Hull Public Health 

The Deep, Hull The Guildhall, Hull King William Statue, Market Place, Hull City Hall, Hull Spurn Lightship, The Marina, Hull

 

 

Public Health Outcomes Framework


Documents

The main Public Health Outcomes Framework documents are as follows:

Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here)
Public Health Outcomes Framework Summary
Public Health Outcomes Framework for Children and Young People
Public Health Outcomes Framework National Profile for Hull
Public Health Outcomes Framework Hull Health and Wellbeing Board Strategy Performance Measures
Public Health Outcomes Framework Hull Health and Wellbeing Board Strategy Performance Scorecards

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Background

From the Introduction to the Public Health Outcomes Framework (PHOF) 2013 to 2016 document produced in January 2012, "The responsibility to improve and protect our health lies with us all – government, local communities and with ourselves as individuals. There are many factors that influence public health over the course of a lifetime. They all need to be understood and acted upon. Integrating public health into local government will allow that to happen – services will be planned and delivered in the context of the broader social determinants of health, like poverty, education, housing, employment, crime and pollution. The NHS, social care, the voluntary sector and communities will all work together to make this happen. The new Public Health Outcomes Framework that has been published is in three parts. Part 1 introduces the overarching vision for public health, the outcomes we want to achieve and the indicators that will help us understand how well we are improving and protecting health. Part 2 specifies all the technical details we can currently supply for each public health indicator and indicates where we will conduct further work to fully specify all indicators. Part 3 consists of the impact assessment and equalities impact assessment."

The vision for the PHOF is "to improve and protect the nation's health and wellbeing, and improve the health of the poorest fastest". There are two overarching outcomes to "increase healthy life expectancy and to reduce differences in life expectancy and healthy life expectancy between communities." There are also four domains:

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Domains

Domain 1: Improving the wider determinants of health

Objective: improvements against wider factors that affect health and wellbeing, and health inequalities.

Domain 2: Health improvement

Objective: people are helped to life healthier lifestyles, make healthy choices and reduce health inequalities

Domain 3: Health protection

Objective: the population's health is protected from major incidents and other threats, while reducing health inequalities

Domain 4: Healthcare public health and preventing premature mortality

Objective: reduced numbers of people living with preventable ill health and people dying prematurely, while reducing the gap between communities."

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Development

Some of the PHOF outcomes are still under development, but where data is available it has been published nationally on http://www.phoutcomes.info/

 

When the PHOF national documents were first published, they included details of which indicators required further work on the definition and/or the data source(s). This information was incorporated into the JSNA Toolkit Release 4. However, some of the indicators have since changed slightly, and the local PHOF documents mentioned below use the latest definitions. Where data was available (which either matched the definitions or was similar to the definition), it was presented within the JSNA Toolkit Release 4.

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Centrally Produced Local Authority Profiles

Nationally, profiles for each local authority have been produced and can be downloaded from http://www.phoutcomes.info/. These are referred to as 'tartan rugs' as each indicator is colour coded for the local authority depending on whether its value is statistically significantly higher or lower than England's value. Pale blue is used where the local authority's value is significantly higher than England's, amber where there is no significant difference, and dark blue where the local authority's value is significantly lower than England's.

Hull's national profile is as follows:

Public Health Outcomes Framework National Profile for Hull

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Local Public Health Outcomes Framework

The data on the PHOF outcomes website can be downloaded, and this data together with additional local data and analyses has been used to create a local PHOF one-page summary for each outcome measure.

This document gives a detailed description of the indicator, and information about the indicator such as data source, time periods of baseline and latest data, and other relevant information about the indicator data. There are also up to five graphs for each indicator depending on how much data is available for the specific indicator. These five graphs are:

1) The latest figures for Hull and its comparator geographical areas
2) Trends over time for Hull
3) Comparison trends over time for Hull relative to England (together with regression lines if appropriate)
4) Differences among the five local deprivation quintiles/fifths (based on the Index of Multiple Deprivation 2010) over time
5) Latest data for the 23 wards in Hull

Six key points summarises Hull's baseline and latest values of the indicator, the change in the inequalities gap between Hull and England, and between the most and least deprived local deprivation quintiles, and differences across the wards. There is also a section which gives the ranking (out of 12 comparators), the 'tartan' rug colour and whether the trends and national and local inequalities gaps have improved over time or not. A significant lower indicator might denote a worse situation for some indicators whereas for other indicators a significantly higher indicator might denote a worse situation. . Therefore, for the local 'tartan rug', whether the value of Hull's indicator is 'worse', 'identical' or 'better' than England has also been noted. Although the 'tartan rug' colour may differ for one or two indicators within this report from those published nationally as within this document they are based on overlapping or non-overlapping 95% confidence intervals, and the 'tartan rug' colours might be determined differently for those published nationally.

A summary table has also been produced which summarises each indicator in a single line of a table. For each indicator, the document summarises each indicator in relation to the latest values for Hull and England, the ranking of Hull for the latest value of the indicator in relation to 11 other geographical areas which are comparable to Hull, the 'tartan rug' colour for the indicator for Hull, if the indicator has improved or not in Hull over time, and whether the difference in the indicator (national (England v Hull) and local (most v least deprived quintile/fifth of areas of Hull) inequalities gap) has narrowed or widened over time.

The local Public Health Outcomes Framework documents are as follows:

Public Health Outcomes Framework Main Report (to open this report on a particular PHOF indicator, click here)
Public Health Outcomes Framework Summary
Public Health Outcomes Framework for Children and Young People

Within these local documents, the comparator areas used for Hull are Coventry, Derby, Leicester, Middlesbrough, North East Lincolnshire, Plymouth, Salford, Sandwell, Stoke-on-Trent, Sunderland and Wolverhampton.

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Indicators from the Public Health Outcomes Framework

The following are a list of the Public Health Outcomes Framework indicators which, upon clicking, will open in a new tab the local analysis report at the one-page summary for that indicator.

Overarching indicators

PHOF 0.1i Male healthy life expectancy

PHOF 0.1i Female healthy life expectancy

PHOF 0.1ii Male life expectancy at birth

PHOF 0.1ii Female life expectancy at birth

PHOF 0.1ii Male life expectancy at age 65

PHOF 0.1ii Female life expectancy at age 65

PHOF 0.2iii Slope index of inequality in male life expectancy at birth

PHOF 0.2iii Slope index of inequality in female life expectancy at birth

PHOF 0.2iv Absolute gap with England in male life expectancy at birth

PHOF 0.2iv Absolute gap with England in female life expectancy at birth

Domain 1: Improving the wider determinants of health

PHOF 1.01i Children in poverty (all dependent children under 20)

PHOF 1.01ii Children in poverty (under 16s)

PHOF 1.02i School readiness - the percentage of children achieving a good level of development at the end of reception

PHOF 1.02i School readiness - the percentage of children with free school meal status achieving a good level of development at the end of reception

PHOF 1.02ii School readiness - the percentage of Year 1 pupils achieving the expected level in the phonics screening check

PHOF 1.02ii School readiness - the percentage of Year 1 pupils with free school meal status achieving the expected level in the phonics screening check

PHOF 1.03 Pupil absence

PHOF 1.04i First time entrants to the youth justice system

PHOF 1.05 Percentage of 16-18 years olds not in education, employmnet or training

PHOF 1.06i Adults with a learning disability who live in stable and appropriate accommodation

PHOF 1.06i Adults with a learning disability who live in stable and appropriate accommodation (males)

PHOF 1.06i Adults with a learning disability who live in stable and appropriate accommodation (females)

PHOF 1.06ii Adults in contact with secondary mental health services who live in stable and appropriate accommodation

PHOF 1.06ii Adults in contact with secondary mental health services who live in stable and appropriate accommodation (males)

PHOF 1.06ii Adults in contact with secondary mental health services who live in stable and appropriate accommodation (females)

PHOF 1.08i Gap in the employment rate between those with a long-term health condition and the overall employment rate

PHOF 1.08ii Gap in the employment rate between those with a learning disability and the overall employment rate

PHOF 1.08iii Gap in the employment rate for those in contact with secondary mental health services and the overall employment rate

PHOF 1.08iii Gap in the employment rate for those in contact with secondary mental health services and the overall employment rate (males)

PHOF 1.08iii Gap in the employment rate for those in contact with secondary mental health services and the overall employment rate (females)

PHOF 1.09i Sickness absence - The percentage of employees who had at least one day off in the previous week

PHOF 1.09ii Sickness absence - The percent of working days lost due to sickness absence

PHOF 1.10 Killed and seriously injured casualties on England's roads

PHOF 1.11 Domestic abuse

PHOF 1.12i Violent crime (including sexual violence) - hospital admissions for violence

PHOF 1.12ii Violent crime (including sexual violence) - violence offences

PHOF 1.13i Re-offending levels - percentage of offenders who re-offend

PHOF 1.13ii Re-offending levels - average number of re-offences per offender

PHOF 1.14i Percentage of population affected by noise - number of complaints

PHOF 1.14ii The percentage of the population exposed to road, rail and air transport noise of 65dB(A) or more, during the daytime

PHOF 1.14iii The percentage of the population exposed to road, rail and air transport noise of 55 dB(A) or more during the night-time

PHOF 1.15i Statutory homelessness - homelessness acceptances

PHOF 1.15ii Statutory homelessness - households in temporary accommodation

PHOF 1.16 Utilisation of outdoor space for exercise/health reasons

PHOF 1.17 Fuel poverty

PHOF 1.18i Social isolation: percentage of adult social care users who have as much social contact as they would like

PHOF 1.18ii Social isolation: loneliness and isolation in adult carers

PHOF 1.19i Older people's perception of community safety - safe in local area during the day

PHOF 1.19ii Older people's perception of community safety - safe in local area after dark

PHOF 1.19iii Older people's perception of community safety - safe in own home at night

Domain 2: Health improvement

PHOF 2.01 Low birth weight of term babies

PHOF 2.02i Breastfeeding - breastfeeding initiation

PHOF 2.02ii Breastfeeding - breastfeeding at 6-8 weeks after birth

PHOF 2.03 Smoking status at time of delivery

PHOF 2.04 Under 18 conceptions

PHOF 2.04 Under 18 conceptions: conceptions in those aged under 16

PHOF 2.06i Excess weight in 4-5 and 10-11 year olds - 4-5 year olds

PHOF 2.06ii Excess weight in 4-5 and 10-11 year olds - 10-11 year olds

PHOF 2.07i Hospital admissions caused by unintentional and deliberate injuries in children (aged 0-14 years)

PHOF 2.07i Hospital admissions caused by unintentional and deliberate injuries in children (aged 0-4 years)

PHOF 2.07ii Hospital admissions caused by unintentional and deliberate injuries in young people (aged 15-24)

PHOF 2.08 Emotional well-being of looked after children

PHOF 2.09i Smoking prevalence among 15 year olds - current smokers

PHOF 2.09ii Smoking prevalence among 15 year olds - regular smokers

PHOF 2.09iii Smoking prevalence among 15 year olds - occasional smokers

PHOF 2.11i Five or more portions of fruit and vegetables previous day

PHOF 2.12 Excess weight in adults

PHOF 2.13i Percentage of physically active and inactive adults - active adults

PHOF 2.13ii Percentage of active and inactive adults - inactive adults

PHOF 2.14 Smoking prevalence of adults (over 18s)

PHOF 2.14 Smoking prevalence- routine & manual

PHOF 2.15i Successful completion of drug treatment - opiate users

PHOF 2.15ii Successful completion of drug treatment - non-opiate users

PHOF 2.16 entering prison with substance dependence issues who are previously not known to community treatment

PHOF 2.17 Recorded diabetes

PHOF 2.18 Alcohol related admissions to hospital

PHOF 2.18 Alcohol related admissions to hospital (males)

PHOF 2.18 Alcohol related admissions to hospital (females)

PHOF 2.19 Cancer diagnosed at early stage

PHOF 2.20i Cancer screening coverage - breast cancer

PHOF 2.20ii Cancer screening coverage - cervical cancer

PHOF 2.20iv Newborn bloodspot screening - coverage

PHOF 2.20v Newborn hearing screening - coverage

PHOF 2.21vii Access to non-cancer screening programmes - diabetic retinopathy

PHOF 2.21viii Abdominal Aortic Aneurysm Screening

PHOF 2.22iii Cumulative percentage of the eligible population aged 40-74 offered an NHS Health Check

PHOF 2.22iv Cumulative percentage of the eligible population aged 40-74 offered an NHS Health Check who received an NHS Health Check

PHOF 2.22v Cumulative percentage of the eligible population aged 40-74 who received an NHS Health Check

PHOF 2.23i Self-reported well-being - people with a low satisfaction score

PHOF 2.23ii Self-reported well-being - people with a low worthwhile score

PHOF 2.23iii Self-reported well-being - people with a low happiness score

PHOF 2.23iv Self-reported well-being - people with a high anxiety score

PHOF 2.23v Average Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) score

PHOF 2.24i Injuries due to falls in people aged 65 and over - all people

PHOF 2.24i Injuries due to falls in people aged 65 and over - males

PHOF 2.24i Injuries due to falls in people aged 65 and over - females

PHOF 2.24ii Injuries due to falls in people aged 65 and over - aged 65-79

PHOF 2.24ii Injuries due to falls in people aged 65 and over - aged 65-79 (males)

PHOF 2.24ii Injuries due to falls in people aged 65 and over - aged 65-79 (females)

PHOF 2.24iii Injuries due to falls in people aged 65 and over - aged 80+

PHOF 2.24iii Injuries due to falls in people aged 65 and over - aged 80+ (males)

PHOF 2.24iii Injuries due to falls in people aged 65 and over - aged 80+ (females)

Domain 3: Health protection

PHOF 3.01 Fraction of mortality attributable to particulate air pollution

PHOF 3.02ii Chlamydia diagnoses (15-24 year olds) - persons

PHOF 3.02ii Chlamydia diagnoses (15-24 year olds) - males

PHOF 3.02ii Chlamydia diagnoses (15-24 year olds) - females

PHOF 3.03i Population vaccination coverage - Hepatitis B uptake (1 year old)

PHOF 3.03i Population vaccination coverage - Hepatitis B uptake (2 year old)

PHOF 3.03iii Population vaccination coverage - diphtheria, tetanus, pertussis / inactivated polio vaccine / haemophilus influenzae type b vaccine uptake (1 year old)

PHOF 3.03iii Population vaccination coverage - diphtheria, tetanus, pertussis / inactivated polio vaccine / haemophilus influenzae type b uptake (2 year old)

PHOF 3.03iv Population vaccination coverage - Meningococcal C (MenC) uptake (1 year old)

PHOF 3.03v Population vaccination coverage - pneumococcal conjugate vaccine (PCV) uptake (1 year old)

PHOF 3.03vi Population vaccination coverage - Haemophilus influenzae type b / Meningitis C (Hib/MenC) booster uptake (2 year old)

PHOF 3.03vi Population vaccination coverage - Haemophilus influenzae type b / Meningitis C (Hib/MenC) booster uptake (5 year old)

PHOF 3.03vii Population vaccination coverage - pneumococcal conjugate vaccine (PCV) booster uptake (2 year old)

PHOF 3.03viii Population vaccination coverage - measles, mumps and rubella (MMR) uptake - one dose (2 years old)

PHOF 3.03ix Population vaccination coverage - measles, mumps and rubella (MMR) uptake - one dose (5 years old)

PHOF 3.03x Population vaccination coverage - measles, mumps and rubella (MMR) uptake - two doses (5 years old)

PHOF 3.03xii Population vaccination coverage - Human Papillomavirus types 16 and 18 (HPV) uptake

PHOF 3.03xiii Population vaccination coverage - pneumococcal polysaccharide vaccine (PPV) uptake

PHOF 3.03xiv Population vaccination coverage - Flu (aged 65+)

PHOF 3.03xv Population vaccination coverage - Flu (at risk individuals)

PHOF 3.04 People presenting with HIV at a late stage of infection

PHOF 3.05i Treatment completion for tuberculosis

PHOF 3.05ii Treatment completion for tuberculosis - tuberculosis incidence

PHOF 3.06 Public sector organisations with a board approved sustainable development management plan

PHOF 3.07 Comprehensive, agreed inter-agency plans for responding to health protection incidents and emergencies

Domain 4: Healthcare public health and preventing premature mortality

PHOF 4.01 Infant mortality

PHOF 4.02 Tooth decay in children aged 5

PHOF 4.03 Mortality rate from causes considered preventable

PHOF 4.03 Mortality rate from causes considered preventable (males)

PHOF 4.03 Mortality rate from causes considered preventable (females)

PHOF 4.04i Under 75 mortality rate from all cardiovascular diseases

PHOF 4.04i Under 75 mortality rate from all cardiovascular diseases (males)

PHOF 4.04i Under 75 mortality rate from all cardiovascular diseases (females)

PHOF 4.04ii Under 75 mortality rate from cardiovascular diseases considered preventable

PHOF 4.04ii Under 75 mortality rate from cardiovascular diseases considered preventable (males)

PHOF 4.04ii Under 75 mortality rate from cardiovascular diseases considered preventable (females)

PHOF 4.05i Under 75 mortality rate from cancer

PHOF 4.05i Under 75 mortality rate from cancer (males)

PHOF 4.05i Under 75 mortality rate from cancer (females)

PHOF 4.05ii Under 75 mortality rate from cancer considered preventable

PHOF 4.05ii Under 75 mortality rate from cancer considered preventable (males)

PHOF 4.05ii Under 75 mortality rate from cancer considered preventable (females)

PHOF 4.06i Under 75 mortality rate from liver disease

PHOF 4.06i Under 75 mortality rate from liver disease (males)

PHOF 4.06i Under 75 mortality rate from liver disease (females)

PHOF 4.06ii Under 75 mortality rate from liver disease considered preventable

PHOF 4.06ii Under 75 mortality rate from liver disease considered preventable (males)

PHOF 4.06ii Under 75 mortality rate from liver disease considered preventable (females)

PHOF 4.07i Under 75 mortality rate from respiratory disease

PHOF 4.07i Under 75 mortality rate from respiratory disease (males)

PHOF 4.07i Under 75 mortality rate from respiratory disease (females)

PHOF 4.07ii Under 75 mortality rate from respiratory disease considered preventable

PHOF 4.07ii Under 75 mortality rate from respiratory disease considered preventable (males)

PHOF 4.07ii Under 75 mortality rate from respiratory disease considered preventable (females)

PHOF 4.08 Mortality from communicable diseases

PHOF 4.08 Mortality from communicable diseases (males)

PHOF 4.08 Mortality from communicable diseases (females)

PHOF 4.09 Excess under 75 mortality rate in adults with serious mental illness

PHOF 4.10 Suicide rate

PHOF 4.10 Suicide rate (males)

PHOF 4.11 Emergency readmissions within 30 days of discharge from hospital (persons)

PHOF 4.11 Emergency readmissions within 30 days of discharge from hospital (males)

PHOF 4.11 Emergency readmissions within 30 days of discharge from hospital (females)

PHOF 4.12i Preventable sight loss - age related macular degeneration (AMD)

PHOF 4.12ii Preventable sight loss - glaucoma

PHOF 4.12iii Preventable sight loss - diabetic eye disease

PHOF 4.12iv Preventable sight loss - sight loss certifications

PHOF 4.13 Health related quality of life for older people

PHOF 4.14i Hip fractures in people aged 65 and over

PHOF 4.14i Hip fractures in people aged 65 and over (males)

PHOF 4.14i Hip fractures in people aged 65 and over (females)

PHOF 4.14ii Hip fractures in people aged 65 and over - aged 65-79

PHOF 4.14ii Hip fractures in people aged 65 and over - aged 65-79 (males)

PHOF 4.14ii Hip fractures in people aged 65 and over - aged 65-79 (females)

PHOF 4.14iii Hip fractures in people aged 65 and over - aged 80+

PHOF 4.14iii Hip fractures in people aged 65 and over - aged 80+ (males)

PHOF 4.14iii Hip fractures in people aged 65 and over - aged 80+ (females)

PHOF 4.15i Excess Winter Deaths Index - all ages (single year)

PHOF 4.15ii Excess Winter Deaths Index - aged 85+ years (single year)

PHOF 4.15iii Excess Winter Deaths Index - all ages (three-year average)

PHOF 4.15iv Excess Winter Deaths Index - aged 85+ years (three-year average)

PHOF 4.16 Estimated diagnosis rate for people with dementia

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