London Public Health Outcomes Framework (PHOF)

The Public Health Outcomes Framework (PHOF) was launched by the Secretary of State for Health in January 2012. The PHOF focuses on two high level outcomes - Increased healthy life expectancy and Reduced differences in life expectancy and healthy life expectancy between communities through greater improvements in more disadvantaged communities. The two overarching indicators are supported by a further 66 public health indicators to help focus understanding of progress year by year. The public health observatories, led by the London Health Observatory, have been commissioned by the Department of Health to produce data for the 2010/11 baseline. To support this work, London Health Programmes have collated and benchmarked all the indicators for London where data is currently available. The data contained in the London PHOF matches the technical specification set out in the DH guidance and is the latest available for each indicator.

The table below sets out all of the PHOF indicators. For those that have been included in the regional PHOF, data can be downloaded in Excel format, and where possible, a link to the indicator within the HNA toolkit is provided. We aim to include all of the PHOF indicators within the HNA toolkit over time. Indicators which are not included in the regional PHOF are displayed within the table along with explanation as to why they have been excluded.

To view the Regional PHOF for your area, click on the link on the right hand side of this page.

Data available for London PHOF?	Indicator no.	Domain	Indicator	Data

Yes	1.1	Improving the wider determinants of health	Children in poverty	Excel HNA Toolkit
Yes	1.10	Improving the wider determinants of health	Killed & seriously injured casualties on England's roads	Excel HNA Toolkit
Yes	1.13.i	Improving the wider determinants of health	Re-offending: proportion of offenders who re-offend	Excel
Yes	1.13.ii	Improving the wider determinants of health	Re-offending: average number of re-offences committed per offender	Excel
Yes	1.15.ii	Improving the wider determinants of health	Households in temporary accommodation	Excel
Yes	1.15i	Improving the wider determinants of health	Statutory homelessness (homelessness acceptances)	Excel HNA Toolkit
Yes	1.3	Improving the wider determinants of health	Pupil absence (primary and secondary school)	Excel
Yes	1.4	Improving the wider determinants of health	First time entrants to youth justice system	Excel
Yes	1.5	Improving the wider determinants of health	16-18 year olds not in education, employment or training	Excel
Yes	2.10	Health improvement	Hospital admissions as a result of self-harm	Excel
Yes	2.14	Health improvement	Smoking prevalence - adults (over 18s)	Excel HNA Toolkit
Yes	2.17	Health improvement	Recorded diabetes	Excel HNA Toolkit
Yes	2.2.i	Health improvement	Breastfeeding initiation	Excel HNA Toolkit
Yes	2.2.ii	Health improvement	Breastfeeding prevalence at 6-8 weeks after birth	Excel HNA Toolkit
Yes	2.20.i	Health improvement	Breast cancer screening	Excel HNA Toolkit
Yes	2.20.ii	Health improvement	Cancer screening coverage - cervical cancer	Excel
Yes	2.3	Health improvement	Smoking status at time of delivery	Excel HNA Toolkit
Yes	2.4	Health improvement	Under 18 conceptions	Excel
Yes	2.6.i	Health improvement	Excess weight - children aged 4-5 classified as overweight or obese	Excel
Yes	2.6.ii	Health improvement	Excess weight - children aged 10-11 classified as overweight or obese	Excel
Yes	2.7	Health improvement	Hospital admissions caused by unintentional & deliberate injuries in under 18s	Excel HNA Toolkit
Yes	3.3.ix	Health protection	Population vaccination coverage - MMR (one dose - 5 year olds)	Excel HNA Toolkit
Yes	3.3.viii	Health protection	Population vaccination coverage - MMR (one dose - 2 year olds)	Excel HNA Toolkit
Yes	3.3.x	Health protection	Population vaccination coverage - MMR (two doses - 5 year olds)	Excel HNA Toolkit
Yes	3.3.xii	Health protection	Population vaccination coverage - HPV (females 12-17 year olds)	Excel HNA Toolkit
Yes	3.3.xiii	Health protection	Population vaccination coverage - PPV (over 65s)	Excel
Yes	3.3.xiv	Health protection	Population vaccination coverage - Flu (over 65s)	Excel HNA Toolkit
Yes	3.3.xv	Health protection	Population vaccination coverage - Flu (at risk individuals aged over 6 months)	Excel
Yes	3.3iii	Health protection	Population vaccination coverage - DTaP/IPV/Hib (1 year olds)	Excel HNA Toolkit
Yes	3.3iii	Health protection	Population vaccination coverage - DTaP/IPV/Hib (2 year olds)	Excel HNA Toolkit
Yes	3.3iii	Health protection	Population vaccination coverage - DTaP/IPV/Hib (5 year olds)	Excel HNA Toolkit
Yes	3.3iv	Health protection	Population vaccination coverage - MenC (1 year olds)	Excel HNA Toolkit
Yes	3.3iv	Health protection	Population vaccination coverage - MenC (2 year olds)	Excel HNA Toolkit
Yes	3.3v	Health protection	Population vaccination coverage - PCV (1 year olds)	Excel HNA Toolkit
Yes	3.3vi	Health protection	Population vaccination coverage - Hib/MenC booster (2 year olds)	Excel HNA Toolkit
Yes	3.3vii	Health protection	Population vaccination coverage - PCV booster (2 year olds)	Excel HNA Toolkit
Yes	4.1	Healthcare public health and preventing premature mortality	Infant Mortality	Excel HNA Toolkit
Yes	4.10	Healthcare public health and preventing premature mortality	Mortality from suicide and injury of undetermined intent	Excel HNA Toolkit
Yes	4.14	Healthcare public health and preventing premature mortality	Hip fractures in over 65s	Excel
Yes	4.15	Healthcare public health and preventing premature mortality	Excess winter deaths	Excel HNA Toolkit
Yes	4.4.i	Healthcare public health and preventing premature mortality	Mortality from all cardiovascular disease in persons aged <75	Excel
Yes	4.5.i	Healthcare public health and preventing premature mortality	Mortality from all cancers for persons aged <75	Excel HNA Toolkit
Yes	4.6.i	Healthcare public health and preventing premature mortality	Mortality from Liver disease for persons aged <75	Excel
Yes	4.7.i	Healthcare public health and preventing premature mortality	Mortality from respiratory disease in persons aged <75	Excel
No	0.1	Overarching Outcomes	Healthy life expectancy	Data source and definition to be confirmed by DH
No	0.2	Overarching Outcomes	Differences in life expectancy and healthy life expectancy between communities	Data source and definition to be confirmed by DH
No	1.11	Improving the wider determinants of health	Domestic abuse	Data source and definition to be confirmed by DH
No	1.12	Improving the wider determinants of health	Violent crime	Data source and definition to be confirmed by DH
No	1.14.i	Improving the wider determinants of health	Rate of complaints about noise	Data source and definition to be confirmed by DH
No	1.14.ii	Improving the wider determinants of health	Proportion of population exposed to transport noise	Data source and definition to be confirmed by DH
No	1.16	Improving the wider determinants of health	Utilisation of green space for exercise/health reasons	Data source and definition to be confirmed by DH
No	1.17	Improving the wider determinants of health	Fuel Poverty	Data source and definition to be confirmed by DH
No	1.18	Improving the wider determinants of health	Social connectedness	Data source and definition to be confirmed by DH
No	1.19	Improving the wider determinants of health	Older people's perception of community safety	Data source and definition to be confirmed by DH
No	1.2	Improving the wider determinants of health	School readiness	Data source and definition to be confirmed by DH
No	1.6.i	Improving the wider determinants of health	Adults with learning disabilities in settled accommodation	Data source and technical specification defined, but data not published annually or at LA/PCT level
No	1.6.ii	Improving the wider determinants of health	Adults receiving secondary mental health services in settled accommodation	Data source and definition to be confirmed by DH
No	1.7	Improving the wider determinants of health	People in prison with mental illness or significant mental illness	Data source and definition to be confirmed by DH
No	1.8.i	Improving the wider determinants of health	Gap between employment rate of those with long term health condition & overall	Data source and definition to be confirmed by DH
No	1.8.ii	Improving the wider determinants of health	Gap between employment rate of this with learning difficulty/disability & overall	Data source and definition to be confirmed by DH
No	1.8.iii	Improving the wider determinants of health	Gap between employment rate if those with mental illness & overall	Data source and definition to be confirmed by DH
No	1.9.i	Improving the wider determinants of health	Percentage of employees who had at least one day off sick in the previous week	Data source and definition to be confirmed by DH
No	1.9.ii	Improving the wider determinants of health	No. of working days lost due to sickness absence	Data source and definition to be confirmed by DH
No	1.9.iii	Improving the wider determinants of health	Rate of fitness notes issued per quarter	Data source and definition to be confirmed by DH
No	2.1	Health improvement	Low birth weight of term babies	Data source and technical specification defined; data to be published by ONS in Autumn 2012
No	2.11	Health improvement	Diet	Data source and definition to be confirmed by DH
No	2.12	Health improvement	Excess weight in adults	Data source and definition to be confirmed by DH
No	2.13.i	Health improvement	Adults achieving at least 150 minutes physical activity per week	Data source and definition to be confirmed by DH
No	2.13.ii	Health improvement	Proportion of adults classified as ""inactive""	Data source and definition to be confirmed by DH
No	2.15	Health improvement	Successful completion of drug treatment	Data source and technical specification defined, but insufficient data available for benchmarking
No	2.16	Health improvement	People entering prison w/ substance dependence issues no prev. known	Data source and definition to be confirmed by DH
No	2.18	Health improvement	Alcohol-related admissions to hospital	Data source and technical specification included in guidance, but currently being reviewed
No	2.19	Health improvement	Cancer diagnosed at stage 1 & 2	Data source and definition to be confirmed by DH
No	2.21.i	Health improvement	Non-cancer screening - Pregnant women HIV	Data source and definition to be confirmed by DH
No	2.21.ii	Health improvement	Non-cancer screening - Pregnant women syphilis, hepatitis B, rubella	Data source and definition to be confirmed by DH
No	2.21.iii	Health improvement	Non-cancer screening - Pregnant women antenatal sickle cell & thalassaemia	Data source and definition to be confirmed by DH
No	2.21.iv	Health improvement	Non-cancer screening - Newborn babies bloodspot	Data source and definition to be confirmed by DH
No	2.21.v	Health improvement	Non-cancer screening - Newborn babies hearing	Data source and definition to be confirmed by DH
No	2.21.vi	Health improvement	Non-cancer screening - Newborn physical examination	Data source and definition to be confirmed by DH
No	2.21.vii	Health improvement	Non-cancer screening - Diabetic retinopathy	Data source and definition to be confirmed by DH
No	2.22	Health improvement	Take up of the NHS Health Check Programme	Data source and definition to be confirmed by DH
No	2.23	Health improvement	Self-reported wellbeing	Data source and definition to be confirmed by DH
No	2.24	Health improvement	Falls & fall injuries in the over 65s	Data source and definition to be confirmed by DH
No	2.5	Health improvement	Child development at 2-2.5 years	Data source and definition to be confirmed by DH
No	2.8	Health improvement	Emotional wellbeing of looked after children	Data source and definition to be confirmed by DH
No	2.9	Health improvement	Smoking prevalence - 15 year olds	Data source and definition to be confirmed by DH
No	3.1	Health protection	Air pollution	Data source and definition to be confirmed by DH
No	3.2	Health protection	Chlamydia diagnoses (15-24 year olds)	Data source and technical specification defined, but insufficient data available for benchmarking
No	3.3.i	Health protection	Population vaccination coverage - Hepatitis B (1 & 2 year olds)	Data source and technical specification defined, but insufficient data available for benchmarking
No	3.3.ii	Health protection	Population vaccination coverage - BCG (1-16 year olds)	Data source and technical specification defined, but insufficient data available for benchmarking
No	3.3.vii	Health protection	Population vaccination coverage - PCV booster (5 year olds)	Data source and technical specification defined, but data yet to be collected for this age group
No	3.3.xi	Health protection	Population vaccination coverage - Td/IPV booster (13-18 year olds)	Data source and technical specification defined, but insufficient data available for benchmarking
No	3.4	Health protection	People presenting with HIV at a late stage of infection	Data source and definition to be confirmed by DH
No	3.5	Health protection	Treatment completion for tuberculosis	Data source and definition to be confirmed by DH
No	3.6	Health protection	Public sector organisations with board-approved sustainable development management plan	Data source and definition to be confirmed by DH
No	3.7	Health protection	Comprehensive, agreed inter-agency plans for responding to public health incidents	Data source and definition to be confirmed by DH
No	4.11	Healthcare public health and preventing premature mortality	Emergency readmissions within 30 days of discharge from hospital	Data source and technical specification defined; data to be published by IC in Autumn 2012 (tbc)
No	4.12	Healthcare public health and preventing premature mortality	Preventable sight loss	Data source and definition to be confirmed by DH
No	4.13	Healthcare public health and preventing premature mortality	Health-related quality of life for older people	Data source and definition to be confirmed by DH
No	4.16	Healthcare public health and preventing premature mortality	Dementia and its impacts	Data source and definition to be confirmed by DH
No	4.2	Healthcare public health and preventing premature mortality	Tooth decay in children aged 5	Data source and definition to be confirmed by DH
No	4.3	Healthcare public health and preventing premature mortality	Mortality from causes considered preventable	Data source and definition to be confirmed by DH
No	4.4.ii	Healthcare public health and preventing premature mortality	Mortality that is considered preventable from all cardiovascular disease	Data source and definition to be confirmed by DH
No	4.5.ii	Healthcare public health and preventing premature mortality	Mortality that is considered preventable from all cancers	Data source and definition to be confirmed by DH
No	4.6.ii	Healthcare public health and preventing premature mortality	Mortality from liver disease that is considered preventable	Data source and definition to be confirmed by DH
No	4.7.ii	Healthcare public health and preventing premature mortality	Mortality from respiratory disease that is considered preventable	Data source and definition to be confirmed by DH
No	4.8	Healthcare public health and preventing premature mortality	Mortality from communicable diseases	Data source and definition to be confirmed by DH
No	4.9	Healthcare public health and preventing premature mortality	Excess u75 mortality in adults with serious mental illness	Data source and definition to be confirmed by DH