# Public Health Outcomes Framework - at a glance summary

## Hastings

#### 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.

• In the change columns, prev refers to the 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 (Region) Value (England) Unit Recent trend Change from previous
A01b - Life expectancy at birth All ages Male 2016 - 18 77.1 80.7 79.6 Years
A01b - Life expectancy at birth All ages Female 2016 - 18 81.6 84.1 83.2 Years
A02a - Inequality in life expectancy at birth All ages Male 2016 - 18 9.50 7.90 9.50 Years
A02a - Inequality in life expectancy at birth All ages Female 2016 - 18 6.90 6.00 7.50 Years
A01b - Life expectancy at 65 65 Male 2016 - 18 18.0 19.5 18.9 Years
A01b - Life expectancy at 65 65 Female 2016 - 18 20.6 21.8 21.2 Years
A02a - Inequality in life expectancy at 65 65 Male 2016 - 18 2.20 4.20 5.00 Years
A02a - Inequality in life expectancy at 65 65 Female 2016 - 18 5.70 3.50 4.60 Years

### B. Wider determinants of health

Indicator Age Sex Period Value Value (Region) Value (England) Unit Recent trend Change from previous
B03 - Pupil absence 5-15 yrs Persons 2017/18 5.84 4.76 4.81 %
B08a - Gap in the employment rate between those with a long-term health condition and the overall employment rate 16-64 yrs Persons 2018/19 2.73 9.14 11.5 Percentage points
B08d - Percentage of people aged 16-64 in employment 16-64 yrs Persons 2018/19 72.0 78.4 75.6 %
B09a - Sickness absence - the percentage of employees who had at least one day off in the previous week 16+ yrs Persons 2016 - 18 1.03 2.06 2.10 %
B09b - Sickness absence - the percentage of working days lost due to sickness absence 16+ yrs Persons 2016 - 18 0.71 0.97 1.09 %
B12a - Violent crime - hospital admissions for violence (including sexual violence) All ages Persons 2016/17 - 18/19 - ~ 31.2 $44.9 per 100,000 B12b - Violent crime - violence offences per 1,000 population All ages Persons 2018/19 38.0 27.2 ^ 27.8 ^ per 1000 B12c - Violent crime - sexual offences per 1,000 population All ages Persons 2018/19 3.89 2.58 ^ 2.53 ^ per 1000 B13a - Re-offending levels - percentage of offenders who re-offend All ages Persons 2017/18 26.3 27.6 29.1 % B13b - Re-offending levels - average number of re-offences per re-offender All ages Persons 2017/18 3.31 4.07 4.05 B14a - The rate of complaints about noise All ages Persons 2018/19 10.4 5.01 & 6.83 & per 1000 B17 - Fuel poverty Not applicable Not applicable 2017 13.3 8.70 10.9 % 1.01i - Children in low income families (all dependent children under 20) 0-19 yrs Persons 2016 25.7 12.7 17.0 % 1.01ii - Children in low income families (under 16s) <16 yrs Persons 2016 26.2 12.9 17.0 % 1.10 - Killed and seriously injured (KSI) casualties on England’s roads All ages Persons 2016 - 18 49.2 49.6 42.6 ^ per 100,000 1.15i - Statutory homelessness - Eligible homeless people not in priority need Not applicable Persons 2017/18 2.93 0.66 0.79 per 1000 1.15ii - Statutory homelessness - households in temporary accommodation Not applicable Persons 2017/18 2.16 2.23 3.40 per 1000 ### 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 2018 53.2 56.3 49.5 per 1000 C02a - Under 18s conception rate / 1,000 <18 yrs Female 2018 25.2 13.5 16.7 per 1000 C04 - Low birth weight of term babies =37 weeks gestational age at birth Persons 2018 2.71 2.40 2.86 % C06 - Smoking status at time of delivery All ages Female 2018/19 15.4 9.70 ^ 10.6 % C09a - Reception: Prevalence of overweight (including obesity) 4-5 yrs Persons 2018/19 24.9 21.2 22.6 % C09b - Year 6: Prevalence of overweight (including obesity) 10-11 yrs Persons 2018/19 32.6 30.3 34.3 % C10 - Percentage of physically active children and young people 5-16 yrs Persons 2018/19 59.8 47.8 46.8 % C11a - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0-14 years) <15 yrs Persons 2018/19 - ~ 87.6$ 96.1 per 10,000
C11a - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0-4 years) 0-4 yrs Persons 2018/19 - ~ 109.9 $123.1 per 10,000 C11b - Hospital admissions caused by unintentional and deliberate injuries in young people (aged 15-24 years) 15-24 yrs Persons 2018/19 - ~ 142.4$ 136.9 per 10,000
C14b - Emergency Hospital Admissions for Intentional Self-Harm All ages Persons 2018/19 - ~ 199.7 $193.4 per 100,000 C15 - Proportion of the population meeting the recommended ‘5-a-day’ on a ‘usual day’ (adults) 16+ yrs Persons 2018/19 56.0 57.7 54.6 % C16 - Percentage of adults (aged 18+) classified as overweight or obese 18+ yrs Persons 2018/19 61.1 60.9 62.3 % C17a - Percentage of physically active adults 19+ yrs Persons 2018/19 65.9 70.2 67.2 % C17b - Percentage of physically inactive adults 19+ yrs Persons 2018/19 23.3 18.7 21.4 % C18 - Smoking Prevalence in adults (18+) - current smokers (APS) 18+ yrs Persons 2018 17.0 12.9 14.4 % C19d - Deaths from drug misuse All ages Persons 2016 - 18 8.50 3.90 4.50 per 100,000 C21 - Admission episodes for alcohol-related conditions (Narrow) All ages Persons 2018/19 - ~ 526.3$ 663.7 per 100,000
C22 - Estimated diabetes diagnosis rate 17+ yrs Persons 2018 73.8 75.2 78.0 %
C24a - Cancer screening coverage - breast cancer 53-70 yrs Female 2019 70.7 75.3 ^ 74.5 ^ %
C24b - Cancer screening coverage - cervical cancer (aged 25 to 49 years old) 25-49 yrs Female 2019 70.2 71.4 ^ 69.8 ^ %
C24c - Cancer screening coverage - cervical cancer (aged 50 to 64 years old) 50-64 yrs Female 2019 73.0 76.4 ^ 76.2 ^ %
C24d - Cancer screening coverage - bowel cancer 60-74 yrs Persons 2019 55.8 61.8 ^ 60.1 ^ %
C24e - Abdominal Aortic Aneurysm Screening - Coverage 65 Male 2018/19 77.1 82.4 ^ 81.3 ^ %
C27 - Percentage reporting a long term Musculoskeletal (MSK) problem 18+ yrs Persons 2018/19 20.2 15.9 16.9 %
C29 - Emergency hospital admissions due to falls in people aged 65 and over 65+ yrs Persons 2018/19 - ~ 2152 $2198 per 100,000 C29 - Emergency hospital admissions due to falls in people aged 65-79 65-79 yrs Persons 2018/19 - ~ 1008$ 1044 per 100,000
C29 - Emergency hospital admissions due to falls in people aged 80+ 80+ yrs Persons 2018/19 - ~ 5470 $5543 per 100,000 2.19 - Cancer diagnosed at early stage (experimental statistics) All ages Persons 2017 49.7 52.7 52.2 % ### 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 30+ yrs Persons 2018 5.47 5.64 5.15 % D02a - Chlamydia detection rate / 100,000 aged 15-24 15-24 yrs Persons 2018 1803 * 1615 * 1975 * per 100,000 D02b - New STI diagnoses (exc chlamydia aged <25) / 100,000 15-64 yrs Persons 2018 873.7 708.1 850.6 per 100,000 D07 - HIV late diagnosis (%) 15+ yrs Persons 2016 - 18 50.0 * 45.4 * 42.5 * % D08b - TB incidence (three year average) All ages Persons 2016 - 18 3.95 6.19 9.19 per 100,000 D10 - Adjusted antibiotic prescribing in primary care by the NHS All ages Persons 2018 1.09 * 0.95 * 0.99 * 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 2016 - 18 3.71 3.65 3.93 per 1000 E02 - Percentage of 5 year olds with experience of visually obvious dental decay 5 yrs Persons 2019/20 1.06 17.6 23.4 % E03 - Mortality rate from causes considered preventable All ages Persons 2016 - 18 238.8 158.0 180.8 per 100,000 E04a - Under 75 mortality rate from all cardiovascular diseases <75 yrs Persons 2016 - 18 102.3 59.0 71.7 per 100,000 E04b - Under 75 mortality rate from cardiovascular diseases considered preventable <75 yrs Persons 2016 - 18 61.4 36.3 45.3 per 100,000 E05a - Under 75 mortality rate from cancer <75 yrs Persons 2016 - 18 161.2 123.6 132.3 per 100,000 E05b - Under 75 mortality rate from cancer considered preventable <75 yrs Persons 2016 - 18 95.8 69.8 76.3 per 100,000 E06a - Under 75 mortality rate from liver disease <75 yrs Persons 2016 - 18 29.5 15.7 18.5 per 100,000 E06b - Under 75 mortality rate from liver disease considered preventable <75 yrs Persons 2016 - 18 23.7 13.9 16.3 per 100,000 E07a - Under 75 mortality rate from respiratory disease <75 yrs Persons 2016 - 18 56.5 28.7 34.7 per 100,000 E07b - Under 75 mortality rate from respiratory disease considered preventable <75 yrs Persons 2016 - 18 30.9 15.9 19.2 per 100,000 E08 - Mortality rate from a range of specified communicable diseases, including influenza All ages Persons 2016 - 18 11.3 9.80 11.3 per 100,000 E10 - Suicide rate 10+ yrs Persons 2016 - 18 15.7 9.21 9.64 per 100,000 E11 - Emergency readmissions within 30 days of discharge from hospital All ages Persons 2018/19 15.4 14.4 14.3 % E13 - Hip fractures in people aged 65 and over 65+ yrs Persons 2018/19 - ~ 516.6$ 558.4 per 100,000
E13 - Hip fractures in people aged 65-79 65-79 yrs Persons 2018/19 - ~ 219.1 $237.5 per 100,000 E13 - Hip fractures in people aged 80+ 80+ yrs Persons 2018/19 - ~ 1379$ 1489 per 100,000
E14 - Excess winter deaths index All ages Persons Aug 2017 - Jul 2018 24.6 30.2 30.1 %
E14 - Excess winter deaths index (age 85+) 85+ yrs Persons Aug 2017 - Jul 2018 38.2 39.6 41.1 %
E15 - Estimated dementia diagnosis rate (aged 65 and over) 65+ yrs Persons 2019 75.5 * 65.6 * 68.7 * %
##### Accompanying indicator value notes
symbols Data note
* Value compared to a goal (see below)
~ Value is not presented due to an issue with HES coding in East Sussex Healthcare NHS Trust in 2018/19, for which approximately 85,000 records erroneously had all diagnosis codes removed. In 2018/19, over 10% of patients that attended hospital from this area had records that were missing diagnosis codes
\$ Due to an issue with HES coding in East Sussex Healthcare NHS Trust in 2018/19, for which approximately 85,000 records erroneously had all diagnosis codes removed, this value should be treated with caution. In 2018/19, between 1 to 10% of patients that attended hospital from this area had records that were missing diagnosis codes
^ 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 / 100,000 aged 15-24 >= 2,300 1,900-2,300 < 1,900
D07 - HIV late diagnosis (%) < 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)