# Public Health Outcomes Framework - at a glance summary

## Hyndburn

#### 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

• Indicators that are shaded blue rather than red/amber/green are presented in this way because it is not straightforward to determine for these indicators whether a high value is good or bad.

• The Change from previous column shows whether there has been a change in value compared to the previous data point. Statistically significant changes highlighted in this column have been calculated by comparing the confidence intervals for the respective time points. If the confidence intervals do not overlap, the change has been flagged as significant.

• Recent trend refers to the analysis done in the Fingertips tool which tests for a statistical trend. Changes in this column are calculated using a chi-squared statistical test for trend. This is currently only available for certain indicator types; full details are available in the tool.

• Increases or decreases are only shown if they are statistically significant. Where no arrow is shown, no comparison has been made. This may be due to the fact that the required data to make the comparison is not available for the time point, or that no confidence interval values are available for the indicator.

### A. Overarching indicators

Indicator Age Sex Period Value Value (England) Unit Recent trend Change from previous
A01b - Life expectancy at birth All ages Male 2020 76.4 78.7 Years
A01b - Life expectancy at birth All ages Female 2020 80.0 82.6 Years
A02a - Inequality in life expectancy at birth All ages Male 2018 - 20 11.8 9.70 Years
A02a - Inequality in life expectancy at birth All ages Female 2018 - 20 10.3 7.90 Years
A01b - Life expectancy at 65 65 Male 2020 16.2 18.1 Years
A01b - Life expectancy at 65 65 Female 2020 19.0 20.7 Years
A02a - Inequality in life expectancy at 65 65 Male 2018 - 20 7.70 5.20 Years
A02a - Inequality in life expectancy at 65 65 Female 2018 - 20 6.70 4.80 Years

### B. Wider determinants of health

Indicator Age Sex Period Value Value (England) Unit Recent trend Change from previous
B01b - Children in absolute low income families (under 16s) <16 yrs Persons 2020/21 24.6 15.1 %
B01b - Children in relative low income families (under 16s) <16 yrs Persons 2020/21 30.8 18.5 %
B03 - Pupil absence 5-15 yrs Persons 2020/21 4.55 4.62 %
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 2020/21 4.10 10.7 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 2020/21 71.1 64.4 %
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 2020/21 - 5.14 %
B08d - Percentage of people in employment 16-64 yrs Persons 2020/21 75.2 75.1 %
B09a - Sickness absence - the percentage of employees who had at least one day off in the previous week 16+ yrs Persons 2018 - 20 2.98 1.92 %
B09b - Sickness absence - the percentage of working days lost due to sickness absence 16+ yrs Persons 2018 - 20 2.13 1.02 %
B12a - Violent crime - hospital admissions for violence (including sexual violence) All ages Persons 2018/19 - 20/21 88.4 41.9 per 100,000
B12b - Violent crime - violence offences per 1,000 population All ages Persons 2020/21 40.4 29.5 & per 1,000
B12c - Violent crime - sexual offences per 1,000 population All ages Persons 2020/21 2.37 2.29 & per 1,000
B13a - Re-offending levels - percentage of offenders who re-offend All ages Persons 2019/20 26.8 25.4 %
B13b - Re-offending levels - average number of re-offences per re-offender All ages Persons 2019/20 4.54 3.74 per re-offender
B14a - The rate of complaints about noise All ages Persons 2019/20 4.95 ~ 6.37 ~ per 1,000
B15a - Homelessness - households owed a duty under the Homelessness Reduction Act Not applicable Not applicable 2020/21 5.35 11.3 per 1,000
B15c - Homelessness - households in temporary accommodation Not applicable Not applicable 2020/21 0.20 4.03 per 1,000
B17 - Fuel poverty (low income, low energy efficiency methodology) Not applicable Not applicable 2020 15.0 13.2 %
B19 - Loneliness: Percentage of adults who feel lonely often / always or some of the time 16+ yrs Persons 2019/20 23.3 22.3 %
1.01i - Children in low income families (all dependent children under 20) 0-19 yrs Persons 2016 20.2 17.0 %

### C. Health improvement

Indicator Age Sex Period Value Value (England) Unit Recent trend Change from previous
C01 - Total prescribed LARC excluding injections rate / 1,000 All ages Female 2020 31.0 34.6 per 1,000
C02a - Under 18s conception rate / 1,000 <18 yrs Female 2020 21.9 13.0 per 1,000
C04 - Low birth weight of term babies
=37 weeks gestational age at birth
Persons 2020 4.71 2.86 %
C06 - Smoking status at time of delivery All ages Female 2020/21 14.7 9.60 %
C09a - Reception: Prevalence of overweight (including obesity) 4-5 yrs Persons 2019/20 26.3 $23.0 % C09b - Year 6: Prevalence of overweight (including obesity) 10-11 yrs Persons 2019/20 38.6 35.2 % C10 - Percentage of physically active children and young people 5-16 yrs Persons 2020/21 39.0 44.6 % C11a - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0-14 years) <15 yrs Persons 2020/21 151.4 75.7 per 10,000 C11a - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0-4 years) 0-4 yrs Persons 2020/21 175.8 108.7 per 10,000 C11b - Hospital admissions caused by unintentional and deliberate injuries in young people (aged 15-24 years) 15-24 yrs Persons 2020/21 140.7 112.4 per 10,000 C14b - Emergency Hospital Admissions for Intentional Self-Harm All ages Persons 2020/21 316.1 181.2 per 100,000 C15 - Proportion of the population meeting the recommended ‘5-a-day’ on a ‘usual day’ (adults) 16+ yrs Persons 2019/20 45.2 55.4 % C16 - Percentage of adults (aged 18+) classified as overweight or obese 18+ yrs Persons 2020/21 71.1 63.5 % C17a - Percentage of physically active adults 19+ yrs Persons 2020/21 62.8 65.9 % C17b - Percentage of physically inactive adults 19+ yrs Persons 2020/21 25.4 23.4 % C18 - Smoking Prevalence in adults (18+) - current smokers (APS) (2020 definition) 18+ yrs Persons 2020 12.0 12.1 % C19d - Deaths from drug misuse All ages Persons 2018 - 20 4.79 5.02 per 100,000 C21 - Admission episodes for alcohol-related conditions (Narrow): New method. This indicator uses a new set of attributable fractions, and so differ from that originally published. All ages Persons 2020/21 555.5 455.9 per 100,000 C22 - Estimated diabetes diagnosis rate 17+ yrs Persons 2018 87.1 78.0 % C23 - Percentage of cancers diagnosed at stages 1 and 2 All ages Persons 2019 47.6 55.0 % C24a - Cancer screening coverage - breast cancer 53-70 yrs Female 2021 67.4 64.1 & % C24b - Cancer screening coverage - cervical cancer (aged 25 to 49 years old) 25-49 yrs Female 2021 69.1 68.0 & % C24c - Cancer screening coverage - cervical cancer (aged 50 to 64 years old) 50-64 yrs Female 2021 73.9 74.7 & % C24d - Cancer screening coverage - bowel cancer 60-74 yrs Persons 2021 58.9 65.2 & % C24e - Abdominal Aortic Aneurysm Screening - Coverage 65 Male 2020/21 62.6 55.0 & % C27 - Percentage reporting a long-term Musculoskeletal (MSK) problem 16+ yrs Persons 2021 25.3 17.0 % C29 - Emergency hospital admissions due to falls in people aged 65 and over 65+ yrs Persons 2020/21 1916 2023 per 100,000 C29 - Emergency hospital admissions due to falls in people aged 65-79 65-79 yrs Persons 2020/21 1010 936.6 per 100,000 C29 - Emergency hospital admissions due to falls in people aged 80+ 80+ yrs Persons 2020/21 4543 5174 per 100,000 ### D. Health protection Indicator Age Sex Period Value Value (England) Unit Recent trend Change from previous D01 - Fraction of mortality attributable to particulate air pollution (old method) 30+ yrs Persons 2019 4.35 5.13 % D01 - Fraction of mortality attributable to particulate air pollution (new method) 30+ yrs Persons 2020 4.99 5.64 % D02a - Chlamydia detection rate / 100,000 aged 15 to 24 15-24 yrs Persons 2020 1093 * 1408 * per 100,000 D02b - New STI diagnoses (exc chlamydia aged <25) / 100,000 15-64 yrs Persons 2020 334.1 619.0 per 100,000 D04d - Population vaccination coverage - Flu (primary school aged children) 4-11 yrs Persons 2021 - * 57.4 * % D07 - HIV late diagnosis (all CD4 less than 350) (%) 15+ yrs Persons 2018 - 20 25.0 ^ * 42.4 * % D08b - TB incidence (three year average) All ages Persons 2018 - 20 7.43 7.96 per 100,000 D10 - Adjusted antibiotic prescribing in primary care by the NHS All ages Persons 2021 1.01 * 0.74 * per STAR-PU ### E. Healthcare and premature mortality Indicator Age Sex Period Value Value (England) Unit Recent trend Change from previous E01 - Infant mortality rate <1 yr Persons 2018 - 20 3.40 3.90 per 1,000 E02 - Percentage of 5 year olds with experience of visually obvious dental decay 5 yrs Persons 2018/19 39.6 23.4 % E03 - Under 75 mortality rate from causes considered preventable (2019 definition) <75 yrs Persons 2020 224.5 140.5 per 100,000 E04a - Under 75 mortality rate from all cardiovascular diseases <75 yrs Persons 2020 108.3 73.8 per 100,000 E04b - Under 75 mortality rate from cardiovascular diseases considered preventable (2019 definition) <75 yrs Persons 2020 38.9 29.2 per 100,000 E05a - Under 75 mortality rate from cancer <75 yrs Persons 2020 132.1 125.1 per 100,000 E05b - Under 75 mortality rate from cancer considered preventable (2019 definition) <75 yrs Persons 2020 72.3 51.5 per 100,000 E06a - Under 75 mortality rate from liver disease <75 yrs Persons 2020 30.5 20.6 per 100,000 E06b - Under 75 mortality rate from liver disease considered preventable (2019 definition) <75 yrs Persons 2020 26.2 18.2 per 100,000 E07a - Under 75 mortality rate from respiratory disease <75 yrs Persons 2020 58.6 29.4 per 100,000 E07b - Under 75 mortality rate from respiratory disease considered preventable (2019 definition) <75 yrs Persons 2020 40.7 17.1 per 100,000 E08 - Mortality rate from a range of specified communicable diseases, including influenza All ages Persons 2020 15.7 8.25 per 100,000 E10 - Suicide rate 10+ yrs Persons 2018 - 20 11.7 10.4 per 100,000 E11 - Emergency readmissions within 30 days of discharge from hospital All ages Persons 2020/21 15.4 15.5 % E13 - Hip fractures in people aged 65 and over 65+ yrs Persons 2020/21 541.8 528.7 per 100,000 E13 - Hip fractures in people aged 65-79 65-79 yrs Persons 2020/21 212.9 219.3 per 100,000 E13 - Hip fractures in people aged 80+ 80+ yrs Persons 2020/21 1496 1426 per 100,000 E14 - Excess winter deaths index All ages Persons Aug 2019 - Jul 2020 16.4 17.4 % E14 - Excess winter deaths index (age 85+) 85+ yrs Persons Aug 2019 - Jul 2020 31.0 20.8 % E15 - Estimated dementia diagnosis rate (aged 65 and over) 65+ yrs Persons 2022 75.1 * 62.0 * % ##### Accompanying indicator value notes symbols Data note * Value compared to a goal (see below) ~ Value is modelled or synthetic estimate$ Interpret with caution - see Notes section in Definitions for details
^ Value presented but numerator and denominator suppressed for disclosure control due to small denominator
& Aggregated from all known lower geography values

#### 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
D04d - Population vaccination coverage - Flu (primary school aged children) >= 65% <65%
D07 - HIV late diagnosis (all CD4 less than 350) (%) < 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)