The latest update to the Public Health Outcomes Framework has recently been published by Public Health England. The Framework contains a range of indicators covering:
- Overarching health (e.g. life expectancy)
- The wider determinants of health (e.g. education, employment, housing)
- Health improvement (e.g. smoking, physical activity)
- Health protection (e.g. vaccination)
- Healthcare and premature mortality (e.g. hospital emergency readmission)
What does this mean for Richmond?
- For men, life expectancy at birth and 65 both continued to rise, however, for women, remained almost static; suggesting the gender gap is closing.
Wider Determinants of Health
- The numbers of children in poverty fell to 3,140 under-16s and 3,585 under-20s.
- School readiness:
- The proportion of children achieving a good level of development at the end of reception increased from 42.6% to 64.2% (20.5% to 36.1% for children with free school meal status, which is significantly lower than the London and England averages).
- 412 (18.1%) 4-5 year olds and 412 (24.4%) of 10-11 year olds were overweight or obese (2nd and 1st lowest proportions in London).
- The average difficulties score of looked after children increased above the London and England averages (an indicator of emotional wellbeing).
- 69% of patients are recorded as having diabetes (2nd lowest in London).
- Hearing screening was completed for 98.9% of eligible new-borns (above London average) and Abdominal aortic aneurysm screening was offered to 99.7% of eligible men.
- Self-reported well-being – 4% people had a low happiness score (joint best in London) and 18.7% people had a high anxiety score#.
- The chlamydia detection rate for 15-24 year olds was 1,430 per 100,000 (below the London and England averages and the goal of 2,300 per 100,000 – although the locally agreed goal is 1,600 per 100,000).
- Richmond is below target for a number of immunisation indicators, which is also true for the majority of other London boroughs.
- The proportion of people presenting with HIV at a late stage of infection fell to 37.3%.
Healthcare and Premature Mortality
- The excess under-75 mortality rate in adults with serious mental illness fell slightly but remains at about three times the rate for the rest of the population.
- The Excess Winter Death Index (a measure of the proportion of deaths in winter compared to summer) increased overall, but fell for over-85s in particular.
#Estimate based on survey data.