Further information

The Department of Health has released a series of documents about the Public Health Outcomes Framework that can be accessed through the following link: Public Health Outcomes Framework documentation

All indicators require context in order to understand them.  In general, the indicator values are somewhat abstract, and don’t mean much to anyone unless they are presented in comparison to other values of the same indicator.  Fingertips does this in several ways: it presents changes over time for most indicators, with a clear indication of whether the indicator values are rising or falling, and whether that change is ‘good’ or ‘bad’.  It presents indicator values for different areas alongside each other, essentially showing an area in the context of other areas’ values.  Thirdly, it presents indicators alongside comparator values, such as national or regional averages, targets or benchmarks, and highlights differences between local values and the selected reference value using red-amber-green (RAG) ratings.

PHE has produced a range of technical guidance to aid the interpretation of indicators and comparators. 

The following links may be helpful for further information about the health of the population in your local area:

Adult excess weight supporting data

The PHE Obesity Risk Factors Intelligence team have produced supporting indicators for the excess weight in adults (aged 16 and over) data in the Public Health Outcomes Framework (PHOF).  Breakdowns of local authority prevalence data by BMI category are presented in an Excel spreadsheet: underweight, healthy weight, overweight, obesity and excess weight. The new figures combine data from 2013, 2014 and 2015 and previous year's figures combined three years of data from 2012, 2013 and 2014 and can be downloaded here: Adult excess weight 2013-15 and Adult excess weight 2012-14.

Data on child obesity and excess weight at small area level

The spreadsheets at the following link provide trend data on the prevalence of excess weight (overweight including obesity) from 2010/11 to 2015/16 and obesity from 2008/09 to 2015/16. Data from the National Child Measurement Programme (NCMP) is presented for 2011 Middle Super Output Areas (MSOA), 2015 Electoral Wards, 2015 Clinical Commissioning Groups (CCG),  2013 local authorities, and England: Child obesity and excess weight data at small area level

Policy refresh: indicators for 2016 to 2019

The Public Health Outcomes Framework was refreshed in May 2016, following a consultation in 2015. Details of the new framework can be found in the government response to the consultation. https://www.gov.uk/government/consultations/reviewing-the-indicators-in-the-public-health-outcome-framework 

Data from the 2012 to 2015 framework, as at May 2016, can be obtained by contacting PHOF.Enquiries@phe.gov.uk if required.

Inequalities

The Public Health Outcomes Framework focuses the whole system on achieving positive health outcomes for the population and reducing inequalities in health. The majority of indicators in this framework have the potential to impact on inequalities and we aspire to make it possible for all indicators to be disaggregated by equalities characteristics and by socioeconomic analysis wherever possible in order to support work locally to reduce in-area health inequalities where these persist. A list of inequalities data available within the tool is available here. Also available is a technical user guide for the overarching indicators and a link to the ONS data and briefing for 0.2vi (local level healthy life expectancy slope index of inequality)

In July 2017 PHE published a health equity report which presents analysis and commentary on inequalities for 18 indicators from the PHOF. This report supports understanding of inequalities in health for different populations in England, with a particular focus on inequalities between ethnic groups.  The report was accompanied by a blogpost on ‘Understanding health inequalities in England’ ’.

User Guides:

Charts for slope index of inequality in life expectancy

Life expectancy at birth and Healthy life expectancy at birth for each deprivation decile in England is now available in the data download.

Slope index of inequality - Effects of methodological changes in the Public Health Outcomes Framework 

The Lesbian, Gay, Bisexual and Trans (LGBT) Public Health Outcomes Framework Companion Document

This work has been conducted by a partnership of organisations on a voluntary basis with the support of the Department of Health and Public Health England. While there remain many gaps in the data, we hope this publication will go some way towards helping commissioners understand how to best address health inequalities within LGBT communities in their area www.lgf.org.uk/phof.

Useful links: