What’s new in the February 2019 PHOF update?


That is the most recent in a sequence of blogs summarising what we study every time we replace the Public Health Outcomes Framework (PHOF). The most recent replace contains 51 indicators, a few of which we clarify under.

The PHOF units out a imaginative and prescient for public well being. This contains the specified outcomes and the symptoms that may assist us perceive how nicely public well being is being improved and guarded.

It goals to mirror a spotlight not solely on how lengthy folks reside, however on how nicely they reside in any respect levels of life.

Life expectancy and inequality in life expectancy

A number of indicators within the overarching domain have been up to date to the most recent interval of 2015-17.

Wholesome life expectancy (HLE) at start and life expectancy (LE) at start and at 65 have been launched by the Workplace for Nationwide Statistics in December 2018. The replace confirmed that, for England, male HLE has elevated by 4 months since 2009-11, whereas feminine HLE decreased by three months over the identical interval.

Each female and male LE have elevated since 2009-11, by 9 and 5 months respectively (determine 1).

Traits in LE and doable causes for the current slowdown in enchancment have been explored in further detail in a recent publication by PHE.

Determine 1: Traits in life expectancy and wholesome life expectancy in women and men, 2001-03 to 2015-17

New to the general public area on this launch are updates to inequality in life expectancy for England, areas and native authorities.

Inequality in life expectancy within the PHOF is estimated utilizing a abstract measure known as the slope index of inequality (SII). The upper the worth of the SII, the larger the inequality inside an space. For extra steering on interpretation please see here.

The most recent information within the PHOF for 2015-17 signifies a widening in inequality in life expectancy at start inside England since 2010-12. For males, the SII for England was 9.Four years – wider by Four months; for females it was 7.Four years, wider by 7 months than 2010-12.

We’ve adjusted the best way we current this info, these indicators have been condensed right into a single indicator labelled as 0.2iii – Inequality in life expectancy at start, break up by women and men.

Nevertheless, watch out to not examine totally different ranges of geography. The SII for England takes account of the total vary of deprivation and mortality throughout the entire nation.

This doesn’t subsequently present an appropriate benchmark with which to match native authority outcomes, which have in mind the vary of deprivation and mortality inside a lot smaller geographies.

Hospital admissions for unintentional and deliberate accidents in youngsters and younger folks

The crude charges of admissions for unintentional or deliberate accidents for kids aged 0-Four and 0-14 have been 121.2 and 96.Four per 10,000 inhabitants respectively in 2017/18. These have been each vital reductions from 2016/17 and continued a long term lowering pattern seen during the last 5 years.

Nevertheless, the other was seen for the crude fee of admissions for younger folks aged 15-24 which considerably elevated from 2016/17 to 132.7 per 10,000 inhabitants in 2017/18.

Nevertheless, this enhance shouldn’t be mirrored within the longer-term pattern which reveals a lower primarily based on the 5 most up-to-date time factors.

Determine 3: Admissions for unintentional and deliberate accidents in youngsters and younger folks, 2010/11 to 2017/18

Emergency admissions for falls and hip fractures

The charges of emergency admissions resulting from hip fractures and resulting from falls each elevated barely for these aged 65 and over in 2017/18 in contrast with 2016/17, nevertheless, neither of those will increase have been vital. Females have persistently had larger charges of emergency admissions than males for hip fractures and for falls throughout all three age teams, see determine 4.

Determine 4: Emergency admissions for hip fractures in males, females and individuals aged 65+ from 2010/11 to 2017/18

Hole in employment charges between these involved with secondary psychological well being companies and the general inhabitants

The general employment fee (these aged 16-64) in England in 2017/18 was 75.2%

The hole between the employment fee for these with long-term well being circumstances and the general employment fee decreased in 2017/18 to11.5 proportion factors.

For these involved with secondary psychological well being companies, the hole was 68.2, that means it has widened since 2016/17.

The hole in employment fee between these with a studying incapacity and the general fee for 2017/18 elevated barely (however not considerably) in comparison with 2016/17 to 69.2 proportion factors.

Determine 6: Hole in general employment fee in England and fee in folks with well being circumstances, 2017/18

To see what else has been up to date this time or in the event you’d wish to view the info in your native space, go to our webtool at www.phoutcomes.data. In the event you’d wish to ship us any suggestions please accomplish that through phof.enquiries@phe.gov.uk.


PHE have revealed a proposal for modifications to the Public Well being Outcomes Framework indicators for 2019-2022. PHE would really like suggestions from customers on this proposal to make sure the modifications are useful and applicable.

You possibly can have your say by finishing the online survey. The survey will shut on 17 February 2019


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