What’s new in the May 2019 PHOF update?


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That is the newest in a sequence of blogs summarising what we be taught every time we replace the Public Health Outcomes Framework (PHOF). The newest replace contains 20 indicators, a few of which we clarify beneath.

The PHOF features a set of indicators that assist us perceive how properly public well being is being improved and guarded. It goals to replicate a spotlight not solely on how lengthy folks reside, however on how properly they reside in any respect levels of life.

The proportion of chubby or overweight adults has elevated

A number of indicators within the well being enchancment area have been up to date to the newest interval of 2017/18 following the discharge of knowledge from the Lively Lives Survey by Sport England.

This exhibits that the proportion of adults (aged 18+) categorised as chubby or overweight (a physique mass index of 25 kilograms per metre squared or higher) elevated to 62.0% in 2017/18, up from 61.3% in 2016/17. Extra weight is a leading cause of kind 2 diabetes, coronary heart illness and most cancers and decreasing weight problems is a PHE precedence.

In every of the three time factors for which the PHOF has comparable information, the proportion has constantly been larger for males than girls.

There may be additionally a transparent development throughout socio-economic teams. Communities with larger ranges of deprivation have larger proportions of adults who’re categorised as chubby or overweight.

Bar graph showing % of adults classified as overweight or obese by deprivation decile, showing the most deprived decile to have the most overweight adults.

Ranges of bodily inactivity stay unchanged

Bodily inactivity is likely one of the main causes of illness and incapacity within the UK and is estimated to be responsible for one in six UK deaths (this is the same as smoking). Bodily inactivity is outlined as partaking in lower than 30 minutes of average depth bodily exercise every week. In 2017/18 the proportion of bodily inactive adults was 22.2%, the identical worth because it was in 2016/17.

The proportion of bodily energetic adults (these finishing a minimum of 150 minutes of bodily exercise every week) elevated barely, however not considerably, in 2017/18 to 66.3%. The proportion of bodily energetic adults varies throughout demographic teams and is highest amongst these in work, and people of upper training ranges. There may be additionally variation throughout ethnic teams.


Two bar graphs. One shows the percentage of physically adults by working status. This shows adults in work are more active than those who are unemployed. Second graph shows percentage of physically active adults by ethnicity, with white British and mixed ethnicity being the most active and black and asian ethnicities the least.

The proportion of cancers recognized at stage 1 and a pair of has remained steady

Prognosis at an early stage of the most cancers’s growth results in dramatically improved survival possibilities. That is vital when one considers that greater than 1 in 3 people will develop most cancers in some unspecified time in the future of their life.

This indicator appears to be like at new instances of most cancers recognized at stage 1 and a pair of as a proportion of all new instances of most cancers recognized for particular most cancers websites (invasive malignancies of breast, prostate, colorectal, lung, bladder, kidney, ovary, uterus, non-Hodgkin lymphomas, and invasive melanomas of pores and skin).

The proportion of most cancers recognized early didn’t change considerably in 2017 in contrast with 2016. It decreased barely to 52.2% in contrast with 52.6% within the earlier interval.

This indicator isn’t pink, amber, inexperienced (RAG) rated and is labelled as experimental statistics due to the variation in information high quality: variation within the indicator values affect the variation in completeness of staging info.

Knowledge for areas the place fewer than 70% of the instances had identified staging info are excluded from the indicator. The proportion of native authorities reaching 70% staging protection elevated considerably after 2012, the primary 12 months of knowledge assortment for this indicator and that is mirrored within the nationwide proportion which improved significantly between 2012 and 2015.

One other issue with an vital impact is the case-mix of cancers recognized. For instance breast most cancers is much extra prone to be diagnosed at an early stage than lung most cancers, so areas with a excessive proportion of breast most cancers could have higher outcomes on this indicator compared with areas with a excessive proportion of lung most cancers.

Preventable sight loss has decreased

The PHOF indicator on sight loss is calculated utilizing information supplied from Moorfields Eye Hospital, who’re contracted by Division of Well being and Social Care and the Royal School of Ophthalmologists to be chargeable for certifications.

The indicator is break up into 4 sub-indicators, which cowl sight loss certifications from all causes (preventable and non-preventable) and the three most typical causes of preventable sight loss:

  • age-related macular degeneration (ages 65+)
  • glaucoma (ages 40+)
  • diabetic eye illness (ages 12+)

Risk of sight loss is influenced by socio-demographics, including deprivation and age whilst important risk factors for eye disease in general are obesity, diabetes and smoking.

The newest information are for 2017/18 and are measured because the crude price of latest certifications per 100,000 inhabitants. The charges replicate 22,844 sight loss certifications in England, of which 10,699 have been attributable to age-related macular degeneration, 3,485 have been attributable to glaucoma and 1,332 have been attributable to diabetic eye illness.

The speed decreased considerably for all certifications and people attributable to age-related macular degeneration in contrast with the earlier time level (2016/17). The charges additionally decreased for certifications attributable to glaucoma and diabetic eye illness, however not considerably.

Line graph showing crude rate of sight loss certifications per 100,000 population. The rate decreased significantly for all certifications and those due to age-related macular degeneration compared with the previous time point (2016/17).

Go to the Public Health Outcomes Framework to see all of our indicators.

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