Productive Healthy Ageing Profile - Physical health conditions

Physical health conditions

The following selected resources can be used to inform prevention, detection, treatment and management of long-term health conditions. Includes sections: 'Overview' (covering a range of topics including COVID-19 impact); 'Cardiovascular disease' (including diabetes); 'Cancer'; 'Respiratory disease'; 'Musculoskeletal conditions'; 'Incontinence'; and communication-related conditons: 'Sight loss'; 'Hearing loss'; 'Oral & dental health'; and 'Speech difficulties'. 

Overview

COVID-19 impact

• COVID-19: impacts on health - reports and tools - including excess mortality reports highlighting causes of death by age group, and also the Wider Impacts of COVID-19 on Health (WICH) monitoring tool highlighting a range of issues including access to care by age group. Published by Public Health England.
• What happended to English NHS hospital activity during the COVID-19 pandemic? (2021) published by the Institute of Fiscal Studies
• Elective Surgery Recovery Landscape. Sector report & insights. (2021) published by Draper & Dash Healthcare Analytics
• See also the Inequalities - Disabilities section for further analysis of the COVID-19 impact

Other data tools and analysis

• The Productive Healthy Ageing Profile includes a range of relevant annual indicators at local (local authority and/or CCG), regional and national level in the 'Reverse or Live Well With a Long-term Condition' and the 'Demographics & Mortality' domains
• Projecting Older People Population Information (POPPI) System - includes older age group estimates and projections by health condition at national, regional and local authority level. Published by Oxford Brookes University and the Institute of Public Care.
• Projecting Adult Needs & Service Information (PANSI) for ages 18-64 - includes age groups 45-54 and 55-64 estimates and projections by selected health condition at national, regional and local authority level. Published as above.
• Global Burden of Diseases (GBD) data visualisation tool - international comparative data down to England local authority level by age group, including 50-69 and 70+, sex and year, showing the relative contributions of risks to and causes of death and disability, published by the University of Washington based on international collaboration. The Lancet GBD Resource Centre provides accompanying papers and infographics.
• Local Health - comparative data down to small area level - electoral ward and MSOA - published by Public Health England
• National General Practice Profiles published by Public Health England
• GP Patient Survey results - reports and analysis tool published by NHS England
• The health and social care costs of a selection of health conditions and multi-morbidities (2020) published by Public Health England in collaboration with Imperial College London and the UK Health Forum
• Health Profile for England: 2019 published by Public Health England provides an overview of trends in mortality, morbidity and risk factors
• Steel et al (2018). Changes in health in the countries of the UK and 150 English Local Authority areas 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016, The Lancet, vol392, issue10158, pp1647-1661
• Hospital Episode statistics (HES) including A&E, admissions and outpatients data published by NHS Digital 
• Consultant-led Referral to Treatment Waiting Times published by NHS England
• Deaths registered in England & Wales published by the Office for National Statistics. Annual statistical bulletin and links to various annual datasets.
• Mortality statistics - underlying cause, sex and age - data interrogation tool published by the Office for National Statistics
• All data related to causes of death published by the Office for National Statistics
• See also the Multi-morbidity & frailty section for further data sources and analysis

General resources

• NHS Long Term Plan (2019) published by NHS England 
• Long term conditions published by NHS England 
  
• Advice about your condition and coronavirus  guidance provided by key third sector organisations linked from the NHS website 
  
• In Focus: Experiences of having a physical health problem (2020) – published by Independent Age
• See also the Healthy & risk behaviours section
• See also the Early interventions section
  

Cardiovascular disease

Data tools and analysis

• National Cardiovascular Intelligence Network data and analysis published by Public Health England
• Cardiovascular disease, diabetes and kidney disease - data profiling tool and other data resources published by Public Health England
  
• The tip of the iceberg. The immediate and longer-term effects of the Covid-19 pandemic on people with heart and circulatory diseases. (2021) - a statistics summary published by the British Heart Foundation
• Health matters: Using data to improve cardiovascular outcomes (2019) published by Public Health England
• Cardiovascular disease - Return on Investment tool (2018) published by Public Health England
• Diabetes outcomes versus expenditure (DOVE) in local populations tool published by Public Health England
• National Diabetes Audit Programme published by NHS Digital 
  
• CVDPrevent - a new national cardiovascular disease prevention audit for primary care

General resources

• An Umbrella Review on Cardiovascular Risk Factors, Cardiovascular Disease and COVID-19 (2021) - a collaboration between Public Health England and the Liverpool Centre for Cardiovascular Science, University of Liverpool. Full review report and summary paper published on the NHS Health Check website.
• Cardiovascular disease: building back better (2021) - a blog published by Public Health England
• Guidance - Health matters: preventing cardiovascular disease (2019) published by Public Health England
• Health Matters: Ambitions to tackle persisting inequalities in cardiovascular disease (2019) published by Public Health England
  
• Cardiovascular disease (CVD) published by NHS England 
  
• Cardiovascular disease published on the NHS website 
  
• Guidance on cardiovascular conditions: general and other published by the National Institute for Health and Care Excellence (NICE)
• Stroke related guidance published by NICE
• NHS Rightcare Pathways - cardiovascular disease, stroke and diabetes published by NHS England 
  
• NHS Diabetes Prevention Programme published by NHS England 
• NICE guideline [NG28]: Type 2 diabetes in adults: management 
• NHS diabetic eye screening (DES) programme published by Public Health England
• British Heart Foundation
• Stroke Association
• Diabetes UK

Cancer

Data tools and analysis

• CancerData a wide range of resources published by the National Cancer Registration and Analysis Service (NCRAS), Public Health England
• COVID-19 cancer dashboards - latest public data on cancer diagnosis and treatment during the pandemic, monthly public Rapid Cancer Registration Dataset reports and restricted-access CancerStats data at cancer alliance and NHS trust level 
• Cancer registration statistics for England - published by Public Health England
• Emergency presentations of cancer – quarterly update of statistics published by Public Health England
• Cancer survival for England – collection of statistics published by Public Health England
• Cancer Services Profile - data tool published by Public Health England
  

General resources

• Cancer research and treatment - various resources published by Public Health England
• Coronavirus and cancer published by NHS England and NHS Improvement
• Cancer published by NHS England 
  
• Cancer published on the NHS website 
  
• Cancer: general and other guidance published by NICE
• Public Health Matters - Cancer a range of blogs from Public Health England
• Public Health Matters - Cancer and older people a wider range of blogs (not in date order) from Public Health England
• Cancer screening programmes published by Public Health England
• Cancer Research UK

Respiratory disease

Data tools and analysis

• Inhale - INteractive Health Atlas of Lung conditions in England published by Public Health England
• 2nd Atlas of variation in risk factors and healthcare for respiratory disease in England (2019) published by Public Health England and NHS Right Care

General resources

• NHS RightCare - Chronic Obstructive Pulmonary Disease (COPD) Pathway published by NHS England 
  
• Chronic obstructive pulmonary disease (COPD) published on the NHS website 
  
• Guidance on chronic obstructive pulmonary disease published by NICE
• Public Health Matters - COPD related published by Public Health England
• British Lung Foundation
• Clean Air Strategy 2019 - a cross-government initiative

Musculoskeletal conditions

Data tools and analysis

• Musculoskeletal Diseases Profile - local authority level data tool and links to further resources published by Public Health England
• Musculoskeletal conditions: return on investment tool published by Public Health England

General resources

• Chronic pain in adults 2017. An analysis of self-reported chronic pain from the 2017 Health Survey for England data. (2020) published by Public Health England
• Musculoskeletal health: 5 year prevention strategic framework (2019) published by Public Health England, NHS England and Versus Arthritis
• Health Matters: Productive healthy ageing and musculoskeletal health (2017) published by Public Health England 
• Health Matters - Your questions on productive healthy ageing and MSK health (2017) published by Public Health England
• MSK Knowledge Hub published by the Arthritis and Musculoskeletal Alliance and NHS England
• Musculoskeletal conditions published by NHS England 
  
• Guidance on musculoskeletal conditions: general and other published by NICE
• Versus Arthritis - formerly Arthritis Research UK
• Royal Osteoporosis Society
• The Arthritis and Musculoskeletal Alliance (ARMA)
• See also the Falls & Fractures section

Incontinence

• Incontinence published by Age UK
• Excellence in Continence Care Guide and case studies published by NHS England 
• Guidance on urinary incontinence published by NICE
• Guidance on faecal incontinence published by NICE
• Urinary incontinence published on the NHS website 
  
• Bowel incontinence published on the NHS website 
  
• Continence published by the British Geriatrics Society
• The role of allied health professionals in public health - examples of interventions (2015) published by Public Health England

Sight loss

Data tools and analysis

• Preventable Sight Loss Indicator and Recent trends analysis published by the Moorfields Eye Hospital NHS Foundation Trust
• Registered Blind and Partially Sighted People, England - statistics published every three years by NHS Digital
• Atlas of variation in risk factors and healthcare for vision in England (2021) published by Public Health England in partnership with RightCare and many other organisations

General resources

• Eye health published by Age UK
• Blindness and vision loss published on the NHS website
• Coronavirus and optical settings published by NHS England and NHS Improvement
• Evidence-based reviews published by the Royal National Institute for the Blind (RNIB)
• Vision UK - leading collaboration in eye health and sight loss
• The British & Irish Orthoptic Society (BIOS)
• Sight loss related guidance published by NICE
  
• World Sight Day
• See the light: Improving capacity in NHS eye care in England (2018) published by All-Party Parliamentary Group on Eye Health and Visual Impairment
• How to support people who are blind or have sight loss (2017) published by NHS England & RNIB 
  

Hearing loss

Data tools and analysis

• Hearing Loss Data Tool published by NHS England 
• NHS Direct Access Audiology statistics and information published by NHS England 
  

General resources

• Hearing loss published by Age UK
• Hearing loss published on the NHS website 
• Hearing loss related guidance published by NICE
• Consultation on UK NSC recommendation on Hearing loss screening in adults (2019-2020)
• Joint Strategic Needs Assessment Guidance - for Local Authorities and NHS commissioners on assessing the hearing needs of local populations (2019) co-produced by NHS England with multiple partners
• Health Matters: Hearing loss across the life course (2019) - blog published by Public Health England
• What works: hearing loss and healthy ageing (2017) published by NHS England 
  
• National Commissioning Framework for Hearing Loss Services (2016) published by NHS England 
  
• The UK NSC recommendation on Hearing loss screening in adults (2016) published by Public Health England
• British Deaf Association
  

Oral & dental health

Data tools and analysis

• Inequalities in oral health in England (2021) published by Public Health England

General resources

• Adult oral health: applying All Our Health - evidence and guidance for healthcare professionals published by Public Health England 
• Oral health published by Public Health England. Information and resources for dental public health practitioners to improve oral health and reduce inequalities in England.
• Dental commissioning published by NHS England 
  
• Dental health published on the NHS website 
  
• Coronavirus and dental practice published by NHS England and NHS Imprvement
• Guidance on oral and dental health published by NICE
• Oral health toolkit for adults in care homes (2020) published by Public Health England
• Commissioning better oral health for vulnerable older people (2018) published by Public Health England
• Guidance: Oral health of older people in England and Wales (2016) published by Public Health England
• What is Known About the Oral Health of Older People in England and Wales (2015) published by Public Health England and the British Association for the Study of Community Dentistry

Speech difficulties

• Dysarthria (difficulty speaking) published on the NHS website 
  
• Speech and language therapy published by the Royal College of Speech and Language Specialists
• The role of allied health professionals in public health - examples of interventions (2015) published by Public Health England
• Communication Aids provided by AbilityNet