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)
The full list of new and updated indicators is available online. The online tool allows trends, maps and comparisons with national, regional and other similar local authorities to be viewed.
What does this mean for Richmond?
Life expectancy
- 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).
Health Improvement
- 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#.
Health Protection
- 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.
New data
