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 2018 - 20 63.1 Years
A01a - Healthy life expectancy at birth All ages Female 2018 - 20 63.9 Years
A01b - Life expectancy at birth All ages Male 2021 78.7 Years
A01b - Life expectancy at birth All ages Female 2021 82.8 Years
A01c - Disability-free life expectancy at birth All ages Male 2018 - 20 62.4 Years
A01c - Disability-free life expectancy at birth All ages Female 2018 - 20 60.9 Years
A02a - Inequality in life expectancy at birth All ages Male 2018 - 20 9.70 Years
A02a - Inequality in life expectancy at birth All ages Female 2018 - 20 7.90 Years
A02b - Inequality in healthy life expectancy at birth ENGLAND All ages Male 2018 - 20 18.6 Years
A02b - Inequality in healthy life expectancy at birth ENGLAND All ages Female 2018 - 20 19.3 Years
A01a - Healthy life expectancy at 65 65 Male 2018 - 20 10.5 Years
A01a - Healthy life expectancy at 65 65 Female 2018 - 20 11.3 Years
A01b - Life expectancy at 65 65 Male 2021 18.4 Years
A01b - Life expectancy at 65 65 Female 2021 21.0 Years
A01c - Disability-free life expectancy at 65 65 Male 2018 - 20 9.84 Years
A01c - Disability-free life expectancy at 65 65 Female 2018 - 20 9.87 Years
A02a - Inequality in life expectancy at 65 65 Male 2018 - 20 5.20 Years
A02a - Inequality in life expectancy at 65 65 Female 2018 - 20 4.80 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 2021/22 15.3 %
B01b - Children in relative low income families (under 16s) <16 yrs Persons 2021/22 19.9 %
B02a - School readiness: percentage of children achieving a good level of development at the end of Reception 5 yrs Persons 2021/22 65.2 %
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 2021/22 49.1 %
B02b - School readiness: percentage of children achieving the expected level in the phonics screening check in Year 1 6 yrs Persons 2021/22 75.5 %
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 2021/22 62.0 %
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 2021/22 79.5 %
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 2021/22 67.1 %
B03 - Pupil absence 5-15 yrs Persons 2020/21 4.62 %
B04 - First time entrants to the youth justice system 10-17 yrs Persons 2021 146.9 per 100,000
B05 - 16 to 17 year olds not in education, employment or training (NEET) or whose activity is not known 16-17 yrs Persons 2021 4.70 %
B06a - Adults with a learning disability who live in stable and appropriate accommodation 18-64 yrs Persons 2021/22 78.8 %
B06b - Adults in contact with secondary mental health services who live in stable and appropriate accommodation 18-69 yrs Persons 2020/21 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 physical or mental long term health condition (aged 16 to 64) and the overall employment rate 16-64 yrs Persons 2021/22 9.86 Percentage points
B08a - The percentage of the population with a physical or mental long term health condition in employment (aged 16 to 64) 16-64 yrs Persons 2021/22 65.5 %
B08b - Gap in the employment rate between those who are in receipt of long term support for a learning disability (aged 18 to 64) and the overall employment rate 18-64 yrs Persons 2021/22 70.6 Percentage points
B08b - The percentage of the population who are in receipt of long term support for a learning disability that are in paid employment (aged 18 to 64) 18-64 yrs Persons 2021/22 4.80 %
B08c - Gap in the employment rate for those who are in contact with secondary mental health services (aged 18 to 69) and on the Care Plan Approach, and the overall employment rate 18-69 yrs Persons 2020/21 66.1 Percentage points
B08c - The percentage of the population who are in contact with secondary mental health services and on the Care Plan Approach, that are in paid employment (aged 18 to 69) 18-69 yrs Persons 2020/21 9.00 %
B08d - Percentage of people in employment 16-64 yrs Persons 2021/22 75.4 %
B09a - Sickness absence: the percentage of employees who had at least one day off in the previous week 16+ yrs Persons 2019 - 21 1.82 %
B09b - Sickness absence: the percentage of working days lost due to sickness absence 16+ yrs Persons 2019 - 21 1.01 %
B10 - Killed and seriously injured (KSI) casualties on England’s roads All ages Persons 2021 95.6 $ per billion vehicle miles
B11 - Domestic abuse related incidents and crimes 16+ yrs Persons 2021/22 30.8 per 1,000
B12a - Violent crime - hospital admissions for violence (including sexual violence) All ages Persons 2018/19 - 20/21 41.9 per 100,000
B12b - Violent crime - violence offences per 1,000 population All ages Persons 2021/22 34.9 ~ per 1,000
B12c - Violent crime - sexual offences per 1,000 population All ages Persons 2021/22 3.03 ~ per 1,000
B13a - Re-offending levels - percentage of offenders who re-offend All ages Persons 2019/20 25.4 %
B13b - Re-offending levels - average number of re-offences per re-offender All ages Persons 2019/20 3.74 per re-offender
B13c - First time offenders 10+ yrs Persons 2021 166.3 per 100,000
B14a - The rate of complaints about noise All ages Persons 2020/21 12.0 $ 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 2021/22 11.7 per 1,000
B15c - Homelessness: households in temporary accommodation Not applicable Not applicable 2021/22 4.01 per 1,000
B16 - Utilisation of outdoor space for exercise/health reasons 16+ yrs Persons Mar 2015 - Feb 2016 17.9 %
B17 - Fuel poverty (low income, low energy efficiency methodology) Not applicable Not applicable 2020 13.2 %
B18a - Social Isolation: percentage of adult social care users who have as much social contact as they would like 18+ yrs Persons 2021/22 40.6 %
B18b - Social Isolation: percentage of adult carers who have as much social contact as they would like 18+ yrs Persons 2021/22 28.0 %
B19 - Loneliness: Percentage of adults who feel lonely often or always or some of the time 16+ yrs Persons 2019/20 22.3 %
1.01i - Children in low income families (all dependent children under 20) 0-19 yrs Persons 2016 17.0 %

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 2021 41.8 per 1,000
C02a - Under 18s conception rate / 1,000 <18 yrs Female 2021 13.1 per 1,000
C02b - Under 16s conception rate / 1,000 <16 yrs Female 2021 2.10 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 2021 2.77 %
C05a - Baby’s first feed breastmilk Newborn Persons 2020/21 71.7 %
C06 - Smoking status at time of delivery All ages Female 2021/22 9.10 %
C07 - Proportion of New Birth Visits (NBVs) completed within 14 days <14 days Persons 2021/22 82.7 %
C08a - Child development: percentage of children achieving a good level of development at 2 to 2½ years 2-2.5 yrs Persons 2021/22 81.1 ^ %
C08b - Child development: percentage of children achieving the expected level in communication skills at 2 to 2½ years 2-2.5 yrs Persons 2021/22 86.5 ^ %
C08c - Child development: percentage of children achieving the expected level in personal social skills at 2 to 2½ years 2-2.5 yrs Persons 2021/22 91.1 ^ %
C09a - Reception: Prevalence of overweight (including obesity) 4-5 yrs Persons 2021/22 22.3 %
C09b - Year 6: Prevalence of overweight (including obesity) 10-11 yrs Persons 2021/22 37.8 %
C10 - Percentage of physically active children and young people 5-16 yrs Persons 2021/22 47.2 %
C11a - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0 to 14 years) <15 yrs Persons 2021/22 84.3 per 10,000
C11a - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0 to 4 years) 0-4 yrs Persons 2021/22 103.6 per 10,000
C11b - Hospital admissions caused by unintentional and deliberate injuries in young people (aged 15 to 24 years) 15-24 yrs Persons 2021/22 118.6 per 10,000
C12 - Percentage of looked after children whose emotional wellbeing is a cause for concern 5-16 yrs Persons 2021/22 37.0 %
C14b - Emergency Hospital Admissions for Intentional Self-Harm All ages Persons 2021/22 163.9 per 100,000
C15 - Percentage of adults aged 16 and over meeting the ‘5-a-day’ fruit and vegetable consumption recommendations (new method) 16+ yrs Persons 2021/22 32.5 %
C15 - Proportion of the population meeting the recommended ‘5 a day’ on a ‘usual day’ (adults) (old method) 16+ yrs Persons 2019/20 55.4 %
C16 - Percentage of adults (aged 18 plus) classified as overweight or obese 18+ yrs Persons 2021/22 63.8 %
C17a - Percentage of physically active adults 19+ yrs Persons 2021/22 67.3 %
C17b - Percentage of physically inactive adults 19+ yrs Persons 2021/22 22.3 %
C19a - Successful completion of drug treatment: opiate users 18+ yrs Persons 2021 5.02 %
C19b - Successful completion of drug treatment: non opiate users 18+ yrs Persons 2021 34.3 %
C19c - Successful completion of alcohol treatment 18+ yrs Persons 2021 36.6 %
C19d - Deaths from drug misuse All ages Persons 2018 - 20 5.02 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 2021/22 37.4 %
C21 - Admission episodes for alcohol-related conditions (Narrow) All ages Persons 2021/22 494.0 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 2020 52.3 %
C24a - Cancer screening coverage: breast cancer 53-70 yrs Female 2022 65.2 ~ %
C24b - Cancer screening coverage: cervical cancer (aged 25 to 49 years old) 25-49 yrs Female 2022 67.6 ~ %
C24c - Cancer screening coverage: cervical cancer (aged 50 to 64 years old) 50-64 yrs Female 2022 74.6 ~ %
C24d - Cancer screening coverage: bowel cancer 60-74 yrs Persons 2022 70.3 ~ %
C24e - Abdominal Aortic Aneurysm Screening Coverage 65 Male 2021/22 70.3 ~ %
C24f - Diabetic eye screening: uptake 12+ yrs Persons 2021/22 78.4 ~ %
C24g - Fetal Anomaly Screening: Coverage Not applicable Female 2021/22 99.1 ~ %
C24h - Infectious Diseases in Pregnancy Screening: HIV Coverage All ages Female 2021/22 99.8 ~ %
C24i - Infectious Diseases in Pregnancy Screening: Syphilis Coverage All ages Female 2021/22 99.8 ~ %
C24j - Infectious Diseases in Pregnancy Screening: Hepatitis B Coverage All ages Female 2021/22 99.8 ~ %
C24k - Sickle Cell and Thalassaemia Screening: Coverage All ages Female 2021/22 99.7 ~ %
C24l - Newborn Blood Spot Screening: Coverage <1 yr Persons 2021/22 97.4 ~ %
C24m - Newborn Hearing Screening: Coverage <1 yr Persons 2021/22 98.7 ~ %
C24n - Newborn and Infant Physical Examination Screening Coverage <1 yr Persons 2021/22 96.6 ~ %
C26a - Cumulative percentage of the eligible population aged 40-74 offered an NHS Health Check 40-74 yrs Persons 2017/18 - 21/22 63.3 %
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 2017/18 - 21/22 44.8 %
C26c - Cumulative percentage of the eligible population aged 40-74 who received an NHS Health check 40-74 yrs Persons 2017/18 - 21/22 28.4 %
C27 - Percentage reporting a long-term Musculoskeletal (MSK) problem 16+ yrs Persons 2022 17.6 %
C28a - Self reported wellbeing: people with a low satisfaction score 16+ yrs Persons 2021/22 4.98 %
C28b - Self reported wellbeing: people with a low worthwhile score 16+ yrs Persons 2021/22 3.96 %
C28c - Self reported wellbeing: people with a low happiness score 16+ yrs Persons 2021/22 8.41 %
C28d - Self reported wellbeing: people with a high anxiety score 16+ yrs Persons 2021/22 22.6 %
C29 - Emergency hospital admissions due to falls in people aged 65 and over 65+ yrs Persons 2021/22 2100 per 100,000
C29 - Emergency hospital admissions due to falls in people aged 65 to 79 65-79 yrs Persons 2021/22 992.7 per 100,000
C29 - Emergency hospital admissions due to falls in people aged 80 plus 80+ yrs Persons 2021/22 5311 per 100,000
2.02ii - Breastfeeding prevalence at 6-8 weeks after birth - current method 6-8 weeks Persons 2021/22 49.2 ^ %

D. Health protection

Indicator Age Sex Period Value Unit Recent trend Change from previous
D01 - Fraction of mortality attributable to particulate air pollution (new method) 30+ yrs Persons 2021 5.50 %
D02a - Chlamydia detection rate per 100,000 aged 15 to 24 15-24 yrs Persons 2021 1334 per 100,000
D02a - Chlamydia detection rate per 100,000 aged 15 to 24 15-24 yrs Male 2021 859.8 per 100,000
D02a - Chlamydia detection rate per 100,000 aged 15 to 24 15-24 yrs Female 2021 1762 per 100,000
D02b - New STI diagnoses (excluding chlamydia aged under 25) per 100,000 All ages Persons 2021 394.5 per 100,000
D03c - Population vaccination coverage: Dtap IPV Hib (1 year old) 1 yr Persons 2021/22 91.8 * %
D03d - Population vaccination coverage: MenB (1 year) 1 yr Persons 2021/22 91.5 * %
D03e - Population vaccination coverage: Rotavirus (Rota) (1 year) 1 yr Persons 2021/22 89.9 * %
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 2021/22 93.0 * %
D03i - Population vaccination coverage: MenB booster (2 years) 2 yrs Persons 2021/22 88.0 * %
D03j - Population vaccination coverage: MMR for one dose (2 years old) 2 yrs Persons 2021/22 89.2 * %
D03k - Population vaccination coverage: PCV booster 2 yrs Persons 2021/22 89.3 * %
D03l - Population vaccination coverage: Flu (2 to 3 years old) 2-3 yrs Persons 2021/22 50.1 * %
D03m - Population vaccination coverage: Hib and MenC booster (2 years old) 2 yrs Persons 2021/22 89.0 * %
D04a - Population vaccination coverage: DTaP and IPV booster (5 years) 5 yrs Persons 2021/22 84.2 * %
D04b - Population vaccination coverage: MMR for one dose (5 years old) 5 yrs Persons 2021/22 93.4 * %
D04c - Population vaccination coverage: MMR for two doses (5 years old) 5 yrs Persons 2021/22 85.7 * %
D04d - Population vaccination coverage: Flu (primary school aged children) 4-11 yrs Persons 2021 57.4 * %
D04e - Population vaccination coverage: HPV vaccination coverage for one dose (12 to 13 year old) 12-13 yrs Female 2021/22 69.6 * %
D04e - Population vaccination coverage: HPV vaccination coverage for one dose (12 to 13 year old) 12-13 yrs Male 2021/22 62.4 * %
D04f - Population vaccination coverage: HPV vaccination coverage for two doses (13 to 14 years old) 13-14 yrs Female 2021/22 67.3 * %
D04f - Population vaccination coverage: HPV vaccination coverage for two doses (13 to 14 years old) 13-14 yrs Male 2021/22 62.4 * %
D04g - Population vaccination coverage: Meningococcal ACWY conjugate vaccine (MenACWY) (14 to 15 years) 14-15 yrs Persons 2021/22 79.6 * %
D05 - Population vaccination coverage: Flu (at risk individuals) 6 months-64 yrs Persons 2021/22 52.9 * %
D06a - Population vaccination coverage: Flu (aged 65 and over) 65+ yrs Persons 2021/22 82.3 * %
D06b - Population vaccination coverage: PPV 65+ yrs Persons 2020/21 70.6 * %
D06c - Population vaccination coverage: Shingles vaccination coverage (71 years) 71 Persons 2021/22 44.0 * %
D07 - HIV late diagnosis in people first diagnosed with HIV in the UK 15+ yrs Persons 2019 - 21 43.4 * %
D08a - Proportion of drug sensitive TB cases who had completed a full course of treatment by 12 months All ages Persons 2020 84.2 %
D08b - TB incidence (three year average) All ages Persons 2019 - 21 7.80 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 2021 0.74 * 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 2019 - 21 3.93 per 1,000
E02 - Percentage of 5 year olds with experience of visually obvious dentinal decay 5 yrs Persons 2021/22 23.7 %
E03 - Under 75 mortality rate from causes considered preventable <75 yrs Persons 2021 183.2 per 100,000
E04a - Under 75 mortality rate from all cardiovascular diseases <75 yrs Persons 2021 76.0 per 100,000
E04b - Under 75 mortality rate from cardiovascular diseases considered preventable <75 yrs Persons 2021 30.2 per 100,000
E05a - Under 75 mortality rate from cancer <75 yrs Persons 2021 121.5 per 100,000
E05b - Under 75 mortality rate from cancer considered preventable <75 yrs Persons 2021 50.1 per 100,000
E06a - Under 75 mortality rate from liver disease <75 yrs Persons 2021 21.2 per 100,000
E06b - Under 75 mortality rate from liver disease considered preventable <75 yrs Persons 2021 18.9 per 100,000
E07a - Under 75 mortality rate from respiratory disease <75 yrs Persons 2021 26.5 per 100,000
E07b - Under 75 mortality rate from respiratory disease considered preventable <75 yrs Persons 2021 15.6 per 100,000
E08 - Mortality rate from a range of specified communicable diseases, including influenza All ages Persons 2021 9.40 per 100,000
E09a - Premature mortality in adults with severe mental illness (SMI) 18-74 yrs Persons 2018 - 20 103.6 per 100,000
E09b - Excess under 75 mortality rate in adults with severe mental illness (SMI) 18-74 yrs Persons 2018 - 20 389.9 %
E10 - Suicide rate 10+ yrs Persons 2019 - 21 10.4 per 100,000
E11 - Emergency readmissions within 30 days of discharge from hospital All ages Persons 2020/21 15.5 %
E12a - Preventable sight loss: age related macular degeneration (AMD) 65+ yrs Persons 2021/22 103.8 per 100,000
E12b - Preventable sight loss: glaucoma 40+ yrs Persons 2021/22 12.6 per 100,000
E12c - Preventable sight loss: diabetic eye disease 12+ yrs Persons 2021/22 2.76 per 100,000
E12d - Preventable sight loss: sight loss certifications All ages Persons 2021/22 39.9 per 100,000
E13 - Hip fractures in people aged 65 and over 65+ yrs Persons 2021/22 551.2 per 100,000
E13 - Hip fractures in people aged 65 to 79 65-79 yrs Persons 2021/22 235.7 per 100,000
E13 - Hip fractures in people aged 80 and over 80+ yrs Persons 2021/22 1466 per 100,000
E14 - Winter mortality index All ages Persons Aug 2020 - Jul 2021 36.2 %
E14 - Winter mortality index (age 85 plus) 85+ yrs Persons Aug 2020 - Jul 2021 42.8 %
E15 - Estimated dementia diagnosis rate (aged 65 and over) 65+ yrs Persons 2022 62.0 * %
Accompanying indicator value notes
symbols Data note
* Value compared to a goal (see below)
~ Aggregated from all known lower geography values
$ 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
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 to 3 years old) >= 65% 40-65% < 40%
D03m - Population vaccination coverage: Hib and MenC booster (2 years old) >= 95% 90-95% < 90%
D04a - Population vaccination coverage: DTaP and 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 to 13 year old) >= 90% 80-90% < 80%
D04f - Population vaccination coverage: HPV vaccination coverage for two doses (13 to 14 years old) >= 90% 80-90% < 80%
D04g - Population vaccination coverage: Meningococcal ACWY conjugate vaccine (MenACWY) (14 to 15 years) >= 90% 80-90% < 80%
D05 - Population vaccination coverage: Flu (at risk individuals) >= 55% < 55%
D06a - Population vaccination coverage: Flu (aged 65 and over) >= 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 in people first diagnosed with HIV in the UK < 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)