Director of Public Health Annual Report 2018: Healthy places

Appendix – Public Health Outcomes Grid

Table 1: Life expectancy indicators in Buckinghamshire 2014 to 2016 compared to averages in the South East, England and CIPFA peers.

Indicator name	Bucks count	Bucks value (years)	South East value (years)	England value (years)	CIPFA Peers - mean excluding Bucks (years)	CIPFA ranking 1-16
Healthy life expectancy at birth (Male)	-	69.4	66.1	63.3	65.9	1
Healthy life expectancy at birth (Female)	-	70.3	66.3	63.9	66.4	1
Life expectancy at birth (Male)	-	81.9	80.6	79.5	80.6	1
Life expectancy at birth (Female)	-	84.9	84.0	83.1	84.0	1

Table 2: Wider determinants in Buckinghamshire compared to averages in the South East, England and amongst CIPFA peers.

Indicator name	Year	Bucks count	Bucks value (years)	South East value (years)	England value (years)	CIPFA Peers - mean excluding Bucks (years)	CIPFA ranking 1-16
School readiness: % children achieving good level of development at the end of reception	2016/17	4,791%	73.5	74.0	70.7	71.8	3
Sickness absence - % of employees who had at least one day off in the previous week	2014-16	-	2.5	2.2	2.1	2.0	14
Killed or seriously injured casualties on England's roads	2014-16	722 rate per 100,000	45.5	50.6	39.7	47.7	8
Violent crime including sexual violence - violence offences per 1,000 population	2016/17	5,788 rate per 100,000	11.0	19.4	20.0	16.6	1
Domestic Abuse related incidents and crimes	2016/17	-	16.0	18.9	22.5	19.7	4
Social Isolation - % of adult social care users who have as much social contact as they would like	2016/17	-	45.1	46.6	45.4	46.4	6
Fuel poverty	2015	17,551%	8.4	9.4	11.0	9.7	6
Children in care	2017	455 rate per 100,000	37.0	51.0	62.0	46.5	5

Table 3: Health improvement in Buckinghamshire compared to averages in the South East, England and amongst CIPFA peers.

Indicator name	Year	Bucks count	Bucks value (years)	South East value (years)	England value (years)	CIPFA Peers - mean excluding Bucks (years)	CIPFA ranking 1-16
Low birth weight of term babies	2016	157	2.8	2.3	2.8	2.3	16
Excess weight in 4-5 year olds (NCMP)	2016/17	1,088	18.0	21.4	22.6	21.3	2
Excess weight in 10-11 year olds (NCMP)	2016/17	1,384	27.2	30.6	34.2	30.3	3
Smoking Prevalence in adults - current smokers (APS)	2016	-	11.2	14.6	15.5	13.8	1
Excess weight in adults	2016-17	-	57.8	59.7	61.3	60.6	3
Adults reporting as physically inactive (<30 mins of moderate to high intensity physical activity/week 19+)	2016/17	-	17.5	19.3	22.2	20.1	1
Diabetes Prevalence (QOF)	2016/17	-	5.9	6.0	6.7	6.2	5
Admission episodes for alcohol-related conditions - narrow definition	2016/17	2,594	502.6	525.1	636.4	584.9	4
Cancer screening coverage - Breast	2017	46,832	79.4	76.9	75.4	77.7	3
Cancer screening coverage - Cervical	2017	47783	74.7	73.2	72.1	74.4	7
Cancer screening coverage - Bowel	2017	47,783	60.9	61.0	58.8	61.9	10
Cumulative % of the eligible population offered an NHS Health Check who received an NHS Health Check	2013/14-16/17	57,762	44.3	45.5	48.9	48.4	10
Self-reported wellbeing - People with a low happiness score	2016/17	-	6.2	7.8	8.5	7.7	4
Self harm in children: Hospital admissions as a result of self-harm 10-24yrs	2016/17	294	329.2	449.3	404.6	476.5	3
Average difficulties score for all looked after children aged 5-16 who have been in care for at least 12 months	2016/17	-	14.3	14.6	14.1	14.7	7
Emergency hospital admissions for intentional self-harm	2016/17	657	126.3	197.3	185.3	194.9	2
Women 6-8 weeks post-natal with an Edinburgh Post Natal Depression Score indicative of post-natal depression			7.3	N/A	N/A	N/A	-
Recorded dementia prevalence (65+)	Sep-17	4,333	4.3	4.2	4.3	4.2	11
Under 18 conceptions	2015	101	10.4	15.0	18.8	14.8	1

Table 4: Health protection in Buckinghamshire compared to averages in the South East, England and amongst CIPFA peers.

Indicator name	Unit	Year	Bucks count	Bucks value (years)	South East value (years)	England value (years)	CIPFA Peers - mean excluding Bucks (years)	CIPFA ranking 1-16
Chlamydia detection rate (15-24)1	Rate per 100,000	2016	685	1,181.8	1,500.5	1,882.3	1588.9	14
Children in care with up to date immunisations	%	2017	285	95.3	80.9	84.6	75.4	1
Population vaccination coverage - Flu (aged 65+)2	%	2016/17	70,984	71.3 48.1	70.2	70.5	71.4	10
Population vaccination coverage - Flu (at-risk individuals)3	%	2016/17	27,421	48.3	48.6		48.8	10
HIV late diagnosis4	%	2014-16	36	43.4	43.4	40.1	44.7	-
Incidence of TB5	Rate per 100,000	2014-16	133	8.4	7.1	10.9	4.8	16

Table 5: Healthcare and premature mortality in Buckinghamshire compared to averages in the South East, England and amongst CIPFA peers.

Indicator name	Unit	Year	Bucks count	Bucks value (years)	South East value (years)	England value (years)	CIPFA Peers - mean excluding Bucks (years)	CIPFA ranking 1-16
Infant mortality	Rate per 1,000	2014-16	64	3.5	3.2	3.9	3.4	11
Under 75 mortality rate from all CVD	Rate per 100,000	2014-16	707	52.3 112.8 8.8	61.5	73.5	62.2	2
Under 75 mortality rate from all Cancers	Rate per 100,000	2014-16	1,529	126.9		136.8	124.5	1
Under 75 liver disease mortality considered preventable	Rate per 100,000	2014-16	123	13.2		16.1	12.3	1
Mortality attributable to particulate air pollution	%	2016	-	5.5	5.5	5.3	5.2	13
Directly Age Standardised Rate of Mortality in persons (aged 65+) with a recorded mention of dementia	Rate per 100,000	2016	731	710.7 351.1	840.7	867.6	820.3	1
Excess under 75 mortality rate in adults with serious mental illness (Indirectly standardised ratio)	%	2014/15	-	347.5		370.0	353.3	9
Suicide rate	Rate per 100,000	2014-16	97	7.2	9.8	9.9	9.6	2
Hip fractures in people aged 65 and over	Rate per 100,000	2016/17	580	572.6 18.0	560.4	575.0	568.2	8
Excess winter deaths Index - 3 years	Ratio	Aug 2013-Jul 2016	698	17.4		17.9	17.3	12
Mortality rate from causes considered preventable	Rate per 100,000	2014-2016	1,988.0	132.5	159.6	182.8	156.7	1