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

Overarching indicators

Indicator Age Sex Period Local value Unit Change from previous Recent trend
0.1i - Healthy life expectancy at birth All ages Male 2014 - 16 63.3 Years
0.1i - Healthy life expectancy at birth All ages Female 2014 - 16 63.8 Years
0.1ii - Life expectancy at birth All ages Male 2014 - 16 79.5 Years
0.1ii - Life expectancy at birth All ages Female 2014 - 16 83.1 Years
0.1ii - Life expectancy at 65 65 Male 2014 - 16 18.8 Years
0.1ii - Life expectancy at 65 65 Female 2014 - 16 21.1 Years
0.2i - Inequality in life expectancy at birth ENGLAND All ages Male 2011 - 13 9 Years
0.2i - Inequality in life expectancy at birth ENGLAND All ages Female 2014 - 16 7.3 Years
0.2i - Inequality in life expectancy at 65 ENGLAND 65 Male 2014 - 16 4.8 Years
0.2i - Inequality in life expectancy at 65 ENGLAND 65 Female 2014 - 16 4.4 Years
0.2ii - Number of UTLAs where inequality in life expectancy at birth has decreased All ages Male 2014 - 16 65 Count
0.2ii - Number of UTLAs where inequality in life expectancy at birth has decreased All ages Female 2014 - 16 45 Count
0.2iv - Gap in life expectancy at birth between each local authority and England as a whole All ages Male 2001 - 03 0 Years
0.2iv - Gap in life expectancy at birth between each local authority and England as a whole All ages Female 2001 - 03 0 Years
0.2v - Inequality in healthy life expectancy at birth ENGLAND All ages Male 2014 - 16 19.1 Years
0.2v - Inequality in healthy life expectancy at birth ENGLAND All ages Female 2014 - 16 19.1 Years

Wider determinants of health

Indicator Age Sex Period Local value Unit Change from previous Recent trend
1.01i - Children in low income families (all dependent children under 20) 0-19 yrs Persons 2015 16.6 %
1.01ii - Children in low income families (under 16s) <16 yrs Persons 2015 16.8 %
1.02i - School Readiness: the percentage of children achieving a good level of development at the end of reception 5 yrs Persons 2016/17 70.7 %
1.02i - School Readiness: the percentage of children with free school meal status achieving a good level of development at the end of reception 5 yrs Persons 2016/17 56 %
1.02ii - School Readiness: the percentage of Year 1 pupils achieving the expected level in the phonics screening check 6 yrs Persons 2016/17 81.1 %
1.02ii - School Readiness: the percentage of Year 1 pupils with free school meal status achieving the expected level in the phonics screening check 6 yrs Persons 2016/17 68.4 %
1.03 - Pupil absence 5-15 yrs Persons 2016/17 4.65 %
1.04 - First time entrants to the youth justice system 10-17 yrs Persons 2017 293 per 100,000
1.05 - 16-17 year olds not in education, employment or training (NEET) or whose activity is not known - current method 16-17 yrs Persons 2016 6.02 %
1.06i - Adults with a learning disability who live in stable and appropriate accommodation 18-64 yrs Persons 2016/17 76.2 %
1.06ii - Adults in contact with secondary mental health services who live in stable and appropriate accommodation 18-69 yrs Persons 2016/17 54 ~ %
1.07 - People in prison who have a mental illness or a significant mental illness 18+ yrs Persons 2017/18 6.98 %
1.08i - Gap in the employment rate between those with a long-term health condition and the overall employment rate 16-64 yrs Persons 2016/17 29.4 Percentage points
1.08ii - Gap in the employment rate between those with a learning disability and the overall employment rate 18-64 yrs Persons 2016/17 68.7 Percentage points
1.08iii - Gap in the employment rate for those in contact with secondary mental health services and the overall employment rate 18-69 yrs Persons 2016/17 67.4 ~ Percentage points
1.08iv - Percentage of people aged 16-64 in employment 16-64 yrs Persons 2016/17 74.4 %
1.09i - Sickness absence - the percentage of employees who had at least one day off in the previous week 16+ yrs Persons 2014 - 16 2.15 %
1.09ii - Sickness absence - the percentage of working days lost due to sickness absence 16+ yrs Persons 2014 - 16 1.2 %
1.10 - Killed and seriously injured (KSI) casualties on England’s roads All ages Persons 2014 - 16 39.7 per 100,000
1.11 - Domestic abuse-related incidents and crimes - current method 16+ yrs Persons 2016/17 22.5 per 1000
1.12i - Violent crime (including sexual violence) - hospital admissions for violence All ages Persons 2014/15 - 16/17 42.9 per 100,000
1.12ii - Violent crime (including sexual violence) - violence offences per 1,000 population All ages Persons 2016/17 20 per 1000
1.12iii- Violent crime (including sexual violence) - rate of sexual offences per 1,000 population All ages Persons 2016/17 1.91 per 1000
1.13i - Re-offending levels - percentage of offenders who re-offend All ages Persons 2014 25.4 %
1.13ii - Re-offending levels - average number of re-offences per offender All ages Persons 2014 0.82 per offender
1.13iii - First time offenders All ages Persons 2017 166 per 100,000
1.14i - The rate of complaints about noise All ages Persons 2015/16 6.34 $ per 1000
1.14ii - The percentage of the population exposed to road, rail and air transport noise of 65dB(A) or more, during the daytime All ages Persons 2011 5.17 %
1.14iii - 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 2011 8.01 %
1.15i - Statutory homelessness - Eligible homeless people not in priority need Not applicable Persons 2016/17 0.84 per 1000
1.15ii - Statutory homelessness - households in temporary accommodation Not applicable Persons 2016/17 3.33 per 1000
1.16 - Utilisation of outdoor space for exercise/health reasons 16+ yrs Persons Mar 2015 - Feb 2016 17.9 %
1.17 - Fuel poverty All ages Persons 2015 11 %
1.18i - Social Isolation: percentage of adult social care users who have as much social contact as they would like 18+ yrs Persons 2015/16 45.4 %
1.18ii - Social Isolation: percentage of adult carers who have as much social contact as they would like 18+ yrs Persons 2016/17 35.5 %

Health improvement

Indicator Age Sex Period Local value Unit Change from previous Recent trend
2.01 - Low birth weight of term babies
=37 weeks gestational age at birth
Persons 2016 2.79 %
2.02i - Breastfeeding initiation All ages Female 2016/17 74.5 %
2.02ii - Breastfeeding prevalence at 6-8 weeks after birth - current method 6-8 weeks Persons 2016/17 44.4 ^ %
2.03 - Smoking status at time of delivery - current method All ages Female 2016/17 10.7 %
2.04 - Under 18 conceptions <18 yrs Female 2016 18.8 per 1000
2.04 - Under 18 conceptions: conceptions in those aged under 16 <16 yrs Female 2016 3 per 1000
2.05ii - Proportion of children aged 2-2½yrs receiving ASQ-3 as part of the Healthy Child Programme or integrated review 2-2.5 yrs Persons 2016/17 89.4 ^ %
2.06i - Child excess weight in 4-5 and 10-11 year olds - 4-5 year olds 4-5 yrs Persons 2016/17 22.6 %
2.06ii - Child excess weight in 4-5 and 10-11 year olds - 10-11 year olds 10-11 yrs Persons 2016/17 34.2 %
2.07i - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0-14 years) <15 yrs Persons 2016/17 101 per 10,000
2.07i - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0-4 years) 0-4 yrs Persons 2016/17 126 per 10,000
2.07ii - Hospital admissions caused by unintentional and deliberate injuries in young people (aged 15-24 years) 15-24 yrs Persons 2016/17 129 per 10,000
2.08i - Average difficulties score for all looked after children aged 5-16 who have been in care for at least 12 months on 31st March 5-16 yrs Persons 2016/17 14.1 Score
2.08ii - Percentage of children where there is a cause for concern 5-16 yrs Persons 2016/17 38.1 %
2.09i - Smoking prevalence at age 15 - current smokers (WAY survey) 15 yrs Persons 2014/15 8.2 %
2.09ii - Smoking prevalence at age 15 - regular smokers (WAY survey) 15 yrs Persons 2014/15 5.45 %
2.09iii - Smoking prevalence at age 15 - occasional smokers (WAY survey) 15 yrs Persons 2014/15 2.74 %
2.09iv - Smoking prevalence at age 15 years - regular smokers (SDD survey) 15 yrs Persons 2016 6.72 %
2.09v - Smoking prevalence at age 15 years - occasional smokers (SDD survey) 15 yrs Persons 2016 8.12 %
2.10ii - Emergency Hospital Admissions for Intentional Self-Harm All ages Persons 2016/17 185 per 100,000
2.11i - Proportion of the population meeting the recommended ‘5-a-day’ on a ‘usual day’ (adults) 16+ yrs Persons 2016/17 57.4 %
2.11ii - Average number of portions of fruit consumed daily (adults) 16+ yrs Persons 2016/17 2.65 Average daily quantity
2.11iii - Average number of portions of vegetables consumed daily (adults) 16+ yrs Persons 2016/17 2.7 Average daily quantity
2.11iv - Proportion of the population meeting the recommended “5-a-day” at age 15 15 yrs Persons 2014/15 52.4 %
2.11v - Average number of portions of fruit consumed daily at age 15 (WAY survey) 15 yrs Persons 2014/15 2.39 Average daily quantity
2.11vi - Average number of portions of vegetables consumed daily at age 15 (WAY survey) 15 yrs Persons 2014/15 2.4 Average daily quantity
2.12 - Percentage of adults (aged 18+) classified as overweight or obese 18+ yrs Persons 2016/17 61.3 %
2.13i - Percentage of physically active adults 19+ yrs Persons 2016/17 66 %
2.13ii - Percentage of physically inactive adults 19+ yrs Persons 2016/17 22.2 %
2.14 - Smoking Prevalence in adults - current smokers (APS) 18+ yrs Persons 2017 14.9 %
2.15i - Successful completion of drug treatment - opiate users 18-75 yrs Persons 2016 6.71 %
2.15ii - Successful completion of drug treatment - non-opiate users 18-75 yrs Persons 2016 37.1 %
2.15iii - Successful completion of alcohol treatment 18-75 yrs Persons 2016 38.7 %
2.15iv - Deaths from drug misuse All ages Persons 2015 - 17 4.33 per 100,000
2.16 - Adults with substance misuse treatment need who successfully engage in community-based structured treatment following release from prison 18+ yrs Persons 2016/17 30.3 %
2.17 - Estimated diabetes diagnosis rate 17+ yrs Persons 2017 77.1 %
2.18 - Admission episodes for alcohol-related conditions - narrow definition All ages Persons 2016/17 636 per 100,000
2.19 - Cancer diagnosed at early stage (experimental statistics) All ages Persons 2016 52.6 %
2.20i - Cancer screening coverage - breast cancer 53-70 yrs Female 2017 75.4 & %
2.20ii - Cancer screening coverage - cervical cancer 25-64 yrs Female 2017 72 & %
2.20iii - Cancer screening coverage - bowel cancer 60-74 yrs Persons 2017 58.8 & %
2.20iv - Abdominal Aortic Aneurysm Screening - Coverage 65 Male 2016/17 80.9 & %
2.20v - Diabetic eye screening - uptake 12+ yrs Persons 2016/17 82.2 %
2.20vii - Infectious Diseases in Pregnancy Screening - HIV Coverage All ages Female 2016/17 99.5 %
2.20viii - Infectious Diseases in Pregnancy Screening - Syphilis Coverage All ages Female 2015 98.2 %
2.20ix - Infectious Diseases in Pregnancy Screening - Hepatitis B Coverage All ages Female 2015 98.1 %
2.20x - Sickle Cell and Thalassaemia Screening - Coverage All ages Female 2016/17 99.3 %
2.20xi - Newborn Blood Spot Screening - Coverage < 1 yr Persons 2016/17 96.5 %
2.20xii - Newborn Hearing Screening - Coverage < 1 yr Persons 2016/17 98.4 %
2.20xiii - Newborn and Infant Physical Examination Screening - Coverage < 1 yr Persons 2016/17 93.5 %
2.22iii - Cumulative percentage of the eligible population aged 40-74 offered an NHS Health Check 40-74 yrs Persons 2013/14 - 17/18 90.9 %
2.22iv - Cumulative percentage of the eligible population aged 40-74 offered an NHS Health Check who received an NHS Health Check 40-74 yrs Persons 2013/14 - 17/18 48.7 %
2.22v - Cumulative percentage of the eligible population aged 40-74 who received an NHS Health check 40-74 yrs Persons 2013/14 - 17/18 44.3 %
2.23i - Self-reported wellbeing - people with a low satisfaction score 16+ yrs Persons 2016/17 4.5 %
2.23ii - Self-reported wellbeing - people with a low worthwhile score 16+ yrs Persons 2016/17 3.64 %
2.23iii - Self-reported wellbeing - people with a low happiness score 16+ yrs Persons 2016/17 8.54 %
2.23iv - Self-reported wellbeing - people with a high anxiety score 16+ yrs Persons 2016/17 19.9 %
2.24i - Emergency hospital admissions due to falls in people aged 65 and over 65+ yrs Persons 2016/17 2114 per 100,000
2.24ii - Emergency hospital admissions due to falls in people aged 65 and over - aged 65-79 65-79 yrs Persons 2016/17 993 per 100,000
2.24iii - Emergency hospital admissions due to falls in people aged 65 and over - aged 80+ 80+ yrs Persons 2016/17 5363 per 100,000

Health protection

Indicator Age Sex Period Local value Unit Change from previous Recent trend
3.01 - Fraction of mortality attributable to particulate air pollution 30+ yrs Persons 2016 5.29 %
3.02 - Chlamydia detection rate (15-24 year olds) 15-24 yrs Persons 2017 1882 * per 100,000
3.03iii - Population vaccination coverage - Dtap / IPV / Hib (1 year old) 1 yr Persons 2016/17 93.4 * %
3.03iii - Population vaccination coverage - Dtap / IPV / Hib (2 years old) 2 yrs Persons 2016/17 95.1 * %
3.03iv - Population vaccination coverage - MenC 1 yr Persons 2013/14 - & * %
3.03v - Population vaccination coverage - PCV 1 yr Persons 2016/17 93.5 * %
3.03vi - Population vaccination coverage - Hib / MenC booster (2 years old) 2 yrs Persons 2016/17 91.5 * %
3.03vi - Population vaccination coverage - Hib / Men C booster (5 years old) 5 yrs Persons 2015/16 92.6 * %
3.03vii - Population vaccination coverage - PCV booster 2 yrs Persons 2016/17 91.5 * %
3.03viii - Population vaccination coverage - MMR for one dose (2 years old) 2 yrs Persons 2016/17 91.6 * %
3.03ix - Population vaccination coverage - MMR for one dose (5 years old) 5 yrs Persons 2016/17 95 * %
3.03x - Population vaccination coverage - MMR for two doses (5 years old) 5 yrs Persons 2016/17 87.6 * %
3.03xii - Population vaccination coverage - HPV vaccination coverage for one dose (females 12-13 years old) 12-13 yrs Female 2016/17 87.2 * %
3.03xiii - Population vaccination coverage - PPV 65+ yrs Persons 2016/17 69.8 * %
3.03xiv - Population vaccination coverage - Flu (aged 65+) 65+ yrs Persons 2017/18 72.6 * %
3.03xv - Population vaccination coverage - Flu (at risk individuals) 6 months-64 yrs Persons 2017/18 48.9 * %
3.03xvi - Population vaccination coverage - HPV vaccination coverage for two doses (females 13-14 years old) 13-14 yrs Female 2016/17 83.1 * %
3.03xvii - Population vaccination coverage - Shingles vaccination coverage (70 years old) 70 Persons 2016/17 48.3 * %
3.03xviii – Population vaccination coverage – Flu (2-3 years old) - current method 2-3 yrs Persons 2017/18 43.5 * %
3.04 - HIV late diagnosis 15+ yrs Persons 2014 - 16 40.1 * %
3.05i - Treatment completion for TB All ages Persons 2015 83.4 %
3.05ii - Incidence of TB All ages Persons 2014 - 16 10.9 per 100,000
3.06 - NHS organisations with a board approved sustainable development management plan Not applicable Not applicable 2015/16 66.2 %
3.08 - Adjusted antibiotic prescribing in primary care by the NHS All ages Persons 2017 1.04 * per STAR-PU

Healthcare and premature mortality

Indicator Age Sex Period Local value Unit Change from previous Recent trend
4.01 - Infant mortality < 1 yr Persons 2014 - 16 3.88 per 1000
4.02 - Proportion of five year old children free from dental decay 5 yrs Persons 2016/17 76.7 %
4.03 - Mortality rate from causes considered preventable All ages Persons 2014 - 16 183 per 100,000
4.04i - Under 75 mortality rate from all cardiovascular diseases <75 yrs Persons 2014 - 16 73.5 per 100,000
4.04ii - Under 75 mortality rate from cardiovascular diseases considered preventable <75 yrs Persons 2014 - 16 46.7 per 100,000
4.05i - Under 75 mortality rate from cancer <75 yrs Persons 2014 - 16 137 per 100,000
4.05ii - Under 75 mortality rate from cancer considered preventable <75 yrs Persons 2014 - 16 79.4 per 100,000
4.06i - Under 75 mortality rate from liver disease <75 yrs Persons 2014 - 16 18.3 per 100,000
4.06ii - Under 75 mortality rate from liver disease considered preventable <75 yrs Persons 2014 - 16 16.1 per 100,000
4.07i - Under 75 mortality rate from respiratory disease <75 yrs Persons 2014 - 16 33.8 per 100,000
4.07ii - Under 75 mortality rate from respiratory disease considered preventable <75 yrs Persons 2014 - 16 18.6 per 100,000
4.08 - Mortality rate from a range of specified communicable diseases, including influenza All ages Persons 2014 - 16 10.7 per 100,000
4.09i - Excess under 75 mortality rate in adults with serious mental illness 18-74 yrs Persons 2014/15 370 %
4.09ii - Proportion of adults in the population in contact with secondary mental health services 18-74 yrs Persons 2014/15 5.36 %
4.10 - Suicide rate 10+ yrs Persons 2014 - 16 9.94 per 100,000
4.11 - Emergency readmissions within 30 days of discharge from hospital All ages Persons 2010/11 11.8 %
4.12i - Preventable sight loss - age related macular degeneration (AMD) 65+ yrs Persons 2016/17 111 per 100,000
4.12ii - Preventable sight loss - glaucoma 40+ yrs Persons 2016/17 13.1 per 100,000
4.12iii - Preventable sight loss - diabetic eye disease 12+ yrs Persons 2016/17 3.05 per 100,000
4.12iv - Preventable sight loss - sight loss certifications All ages Persons 2016/17 42.4 per 100,000
4.13 - Health related quality of life for older people 65+ yrs Persons 2016/17 0.74 Score
4.14i - Hip fractures in people aged 65 and over 65+ yrs Persons 2016/17 575 per 100,000
4.14ii - Hip fractures in people aged 65 and over - aged 65-79 65-79 yrs Persons 2016/17 241 per 100,000
4.14iii - Hip fractures in people aged 65 and over - aged 80+ 80+ yrs Persons 2016/17 1545 per 100,000
4.15i - Excess winter deaths index (single year, all ages) All ages Persons Aug 2015 - Jul 2016 15.1 %
4.15ii - Excess winter deaths index (single year, age 85+) 85+ yrs Persons Aug 2015 - Jul 2016 17.7 %
4.15iii - Excess winter deaths index (3 years, all ages) All ages Persons Aug 2013 - Jul 2016 17.9 %
4.15iv - Excess winter deaths index (3 years, age 85+) 85+ yrs Persons Aug 2013 - Jul 2016 24.6 %
4.16 - Estimated dementia diagnosis rate (aged 65+) 65+ yrs Persons 2018 67.5 * %

Accompanying indicator value notes

Label Data note
* Value compared to a goal (see below)
~ There is a data quality issue with this value
$ Value is modelled or synthetic estimate
^ Annual figure includes constituent area(s) with annual figure scaled up data from three quarters’ data
& Aggregated from all known lower geography values

Thresholds for indicators that are compared against a goal

Indicator Name Green Amber Red
3.02 - Chlamydia detection rate (15-24 year olds) >= 2,300 1,900-2,300 < 1,900
3.03iii - Population vaccination coverage - Dtap / IPV / Hib (1 year old) >= 95% 90-95% < 90%
3.03iii - Population vaccination coverage - Dtap / IPV / Hib (2 years old) >= 95% 90-95% < 90%
3.03iv - Population vaccination coverage - MenC >= 95% 90-95% < 90%
3.03v - Population vaccination coverage - PCV >= 95% 90-95% < 90%
3.03vi - Population vaccination coverage - Hib / MenC booster (2 years old) >= 95% 90-95% < 90%
3.03vi - Population vaccination coverage - Hib / Men C booster (5 years old) >= 95% 90-95% < 90%
3.03vii - Population vaccination coverage - PCV booster >= 95% 90-95% < 90%
3.03viii - Population vaccination coverage - MMR for one dose (2 years old) >= 95% 90-95% < 90%
3.03ix - Population vaccination coverage - MMR for one dose (5 years old) >= 95% 90-95% < 90%
3.03x - Population vaccination coverage - MMR for two doses (5 years old) >= 95% 90-95% < 90%
3.03xii - Population vaccination coverage - HPV vaccination coverage for one dose (females 12-13 years old) >= 90% 80-90% < 80%
3.03xiii - Population vaccination coverage - PPV >= 75% 65-75% < 65%
3.03xiv - Population vaccination coverage - Flu (aged 65+) >= 75% < 75%
3.03xv - Population vaccination coverage - Flu (at risk individuals) >= 55% < 55%
3.03xvi - Population vaccination coverage - HPV vaccination coverage for two doses (females 13-14 years old) >= 90% 80-90% < 80%
3.03xvii - Population vaccination coverage - Shingles vaccination coverage (70 years old) >= 60% 50-60% < 50%
3.03xviii – Population vaccination coverage – Flu (2-3 years old) - current method >= 65% 40-65% < 40%
3.04 - HIV late diagnosis < 25% 25-50% >= 50%
3.08 - Adjusted antibiotic prescribing in primary care by the NHS <= mean England prescribing (2013/14) > mean England prescribing (2013/14)
4.16 - Estimated dementia diagnosis rate (aged 65+) >= 66.7% (significantly) Similar to 66.7% < 66.7% (significantly)