Public Health Outcomes Framework - at a glance summary

Published 5 November 2024

Lancaster

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 Value (Region) Value (England) Unit Recent trend Change from previous
A01b - Life expectancy at birth All ages Male 2022 77.4 77.7 79.3 Years
A01b - Life expectancy at birth All ages Male 2020 - 22 77.8 77.3 78.9 Years
A01b - Life expectancy at birth All ages Female 2022 81.7 81.7 83.2 Years
A01b - Life expectancy at birth All ages Female 2020 - 22 81.7 81.3 82.8 Years
A02a - Inequality in life expectancy at birth All ages Male 2018 - 20 10.0 11.6 9.7 Years
A02a - Inequality in life expectancy at birth All ages Female 2018 - 20 9.8 10.0 7.9 Years
A01b - Life expectancy at 65 65 Male 2022 18.1 17.9 18.7 Years
A01b - Life expectancy at 65 65 Male 2020 - 22 18.0 17.6 18.4 Years
A01b - Life expectancy at 65 65 Female 2022 20.6 20.3 21.2 Years
A01b - Life expectancy at 65 65 Female 2020 - 22 20.5 20.0 20.9 Years
A02a - Inequality in life expectancy at 65 65 Male 2018 - 20 4.7 6.2 5.2 Years
A02a - Inequality in life expectancy at 65 65 Female 2018 - 20 5.7 6.4 4.8 Years

B. Wider determinants of health

Indicator Age Sex Period Value Value (Region) Value (England) Unit Recent trend Change from previous
B01b - Children in absolute low income families (under 16s) <16 yrs Persons 2022/23 15.5 20.5 15.6 %
B01b - Children in relative low income families (under 16s) <16 yrs Persons 2022/23 21.4 26.7 19.8 %
B03 - Pupil absence 5-15 yrs Persons 2022/23 7.6 7.3 7.4 %
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 2022/23 17.2 12.4 10.4 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 2022/23 58.7 61.2 65.3 %
B08d - Percentage of people in employment 16-64 yrs Persons 2023/24 70.9 73.2 75.7 %
B09a - Sickness absence: the percentage of employees who had at least one day off in the previous week 16+ yrs Persons 2020 - 22 4.8 2.0 2.0 %
B09b - Sickness absence: the percentage of working days lost due to sickness absence 16+ yrs Persons 2020 - 22 2.2 1.1 1.1 %
B12a - Violent crime - hospital admissions for violence (including sexual violence) All ages Persons 2020/21 - 22/23 32.9 46.8 34.3 per 100,000
B12b - Violent crime - violence offences per 1,000 population All ages Persons 2022/23 30.6 43.3 $ 34.4 per 1,000
B12c - Violent crime - sexual offences per 1,000 population All ages Persons 2022/23 2.9 3.4 $ 3.0 per 1,000
B13a - Reoffending levels: percentage of offenders who reoffend All ages Persons 2021/22 26.8 26.7 25.0 %
B13b - Reoffending levels: average number of reoffences per reoffender All ages Persons 2021/22 4.05 3.47 3.71 per re-offender
B14a - The rate of complaints about noise All ages Persons 2020/21 4.2 6.0 ^ 12.0 ^ per 1,000
B17 - Fuel poverty (low income, low energy efficiency methodology) Not applicable Not applicable 2022 15.1 14.1 13.1 %
B19 - Loneliness: Percentage of adults who feel lonely often or always or some of the time 16+ yrs Persons 2019/20 23.11 22.90 22.26 %
1.01i - Children in low income families (all dependent children under 20) 0-19 yrs Persons 2016 14.7 18.1 17.0 %

C. Health improvement

Indicator Age Sex Period Value Value (Region) Value (England) Unit Recent trend Change from previous
C01 - Total prescribed LARC excluding injections rate / 1,000 All ages Female 2022 63.5 40.6 44.1 per 1,000
C02a - Under 18s conception rate / 1,000 <18 yrs Female 2021 14.2 16.4 13.1 per 1,000
C04 - Low birth weight of term babies
=37 weeks gestational age at birth
Persons 2022 3.3 2.8 2.9 %
C06 - Smoking status at time of delivery All ages Female 2023/24 8.5 8.4 7.4 %
C09a - Reception prevalence of overweight (including obesity) 4-5 yrs Persons 2023/24 24.2 23.2 22.1 %
C09b - Year 6 prevalence of overweight (including obesity) 10-11 yrs Persons 2023/24 38.1 37.2 35.8 %
C10 - Percentage of physically active children and young people 5-16 yrs Persons 2022/23 52.7 45.1 47.0 %
C11a - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0 to 14 years) <15 yrs Persons 2022/23 98.9 97.8 75.3 per 10,000
C11a - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0 to 4 years) 0-4 yrs Persons 2022/23 120.0 120.5 92.0 per 10,000
C11b - Hospital admissions caused by unintentional and deliberate injuries in young people (aged 15 to 24 years) 15-24 yrs Persons 2022/23 67.5 95.7 94.1 per 10,000
C14b - Emergency Hospital Admissions for Intentional Self-Harm All ages Persons 2022/23 108.5 139.3 126.3 per 100,000
C15 - Percentage of adults meeting the ‘5-a-day’ fruit and vegetable consumption recommendations (new method) 16+ yrs Persons 2022/23 33.2 27.3 31.0 %
C15 - Proportion of the population meeting the recommended ‘5 a day’ on a ‘usual day’ (adults) (old method) 16+ yrs Persons 2019/20 53.1 51.2 55.4 %
C16 - Overweight (including obesity) prevalence in adults 18+ yrs Persons 2022/23 61.5 66.5 64.0 %
C17a - Percentage of physically active adults 19+ yrs Persons 2022/23 72.5 65.7 67.1 %
C17b - Percentage of physically inactive adults 19+ yrs Persons 2022/23 15.7 24.2 22.6 %
C18 - Smoking Prevalence in adults (aged 18 and over) - current smokers (APS) 18+ yrs Persons 2023 12.0 11.8 11.6 %
C19d - Deaths from drug misuse All ages Persons 2020 - 22 3.5 7.7 5.2 per 100,000
C21 - Admission episodes for alcohol-related conditions (Narrow) All ages Persons 2022/23 559 475 475 per 100,000
C21 - Admission episodes for alcohol-related conditions (Narrow) All ages Male 2022/23 741 682 639 per 100,000
C21 - Admission episodes for alcohol-related conditions (Narrow) All ages Female 2022/23 394 285 326 per 100,000
C22 - Estimated diabetes diagnosis rate 17+ yrs Persons 2018 78.7 81.1 78.0 %
C23 - Percentage of cancers diagnosed at stages 1 and 2 All ages Persons 2021 49.6 53.5 54.4 %
C24a - Cancer screening coverage: breast cancer 53-70 yrs Female 2023 69.6 65.8 $ 66.2 $ %
C24b - Cancer screening coverage: cervical cancer (aged 25 to 49 years old) 25-49 yrs Female 2023 60.0 66.9 $ 65.8 $ %
C24c - Cancer screening coverage: cervical cancer (aged 50 to 64 years old) 50-64 yrs Female 2023 72.5 73.5 $ 74.4 $ %
C24d - Cancer screening coverage: bowel cancer 60-74 yrs Persons 2023 73.8 70.6 $ 72.0 $ %
C24e - Abdominal Aortic Aneurysm Screening Coverage 65 Male 2022/23 80.7 70.2 $ 78.3 $ %
C27 - Percentage reporting a long-term Musculoskeletal (MSK) problem 16+ yrs Persons 2023 15.8 20.6 18.4 %
C28a - Self reported wellbeing: people with a low satisfaction score 16+ yrs Persons 2022/23 3.4 6.0 5.6 %
C28c - Self reported wellbeing: people with a low happiness score 16+ yrs Persons 2022/23 5.6 9.3 8.9 %
C28d - Self reported wellbeing: people with a high anxiety score 16+ yrs Persons 2022/23 29.8 24.6 23.3 %
C29 - Emergency hospital admissions due to falls in people aged 65 and over 65+ yrs Persons 2022/23 2277 2139 1933 per 100,000
C29 - Emergency hospital admissions due to falls in people aged 65 to 79 65-79 yrs Persons 2022/23 1167 1055 928 per 100,000
C29 - Emergency hospital admissions due to falls in people aged 80 plus 80+ yrs Persons 2022/23 5499 5283 4845 per 100,000

D. Health protection

Indicator Age Sex Period Value Value (Region) Value (England) Unit Recent trend Change from previous
D01 - Fraction of mortality attributable to particulate air pollution (new method) 30+ yrs Persons 2022 4.7 5.6 5.8 %
D02a - Chlamydia detection rate per 100,000 aged 15 to 24 15-24 yrs Female 2023 1594 * 2256 * 1962 * per 100,000
D02a - Chlamydia detection rate per 100,000 aged 15 to 24 15-24 yrs Male 2023 957 1129 1042 per 100,000
D02a - Chlamydia detection rate per 100,000 aged 15 to 24 15-24 yrs Persons 2023 1318 1774 1546 per 100,000
D02b - New STI diagnoses (excluding chlamydia aged under 25) per 100,000 All ages Persons 2023 368 481 520 per 100,000
D07 - HIV late diagnosis in people first diagnosed with HIV in the UK 15+ yrs Persons 2021 - 23 42.9 * 40.0 * 43.5 * %
D08a - Proportion of drug sensitive TB notifications who had completed a full course of treatment by 12 months All ages Persons 2021 66.7 83.5 84.2 %
D08b - TB incidence (three year average) All ages Persons 2020 - 22 2.5 6.5 7.6 per 100,000
D10 - Adjusted antibiotic prescribing in primary care by the NHS All ages Persons 2023 0.87 * 0.96 * 0.88 * per STAR-PU

E. Healthcare and premature mortality

Indicator Age Sex Period Value Value (Region) Value (England) Unit Recent trend Change from previous
E01 - Infant mortality rate <1 yr Persons 2020 - 22 2.9 ~ 4.4 3.9 per 1,000
E02 - Percentage of 5 year olds with experience of visually obvious dental decay 5 yrs Persons 2021/22 26.8 30.6 23.7 %
E03 - Under 75 mortality rate from causes considered preventable <75 yrs Persons 2023 223.5 193.4 153.0 per 100,000
E03 - Under 75 mortality rate from causes considered preventable <75 yrs Persons 2021 - 23 213.3 204.3 163.7 per 100,000
E04a - Under 75 mortality rate from cardiovascular disease <75 yrs Persons 2023 96.2 93.8 77.4 per 100,000
E04a - Under 75 mortality rate from cardiovascular disease <75 yrs Persons 2021 - 23 95.4 94.6 77.1 per 100,000
E04b - Under 75 mortality rate from cardiovascular disease considered preventable <75 yrs Persons 2021 - 23 40.2 37.5 30.5 per 100,000
E05a - Under 75 mortality rate from cancer <75 yrs Persons 2023 146.1 134.5 120.8 per 100,000
E05a - Under 75 mortality rate from cancer <75 yrs Persons 2021 - 23 141.9 135.2 121.6 per 100,000
E05b - Under 75 mortality rate from cancer considered preventable <75 yrs Persons 2021 - 23 63.2 59.2 49.5 per 100,000
E06a - Under 75 mortality rate from liver disease <75 yrs Persons 2023 24.9 28.3 21.9 per 100,000
E06a - Under 75 mortality rate from liver disease <75 yrs Persons 2021 - 23 24.4 28.9 21.5 per 100,000
E06b - Under 75 mortality rate from liver disease considered preventable <75 yrs Persons 2021 - 23 22.8 25.4 19.2 per 100,000
E07a - Under 75 mortality rate from respiratory disease <75 yrs Persons 2023 49.7 46.0 33.7 per 100,000
E07a - Under 75 mortality rate from respiratory disease <75 yrs Persons 2021 - 23 37.2 41.4 30.3 per 100,000
E07b - Under 75 mortality rate from respiratory disease considered preventable <75 yrs Persons 2021 - 23 22.0 24.7 18.0 per 100,000
E08 - Mortality rate from a range of specified communicable diseases, including influenza All ages Persons 2021 - 23 15.0 16.1 13.0 per 100,000
E10 - Suicide rate 10+ yrs Persons 2021 - 23 17.8 13.3 10.7 per 100,000
E11 - Emergency readmissions within 30 days of discharge from hospital All ages Persons 2022/23 14.1 13.6 14.2 %
E13 - Hip fractures in people aged 65 and over 65+ yrs Persons 2022/23 599 620 558 per 100,000
E13 - Hip fractures in people aged 65 to 79 65-79 yrs Persons 2022/23 253.9 282.0 243.8 per 100,000
E13 - Hip fractures in people aged 80 and over 80+ yrs Persons 2022/23 1598 1600 1469 per 100,000
E14 - Winter mortality index All ages Persons Aug 2021 - Jul 2022 22.9 8.2 8.1 %
E14 - Winter mortality index (age 85 plus) 85+ yrs Persons Aug 2021 - Jul 2022 30.0 9.7 11.3 %
E15 - Estimated dementia diagnosis rate (aged 65 and older) 65+ yrs Persons 2024 80.0 * 68.9 * 64.8 * per 100
Accompanying indicator value notes
symbols Data note
* Value compared to a goal (see below)
~ Interpret with caution - see Notes section in Definitions for details
$ Aggregated from all known lower geography values
^ Value is modelled or synthetic estimate

Thresholds for indicators that are compared against a goal

Indicator Name Green Amber Red
D02a - Chlamydia detection rate per 100,000 aged 15 to 24 >=3250 2400-3250 <2400
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 older) >= 66.7% (significantly) Similar to 66.7% < 66.7% (significantly)