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?

Wider Determinants of Health

  • The percentage of people using outdoor space for exercise/health reasons is 27.6%, which is the second highest in London.
  • The rate of domestic abuse incidents recorded by the police per 1,000 population in London has increased over the past 3 years, from 18.0 to 21.6 in 2014/15. Part of this increase is due to a national change in definition as well as more support in reporting incidents.

Health Improvement

  • 4% of the population meet the recommended 5 portions of fruit and vegetables per day, which is the highest proportion in London.
  • The average difficulties score for looked after children is 15.2, with a score under 14 considered normal. This value has been steadily increasing over the past 5 years from 12.9.
  • In 2014/15 there were 209 hospital admissions caused by unintentional and deliberate injuries in young people (aged 15-24 years). This equates to a rate of 119 per 10,000 resident population, which is not significantly different from the England average but significantly higher than the London average (98.6; Richmond is 4th highest out of the 33 London boroughs).

Healthcare and Premature Mortality

  • Richmond has the highest score in London for health-related quality of life for older people.
  • Deaths from all cardiovascular diseases in under 75s, 2012-14:
    • Of the 71 deaths in females, 38 deaths were considered preventable (54%). This is a rate of 18.8 per 100,000 preventable deaths, which is not significantly different to the London rate of 26.5.
    • Of the 154 deaths in males, 108 deaths were considered preventable (70%). This is a rate of 55.4 per 100,000 preventable deaths, which is significantly better than the London rate of 74.9.
  • Deaths from cancer in under 75s, 2012-14:
    • Of the 225 deaths in females, 141 deaths were considered preventable (63%). This is a rate of 63.1 per 100,000 preventable deaths, which is not significantly different to the London rate of 70.0.
    • Of the 280 deaths in males, 139 deaths were considered preventable (50%). This is a rate of 71.3 per 100,000 preventable deaths, which is significantly better than the London rate of 87.5.
  • Deaths from liver disease in under 75s, 2012-14:
    • Of the 77 deaths in both females and males, 72 deaths were considered preventable (94%). This is a rate of 16.8 per 100,000 preventable deaths, which is not significantly different from the London rate of 15.5.
  • Deaths from respiratory disease in under 75s, 2012-14:
    • Of the 85 deaths in both females and males, 54 deaths were considered preventable (64%). This is a rate of 14.5 per 100,000 preventable deaths, which is not significantly different from the London rate of 17.1.

New data: