The Sexual and Reproductive Health Profiles have been developed by UK Health Security Agency (UKHSA) to support local authorities, public health leads and other interested parties to monitor the sexual and reproductive health of their population and the contribution of local public health related systems.
Interactive maps, charts and tables provide a snapshot and trends across a range of topics including teenage pregnancy, abortions, contraception, HIV, sexually transmitted infections and sexual offences. Wider influences on sexual health such as alcohol use, and other topics particularly relating to teenage conceptions such as education and deprivation level, are also included.
The Summary Profiles of Local Authority Sexual Health (SPLASH) reports for County / UA can be found in the Reports section of the profile here.
To accompany this tool, advice and further data can be found in:
Developments and contact details
The range of indicators and their presentation will be extended and refined as further data sources and software functionality become available. We also make ongoing improvements to the tool, including the accompanying indicator definitions and supporting information, following user feedback and reviews.
Feedback is welcomed - please email us at profilefeedback@phe.gov.uk. Alternatively, you may wish to discuss issues raised with UKHSA pan-regional local health protection services, including UKHSA Sexual Health Facilitators who are attached to each regional centre.
The following indicators in the Reproductive Health and Teenage Pregnancy topics have been updated with the most recent data:
The following two STI indicators have been updated due to a correction to the number of donovanosis diagnoses in England for the 2019 data.
The Summary Profile of Local Authority Sexual Health (SPLASH) report for County/UA (2020/21) areas have been updated and are now available in the ‘Reports’ section. All indicators in the reports have been updated to the latest data available.
The National Chlamydia Screening Programme (NCSP) changed to focus on reducing the harms from untreated chlamydia infection. Given the changes in programme aim the Public Health Outcomes Framework (PHOF) benchmarking thresholds have been revised and will be measured against females only from 2022. Please see the following indicators’ definitions note for more information.
More details can be found in the summary of changes to the NCSP PHOF DRI benchmarking.
All 17 HIV indicators have been updated to include 2020 data and revision of previously published data to reflect clinic or laboratory resubmissions and improvements to data cleaning. Therefore, data may differ from previous publications.
Three of these HIV indicators are new:
HIV data are updated to recent local authority boundaries valid from April 2021, which can be found in 'Geography version' drop-down list:
The following indicators in the Reproductive Health and Teenage Pregnancy domains have been updated with the most recent data:
All 14 STI indicators relating to GUMCAD and CTAD data have been updated to include 2020 data. Previously published data have also been revised due to clinic and laboratory resubmissions and improvements to data cleaning. Therefore, data may differ from previous publication.
Two of these STI indicators have been modified to better reflect the benefit of STI screening at person level:
STI data are updated to recent local authority boundaries valid from April 2021, which can be found in 'Area type' drop-down list:
Further selection of provisional STI data up to March 2021 are available from the Wider Impacts of Covid-19 on Health (WICH) monitoring tool.
The following indicators have been updated with the most recent data:
The Summary Profile of Local Authority Sexual Health (SPLASH) report for County/UA (4/19 - 3/20) areas have been updated and are now available in the ‘Reports’ section. All indicators in the reports have been updated to the latest data available (2019 for most indicators).
The following indicators in the Reproductive Health domain have been updated to 2019:
Total prescribed LARC excluding injections rate / 1,000
GP prescribed LARC excluding injections rate / 1,000
SRH Services prescribed LARC excluding injections rate / 1,000
Under 25s choose LARC excluding injections at SRH Services (%)
Over 25s choose LARC excluding injections at SRH Services (%)
Women choose injections at SRH Services (%)
Women choose user-dependent methods at SRH Services (%)
Women choose hormonal short-acting contraceptives at SRH Services (%)
Under 25s individuals attend specialist contraceptive services rate / 1000 - Females
Under 25s individuals attend specialist contraceptive services rate / 1000 - Males
An error was identified for 2 HIV indicators where the allocation of residence was assigned to area of care instead of actual residence for a small proportion of records. This mainly affected a few local authorities in London but some areas outside London were also affected to a lesser extent. This has been updated for the following affected HIV indicators:
All HIV indicators, including HIV testing coverage, have been updated to include 2019 data and revision of previously published data to reflect clinic/laboratory resubmissions and improvements to data cleaning. Therefore, data may differ from previous publications.
The following indicators covering abortions have also been updated:
All data are updated to recent local authority boundaries valid from April 2020, which can be found in 'Area type' drop-down list:
All STI indicators relating to GUMCAD and CTAD data have been updated to include 2019 data. Previously published data have also been revised due to clinic/laboratory resubmissions and improvements to data cleaning. Therefore, data may differ from previous publication.
STI data are updated to recent local authority boundaries valid from April 2020, which can be found in 'Area type' drop-down list:
The following indicators have been updated with the most recent data:
Note: An error was identified for indicators based on hospital episode statistics (HES) data which gave misleading results for areas within the South East region and East Sussex. Affected areas have been suppressed or flagged to be treated with caution. Full details can be found in the caveats section of the descriptive metadata for each affected indicator.
Summary Profiles of Local Authority Sexual Health (SPLASH) have been updated to include the following maps:
The following indicators have been updated to 2018:
Total abortion rate / 1,000
Under 25s repeat abortions (%)
Under 25s abortions after a birth (%)
Over 25s abortion rate / 1,000
Abortions under 10 weeks (%)
Abortions under 10 weeks that are medical (%)
Total prescribed LARC excluding injections rate / 1,000
GP prescribed LARC excluding injections rate / 1,000
SRH Services prescribed LARC excluding injections rate / 1,000
Under 25s choose LARC excluding injections at SRH Services (%)
Over 25s choose LARC excluding injections at SRH Services (%)
Women choose injections at SRH Services (%)
Women choose user-dependent methods at SRH Services (%)
Women choose hormonal short-acting contraceptives at SRH Services (%)
Under 25s individuals attend specialist contraceptive services rate / 1000 - Females
Under 25s individuals attend specialist contraceptive services rate / 1000 - Males
The 'new HIV diagnosis rate / 100,000 aged 15+' indicator has been updated with corrected numbers of new HIV diagnoses in 2018. This was due to issues relating to the processing of data which has now been rectified.
The Summary Profile of Local Authority Sexual Health (SPLASH) report for county/UA areas are now available in the ‘download’ section.
Please note: SPLASH reports were run with data published in 3 September and does not reflect the changes in HIV data made on 1 October.
All HIV indicators have been updated to include 2018 data and revision of previously published data to reflect clinic/laboratory resubmissions and improvements to data cleaning. Therefore, data may differ from previous publications.
New HIV indicators have been added:
The following indicator has been updated to 2017:
Under 18s conceptions leading to abortion (%)
All STI and HIV testing indicators relating to GUMCAD and CTAD data have been updated to include 2018 data. Previously published data have also been revised due to clinic/laboratory resubmissions and improvements to data cleaning. Therefore, data may differ from previous publications.
Important note: contraception indicators
A number of providers in England either completely or partially did not identify local authority of residence in their SRHAD submission, so the relevant activity is excluded from local authority and PHE Centre level analysis.
The following indicators have been updated to 2017:
Under 18s conception rate / 1,000 (PHOF indicator 2.04)
Under 16s conception rate / 1,000 (PHOF indicator 2.04)
The following indicators have been updated to 2017:
Total prescribed LARC excluding injections rate / 1,000
GP prescribed LARC excluding injections rate / 1,000
SRH Services prescribed LARC excluding injections rate / 1,000
Under 25s choose LARC excluding injections at SRH Services (%)
Over 25s choose LARC excluding injections at SRH Services (%)
Women choose injections at SRH Services (%)
Women choose user-dependent methods at SRH Services (%)
Women choose hormonal short-acting contraceptives at SRH Services (%)
Under 25s individuals attend specialist contraceptive services rate / 1000 - Females
Under 25s individuals attend specialist contraceptive services rate / 1000 - Males
Proportion of TB cases offered an HIV test (TB Strategy Monitoring Indicators) update to 2017.
The new HIV diagnosis rate and late HIV diagnosis (PHOF 3.04) indicators have now been updated with corrected data.
IMPORTANT UPDATE: New HIV diagnosis rate and late HIV diagnosis (PHOF 3.04) indicators have been removed temporarily due to data errors. These will be updated with corrected data as soon as possible.
All HIV indicators updated to include 2017 data and revision of previously published data to reflect clinic/laboratory resubmissions and improvements to data cleaning. Therefore, data may differ from previous publications.
Total abortion rate/1,000, Under 18s abortion rate/1,000 and Over 25s abortion rate/1,000 updated to 2017. 2012-2016 revised due to ONS population revisions.
Under 25s repeat abortions (%), Under 25s abortion after a birth (%), Abortions under 10 weeks (%), Abortions under 10 weeks that are medical (%) updated to 2017.
All STI and HIV testing indicators relating to GUMCAD and CTAD data updated – to include 2017 data and revision of previously published data to reflect resubmissions and improvements to data cleaning. Therefore, data may differ from previous publications.
Under 18 births rate/1,000 - updated to 2016 and includes revision of data from 2012-2015 to incorporate revisions to population estimates.
Teenage conception indicators updated to 2016.
Population vaccination coverage - HPV vaccination coverage for one dose (females 12-13 years old) (PHOF indicator 3.03xii) updated to 2016/17.
Sexual offences rate / 1,000 (PHOF indicator 1.12iii) updated to 2016/17.
Under 18s admission episodes for alcohol-specific conditions updated to 2014/15 - 16/17 (three years pooled).
Under 16s in poverty (%) (PHOF indicator 1.01ii) updated to 2015.
Pelvic inflammatory disease admissions rate and ectopic pregnancy admissions rate indicators updated to 2016/17.
A new indicator 'Under 25s individuals attend specialist contraceptive services rate', has been added for 2014-2016 for males and females separately.
Infectious diseases in pregnancy screening – HIV coverage (PHOF indicator 2.20vii) updated to 2016/17.
Proportion of TB cases offered an HIV test (TB Strategy Monitoring) indicator updated to 2016 and all previous years updated using most recent TB notification dataset.
An error has been detected and 2016 data removed for 2 related contraception indicators: SRH services prescribed LARC and Total prescribed LARC. The revised versions will be released 5 December.
All contraception indicators updated to 2016
HIV indicators updated to include 2016 data and revision of previously published data to reflect clinic/laboratory resubmissions and improvements to data cleaning. Therefore, data may differ from previous publications.
Abortion indicators updated to 2016 (Note: i) reflects small adjustments that the Dept of Health will shortly make to their online abortion statistics ii) abortions over 10 weeks that are medical indicator considered less useful so has been removed). Pupil absence indicator updated to 2015/16. First time entrants to youth justice system indicator updated to 2016.
Pelvic inflammatory disease and ectopic pregnancy admissions indicators updated to 2015-16 and England totals 2008-09 to 2014-15 revised to include records not assigned an area of residence.
All STI and HIV testing indicators relating to GUMCADv2 and CTAD data update – to include 2016 data and revision of previously published data to reflect resubmissions and improvements to data cleaning. Therefore, data may differ from previous publications.
Under 18s admission episodes for alcohol-specific conditions – revised definition (admissions rather than person-based), extended trend data and update to 2013/14-2015/16 (three financial years pooled).
New functions added to the tool:
XX
The following indicators in the Reproductive Health and Teenage Pregnancy topics have been updated with the most recent data:
The following two STI indicators have been updated due to a correction to the number of donovanosis diagnoses in England for the 2019 data.
The Summary Profile of Local Authority Sexual Health (SPLASH) report for County/UA (2020/21) areas have been updated and are now available in the ‘Reports’ section. All indicators in the reports have been updated to the latest data available.
The National Chlamydia Screening Programme (NCSP) changed to focus on reducing the harms from untreated chlamydia infection. Given the changes in programme aim the Public Health Outcomes Framework (PHOF) benchmarking thresholds have been revised and will be measured against females only from 2022. Please see the following indicators’ definitions note for more information.
More details can be found in the summary of changes to the NCSP PHOF DRI benchmarking.
All 17 HIV indicators have been updated to include 2020 data and revision of previously published data to reflect clinic or laboratory resubmissions and improvements to data cleaning. Therefore, data may differ from previous publications.
Three of these HIV indicators are new:
HIV data are updated to recent local authority boundaries valid from April 2021, which can be found in 'Geography version' drop-down list:
The following indicators in the Reproductive Health and Teenage Pregnancy domains have been updated with the most recent data:
All 14 STI indicators relating to GUMCAD and CTAD data have been updated to include 2020 data. Previously published data have also been revised due to clinic and laboratory resubmissions and improvements to data cleaning. Therefore, data may differ from previous publication.
Two of these STI indicators have been modified to better reflect the benefit of STI screening at person level:
STI data are updated to recent local authority boundaries valid from April 2021, which can be found in 'Area type' drop-down list:
Further selection of provisional STI data up to March 2021 are available from the Wider Impacts of Covid-19 on Health (WICH) monitoring tool.
The following indicators have been updated with the most recent data:
The Summary Profile of Local Authority Sexual Health (SPLASH) report for County/UA (4/19 - 3/20) areas have been updated and are now available in the ‘Reports’ section. All indicators in the reports have been updated to the latest data available (2019 for most indicators).
The following indicators in the Reproductive Health domain have been updated to 2019:
Total prescribed LARC excluding injections rate / 1,000
GP prescribed LARC excluding injections rate / 1,000
SRH Services prescribed LARC excluding injections rate / 1,000
Under 25s choose LARC excluding injections at SRH Services (%)
Over 25s choose LARC excluding injections at SRH Services (%)
Women choose injections at SRH Services (%)
Women choose user-dependent methods at SRH Services (%)
Women choose hormonal short-acting contraceptives at SRH Services (%)
Under 25s individuals attend specialist contraceptive services rate / 1000 - Females
Under 25s individuals attend specialist contraceptive services rate / 1000 - Males
An error was identified for 2 HIV indicators where the allocation of residence was assigned to area of care instead of actual residence for a small proportion of records. This mainly affected a few local authorities in London but some areas outside London were also affected to a lesser extent. This has been updated for the following affected HIV indicators:
All HIV indicators, including HIV testing coverage, have been updated to include 2019 data and revision of previously published data to reflect clinic/laboratory resubmissions and improvements to data cleaning. Therefore, data may differ from previous publications.
The following indicators covering abortions have also been updated:
All data are updated to recent local authority boundaries valid from April 2020, which can be found in 'Area type' drop-down list:
All STI indicators relating to GUMCAD and CTAD data have been updated to include 2019 data. Previously published data have also been revised due to clinic/laboratory resubmissions and improvements to data cleaning. Therefore, data may differ from previous publication.
STI data are updated to recent local authority boundaries valid from April 2020, which can be found in 'Area type' drop-down list:
The following indicators have been updated with the most recent data:
Note: An error was identified for indicators based on hospital episode statistics (HES) data which gave misleading results for areas within the South East region and East Sussex. Affected areas have been suppressed or flagged to be treated with caution. Full details can be found in the caveats section of the descriptive metadata for each affected indicator.
Summary Profiles of Local Authority Sexual Health (SPLASH) have been updated to include the following maps:
The following indicators have been updated to 2018:
Total abortion rate / 1,000
Under 25s repeat abortions (%)
Under 25s abortions after a birth (%)
Over 25s abortion rate / 1,000
Abortions under 10 weeks (%)
Abortions under 10 weeks that are medical (%)
Total prescribed LARC excluding injections rate / 1,000
GP prescribed LARC excluding injections rate / 1,000
SRH Services prescribed LARC excluding injections rate / 1,000
Under 25s choose LARC excluding injections at SRH Services (%)
Over 25s choose LARC excluding injections at SRH Services (%)
Women choose injections at SRH Services (%)
Women choose user-dependent methods at SRH Services (%)
Women choose hormonal short-acting contraceptives at SRH Services (%)
Under 25s individuals attend specialist contraceptive services rate / 1000 - Females
Under 25s individuals attend specialist contraceptive services rate / 1000 - Males
The 'new HIV diagnosis rate / 100,000 aged 15+' indicator has been updated with corrected numbers of new HIV diagnoses in 2018. This was due to issues relating to the processing of data which has now been rectified.
The Summary Profile of Local Authority Sexual Health (SPLASH) report for county/UA areas are now available in the ‘download’ section.
Please note: SPLASH reports were run with data published in 3 September and does not reflect the changes in HIV data made on 1 October.
All HIV indicators have been updated to include 2018 data and revision of previously published data to reflect clinic/laboratory resubmissions and improvements to data cleaning. Therefore, data may differ from previous publications.
New HIV indicators have been added:
The following indicator has been updated to 2017:
Under 18s conceptions leading to abortion (%)
All STI and HIV testing indicators relating to GUMCAD and CTAD data have been updated to include 2018 data. Previously published data have also been revised due to clinic/laboratory resubmissions and improvements to data cleaning. Therefore, data may differ from previous publications.
Important note: contraception indicators
A number of providers in England either completely or partially did not identify local authority of residence in their SRHAD submission, so the relevant activity is excluded from local authority and PHE Centre level analysis.
The following indicators have been updated to 2017:
Under 18s conception rate / 1,000 (PHOF indicator 2.04)
Under 16s conception rate / 1,000 (PHOF indicator 2.04)
The following indicators have been updated to 2017:
Total prescribed LARC excluding injections rate / 1,000
GP prescribed LARC excluding injections rate / 1,000
SRH Services prescribed LARC excluding injections rate / 1,000
Under 25s choose LARC excluding injections at SRH Services (%)
Over 25s choose LARC excluding injections at SRH Services (%)
Women choose injections at SRH Services (%)
Women choose user-dependent methods at SRH Services (%)
Women choose hormonal short-acting contraceptives at SRH Services (%)
Under 25s individuals attend specialist contraceptive services rate / 1000 - Females
Under 25s individuals attend specialist contraceptive services rate / 1000 - Males
Proportion of TB cases offered an HIV test (TB Strategy Monitoring Indicators) update to 2017.
The new HIV diagnosis rate and late HIV diagnosis (PHOF 3.04) indicators have now been updated with corrected data.
IMPORTANT UPDATE: New HIV diagnosis rate and late HIV diagnosis (PHOF 3.04) indicators have been removed temporarily due to data errors. These will be updated with corrected data as soon as possible.
All HIV indicators updated to include 2017 data and revision of previously published data to reflect clinic/laboratory resubmissions and improvements to data cleaning. Therefore, data may differ from previous publications.
Total abortion rate/1,000, Under 18s abortion rate/1,000 and Over 25s abortion rate/1,000 updated to 2017. 2012-2016 revised due to ONS population revisions.
Under 25s repeat abortions (%), Under 25s abortion after a birth (%), Abortions under 10 weeks (%), Abortions under 10 weeks that are medical (%) updated to 2017.
All STI and HIV testing indicators relating to GUMCAD and CTAD data updated – to include 2017 data and revision of previously published data to reflect resubmissions and improvements to data cleaning. Therefore, data may differ from previous publications.
Under 18 births rate/1,000 - updated to 2016 and includes revision of data from 2012-2015 to incorporate revisions to population estimates.
Teenage conception indicators updated to 2016.
Population vaccination coverage - HPV vaccination coverage for one dose (females 12-13 years old) (PHOF indicator 3.03xii) updated to 2016/17.
Sexual offences rate / 1,000 (PHOF indicator 1.12iii) updated to 2016/17.
Under 18s admission episodes for alcohol-specific conditions updated to 2014/15 - 16/17 (three years pooled).
Under 16s in poverty (%) (PHOF indicator 1.01ii) updated to 2015.
Pelvic inflammatory disease admissions rate and ectopic pregnancy admissions rate indicators updated to 2016/17.
A new indicator 'Under 25s individuals attend specialist contraceptive services rate', has been added for 2014-2016 for males and females separately.
Infectious diseases in pregnancy screening – HIV coverage (PHOF indicator 2.20vii) updated to 2016/17.
Proportion of TB cases offered an HIV test (TB Strategy Monitoring) indicator updated to 2016 and all previous years updated using most recent TB notification dataset.
An error has been detected and 2016 data removed for 2 related contraception indicators: SRH services prescribed LARC and Total prescribed LARC. The revised versions will be released 5 December.
All contraception indicators updated to 2016
HIV indicators updated to include 2016 data and revision of previously published data to reflect clinic/laboratory resubmissions and improvements to data cleaning. Therefore, data may differ from previous publications.
Abortion indicators updated to 2016 (Note: i) reflects small adjustments that the Dept of Health will shortly make to their online abortion statistics ii) abortions over 10 weeks that are medical indicator considered less useful so has been removed). Pupil absence indicator updated to 2015/16. First time entrants to youth justice system indicator updated to 2016.
Pelvic inflammatory disease and ectopic pregnancy admissions indicators updated to 2015-16 and England totals 2008-09 to 2014-15 revised to include records not assigned an area of residence.
All STI and HIV testing indicators relating to GUMCADv2 and CTAD data update – to include 2016 data and revision of previously published data to reflect resubmissions and improvements to data cleaning. Therefore, data may differ from previous publications.
Under 18s admission episodes for alcohol-specific conditions – revised definition (admissions rather than person-based), extended trend data and update to 2013/14-2015/16 (three financial years pooled).
New functions added to the tool:
XX
