# Public Health Outcomes Framework - at a glance summary

## Lewes

#### 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.

### Overarching indicators

Indicator Age Sex Period Value Value (Region) Value (England) Unit Change from previous Recent trend
0.1ii - Life expectancy at birth All ages Male 2015 - 17 81.5 80.6 79.6 Years
0.1ii - Life expectancy at birth All ages Female 2015 - 17 85.0 84.0 83.1 Years
0.1ii - Life expectancy at 65 65 Male 2015 - 17 20.3 19.3 18.8 Years
0.1ii - Life expectancy at 65 65 Female 2015 - 17 22.7 21.7 21.1 Years
0.2iii - Inequality in life expectancy at birth All ages Male 2015 - 17 5.60 8.00 9.40 Years
0.2iii - Inequality in life expectancy at birth All ages Female 2015 - 17 2.00 5.90 7.40 Years
0.2iii - Inequality in life expectancy at 65 65 Male 2015 - 17 3.20 4.20 4.90 Years
0.2iii - Inequality in life expectancy at 65 65 Female 2015 - 17 2.60 3.40 4.50 Years
0.2iv - Gap in life expectancy at birth between each local authority and England as a whole All ages Male 2015 - 17 1.95 1.02 0.00 Years
0.2iv - Gap in life expectancy at birth between each local authority and England as a whole All ages Female 2015 - 17 1.90 0.88 0.00 Years

### Wider determinants of health

Indicator Age Sex Period Value Value (Region) Value (England) Unit Change from previous Recent trend
1.03 - Pupil absence 5-15 yrs Persons 2016/17 5.40 4.59 4.65 %
1.08i - Gap in the employment rate between those with a long-term health condition and the overall employment rate 16-64 yrs Persons 2017/18 8.90 9.10 11.5 Percentage points
1.08iv - Percentage of people aged 16-64 in employment 16-64 yrs Persons 2017/18 84.1 78.5 75.2 %
1.09i - Sickness absence - the percentage of employees who had at least one day off in the previous week 16+ yrs Persons 2015 - 17 4.10 2.25 2.10 %
1.09ii - Sickness absence - the percentage of working days lost due to sickness absence 16+ yrs Persons 2015 - 17 1.92 1.13 1.12 %
1.10 - Killed and seriously injured (KSI) casualties on England’s roads All ages Persons 2015 - 17 63.6 49.1 40.8 per 100,000
1.12i - Violent crime (including sexual violence) - hospital admissions for violence All ages Persons 2015/16 - 17/18 42.2 30.4 43.4 per 100,000
1.12ii - Violent crime (including sexual violence) - violence offences per 1,000 population All ages Persons 2017/18 16.9 23.2 23.7 per 1000
1.12iii- Violent crime (including sexual violence) - rate of sexual offences per 1,000 population All ages Persons 2017/18 2.06 2.38 2.37 per 1000
1.13i - Re-offending levels - percentage of offenders who re-offend All ages Persons 2014 24.1 23.6 25.4 %
1.13ii - Re-offending levels - average number of re-offences per offender All ages Persons 2014 0.88 0.78 0.82 per offender
1.14i - The rate of complaints about noise All ages Persons 2015/16 5.81 ~ 4.75 ~ 6.34 ~ per 1000
1.15i - Statutory homelessness - Eligible homeless people not in priority need Not applicable Persons 2017/18 0.18 0.66 0.79 per 1000
1.15ii - Statutory homelessness - households in temporary accommodation Not applicable Persons 2017/18 1.78 2.23 3.40 per 1000
1.17 - Fuel poverty All ages Persons 2016 8.80 9.00 11.1 %

### Health improvement

Indicator Age Sex Period Value Value (Region) Value (England) Unit Change from previous Recent trend
2.01 - Low birth weight of term babies
=37 weeks gestational age at birth
Persons 2017 2.35 2.37 2.82 %
2.02i - Breastfeeding initiation All ages Female 2016/17 81.9 79.1 74.5 %
2.03 - Smoking status at time of delivery All ages Female 2017/18 6.65 9.88 10.8 %
2.04 - Under 18 conceptions <18 yrs Female 2016 15.7 15.0 18.8 per 1000
2.06i - Child excess weight in 4-5 and 10-11 year olds - 4-5 year olds 4-5 yrs Persons 2017/18 21.6 20.6 22.4 %
2.06ii - Child excess weight in 4-5 and 10-11 year olds - 10-11 year olds 10-11 yrs Persons 2017/18 29.8 30.8 34.3 %
2.07i - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0-14 years) <15 yrs Persons 2017/18 100.2 92.8 96.4 per 10,000
2.07i - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0-4 years) 0-4 yrs Persons 2017/18 113.8 115.3 121.2 per 10,000
2.07ii - Hospital admissions caused by unintentional and deliberate injuries in young people (aged 15-24 years) 15-24 yrs Persons 2017/18 163.3 140.9 132.7 per 10,000
2.10ii - Emergency Hospital Admissions for Intentional Self-Harm All ages Persons 2017/18 284.6 195.0 185.5 per 100,000
2.11i - Proportion of the population meeting the recommended ‘5-a-day’ on a ‘usual day’ (adults) 16+ yrs Persons 2016/17 66.0 60.2 57.4 %
2.11ii - Average number of portions of fruit consumed daily (adults) 16+ yrs Persons 2016/17 3.02 2.70 2.65 Average daily quantity
2.11iii - Average number of portions of vegetables consumed daily (adults) 16+ yrs Persons 2016/17 3.15 2.78 2.70 Average daily quantity
2.12 - Percentage of adults (aged 18+) classified as overweight or obese 18+ yrs Persons 2016/17 49.7 59.7 61.3 %
2.13i - Percentage of physically active adults 19+ yrs Persons 2016/17 70.6 68.9 66.0 %
2.13ii - Percentage of physically inactive adults 19+ yrs Persons 2016/17 21.3 19.3 22.2 %
2.14 - Smoking Prevalence in adults - current smokers (APS) 18+ yrs Persons 2017 13.3 13.7 14.9 %
2.15iv - Deaths from drug misuse All ages Persons 2015 - 17 - $3.86 4.33 per 100,000 2.17 - Estimated diabetes diagnosis rate 17+ yrs Persons 2018 68.7 75.2 78.0 % 2.18 - Admission episodes for alcohol-related conditions - narrow definition All ages Persons 2017/18 492.5 514.6 632.3 per 100,000 2.19 - Cancer diagnosed at early stage (experimental statistics) All ages Persons 2016 53.0 53.0 52.6 % 2.20i - Cancer screening coverage - breast cancer 53-70 yrs Female 2018 72.3 76.0 ^ 74.9 ^ % 2.20ii - Cancer screening coverage - cervical cancer 25-64 yrs Female 2018 75.5 72.6 ^ 71.4 ^ % 2.20iii - Cancer screening coverage - bowel cancer 60-74 yrs Persons 2018 62.1 60.8 ^ 59.0 ^ % 2.20iv - Abdominal Aortic Aneurysm Screening - Coverage 65 Male 2017/18 84.4 82.0 ^ 80.8 ^ % 2.24i - Emergency hospital admissions due to falls in people aged 65 and over 65+ yrs Persons 2017/18 2105 2189 2170 per 100,000 2.24ii - Emergency hospital admissions due to falls in people aged 65 and over - aged 65-79 65-79 yrs Persons 2017/18 1003 1030 1033 per 100,000 2.24iii - Emergency hospital admissions due to falls in people aged 65 and over - aged 80+ 80+ yrs Persons 2017/18 5303 5553 5469 per 100,000 ### Health protection Indicator Age Sex Period Value Value (Region) Value (England) Unit Change from previous Recent trend 3.01 - Fraction of mortality attributable to particulate air pollution 30+ yrs Persons 2017 5.18 5.58 5.06 % 3.02 - Chlamydia detection rate (15-24 year olds) 15-24 yrs Persons 2017 1700 * 1510 * 1882 * per 100,000 3.04 - HIV late diagnosis 15+ yrs Persons 2015 - 17 33.3 * 44.0 * 41.1 * % 3.05ii - Incidence of TB All ages Persons 2015 - 17 3.28 6.52 9.93 per 100,000 3.08 - Adjusted antibiotic prescribing in primary care by the NHS All ages Persons 2017 0.89 * 1.00 * 1.04 * per STAR-PU ### Healthcare and premature mortality Indicator Age Sex Period Value Value (Region) Value (England) Unit Change from previous Recent trend 4.01 - Infant mortality < 1 yr Persons 2015 - 17 2.25 3.42 3.92 per 1000 4.02 - Proportion of five year old children free from dental decay 5 yrs Persons 2016/17 90.5 83.6 76.7 % 4.03 - Mortality rate from causes considered preventable All ages Persons 2015 - 17 141.0 159.2 181.5 per 100,000 4.04i - Under 75 mortality rate from all cardiovascular diseases <75 yrs Persons 2015 - 17 50.3 59.9 72.5 per 100,000 4.04ii - Under 75 mortality rate from cardiovascular diseases considered preventable <75 yrs Persons 2015 - 17 28.8 37.0 45.9 per 100,000 4.05i - Under 75 mortality rate from cancer <75 yrs Persons 2015 - 17 110.9 125.9 134.6 per 100,000 4.05ii - Under 75 mortality rate from cancer considered preventable <75 yrs Persons 2015 - 17 65.2 71.6 78.0 per 100,000 4.06i - Under 75 mortality rate from liver disease <75 yrs Persons 2015 - 17 13.6 15.6 18.5 per 100,000 4.06ii - Under 75 mortality rate from liver disease considered preventable <75 yrs Persons 2015 - 17 11.7 13.8 16.3 per 100,000 4.07i - Under 75 mortality rate from respiratory disease <75 yrs Persons 2015 - 17 20.8 28.2 34.3 per 100,000 4.07ii - Under 75 mortality rate from respiratory disease considered preventable <75 yrs Persons 2015 - 17 11.6 15.7 18.9 per 100,000 4.08 - Mortality rate from a range of specified communicable diseases, including influenza All ages Persons 2015 - 17 8.06 9.49 10.9 per 100,000 4.10 - Suicide rate 10+ yrs Persons 2015 - 17 10.0 9.42 9.57 per 100,000 4.11 - Emergency readmissions within 30 days of discharge from hospital All ages Persons 2011/12 11.2 11.6 11.8 % 4.13 - Health related quality of life for older people 65+ yrs Persons 2016/17 0.77 0.76 0.74 Score 4.14i - Hip fractures in people aged 65 and over 65+ yrs Persons 2017/18 547.6 557.6 577.8 per 100,000 4.14ii - Hip fractures in people aged 65 and over - aged 65-79 65-79 yrs Persons 2017/18 243.1 230.4 246.3 per 100,000 4.14iii - Hip fractures in people aged 65 and over - aged 80+ 80+ yrs Persons 2017/18 1431 1507 1539 per 100,000 4.15i - Excess winter deaths index (single year, all ages) All ages Persons Aug 2016 - Jul 2017 7.39 22.1 21.6 % 4.15ii - Excess winter deaths index (single year, age 85+) 85+ yrs Persons Aug 2016 - Jul 2017 5.78 30.8 30.8 % 4.15iii - Excess winter deaths index (3 years, all ages) All ages Persons Aug 2014 - Jul 2017 22.9 21.1 21.1 % 4.15iv - Excess winter deaths index (3 years, age 85+) 85+ yrs Persons Aug 2014 - Jul 2017 26.8 28.8 29.3 % 4.16 - Estimated dementia diagnosis rate (aged 65+) 65+ yrs Persons 2018 63.0 * 64.6 * 67.5 * % ##### Accompanying indicator value notes symbols Data note * Value compared to a goal (see below) ~ Value is modelled or synthetic estimate$ Value cannot be calculated as number of cases is too small
^ Aggregated from all known lower geography values

#### Thresholds for indicators that are compared against a goal

Indicator Name Green Amber Red
3.02 - Chlamydia detection rate (15-24 year olds) >= 2,300 1,900-2,300 < 1,900
3.04 - HIV late diagnosis < 25% 25-50% >= 50%
3.08 - Adjusted antibiotic prescribing in primary care by the NHS <= mean England prescribing (2013/14) > mean England prescribing (2013/14)
4.16 - Estimated dementia diagnosis rate (aged 65+) >= 66.7% (significantly) Similar to 66.7% < 66.7% (significantly)