Public Health Outcomes Framework - at a glance summary

England

Key

Significance compared to goal / England average:

compEng compEng2 comp1 text1 comp2 text2
Significantly worse Significantly lower Increasing / Getting worse Increasing / Getting better
Not significantly different Significantly higher Decreasing / Getting worse Decreasing / Getting better
Significantly better Significance not tested Increasing Decreasing
No significant change Could not be calculated

Notes

A. Overarching indicators

Indicator Age Sex Period Value Unit Recent trend Change from previous
A01a - Healthy life expectancy at birth All ages Male 2017 - 19 63.2 Years
A01a - Healthy life expectancy at birth All ages Female 2017 - 19 63.5 Years
A01b - Life expectancy at birth All ages Male 2017 - 19 79.8 Years
A01b - Life expectancy at birth All ages Female 2017 - 19 83.4 Years
A01c - Disability-free life expectancy at birth All ages Male 2017 - 19 62.7 Years
A01c - Disability-free life expectancy at birth All ages Female 2017 - 19 61.2 Years
A02a - Inequality in life expectancy at birth All ages Male 2017 - 19 9.40 Years
A02a - Inequality in life expectancy at birth All ages Female 2017 - 19 7.60 Years
A02b - Inequality in healthy life expectancy at birth ENGLAND All ages Male 2017 - 19 19.0 Years
A02b - Inequality in healthy life expectancy at birth ENGLAND All ages Female 2017 - 19 19.3 Years
A01a - Healthy life expectancy at 65 65 Male 2017 - 19 10.6 Years
A01a - Healthy life expectancy at 65 65 Female 2017 - 19 11.1 Years
A01b - Life expectancy at 65 65 Male 2017 - 19 19.0 Years
A01b - Life expectancy at 65 65 Female 2017 - 19 21.3 Years
A01c - Disability-free life expectancy at 65 65 Male 2017 - 19 9.86 Years
A01c - Disability-free life expectancy at 65 65 Female 2017 - 19 9.74 Years
A02a - Inequality in life expectancy at 65 65 Male 2017 - 19 4.90 Years
A02a - Inequality in life expectancy at 65 65 Female 2017 - 19 4.70 Years

B. Wider determinants of health

Indicator Age Sex Period Value Unit Recent trend Change from previous
B01b - Children in absolute low income families (under 16s) <16 yrs Persons 2018/19 15.3 %
B01b - Children in relative low income families (under 16s) <16 yrs Persons 2018/19 18.4 %
B02a - School readiness: percentage of children achieving a good level of development at the end of Reception 5 yrs Persons 2018/19 71.8 %
B02a - School Readiness: percentage of children with free school meal status achieving a good level of development at the end of Reception 5 yrs Persons 2018/19 56.5 %
B02b - School readiness: percentage of children achieving the expected level in the phonics screening check in Year 1 6 yrs Persons 2018/19 81.8 %
B02b - School readiness: percentage of children with free school meal status achieving the expected level in the phonics screening check in Year 1 6 yrs Persons 2018/19 70.1 %
B02c - School readiness: percentage of children achieving at least the expected level in communication and language skills at the end of Reception 5 yrs Persons 2018/19 82.2 %
B02d - School readiness: percentage of children achieving at least the expected level of development in communication, language and literacy skills at the end of Reception 5 yrs Persons 2018/19 72.6 %
B03 - Pupil absence 5-15 yrs Persons 2018/19 4.73 %
B04 - First time entrants to the youth justice system 10-17 yrs Persons 2019 208.0 per 100,000
B05 - 16-17 year olds not in education, employment or training (NEET) or whose activity is not known 16-17 yrs Persons 2019 5.45 %
B06a - Adults with a learning disability who live in stable and appropriate accommodation 18-64 yrs Persons 2019/20 77.3 %
B06b - Adults in contact with secondary mental health services who live in stable and appropriate accommodation 18-69 yrs Persons 2019/20 58.0 %
B07 - People in prison who have a mental illness or a significant mental illness 18+ yrs Persons 2018/19 7.35 %
B08a - Gap in the employment rate between those with a long-term health condition and the overall employment rate 16-64 yrs Persons 2019/20 10.6 Percentage points
B08b - Gap in the employment rate between those with a learning disability and the overall employment rate 18-64 yrs Persons 2019/20 70.6 Percentage points
B08c - Gap in the employment rate for those in contact with secondary mental health services and the overall employment rate 18-69 yrs Persons 2019/20 67.2 Percentage points
B08d - Percentage of people aged 16-64 in employment 16-64 yrs Persons 2019/20 76.2 %
B09a - Sickness absence - the percentage of employees who had at least one day off in the previous week 16+ yrs Persons 2017 - 19 2.08 %
B09b - Sickness absence - the percentage of working days lost due to sickness absence 16+ yrs Persons 2017 - 19 1.09 %
B11 - Domestic abuse-related incidents and crimes 16+ yrs Persons 2019/20 28.0 per 1,000
B12a - Violent crime - hospital admissions for violence (including sexual violence) All ages Persons 2017/18 - 19/20 45.8 $ per 100,000
B12b - Violent crime - violence offences per 1,000 population All ages Persons 2019/20 29.5 ~ per 1,000
B12c - Violent crime - sexual offences per 1,000 population All ages Persons 2019/20 2.52 ~ per 1,000
B13a - Re-offending levels - percentage of offenders who re-offend All ages Persons 2017/18 29.1 %
B13b - Re-offending levels - average number of re-offences per re-offender All ages Persons 2017/18 4.05
B13c - First time offenders 10+ yrs Persons 2018 210.7 per 100,000
B14a - The rate of complaints about noise All ages Persons 2018/19 6.83 ^ per 1,000
B14b - The percentage of the population exposed to road, rail and air transport noise of 65dB(A) or more, during the daytime All ages Persons 2016 5.50 %
B14c - The percentage of the population exposed to road, rail and air transport noise of 55 dB(A) or more during the night-time All ages Persons 2016 8.48 %
B15a - Homelessness - households owed a duty under the Homelessness Reduction Act Not applicable Not applicable 2019/20 12.3 per 1,000
B15c - Homelessness - households in temporary accommodation Not applicable Not applicable 2019/20 3.76 per 1,000
B16 - Utilisation of outdoor space for exercise/health reasons 16+ yrs Persons Mar 2015 - Feb 2016 17.9 %
B17 - Fuel poverty Not applicable Not applicable 2018 10.3 %
B18a - Social Isolation: percentage of adult social care users who have as much social contact as they would like 18+ yrs Persons 2019/20 45.9 %
B18b - Social Isolation: percentage of adult carers who have as much social contact as they would like 18+ yrs Persons 2018/19 32.5 %
1.01i - Children in low income families (all dependent children under 20) 0-19 yrs Persons 2016 17.0 %
1.10 - Killed and seriously injured (KSI) casualties on England’s roads All ages Persons 2016 - 18 42.6 ~ per 100,000

C. Health improvement

Indicator Age Sex Period Value Unit Recent trend Change from previous
C01 - Total prescribed LARC excluding injections rate / 1,000 All ages Female 2019 50.8 per 1,000
C02a - Under 18s conception rate / 1,000 <18 yrs Female 2018 16.7 per 1,000
C02b - Under 16s conception rate / 1,000 <16 yrs Female 2018 2.50 per 1,000
C03a - Obesity in early pregnancy Not applicable Female 2018/19 22.1 %
C03b - Drinking in early pregnancy Not applicable Female 2018/19 4.13 %
C03c - Smoking in early pregnancy Not applicable Female 2018/19 12.8 %
C04 - Low birth weight of term babies
=37 weeks gestational age at birth
Persons 2019 2.90 %
C05a - Baby’s first feed breastmilk Newborn Persons 2018/19 67.4 %
C06 - Smoking status at time of delivery All ages Female 2019/20 10.4 %
C07 - Proportion of New Birth Visits (NBVs) completed within 14 days <14 days Persons 2019/20 86.8 & %
C08a - Child development: percentage of children achieving a good level of development at 2-2½ years 2-2.5 yrs Persons 2019/20 83.3 %
C08b - Child development: percentage of children achieving the expected level in communication skills at 2-2½ years 2-2.5 yrs Persons 2019/20 88.9 %
C08c - Child development: percentage of children achieving the expected level in personal-social skills at 2-2½ years 2-2.5 yrs Persons 2019/20 92.9 %
C09a - Reception: Prevalence of overweight (including obesity) 4-5 yrs Persons 2019/20 23.0 %
C09b - Year 6: Prevalence of overweight (including obesity) 10-11 yrs Persons 2019/20 35.2 %
C10 - Percentage of physically active children and young people 5-16 yrs Persons 2019/20 44.9 %
C11a - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0-14 years) <15 yrs Persons 2019/20 91.2 per 10,000
C11a - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0-4 years) 0-4 yrs Persons 2019/20 117.0 per 10,000
C11b - Hospital admissions caused by unintentional and deliberate injuries in young people (aged 15-24 years) 15-24 yrs Persons 2019/20 132.1 per 10,000
C12 - Percentage of looked after children whose emotional wellbeing is a cause for concern 5-16 yrs Persons 2019/20 37.4 %
C13a - Smoking prevalence age 15 years - regular smokers (SDD survey) 15 yrs Persons 2018 5.27 %
C13b - Smoking prevalence age 15 years - occasional smokers (SDD survey) 15 yrs Persons 2018 6.05 %
C14b - Emergency Hospital Admissions for Intentional Self-Harm All ages Persons 2019/20 192.6 per 100,000
C15 - Proportion of the population meeting the recommended ‘5-a-day’ on a ‘usual day’ (adults) 16+ yrs Persons 2019/20 55.4 %
C16 - Percentage of adults (aged 18+) classified as overweight or obese 18+ yrs Persons 2019/20 62.8 %
C17a - Percentage of physically active adults 19+ yrs Persons 2019/20 66.4 %
C17b - Percentage of physically inactive adults 19+ yrs Persons 2019/20 22.9 %
C18 - Smoking Prevalence in adults (18+) - current smokers (APS) 18+ yrs Persons 2019 13.9 %
C19a - Successful completion of drug treatment - opiate users 18+ yrs Persons 2019 5.61 %
C19b - Successful completion of drug treatment - non-opiate users 18+ yrs Persons 2019 34.2 %
C19c - Successful completion of alcohol treatment 18+ yrs Persons 2019 37.8 %
C19d - Deaths from drug misuse All ages Persons 2017 - 19 4.70 per 100,000
C20 - Adults with substance misuse treatment need who successfully engage in community-based structured treatment following release from prison 18+ yrs Persons 2019/20 34.5 %
C21 - Admission episodes for alcohol-related conditions (Narrow) All ages Persons 2018/19 663.7 per 100,000
C22 - Estimated diabetes diagnosis rate 17+ yrs Persons 2018 78.0 %
C23 - Percentage of cancers diagnosed at stages 1 and 2 All ages Persons 2018 55.0 %
C24a - Cancer screening coverage - breast cancer 53-70 yrs Female 2020 74.1 ~ %
C24b - Cancer screening coverage - cervical cancer (aged 25 to 49 years old) 25-49 yrs Female 2020 70.2 ~ %
C24c - Cancer screening coverage - cervical cancer (aged 50 to 64 years old) 50-64 yrs Female 2020 76.1 ~ %
C24d - Cancer screening coverage - bowel cancer 60-74 yrs Persons 2020 63.8 ~ %
C24e - Abdominal Aortic Aneurysm Screening - Coverage 65 Male 2019/20 76.1 ~ %
C24f - Diabetic eye screening - uptake 12+ yrs Persons 2019/20 81.5 ~ %
C24g - Fetal Anomaly Screening - Coverage Not applicable Female 2019/20 99.1 ~ %
C24h - Infectious Diseases in Pregnancy Screening - HIV Coverage All ages Female 2019/20 99.8 ~ %
C24i - Infectious Diseases in Pregnancy Screening - Syphilis Coverage All ages Female 2019/20 99.8 ~ %
C24j - Infectious Diseases in Pregnancy Screening - Hepatitis B Coverage All ages Female 2019/20 99.8 ~ %
C24k - Sickle Cell and Thalassaemia Screening - Coverage All ages Female 2019/20 99.7 ~ %
C24l - Newborn Blood Spot Screening - Coverage <1 yr Persons 2019/20 97.9 ~ %
C24m - Newborn Hearing Screening - Coverage <1 yr Persons 2019/20 98.2 ~ %
C24n - Newborn and Infant Physical Examination Screening - Coverage <1 yr Persons 2019/20 96.7 ~ %
C26a - Cumulative percentage of the eligible population aged 40-74 offered an NHS Health Check 40-74 yrs Persons 2015/16 - 19/20 87.7 %
C26b - Cumulative percentage of the eligible population aged 40-74 offered an NHS Health Check who received an NHS Health Check 40-74 yrs Persons 2015/16 - 19/20 47.1 %
C26c - Cumulative percentage of the eligible population aged 40-74 who received an NHS Health check 40-74 yrs Persons 2015/16 - 19/20 41.3 %
C27 - Percentage reporting a long term Musculoskeletal (MSK) problem 16+ yrs Persons 2020 18.6 %
C28a - Self-reported wellbeing - people with a low satisfaction score 16+ yrs Persons 2019/20 4.68 %
C28b - Self-reported wellbeing - people with a low worthwhile score 16+ yrs Persons 2019/20 3.81 %
C28c - Self-reported wellbeing - people with a low happiness score 16+ yrs Persons 2019/20 8.72 %
C28d - Self-reported wellbeing - people with a high anxiety score 16+ yrs Persons 2019/20 21.9 %
C29 - Emergency hospital admissions due to falls in people aged 65 and over 65+ yrs Persons 2019/20 2222 per 100,000
C29 - Emergency hospital admissions due to falls in people aged 65-79 65-79 yrs Persons 2019/20 1042 per 100,000
C29 - Emergency hospital admissions due to falls in people aged 80+ 80+ yrs Persons 2019/20 5644 per 100,000
2.02ii - Breastfeeding prevalence at 6-8 weeks after birth - current method 6-8 weeks Persons 2019/20 48.0 & %

D. Health protection

Indicator Age Sex Period Value Unit Recent trend Change from previous
D01 - Fraction of mortality attributable to particulate air pollution 30+ yrs Persons 2019 5.13 %
D02a - Chlamydia detection rate / 100,000 aged 15 to 24 15-24 yrs Persons 2019 2043 * per 100,000
D02b - New STI diagnoses (exc chlamydia aged <25) / 100,000 15-64 yrs Persons 2019 900.3 per 100,000
D03c - Population vaccination coverage - Dtap / IPV / Hib (1 year old) 1 yr Persons 2019/20 92.6 * %
D03d - Population vaccination coverage - MenB (1 year) 1 yr Persons 2019/20 92.5 * %
D03e - Population vaccination coverage - Rotavirus (Rota) (1 year) 1 yr Persons 2019/20 90.1 * %
D03f - Population vaccination coverage - PCV 1 yr Persons 2019/20 93.2 * %
D03h - Population vaccination coverage - Dtap / IPV / Hib (2 years old) 2 yrs Persons 2019/20 93.8 * %
D03i - Population vaccination coverage - MenB booster (2 years) 2 yrs Persons 2019/20 88.7 * %
D03j - Population vaccination coverage - MMR for one dose (2 years old) 2 yrs Persons 2019/20 90.6 * %
D03k - Population vaccination coverage - PCV booster 2 yrs Persons 2019/20 90.4 * %
D03l - Population vaccination coverage - Flu (2-3 years old) 2-3 yrs Persons 2019/20 43.8 * %
D03m - Population vaccination coverage - Hib / MenC booster (2 years old) 2 yrs Persons 2019/20 90.5 * %
D04a - Population vaccination coverage - DTaP/IPV booster (5 years) 5 yrs Persons 2019/20 85.4 * %
D04b - Population vaccination coverage - MMR for one dose (5 years old) 5 yrs Persons 2019/20 94.5 * %
D04c - Population vaccination coverage - MMR for two doses (5 years old) 5 yrs Persons 2019/20 86.8 * %
D04d - Population vaccination coverage - Flu (primary school aged children) 4-11 yrs Persons 2019 60.4 ~ * %
D04e - Population vaccination coverage - HPV vaccination coverage for one dose (12-13 years old) 12-13 yrs Female 2019/20 59.2 * %
D04e - Population vaccination coverage - HPV vaccination coverage for one dose (12-13 years old) 12-13 yrs Male 2019/20 54.4 * %
D04f - Population vaccination coverage - HPV vaccination coverage for two doses (13-14 years old) 13-14 yrs Female 2019/20 64.7 * %
D04g - Population vaccination coverage - Meningococcal ACWY conjugate vaccine (MenACWY) (14-15 years) 14-15 yrs Persons 2019/20 87.0 * %
D05 - Population vaccination coverage - Flu (at risk individuals) 6 months-64 yrs Persons 2019/20 44.9 * %
D06a - Population vaccination coverage - Flu (aged 65+) 65+ yrs Persons 2019/20 72.4 * %
D06b - Population vaccination coverage - PPV 65+ yrs Persons 2019/20 69.0 * %
D06c - Population vaccination coverage – Shingles vaccination coverage (71 years) 71 Persons 2018/19 49.1 * %
D07 - HIV late diagnosis (%) 15+ yrs Persons 2017 - 19 43.1 * %
D08a - Proportion of drug sensitive TB cases who had completed a full course of treatment by 12 months All ages Persons 2018 83.6 %
D08b - TB incidence (three year average) All ages Persons 2017 - 19 8.58 per 100,000
D09 - NHS organisations with a board approved sustainable development management plan Not applicable Not applicable 2015/16 66.2 %
D10 - Adjusted antibiotic prescribing in primary care by the NHS All ages Persons 2019 0.95 * per STAR-PU

E. Healthcare and premature mortality

Indicator Age Sex Period Value Unit Recent trend Change from previous
E01 - Infant mortality rate <1 yr Persons 2017 - 19 3.95 per 1,000
E02 - Percentage of 5 year olds with experience of visually obvious dental decay 5 yrs Persons 2018/19 23.4 %
E03 - Under 75 mortality rate from causes considered preventable (2019 definition) <75 yrs Persons 2017 - 19 142.2 per 100,000
E04a - Under 75 mortality rate from all cardiovascular diseases <75 yrs Persons 2017 - 19 70.4 per 100,000
E04b - Under 75 mortality rate from cardiovascular diseases considered preventable (2019 definition) <75 yrs Persons 2017 - 19 28.2 per 100,000
E05a - Under 75 mortality rate from cancer <75 yrs Persons 2017 - 19 129.2 per 100,000
E05b - Under 75 mortality rate from cancer considered preventable (2019 definition) <75 yrs Persons 2017 - 19 54.1 per 100,000
E06a - Under 75 mortality rate from liver disease <75 yrs Persons 2017 - 19 18.5 per 100,000
E06b - Under 75 mortality rate from liver disease considered preventable (2019 definition) <75 yrs Persons 2017 - 19 16.4 per 100,000
E07a - Under 75 mortality rate from respiratory disease <75 yrs Persons 2017 - 19 34.2 per 100,000
E07b - Under 75 mortality rate from respiratory disease considered preventable (2019 definition) <75 yrs Persons 2017 - 19 20.0 per 100,000
E08 - Mortality rate from a range of specified communicable diseases, including influenza All ages Persons 2017 - 19 11.2 per 100,000
E09a - Premature mortality in adults with severe mental illness (SMI) 18-74 yrs Persons 2015 - 17 90.5 per 100,000
E09b - Excess under 75 mortality rate in adults with severe mental illness (SMI) 18-74 yrs Persons 2015 - 17 355.1 %
E10 - Suicide rate 10+ yrs Persons 2017 - 19 10.1 per 100,000
E11 - Emergency readmissions within 30 days of discharge from hospital All ages Persons 2019/20 14.4 %
E12a - Preventable sight loss - age related macular degeneration (AMD) 65+ yrs Persons 2019/20 105.4 per 100,000
E12b - Preventable sight loss - glaucoma 40+ yrs Persons 2019/20 12.9 per 100,000
E12c - Preventable sight loss - diabetic eye disease 12+ yrs Persons 2019/20 2.95 per 100,000
E12d - Preventable sight loss - sight loss certifications All ages Persons 2019/20 41.4 per 100,000
E13 - Hip fractures in people aged 65 and over 65+ yrs Persons 2019/20 571.6 per 100,000
E13 - Hip fractures in people aged 65-79 65-79 yrs Persons 2019/20 239.7 per 100,000
E13 - Hip fractures in people aged 80+ 80+ yrs Persons 2019/20 1534 per 100,000
E14 - Excess winter deaths index All ages Persons Aug 2018 - Jul 2019 15.1 %
E14 - Excess winter deaths index (age 85+) 85+ yrs Persons Aug 2018 - Jul 2019 18.2 %
E15 - Estimated dementia diagnosis rate (aged 65 and over) 65+ yrs Persons 2020 67.4 * %
Accompanying indicator value notes
symbols Data note
* Value compared to a goal (see below)
~ Aggregated from all known lower geography values
$ Due to an issue with HES coding in East Sussex Healthcare NHS Trust in 2018/19, for which approximately 85,000 records erroneously had all diagnosis codes removed, this value should be treated with caution. In 2018/19, between 1 to 10% of patients that attended hospital from this area had records that were missing diagnosis codes
^ Value is modelled or synthetic estimate
& Annual figure includes constituent area(s) with annual figure scaled up data from three quarters’ data

Thresholds for indicators that are compared against a goal

Indicator Name Green Amber Red
D02a - Chlamydia detection rate / 100,000 aged 15 to 24 >= 2,300 1,900-2,300 < 1,900
D03c - Population vaccination coverage - Dtap / IPV / Hib (1 year old) >= 95% 90-95% < 90%
D03d - Population vaccination coverage - MenB (1 year) >= 95% 90-95% < 90%
D03e - Population vaccination coverage - Rotavirus (Rota) (1 year) >= 95% 90-95% < 90%
D03f - Population vaccination coverage - PCV >= 95% 90-95% < 90%
D03h - Population vaccination coverage - Dtap / IPV / Hib (2 years old) >= 95% 90-95% < 90%
D03i - Population vaccination coverage - MenB booster (2 years) >= 95% 90-95% < 90%
D03j - Population vaccination coverage - MMR for one dose (2 years old) >= 95% 90-95% < 90%
D03k - Population vaccination coverage - PCV booster >= 95% 90-95% < 90%
D03l - Population vaccination coverage - Flu (2-3 years old) >= 65% 40-65% < 40%
D03m - Population vaccination coverage - Hib / MenC booster (2 years old) >= 95% 90-95% < 90%
D04a - Population vaccination coverage - DTaP/IPV booster (5 years) >= 95% 90-95% < 90%
D04b - Population vaccination coverage - MMR for one dose (5 years old) >= 95% 90-95% < 90%
D04c - Population vaccination coverage - MMR for two doses (5 years old) >= 95% 90-95% < 90%
D04d - Population vaccination coverage - Flu (primary school aged children) >= 65% <65%
D04e - Population vaccination coverage - HPV vaccination coverage for one dose (12-13 years old) >= 90% 80-90% < 80%
D04f - Population vaccination coverage - HPV vaccination coverage for two doses (13-14 years old) >= 90% 80-90% < 80%
D04g - Population vaccination coverage - Meningococcal ACWY conjugate vaccine (MenACWY) (14-15 years) >= 90% 80-90% < 80%
D05 - Population vaccination coverage - Flu (at risk individuals) >= 55% < 55%
D06a - Population vaccination coverage - Flu (aged 65+) >= 75% < 75%
D06b - Population vaccination coverage - PPV >= 75% 65-75% < 65%
D06c - Population vaccination coverage – Shingles vaccination coverage (71 years) >= 60% 50-60% < 50%
D07 - HIV late diagnosis (%) < 25% 25-50% >= 50%
D10 - Adjusted antibiotic prescribing in primary care by the NHS <= mean England prescribing (2013/14) > mean England prescribing (2013/14)
E15 - Estimated dementia diagnosis rate (aged 65 and over) >= 66.7% (significantly) Similar to 66.7% < 66.7% (significantly)