosen. The new method has resulted in a reduction in the number of cases allocated to the ‘Other’ ethnic group and a slight increase in the % allocated to all other ethnic groups.
To note, from July 2021 all data is presented for the last 12 months.
COVID-19 mortality rates
Within the period 31 July 2020 to 31 July 2021, 4,889,028 cases of COVID-19 were detected in England.
In the same period, there have been 92,265 deaths in persons with laboratory-confirmed COVID-19. This represents a crude mortality rate of 163.2 per 100,000 population. From 31 July 2020 onwards, the highest recorded number of daily deaths was 1,504 deaths on 19 January 2021.
| Month | Cases | Deaths | Crude mortality rate (95% CI) |
|---|---|---|---|
| August 2020 | 29,815 | 517 | 0.9 (0.8-1.0) |
| September 2020 | 127,671 | 826 | 1.5 (1.4-1.6) |
| October 2020 | 482,825 | 4,551 | 8.0 (7.8-8.3) |
| November 2020 | 526,577 | 11,653 | 20.6 (20.2-21.0) |
| December 2020 | 862,082 | 15,869 | 28.1 (27.6-28.5) |
| January 2021 | 1,079,253 | 33,327 | 58.9 (58.3-59.6) |
| February 2021 | 292,418 | 16,492 | 29.2 (28.7-29.6) |
| March 2021 | 135,924 | 5,213 | 9.2 (9.0-9.5) |
| April 2021 | 59,580 | 1,317 | 2.3 (2.2-2.5) |
| May 2021 | 61,872 | 506 | 0.9 (0.8-1.0) |
| June 2021 | 296,901 | 463 | 0.8 (0.7-0.9) |
| July 2021 | 934,110 | 1,500 | 2.7 (2.5-2.8) |
Table 1. Number of laboratory-confirmed cases, deaths and crude mortality rate (per 100,000 population) in laboratory-confirmed cases of COVID-19, by month*†
*Data is presented from 1 August 2020 to 31 July 2021. Due to continuous data quality improvements, reported number of cases and deaths may be subject to fluctuations. These numbers represent a snapshot of the number of cases and deaths at the time of report production.
†Deaths within 60 days of a positive COVID-19 test or where COVID-19 is mentioned on the death certificate.
Figure 1. Number of deaths in laboratory-confirmed cases of COVID-19 by date of death, from 31 July 2020 to 31 July 2021*†
*Data is presented from 31 July 2020 to 31 July 2021.
†Deaths within 60 days of a positive COVID-19 test or where COVID-19 is mentioned on the death certificate.
Age and sex distribution
Since 31 July 2020, the mortality rate was highest among those aged over 80 (annualised rate of 1,886.3 per 100,000 population per year).
| Age group | Deaths (31 July 2020 to 31 July 2021) | Mortality rate** (95% CI) (31 July 2020 to 31 July 2021) | Deaths (July 2021) | Mortality rate ** (95% CI) (July 2021) |
|---|---|---|---|---|
| <5 | <10 | 0.2 (0.1-0.4) | <10 | 0.0 (0.0-0.0) |
| 5-9 | <10 | 0.1 (0.0-0.3) | <10 | 0.0 (0.0-0.0) |
| 10-19 | 38 | 0.6 (0.4-0.8) | <10 | 0.9 (0.3-2.1) |
| 20-29 | 169 | 2.3 (2.0-2.7) | 21 | 3.4 (2.1-5.2) |
| 30-39 | 561 | 7.4 (6.8-8.1) | 31 | 4.8 (3.3-6.9) |
| 40-49 | 1,583 | 22.2 (21.2-23.4) | 89 | 14.7 (11.8-18.1) |
| 50-59 | 4,717 | 61.8 (60.0-63.6) | 143 | 22.0 (18.6-26.0) |
| 60-69 | 10,170 | 170.0 (166.7-173.4) | 227 | 44.7 (39.1-50.9) |
| 70-79 | 21,150 | 438.4 (432.5-444.4) | 342 | 83.5 (74.9-92.8) |
| 80+ | 53,866 | 1,886.3 (1870.4-1902.3) | 642 | 264.7 (244.6-286.0) |
Table 2. Number of deaths and annualised mortality rate** (per 100,000 population per year) in laboratory-confirmed cases of COVID-19, by age group†
Note: Numbers of deaths fewer than 10 have been excluded to minimise the risk of deductive disclosure.
*Data is presented from 31 July 2020 to 31 July 2021
**Rates are annualised and expressed as the number of deaths per 100,000 population per year.
†Deaths within 60 days of a positive COVID-19 test or where COVID-19 is mentioned on the death certificate.
From 31 July 2020 to 31 July 2021, 49,368 (annualised rate of 222.6 per 100,000 population per year) deaths have occurred in males and 42,897 (158.7 per 100,000 per year) in females. The mortality rate in both sexes in July was considerably lower than the average for the total period 31 July 2020 to 31 July 2021.
| Sex | Deaths (31 July 2020 to 31 July 2021) | Age-adjusted mortality rate** (95% CI) (31 July 2020 to 31 July 2021) | Deaths (July 2021) | Age-adjusted mortality rate** (95% CI) (July 2021) |
|---|---|---|---|---|
| Female | 42,897 | 158.7 (157.2-160.2) | 628 | 2.3 (2.1-2.5) |
| Male | 49,368 | 222.6 (220.6-224.5) | 872 | 3.8 (3.5-4.0) |
Table 3. Number of deaths and age-adjusted annualised mortality rate ** (per 100,000 population) in laboratory-confirmed cases of COVID-19, by sex*†
**Rates are annualised and expressed as the number of deaths per 100,000 population per year.
†Deaths within 60 days of a positive COVID-19 test or where COVID-19 is mentioned on the death certificate.
Figure 2.a. Seven-day rolling average annualised mortality rates** (per 100,000 population per year) in laboratory-confirmed cases of COVID-19 by age group, from 31 July 2020 to 31 July 2021*†
*Data is presented from 31 July 2020 to 31 July 2021.
**Rates are annualised and expressed as the number of deaths per 100,000 population per year.
†Deaths within 60 days of a positive COVID-19 test or where COVID-19 is mentioned on the death certificate.
Figure 2.b. Seven-day rolling average annualised mortality rates** (per 100,000 population) in laboratory-confirmed cases of COVID-19 by age group, July 2021*†
*Data is presented from 1 July to 31 July 2021.
**Rates are annualised and expressed as the number of deaths per 100,000 population per year.
†Deaths within 60 days of a positive COVID-19 test or where COVID-19 is mentioned on the death certificate.
Ethnicity
Overall, the age-adjusted annualised mortality rate from 31 July 2020 onwards was highest among those of Asian or Asian British ethnic groups (annualised rate of 354.6 per 100,000 population per year) followed by those of Black and Black British ethnic groups (annualised rate of 2,478 per 100,000 population per year).
Table 4. Number of deaths and age-adjusted annualised mortality rate** (per 100,000 population) in laboratory-confirmed cases of COVID-19, by ethnicity†
| Ethnic category *** | Deaths (31 July 2020 to 31 July 2021 ) | Age-adjusted mortality rate** (95% CI) (31 July 2020 to 31 July 2021) | Deaths (July 2021) | Age-adjusted mortality rate** (95% CI) (July 2021) |
|---|---|---|---|---|
| White / White British | 80,461 | 159.5 (158.4-160.7) | 1,192 | 2.4 (2.3-2.6) |
| Black / Black British | 2,478 | 284.6 (272.8-296.7) | 80 | 8.4 (6.6-10.6) |
| Asian / Asian British | 6,644 | 354.6 (345.7-363.7) | 151 | 7.1 (5.9-8.4) |
| Mixed | 432 | 158.6 (142.8-175.4) | <10 | 2.8 (1.1-5.5) |
| Other± | 468 | 220.8 (199.5-243.5) | 16 | 7.9 (4.2-13.0) |
| Unknown | 1,782 | – | 52 | – |
**Rates are annualised and expressed as the number of deaths per 100,000 population per year.
***Ethnic categories are based on ONS classifications.
±The rates in the Other ethnic group are likely to be an overestimate due to the difference in the method of allocating ethnicity codes to the deaths data and the population data used to calculate the rates.
†Deaths within 60 days of a positive COVID-19 test or where COVID-19 is mentioned on the death certificate.
Note: From 6 July 2021, ethnicity data has been updated based on a new method for assigning ethnicity developed by PHE which has resulted in a decrease in deaths in ‘other ethnicity’ category. This month’s ethnicity data is not comparable to previous months.
Figure 3.a. Seven-day rolling average age-adjusted annualised mortality rates** (per 100,000 population) in laboratory-confirmed cases of COVID-19 by ethnicity, 31 July 2020 to 31 July 2021*†
*Data is presented from 31 July 2020 to 31 July 2021.
**Rates are annualised and expressed as the number of deaths per 100,000 population per year.
***Ethnic categories are based on ONS classifications.
±The rates in the Other ethnic group are likely to be an overestimate due to the difference in the method of allocating ethnicity codes to the cases data and the population data used to calculate the rates.
†Deaths within 60 days of a positive COVID-19 test or where COVID-19 is mentioned on the death certificate.
Note: From 6 July 2021, ethnicity data has been updated based on a new method for assigning ethnicity developed by PHE which has resulted in a decrease in deaths in ‘other ethnicity’ category. This month’s ethnicity data is not comparable to previous months.
Figure 3.b. Seven-day rolling average age-adjusted mortality rates** (per 100,000 population) in laboratory-confirmed cases of COVID-19 by ethnicity, July 2021*†
*Data is presented from 1 July to 31 July 2021.
**Rates are annualised and expressed as the number of deaths per 100,000 population per year.
±The rates in the Other ethnic group are likely to be an overestimate due to the difference in the method of allocating ethnicity codes to the cases data and the population data used to calculate the rates.
†Deaths within 60 days of a positive COVID-19 test or where COVID-19 is mentioned on the death certificate.
Note: From 6 July 2021, ethnicity data has been updated based on a new method for assigning ethnicity developed by PHE which has resulted in a decrease in deaths in ‘other ethnicity’ category. This month’s ethnicity data is not comparable to previous months.
Deprivation
Relative deprivation was assessed using quintiles of the IMD linked to residential lower super output area, with IMD 1 representing the most deprived. Overall, from 31 July 2021, the age-adjusted annualised mortality rate is highest among those living in the most deprived areas, with a gradual decrease in mortality rate seen with decreasing deprivation. In July 2021, the age-adjusted annualised mortality rate is highest among those living in areas of IMD quintile 1, and the lowest mortality rate is seen among those in the least deprived quintile, quintile 5.
| IMD Quintile (1 most deprived) ** | Deaths (31 July 2020 to 31 July 2021) | Age-adjusted mortality rate** (95% CI) (31 July 2020 to 31 July 2021) | Deaths (July 2021) | Age-adjusted mortality rate** (95% CI) (July 2021) |
|---|---|---|---|---|
| 1 | 21,643 | 267.9 (264.3-271.5) | 501 | 6.0 (5.4-6.5) |
| 2 | 19,602 | 202.5 (199.7-205.4) | 321 | 3.3 (2.9-3.7) |
| 3 | 18,118 | 156.5 (154.2-158.8) | 230 | 2.0 (1.8-2.3) |
| 4 | 17,033 | 136.1 (134.0-138.1) | 221 | 1.8 (1.6-2.1) |
| 5 | 15,414 | 117.8 (116.0-119.7) | 194 | 1.5 (1.3-1.8) |
Table 5. Number of deaths and age-adjusted annualised mortality rate** (per 100,000 population) in laboratory-confirmed cases of COVID-19, by IMD quintile*†
**Rates are annualised and expressed as the number of deaths per 100,000 population per year.
†Deaths within 60 days of a positive COVID-19 test or where COVID-19 is mentioned on the death certificate.
Figure 4.a. Seven-day rolling average age-adjusted annualised mortality rate** (per 100,000 population) in laboratory-confirmed cases of COVID-19 by IMD quintile, 31 July 2020 to 31 July 2021*†
*Data is presented from 31 July 2020 to 31 July 2021.
**Rates are annualised and expressed as the number of deaths per 100,000 population per year.
†Deaths within 60 days of a positive COVID-19 test or where COVID-19 is mentioned on the death certificate.
Figure 4.b. Seven-day rolling average age-adjusted annualised mortality rate** (per 100,000) population in laboratory-confirmed cases of COVID-19 by IMD quintile, July 2021*†
*Data is presented from 1 July to 31 July 2021.
**Rates are annualised and expressed as the number of deaths per 100,000 population per year.
†Deaths within 60 days of a positive COVID-19 test or where COVID-19 is mentioned on the death certificate.
Regional breakdown
Since 31 July 2020, the annualised mortality rate was highest in the North West (204.7 per 100,000 population per year), followed by London (192.0 per 100,000 population per year) and the West Midlands (187.2 per 100,000 population per year). The lowest mortality rate was seen in the South West (87.5 per 100,000 population per year). In July, the highest annualised mortality rate was seen in London (5.7 per 100,000 population per year).
| PHE Centre | Deaths (31 July 2020 to 31 July 2021) | Age-adjusted mortality rate** (95% CI) (31 July 2020 to 31 July 2021) | Deaths (July 2021) | Age-adjusted mortality rate** (95% CI) (July 2021) |
|---|---|---|---|---|
| East Midlands | 8,730 | 177.8 (174.1-181.6) | 96 | 2.0 (1.6-2.4) |
| East of England | 11,601 | 169.0 (165.9-172.1) | 94 | 1.4 (1.1-1.7) |
| London | 11,588 | 192.0 (188.5-195.5) | 149 | 2.4 (2.1-2.9) |
| North East | 4,782 | 172.9 (168.0-177.9) | 147 | 5.4 (4.5-6.3) |
| North West | 14,702 | 204.7 (201.4-208.0) | 409 | 5.7 (5.2-6.3) |
| South East | 14,458 | 151.0 (148.6-153.5) | 128 | 1.4 (1.1-1.6) |
| South West | 5,891 | 87.5 (85.2-89.7) | 88 | 1.4 (1.1-1.7) |
| West Midlands | 10,989 | 187.2 (183.7-190.7) | 173 | 3.0 (2.6-3.5) |
| Yorkshire and Humber | 9,069 | 166.7 (163.3-170.2) | 183 | 3.4 (2.9-3.9) |
Table 6. Number of deaths and age-adjusted annualised mortality rate** (per 100,000 population) in laboratory-confirmed cases of COVID-19, by PHE centre*†
**Rates are annualised and expressed as the number of deaths per 100,000 population per year.
†Deaths within 60 days of a positive COVID-19 test or where COVID-19 is mentioned on the death certificate.
Figure 5.a. Seven-day rolling average age-adjusted annualised mortality rates** (per 100,000 population) in laboratory-confirmed cases of COVID-19 by PHE centre, 31 July 2020 to 31 July 2021*†
*Data is presented from 31 July 2020 to 31 July 2021.
**Rates are annualised and expressed as the number of deaths per 100,000 population per year.
†Deaths within 60 days of a positive COVID-19 test or where COVID-19 is mentioned on the death certificate.
Figure 5.b. Seven-day rolling average age-adjusted annualised mortality rates** (per 100,000 population) in laboratory-confirmed cases of COVID-19 by PHE centre, July 2021*†
*Data is presented from 1 July 2021 to 31 July 2021.
**Rates are annualised and expressed as the number of deaths per 100,000 population per year.
†Deaths within 60 days of a positive COVID-19 test or where COVID-19 is mentioned on the death certificate.
Figure 6.a. Age-adjusted annualised mortality rates** (per 100,000 population) in laboratory-confirmed cases of COVID-19 by upper-tier local authority, 31 July 2020 to 31 July 2021†***
**Rates are annualised and expressed as the number of deaths per 100,000 population per year.
***Please note that some changes were made in June to the way deaths are allocated to local authorities. As a result, some deaths previously reported in England have been reallocated to different resident local authorities.
†Deaths within 60 days of a positive COVID-19 test or where COVID-19 is mentioned on the death certificate.
Figure 6.b. Age-adjusted annualised mortality rates** (per 100,000 population) in laboratory-confirmed cases of COVID-19, by upper-tier local authority, July 2021*†***
*Data is presented from 1 July 2020 to 31 July 2021.
**Rates are annualised and expressed as the number of deaths per 100,000 population per year.
***Please note that some changes were made in June 2021 to the way deaths are allocated to local authorities. As a result, some deaths previously reported in England have been reallocated to different resident local authorities.
†Deaths within 60 days of a positive COVID-19 test or where COVID-19 is mentioned on the death certificate.
Figures 6a and 6b:
-
contain Ordnance Survey data © Crown copyright and database right 2020
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contain National Statistics data © Crown copyright and database right 2020
Case fatality risk
Case fatality risk (CFR) describes the risk of death following a laboratory-confirmed positive COVID-19 test. For this report, CFR has been calculated within 60 days of an individual’s first positive specimen (from PCR, LAMP, and LFD tests) CFR is reported on data from 31 July 2020 up to and including 6 June 2021. Cases diagnosed in the last 60 days were excluded from this analysis, due to incomplete follow-up period. Deaths are excluded from the CFR calculation if they cannot be linked to laboratory-confirmed COVID-19 case data.
CFR is sensitive to:
-
changes in testing coverage and detection rate of COVID-19 infections (Dudel and others, 2020; Wu and others, 2020; Harman and others, 2021)
-
changes in the demographics of the infected population
-
changes in the effectiveness of treatment and the health system’s ability to care for severe COVID-19 cases
| Cases | Deaths† | Case fatality risk (%) | |
|---|---|---|---|
| 31 July 2020 to 6 June 2021 | 3,684,363 | 85,470 | 2.3 |
Table 7. Number of laboratory-confirmed cases, deaths and case fatality risk in laboratory-confirmed cases of COVID-19, 31 July 2020 to 6 June 2021*†
*Figures differ from Table 1 based on CFR calculation inclusion criteria.
†Deaths within 60 days of a positive COVID-19 test and linked to the confirmed COVID-19 case data.
Figure 7. Number of laboratory-confirmed cases, deaths and case fatality risk in laboratory-confirmed cases of COVID-19, 31 July 2020 to 6 June 2021*†
Note: The time period presented covers a period where testing coverage and testing modes have changed significantly, therefore apparent changes in estimated case fatality should be interpreted with caution. Numbers of cases and deaths are stacked by week. Cases are presented by week of specimen date. Deaths are presented by week of death.
*Data presented from 31 July 2020 to 6 June 2021, the last full week of full data available.
†Deaths within 60 days of a positive COVID-19 test and linked to the confirmed COVID-19 case data.