# Public Health Outcomes Framework - at a glance summary

## East Sussex

#### 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
A01a - Healthy life expectancy at birth All ages Male 2015 - 17 64.7 66.1 63.4 Years
A01a - Healthy life expectancy at birth All ages Female 2015 - 17 63.3 66.2 63.8 Years
A01b - Life expectancy at birth All ages Male 2015 - 17 80.2 80.6 79.6 Years
A01b - Life expectancy at birth All ages Female 2015 - 17 83.9 84.0 83.1 Years
A01c - Disability free life expectancy at birth All ages Male 2015 - 17 62.6 65.3 63.1 Years
A01c - Disability free life expectancy at birth All ages Female 2015 - 17 63.7 64.0 62.2 Years
A02a - Inequality in life expectancy at birth All ages Male 2015 - 17 8.70 8.00 9.40 Years
A02a - Inequality in life expectancy at birth All ages Female 2015 - 17 4.90 5.90 7.40 Years
A02c - Inequality in healthy life expectancy at birth LA All ages Male 2009 - 13 13.3 - - Years
A02c - Inequality in healthy life expectancy at birth LA All ages Female 2009 - 13 13.1 - - Years
A01b - Life expectancy at 65 65 Male 2015 - 17 19.6 19.3 18.8 Years
A01b - Life expectancy at 65 65 Female 2015 - 17 21.9 21.7 21.1 Years
A02a - Inequality in life expectancy at 65 65 Male 2015 - 17 3.90 4.20 4.90 Years
A02a - Inequality in life expectancy at 65 65 Female 2015 - 17 2.90 3.40 4.50 Years

### B. Wider determinants of health

Indicator Age Sex Period Value Value (Region) Value (England) Unit Recent trend Change from previous
B02a - School Readiness: the percentage of children achieving a good level of development at the end of reception 5 yrs Persons 2017/18 76.5 74.7 71.5 %
B02a - School Readiness: the percentage of children with free school meal status achieving a good level of development at the end of reception 5 yrs Persons 2017/18 61.3 56.6 56.6 %
B02b - School Readiness: the percentage of Year 1 pupils achieving the expected level in the phonics screening check 6 yrs Persons 2017/18 82.7 83.1 82.5 %
B02b - School Readiness: the percentage of Year 1 pupils with free school meal status achieving the expected level in the phonics screening check 6 yrs Persons 2017/18 68.6 66.1 70.1 %
B02c - Percentage of children achieving at least an expected level of development across all learning goals in communication and language 5 yrs Persons 2017/18 87.0 85.4 82.4 %
B02d - School readiness: Percentage of children achieving the expected level of development in communication, language and literacy skills at the end of Reception. 5 yrs Persons 2017/18 77.2 75.7 72.4 %
B03 - Pupil absence 5-15 yrs Persons 2017/18 5.30 4.76 4.81 %
B04 - First time entrants to the youth justice system 10-17 yrs Persons 2018 128.5 168.6 238.5 per 100,000
B05 - 16-17 year olds not in education, employment or training (NEET) or whose activity is not known 16-17 yrs Persons 2017 4.88 6.76 6.00 %
B06a - Adults with a learning disability who live in stable and appropriate accommodation 18-64 yrs Persons 2017/18 70.9 72.8 77.2 %
B06b - Adults in contact with secondary mental health services who live in stable and appropriate accommodation 18-69 yrs Persons 2017/18 22.0 48.0 57.0 %
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 11.4 9.14 11.5 Percentage points
B08b - Gap in the employment rate between those with a learning disability and the overall employment rate 18-64 yrs Persons 2017/18 67.7 72.0 69.2 Percentage points
B08c - Gap in the employment rate for those in contact with secondary mental health services and the overall employment rate 18-69 yrs Persons 2017/18 69.7 70.5 68.2 Percentage points
B08d - Percentage of people aged 16-64 in employment 16-64 yrs Persons 2018/19 73.6 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 2.22 2.06 2.10 %
B09b - Sickness absence - the percentage of working days lost due to sickness absence 16+ yrs Persons 2016 - 18 1.00 0.97 1.09 %
B11 - Domestic abuse-related incidents and crimes 16+ yrs Persons 2017/18 18.7 @ 20.0 25.1 per 1000
B12a - Violent crime - hospital admissions for violence (including sexual violence) All ages Persons 2015/16 - 17/18 36.7 30.4 43.4 per 100,000
B12b - Violent crime - violence offences per 1,000 population All ages Persons 2018/19 22.9 ~ 27.2 ~ 27.8 ~ per 1000
B12c - Violent crime - sexual offences per 1,000 population All ages Persons 2018/19 2.50 ~ 2.58 ~ 2.53 ~ per 1000
B13a - Re-offending levels - percentage of offenders who re-offend All ages Persons 2016/17 24.6 27.5 29.2 %
B13c - First time offenders 10+ yrs Persons 2018 139.8 187.7 210.7 per 100,000
B14a - The rate of complaints about noise All ages Persons 2015/16 5.15 $4.75$ 6.34 $per 1000 B14b - The percentage of the population exposed to road, rail and air transport noise of 65dB(A) or more, during the daytime All ages Persons 2016 5.67 4.93 5.50 % B14c - The percentage of the population exposed to road, rail and air transport noise of 55 dB(A) or more during the night-time All ages Persons 2016 7.02 8.56 8.48 % B16 - Utilisation of outdoor space for exercise/health reasons 16+ yrs Persons Mar 2015 - Feb 2016 15.7 18.2 17.9 % B17 - Fuel poverty Not applicable Not applicable 2017 9.80 8.70 10.9 % B18a - Social Isolation: percentage of adult social care users who have as much social contact as they would like 18+ yrs Persons 2017/18 51.3 47.0 46.0 % B18b - Social Isolation: percentage of adult carers who have as much social contact as they would like 18+ yrs Persons 2016/17 35.3 33.2 35.5 % 1.01i - Children in low income families (all dependent children under 20) 0-19 yrs Persons 2016 16.3 12.7 17.0 % 1.01ii - Children in low income families (under 16s) <16 yrs Persons 2016 16.7 12.9 17.0 % 1.10 - Killed and seriously injured (KSI) casualties on England’s roads All ages Persons 2015 - 17 67.0 49.1 40.8 per 100,000 1.13ii - Re-offending levels - average number of re-offences per offender All ages Persons 2016/17 0.90 1.15 1.17 per offender 1.15i - Statutory homelessness - Eligible homeless people not in priority need Not applicable Persons 2017/18 0.81 0.66 0.79 per 1000 1.15ii - Statutory homelessness - households in temporary accommodation Not applicable Persons 2017/18 1.60 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 59.8 56.3 49.5 per 1000 C02a - Under 18s conception rate / 1,000 <18 yrs Female 2017 15.9 13.9 17.8 per 1000 C02b - Under 16s conception rate / 1,000 <16 yrs Female 2017 2.02 x 2.05 2.70 per 1000 C04 - Low birth weight of term babies =37 weeks gestational age at birth Persons 2017 2.70 2.37 2.82 % C06 - Smoking status at time of delivery All ages Female 2018/19 11.7 9.70 ~ 10.6 % C07 - Proportion of New Birth Visits (NBVs) completed within 14 days <14 days Persons 2018/19 81.5 87.5 [c] 88.8 [c] % C08a - Percentage of children at or above expected level of development in all five areas of development at 2-2½ years 2-2.5 yrs Persons 2018/19 90.9 84.9 [c] 84.1 [c] % C08b - Percentage of children at or above expected level of development in communication skills at 2-2½ years 2-2.5 yrs Persons 2018/19 94.9 91.0 [c] 90.0 [c] % C08c - Percentage of children at or above expected level of development in personal-social skills at 2-2½ years 2-2.5 yrs Persons 2018/19 96.9 93.1 [c] 92.9 [c] % C09a - Reception: Prevalence of overweight (including obesity) 4-5 yrs Persons 2017/18 23.3 20.6 22.4 % C09b - Year 6: Prevalence of overweight (including obesity) 10-11 yrs Persons 2017/18 29.6 30.8 34.3 % C11a - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0-14 years) <15 yrs Persons 2017/18 112.5 92.8 96.4 per 10,000 C11a - Hospital admissions caused by unintentional and deliberate injuries in children (aged 0-4 years) 0-4 yrs Persons 2017/18 160.0 115.3 121.2 per 10,000 C11b - Hospital admissions caused by unintentional and deliberate injuries in young people (aged 15-24 years) 15-24 yrs Persons 2017/18 152.5 140.9 132.7 per 10,000 C12 - Percentage of children where there is a cause for concern 5-16 yrs Persons 2017/18 40.2 41.3 38.6 % C14b - Emergency Hospital Admissions for Intentional Self-Harm All ages Persons 2017/18 235.4 195.0 185.5 per 100,000 C15 - Proportion of the population meeting the recommended ‘5-a-day’ on a ‘usual day’ (adults) 16+ yrs Persons 2017/18 61.3 57.1 54.8 % C16 - Percentage of adults (aged 18+) classified as overweight or obese 18+ yrs Persons 2017/18 61.8 60.3 62.0 % C17a - Percentage of physically active adults 19+ yrs Persons 2017/18 67.4 69.8 66.3 % C17b - Percentage of physically inactive adults 19+ yrs Persons 2017/18 22.6 19.0 22.2 % C18 - Smoking Prevalence in adults (18+) - current smokers (APS) 18+ yrs Persons 2018 13.8 12.9 14.4 % C19a - Successful completion of drug treatment - opiate users 18+ yrs Persons 2017 6.12 7.31 6.50 % C19b - Successful completion of drug treatment - non-opiate users 18+ yrs Persons 2017 28.3 36.3 36.9 % C19c - Successful completion of alcohol treatment 18+ yrs Persons 2017 34.2 35.3 38.9 % C19d - Deaths from drug misuse All ages Persons 2016 - 18 5.10 3.90 4.50 per 100,000 C20 - Adults with substance misuse treatment need who successfully engage in community-based structured treatment following release from prison 18+ yrs Persons 2018/19 27.5 34.1 34.2 % C21 - Admission episodes for alcohol-related conditions (Narrow) All ages Persons 2017/18 581.8 514.6 632.3 per 100,000 C22 - Estimated diabetes diagnosis rate 17+ yrs Persons 2018 69.4 75.2 78.0 % C24a - Cancer screening coverage - breast cancer 53-70 yrs Female 2018 72.1 ~ 76.0 ~ 74.9 ~ % C24b - Cancer screening coverage - cervical cancer (aged 25 to 49 years old) 25-49 yrs Female 2019 73.4 ~ 71.4 ~ 69.8 ~ % C24c - Cancer screening coverage - cervical cancer (aged 50 to 64 years old) 50-64 yrs Female 2019 75.4 ~ 76.4 ~ 76.2 ~ % C24d - Cancer screening coverage - bowel cancer 60-74 yrs Persons 2018 61.4 ~ 60.8 ~ 59.0 ~ % C25a - Abdominal Aortic Aneurysm Screening - Coverage 65 Male 2017/18 81.3 ~ 82.0 ~ 80.8 ~ % C26a - Cumulative percentage of the eligible population aged 40-74 offered an NHS Health Check 40-74 yrs Persons 2014/15 - 18/19 103.5 x 85.8 90.0 % C26b - Cumulative percentage of the eligible population aged 40-74 offered an NHS Health Check who received an NHS Health Check 40-74 yrs Persons 2014/15 - 18/19 50.0 46.9 48.1 % C26c - Cumulative percentage of the eligible population aged 40-74 who received an NHS Health check 40-74 yrs Persons 2014/15 - 18/19 51.8 40.3 43.3 % C27 - Percentage reporting a long term Musculoskeletal (MSK) problem 18+ yrs Persons 2017/18 19.5 16.0 17.0 % C28a - Self-reported wellbeing - people with a low satisfaction score 16+ yrs Persons 2017/18 4.54 3.89 4.41 % C28b - Self-reported wellbeing - people with a low worthwhile score 16+ yrs Persons 2017/18 - ^ 3.10 3.57 % C28c - Self-reported wellbeing - people with a low happiness score 16+ yrs Persons 2017/18 8.32 7.60 8.20 % C28d - Self-reported wellbeing - people with a high anxiety score 16+ yrs Persons 2017/18 19.4 20.4 20.0 % C29 - Emergency hospital admissions due to falls in people aged 65 and over 65+ yrs Persons 2017/18 2229 2189 2170 per 100,000 C29 - Emergency hospital admissions due to falls in people aged 65-79 65-79 yrs Persons 2017/18 1053 1030 1033 per 100,000 C29 - Emergency hospital admissions due to falls in people aged 80+ 80+ yrs Persons 2017/18 5640 5553 5469 per 100,000 2.02i - Breastfeeding initiation All ages Female 2016/17 78.9 79.1 74.5 % 2.02ii - Breastfeeding prevalence at 6-8 weeks after birth - current method 6-8 weeks Persons 2018/19 51.8 - [b] 46.2 [c] % 2.19 - Cancer diagnosed at early stage (experimental statistics) All ages Persons 2017 50.5 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 2017 5.25 5.58 5.06 % D02a - Chlamydia detection rate / 100,000 aged 15-24 15-24 yrs Persons 2018 1721 * 1615 * 1975 * per 100,000 D02b - New STI diagnoses (exc chlamydia aged <25) / 100,000 15-64 yrs Persons 2018 644.9 708.1 850.6 per 100,000 D03c - Population vaccination coverage - Dtap / IPV / Hib (1 year old) 1 yr Persons 2018/19 93.0 * 93.0 * 92.1 * % D03f - Population vaccination coverage - PCV 1 yr Persons 2018/19 93.1 * 93.5 * 92.8 * % D03g - Population vaccination coverage - Hepatitis B (2 years old) 2 yrs Persons 2018/19 90.0 - [a] - [a] % D03h - Population vaccination coverage - Dtap / IPV / Hib (2 years old) 2 yrs Persons 2018/19 95.2 * 94.2 * 94.2 * % D03j - Population vaccination coverage - MMR for one dose (2 years old) 2 yrs Persons 2018/19 92.5 * 91.4 * 90.3 * % D03k - Population vaccination coverage - PCV booster 2 yrs Persons 2018/19 92.8 * 91.3 * 90.2 * % D03l - Population vaccination coverage - Flu (2-3 years old) 2-3 yrs Persons 2018/19 39.0 * 48.7 ~ * 44.9 * % D03m - Population vaccination coverage - Hib / MenC booster (2 years old) 2 yrs Persons 2018/19 92.6 * 91.3 * 90.4 * % D04b - Population vaccination coverage - MMR for one dose (5 years old) 5 yrs Persons 2018/19 94.9 * 94.1 * 94.5 * % D04c - Population vaccination coverage - MMR for two doses (5 years old) 5 yrs Persons 2018/19 90.4 * 87.4 * 86.4 * % D04e - Population vaccination coverage - HPV vaccination coverage for one dose (females 12-13 years old) 12-13 yrs Female 2017/18 80.5 * 88.6 * 86.9 * % D04f - Population vaccination coverage - HPV vaccination coverage for two doses (females 13-14 years old) 13-14 yrs Female 2017/18 74.2 * 84.6 * 83.8 * % D05 - Population vaccination coverage - Flu (at risk individuals) 6 months-64 yrs Persons 2018/19 47.0 * 48.6 ~ * 48.0 * % D06a - Population vaccination coverage - Flu (aged 65+) 65+ yrs Persons 2018/19 71.7 * 72.7 ~ * 72.0 * % D06b - Population vaccination coverage - PPV 65+ yrs Persons 2017/18 68.3 * 69.7 * 69.5 * % D06c - Population vaccination coverage - Shingles vaccination coverage (70 years old) 70 Persons 2017/18 47.9 * 46.5 * 44.4 * % D07 - HIV late diagnosis (%) 15+ yrs Persons 2016 - 18 48.6 * 45.4 * 42.5 * % D08a - Proportion of drug sensitive TB cases who had completed a full course of treatment by 12 months All ages Persons 2017 76.9 86.2 84.7 % D08b - TB incidence (three year average) All ages Persons 2016 - 18 2.78 6.19 9.19 per 100,000 D09 - NHS organisations with a board approved sustainable development management plan Not applicable Not applicable 2015/16 42.9 59.5 66.2 % D10 - Adjusted antibiotic prescribing in primary care by the NHS All ages Persons 2018 0.98 * 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 2015 - 17 3.16 3.42 3.92 per 1000 E02 - Percentage of 5 year olds with experience of visually obvious dental decay 5 yrs Persons 2016/17 13.1 16.4 23.3 % E03 - Mortality rate from causes considered preventable All ages Persons 2016 - 18 165.4 158.0 180.8 per 100,000 E04a - Under 75 mortality rate from all cardiovascular diseases <75 yrs Persons 2016 - 18 59.2 59.0 71.7 per 100,000 E04b - Under 75 mortality rate from cardiovascular diseases considered preventable <75 yrs Persons 2016 - 18 36.0 36.3 45.3 per 100,000 E05a - Under 75 mortality rate from cancer <75 yrs Persons 2016 - 18 124.8 123.6 132.3 per 100,000 E05b - Under 75 mortality rate from cancer considered preventable <75 yrs Persons 2016 - 18 71.5 69.8 76.3 per 100,000 E06a - Under 75 mortality rate from liver disease <75 yrs Persons 2016 - 18 17.2 15.7 18.5 per 100,000 E06b - Under 75 mortality rate from liver disease considered preventable <75 yrs Persons 2016 - 18 14.7 13.9 16.3 per 100,000 E07a - Under 75 mortality rate from respiratory disease <75 yrs Persons 2016 - 18 32.2 28.7 34.7 per 100,000 E07b - Under 75 mortality rate from respiratory disease considered preventable <75 yrs Persons 2016 - 18 17.0 15.9 19.2 per 100,000 E08 - Mortality rate from a range of specified communicable diseases, including influenza All ages Persons 2016 - 18 9.70 9.80 11.3 per 100,000 E10 - Suicide rate 10+ yrs Persons 2016 - 18 13.7 9.21 9.64 per 100,000 E11 - Emergency readmissions within 30 days of discharge from hospital All ages Persons 2017/18 - & 13.7 13.7 % E12a - Preventable sight loss - age related macular degeneration (AMD) 65+ yrs Persons 2017/18 98.2 108.3 ~ 106.7 per 100,000 E12b - Preventable sight loss - glaucoma 40+ yrs Persons 2017/18 14.1 12.3 ~ 12.6 per 100,000 E12c - Preventable sight loss - diabetic eye disease 12+ yrs Persons 2017/18 2.08 2.69 ~ 2.81 per 100,000 E12d - Preventable sight loss - sight loss certifications All ages Persons 2017/18 50.3 39.6 ~ 41.1 per 100,000 E13 - Hip fractures in people aged 65 and over 65+ yrs Persons 2017/18 553.5 557.6 577.8 per 100,000 E13 - Hip fractures in people aged 65-79 65-79 yrs Persons 2017/18 206.3 230.4 246.3 per 100,000 E13 - Hip fractures in people aged 80+ 80+ yrs Persons 2017/18 1560 1507 1539 per 100,000 E14 - Excess winter deaths index All ages Persons Aug 2017 - Jul 2018 33.4 30.2 30.1 % E14 - Excess winter deaths index (age 85+) 85+ yrs Persons Aug 2017 - Jul 2018 42.9 39.6 41.1 % E15 - Estimated dementia diagnosis rate (aged 65 and over) 65+ yrs Persons 2019 67.2 * 65.6 * 68.7 * % 4.09i - Excess under 75 mortality rate in adults with serious mental illness 18-74 yrs Persons 2014/15 328.3 347.5 370.0 % 4.09ii - Proportion of adults in the population in contact with secondary mental health services 18-74 yrs Persons 2014/15 5.94 4.53 5.36 % ##### Accompanying indicator value notes symbols Data note * Value compared to a goal (see below) ~ Aggregated from all known lower geography values$ Value is modelled or synthetic estimate
^ Value cannot be calculated as number of cases is too small
& Value missing in source data
x There is a data quality issue with this value
@ LAs are allocated the rate of the police force area within which they sit
[a] Value suppressed due to incompleteness of source data
[b] Value not published for data quality reasons
[c] Annual figure includes constituent area(s) with annual figure scaled up data from three quarters’ data

#### 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
D03c - Population vaccination coverage - Dtap / IPV / Hib (1 year old) >= 95% 90-95% < 90%
D03f - Population vaccination coverage - PCV >= 95% 90-95% < 90%
D03h - Population vaccination coverage - Dtap / IPV / Hib (2 years old) >= 95% 90-95% < 90%
D03j - Population vaccination coverage - MMR for one dose (2 years old) >= 95% 90-95% < 90%
D03k - Population vaccination coverage - PCV booster >= 95% 90-95% < 90%
D03l - Population vaccination coverage - Flu (2-3 years old) >= 65% 40-65% < 40%
D03m - Population vaccination coverage - Hib / MenC booster (2 years old) >= 95% 90-95% < 90%
D04b - Population vaccination coverage - MMR for one dose (5 years old) >= 95% 90-95% < 90%
D04c - Population vaccination coverage - MMR for two doses (5 years old) >= 95% 90-95% < 90%
D04e - Population vaccination coverage - HPV vaccination coverage for one dose (females 12-13 years old) >= 90% 80-90% < 80%
D04f - Population vaccination coverage - HPV vaccination coverage for two doses (females 13-14 years old) >= 90% 80-90% < 80%
D05 - Population vaccination coverage - Flu (at risk individuals) >= 55% < 55%
D06a - Population vaccination coverage - Flu (aged 65+) >= 75% < 75%
D06b - Population vaccination coverage - PPV >= 75% 65-75% < 65%
D06c - Population vaccination coverage - Shingles vaccination coverage (70 years old) >= 60% 50-60% < 50%
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)