Deaths covering Smoking only to 2019.

• to provide annual data about the nation’s health;
• to estimate the proportion of people in England with specified health conditions;
• to estimate the prevalence of certain risk factors associated with these conditions;
• to examine differences between population subgroups in their likelihood of having specific conditions or risk factors;
• to assess the frequency with which particular combinations of risk factors are found, and which groups these combinations most commonly occur;
• to monitor progress towards selected health targets
• since 1995, to measure the height of children at different ages, replacing the National Study of Health and Growth;
• since 1995, monitor the prevalence of overweight and obesity in children.

The survey includes a number of core questions every year but also focuses on different health issues at each wave. Topics are revisited at appropriate intervals in order to monitor change.

Further information about the series may be found on the NHS Digital Health Survey for England; health, social care and lifestyles webpage, the NatCen Social Research NatCen Health Survey for England webpage and the University College London Health and Social Surveys Research Group UCL Health Survey for England webpage.

Changes to the HSE from 2015:
Users should note that from 2015 survey onwards, only the individual data file is available under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL HSE is subject to more restrictive access conditions than the EUL version (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version.

COVID-19 and the HSE:
Due to the COVID-19 pandemic, the HSE 2020 survey was stopped in March 2020 and never re-started. There was no publication that year. The survey resumed in 2021, albeit with an amended methodology. The full HSE resumed in 2022, with an extended fieldwork period. Due to this, the decision was taken not to progress with the 2023 survey, to maximise the 2022 survey response and enable more robust reporting of data. See the NHS Digital Health Survey for England - Health, social care and lifestyles webpage for more details.

Latest edition information

For the second edition (August 2022), edits were made to the labels for national identity variables YNatSC1-6 and the documentation was updated accordingly.

This is the second (wave 2) in a series of follow up reports to the Mental Health and Young People Survey (MHCYP) 2017, exploring the mental health of children and young people in February/March 2021, during the Coronavirus (COVID-19) pandemic and changes since 2017. Experiences of family life, education, and services during the COVID-19 pandemic are also examined. The sample for the Mental Health Survey for Children and Young People, 2021 (MHCYP 2021), wave 2 follow up was based on 3,667 children and young people who took part in the MHCYP 2017 survey, with both surveys also drawing on information collected from parents. Cross-sectional analyses are presented, addressing three primary aims: Aim 1: Comparing mental health between 2017 and 2021 – the likelihood of a mental disorder has been assessed against completion of the Strengths and Difficulties Questionnaire (SDQ) in both years in Topic 1 by various demographics. Aim 2: Describing life during the COVID-19 pandemic - Topic 2 examines the circumstances and experiences of children and young people in February/March 2021 and the preceding months, covering: COVID-19 infection and symptoms. Feelings about social media use. Family connectedness. Family functioning. Education, including missed days of schooling, access to resources, and support for those with Special Educational Needs and Disabilities (SEND). Changes in circumstances. How lockdown and restrictions have affected children and young people’s lives. Seeking help for mental health concerns. Aim 3: Present more detailed data on the mental health, circumstances and experiences of children and young people by ethnic group during the coronavirus pandemic (where sample sizes allow). The data is broken down by gender and age bands of 6 to 10 year olds and 11 to 16 year olds for all categories, and 17 to 22 years old for certain categories where a time series is available, as well as by whether a child is unlikely to have a mental health disorder, possibly has a mental health disorder and probably has a mental health disorder. This study was funded by the Department of Health and Social Care, commissioned by NHS Digital, and carried out by the Office for National Statistics, the National Centre for Social Research, University of Cambridge and University of Exeter.

• to provide annual data about the nation’s health;
• to estimate the proportion of people in England with specified health conditions;
• to estimate the prevalence of certain risk factors associated with these conditions;
• to examine differences between population subgroups in their likelihood of having specific conditions or risk factors;
• to assess the frequency with which particular combinations of risk factors are found, and which groups these combinations most commonly occur;
• to monitor progress towards selected health targets
• since 1995, to measure the height of children at different ages, replacing the National Study of Health and Growth;
• since 1995, monitor the prevalence of overweight and obesity in children.

The survey includes a number of core questions every year but also focuses on different health issues at each wave. Topics are revisited at appropriate intervals in order to monitor change.

Further information about the series may be found on the NHS Digital Health Survey for England; health, social care and lifestyles webpage, the NatCen Social Research NatCen Health Survey for England webpage and the University College London Health and Social Surveys Research Group UCL Health Survey for England webpage.

Changes to the HSE from 2015:
Users should note that from 2015 survey onwards, only the individual data file is available under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL HSE is subject to more restrictive access conditions than the EUL version (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version.

COVID-19 and the HSE:
Due to the COVID-19 pandemic, the HSE 2020 survey was stopped in March 2020 and never re-started. There was no publication that year. The survey resumed in 2021, albeit with an amended methodology. The full HSE resumed in 2022, with an extended fieldwork period. Due to this, the decision was taken not to progress with the 2023 survey, to maximise the 2022 survey response and enable more robust reporting of data. See the NHS Digital Health Survey for England - Health, social care and lifestyles webpage for more details.

The Health Survey for England, 2016: Special Licence Access is available from the UK Data Archive under SN 9084.

Latest edition information:
For the fourth edition (May 2023), a number of corrections were made to the data file and the data documentation file. Further information is available in the documentation file '8334_hse_2016_eul_v5_corrections_to_ukds.pdf'.

Abstract copyright UK Data Service and data collection copyright owner.

The Health Survey for England (HSE) is a series of surveys designed to monitor trends in the nation's health. It was commissioned by NHS Digital and carried out by the Joint Health Surveys Unit of the National Centre for Social Research and the Department of Epidemiology and Public Health at University College London.
The aims of the HSE series are:

• to provide annual data about the nation’s health;
• to estimate the proportion of people in England with specified health conditions;
• to estimate the prevalence of certain risk factors associated with these conditions;
• to examine differences between population subgroups in their likelihood of having specific conditions or risk factors;
• to assess the frequency with which particular combinations of risk factors are found, and which groups these combinations most commonly occur;
• to monitor progress towards selected health targets
• since 1995, to measure the height of children at different ages, replacing the National Study of Health and Growth;
• since 1995, monitor the prevalence of overweight and obesity in children.

The survey includes a number of core questions every year but also focuses on different health issues at each wave. Topics are revisited at appropriate intervals in order to monitor change.

Further information about the series may be found on the NHS Digital Health Survey for England; health, social care and lifestyles webpage, the NatCen Social Research NatCen Health Survey for England webpage and the University College London Health and Social Surveys Research Group UCL Health Survey for England webpage.

Changes to the HSE from 2015:
Users should note that from 2015 survey onwards, only the individual data file is available under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL HSE is subject to more restrictive access conditions than the EUL version (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version.

COVID-19 and the HSE:
Due to the COVID-19 pandemic, the HSE 2020 survey was stopped in March 2020 and never re-started. There was no publication that year. The survey resumed in 2021, albeit with an amended methodology. The full HSE resumed in 2022, with an extended fieldwork period. Due to this, the decision was taken not to progress with the 2023 survey, to maximise the 2022 survey response and enable more robust reporting of data. See the NHS Digital Health Survey for England - Health, social care and lifestyles webpage for more details.

The Health Survey for England, 2000 (HSE00) consisted of two samples. The general population sample was a national cross-section sample. Up to two children aged 2-15 years were interviewed in each household, as well as up to 10 adults aged 16 years and over. All private households in the general population sample were eligible for inclusion in the survey (up to a maximum of three households per address).

Running alongside the general population sample was a care homes sample, selected from the Laing and Bussion database. The sample contained nursing, residential, dual-registered and small residential homes and covered local authority, voluntary and privately-owned care homes. Up to six people aged 65 and over were selected for interview at each care home, and given a cognitive functioning test to see whether they were capable of being interviewed in person. Proxy interviews for those who were not capable of being interviewed were introduced in June 2000.

For the fourth edition (July 2011), the GHQ12 variables were amended to correct errors in the GHQ12 scores. See document 'Note about GHQ12 problems in HSE Data' for details.


Main Topics:

The interview with informants from the general population sample included the question modules that are asked in most years in the Health Survey ('core' modules), such as general health and longstanding illnesses, use of health services, cigarette smoking, psycho-social health (GHQ12) and accidents. Also included in the 2000 survey were questions on disability (a repeat of the module used in the 1995 Health Survey), the Short-Form Health Outcomes (SF-12) questionnaire (for informants aged 16-64) and a new module on social capital and social exclusion.

In addition to the 'core' question modules outlined above, informants in care homes were asked questions about cardiovascular disease (CVD) and...

Introduction: Although hospitals are key health service providers, their financial ties to drug companies have been rarely scrutinised. In developing this body of work, we examine industry payments for non-research activities to National Health Service (NHS) trusts – hospital groupings providing publicly funded secondary and tertiary care in England. Methods: We extracted data from the industry-run Disclosure UK database, analysing payment distribution descriptively and identifying trends in medians with the Jonckheere-Terpstra test. The payment value and number per NHS trust were explained using random effects models. Results: Between 2015 and 2018, 116 companies reported paying £60,253,421.86 to 235 trusts. As a share of payments to all healthcare organisations the number of payments to trusts rose from 38.64% to 39.48%, but their value dropped from 33.01% to 23.61%. While the number of all payment types rose, fees for service and consultancy and contributions to costs of events increased by 61.55% and 29.43%, respectively. The median payment values decreased significantly for trusts overall, including those with lower autonomy from central government; providing acute services; and from four of the eight regions of England. The random effects model showed that trusts with all other service profiles received a significantly lower value of payments on average than acute trusts; and trusts from East England received significantly less than those from London. However, trusts enjoying greater autonomy from government did not receive significantly more payments than others. Trusts also received significantly lower (but not fewer) payments in 2018 than in 2015. Conclusion: NHS trusts were losing importance as funding targets relative to other healthcare organisations. Industry payment strategies shifted towards engaging with NHS trusts using events sponsorship, consultancies, and smaller payments. Industry prioritised payments to trusts with specific service and geographical profiles. More granular disclosure is necessary to understand the role of corporate funding across the health system.

The Health Survey for England series was designed to monitor trends in the nation’s health, to estimate the proportion of people in England who have specified health conditions, and to estimate the prevalence of certain risk factors and combinations of risk factors associated with these conditions. The surveys provide regular information that cannot be obtained from other sources on a range of aspects concerning the public’s health and many of the factors that affect health.

Each survey in the series includes core questions and measurements (such as blood pressure, height and weight, and analysis of blood and saliva samples), and modules of questions on topics that vary from year to year. These trend tables focus on key changes in core topics and measurements.

The Information Standard will ensure standardised data of high quality is regularly collected and can be used effectively to risk assess NHS Health Check attendees.

Abstract copyright UK Data Service and data collection copyright owner.

The Health Survey for England (HSE) is a series of surveys designed to monitor trends in the nation's health. It was commissioned by NHS Digital and carried out by the Joint Health Surveys Unit of the National Centre for Social Research and the Department of Epidemiology and Public Health at University College London.
The aims of the HSE series are:

• to provide annual data about the nation's health;
• to estimate the proportion of people in England with specified health conditions;
• to estimate the prevalence of certain risk factors associated with these conditions;
• to examine differences between population subgroups in their likelihood of having specific conditions or risk factors;
• to assess the frequency with which particular combinations of risk factors are found, and which groups these combinations most commonly occur;
• to monitor progress towards selected health targets
• since 1995, to measure the height of children at different ages, replacing the National Study of Health and Growth;
• since 1995, monitor the prevalence of overweight and obesity in children.

The survey includes a number of core questions every year but also focuses on different health issues at each wave. Topics are revisited at appropriate intervals in order to monitor change.

Further information about the series may be found on the NHS Digital Health Survey for England; health, social care and lifestyles webpage, the NatCen Social Research NatCen Health Survey for England webpage and the University College London Health and Social Surveys Research Group UCL Health Survey for England webpage.

Changes to the HSE from 2015:
Users should note that from 2015 survey onwards, only the individual data file is available under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL version of the dataset contains variables with a higher disclosure risk or are more sensitive than those included in the EUL version and is subject to more restrictive access conditions (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version.

COVID-19 and the HSE:
Due to the COVID-19 pandemic, the HSE 2020 survey was stopped in March 2020 and never re-started. There was no publication that year. The survey resumed in 2021, albeit with an amended methodology. The full HSE resumed in 2022, with an extended fieldwork period. Due to this, the decision was taken not to progress with the 2023 survey, to maximise the 2022 survey response and enable more robust reporting of data. See the NHS Digital Health Survey for England - Health, social care and lifestyles webpage for more details.

The EUL version of the HSE 2021 is available under SN 9319.

Main Topics:

Core topics:

• General health
• Longstanding illness
• Smoking
• Average weekly alcohol consumption
• Drinking (heaviest day in last week)
• Consent to data linkage (NHS central register, HES)
• Socio-economic information: sex, age, income, education, employment etc
• Prescribed medications (nurse)

Additional topics:

• Social care receipt and provision
• Provision of unpaid care
• Dental health
• Use of GP and counselling services
• Eating disorders

Measurements:

• Height and weight
• Blood pressure (nurse)
• Waist and hip circumference (nurse)
• Blood sample for cholesterol, glycated haemoglobin (nurse)
• Saliva sample (nurse)

Abstract copyright UK Data Service and data collection copyright owner.The Health Survey for England (HSE) is a series of surveys designed to monitor trends in the nation's health. It was commissioned by NHS Digital and carried out by the Joint Health Surveys Unit of the National Centre for Social Research and the Department of Epidemiology and Public Health at University College London.The aims of the HSE series are:to provide annual data about the nation’s health;to estimate the proportion of people in England with specified health conditions;to estimate the prevalence of certain risk factors associated with these conditions;to examine differences between population subgroups in their likelihood of having specific conditions or risk factors;to assess the frequency with which particular combinations of risk factors are found, and which groups these combinations most commonly occur;to monitor progress towards selected health targetssince 1995, to measure the height of children at different ages, replacing the National Study of Health and Growth;since 1995, monitor the prevalence of overweight and obesity in children.The survey includes a number of core questions every year but also focuses on different health issues at each wave. Topics are revisited at appropriate intervals in order to monitor change. Further information about the series may be found on the NHS Digital Health Survey for England; health, social care and lifestyles webpage, the NatCen Social Research NatCen Health Survey for England webpage and the University College London Health and Social Surveys Research Group UCL Health Survey for England webpage. Changes to the HSE from 2015:Users should note that from 2015 survey onwards, only the individual data file is available under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL HSE is subject to more restrictive access conditions than the EUL version (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version. Main Topics: General health and long-standing illness or disability; symptoms of cardiovascular disease (cvd); brief history of cvd related conditions, diagnoses and treatment; use of health services; physical activity and exercise; smoking; drinking; blood pressure; psychosocial factors; socio-economic details; family history of cvd; anthropometric measures (body mass index, waist/hip ratio, demi-span, height, weight); blood sample analysis (glycosylated haemoglobin, ferritin, gamma GT, cholesterol, fibrinogen, haemoglobin). Standard measures: World Health Organisation Rose-Angina questionnaire used to measure presence of angina. Medical Research Council respiratory questionnaire used to measure presence of common respiratory symptoms: cough, breathlessness, wheeze and phlegm. General health questionnaire used to detect psychiatric disorders. Multi-stage stratified random sample Face-to-face interview Clinical measurements

This report presents a range of information on smoking which is drawn together from a variety of sources. The report aims to present a broad picture of health issues relating to smoking in England and covers topics such as smoking prevalence, habits, behaviours and attitudes among adults and school children, smoking-related ill health and mortality and smoking-related costs.

OMOP dataset: Hospital COVID patients: severity, acuity, therapies, outcomes Dataset number 2.0

Coronavirus disease 2019 (COVID-19) was identified in January 2020. Currently, there have been more than 6 million cases & more than 1.5 million deaths worldwide. Some individuals experience severe manifestations of infection, including viral pneumonia, adult respiratory distress syndrome (ARDS) & death. There is a pressing need for tools to stratify patients, to identify those at greatest risk. Acuity scores are composite scores which help identify patients who are more unwell to support & prioritise clinical care. There are no validated acuity scores for COVID-19 & it is unclear whether standard tools are accurate enough to provide this support. This secondary care COVID OMOP dataset contains granular demographic, morbidity, serial acuity and outcome data to inform risk prediction tools in COVID-19.

PIONEER geography The West Midlands (WM) has a population of 5.9 million & includes a diverse ethnic & socio-economic mix. There is a higher than average percentage of minority ethnic groups. WM has a large number of elderly residents but is the youngest population in the UK. Each day >100,000 people are treated in hospital, see their GP or are cared for by the NHS. The West Midlands was one of the hardest hit regions for COVID admissions in both wave 1 & 2.

EHR. University Hospitals Birmingham NHS Foundation Trust (UHB) is one of the largest NHS Trusts in England, providing direct acute services & specialist care across four hospital sites, with 2.2 million patient episodes per year, 2750 beds & 100 ITU beds. UHB runs a fully electronic healthcare record (EHR) (PICS; Birmingham Systems), a shared primary & secondary care record (Your Care Connected) & a patient portal “My Health”. UHB has cared for >5000 COVID admissions to date. This is a subset of data in OMOP format.

Scope: All COVID swab confirmed hospitalised patients to UHB from January – August 2020. The dataset includes highly granular patient demographics & co-morbidities taken from ICD-10 & SNOMED-CT codes. Serial, structured data pertaining to care process (timings, staff grades, specialty review, wards), presenting complaint, acuity, all physiology readings (pulse, blood pressure, respiratory rate, oxygen saturations), all blood results, microbiology, all prescribed & administered treatments (fluids, antibiotics, inotropes, vasopressors, organ support), all outcomes.

Available supplementary data: Health data preceding & following admission event. Matched “non-COVID” controls; ambulance, 111, 999 data, synthetic data. Further OMOP data available as an additional service.

Available supplementary support: Analytics, Model build, validation & refinement; A.I.; Data partner support for ETL (extract, transform & load) process, Clinical expertise, Patient & end-user access, Purchaser access, Regulatory requirements, Data-driven trials, “fast screen” services.

Abstract copyright UK Data Service and data collection copyright owner.The Health Survey for England (HSE) is a series of surveys designed to monitor trends in the nation's health. It was commissioned by NHS Digital and carried out by the Joint Health Surveys Unit of the National Centre for Social Research and the Department of Epidemiology and Public Health at University College London.The aims of the HSE series are:to provide annual data about the nation’s health;to estimate the proportion of people in England with specified health conditions;to estimate the prevalence of certain risk factors associated with these conditions;to examine differences between population subgroups in their likelihood of having specific conditions or risk factors;to assess the frequency with which particular combinations of risk factors are found, and which groups these combinations most commonly occur;to monitor progress towards selected health targetssince 1995, to measure the height of children at different ages, replacing the National Study of Health and Growth;since 1995, monitor the prevalence of overweight and obesity in children.The survey includes a number of core questions every year but also focuses on different health issues at each wave. Topics are revisited at appropriate intervals in order to monitor change. Further information about the series may be found on the NHS Digital Health Survey for England; health, social care and lifestyles webpage, the NatCen Social Research NatCen Health Survey for England webpage and the University College London Health and Social Surveys Research Group UCL Health Survey for England webpage. Changes to the HSE from 2015:Users should note that from 2015 survey onwards, only the individual data file is available under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL HSE is subject to more restrictive access conditions than the EUL version (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version. The HSE 2005 was designed to provide data at both national and regional level about the population living in private households in England. The sample comprised three components: the core (general population) sample; a boost sample of people aged 65 years and over (those living in institutions were not included); and a boost sample of children aged 2-15. The core sample was designed to be representative of the population living in private households in England and should be used for analyses at the national level. All private households in the general population sample are eligible for inclusion in the survey (up to a maximum of three households per address). For the core sample, up to two children aged 0-15 are interviewed in each household, as well as up to 10 adults aged 16 and over. At boost sample addresses, interviewers screened for households containing at least one person of either of the age groups covered in the boost: persons aged 65 and over, or (for certain months) children aged 2-15 years. Because of funding restrictions, the boost sample only included children during fieldwork conducted in January, February, October, November and December. At each household where people of the eligible ages were found, all persons aged 65 and over, and up to two eligible children were selected by the interviewer for inclusion in the survey. Interviewing was conducted throughout the year to take account of seasonal differences. For the second edition (April 2010), three new children's Body Mass Index (BMI) variables have been added to the individual data file (bmicat1, bmicat2, bmicat3). The original variables (bmicut, bmicut2, bmicut3) are unreliable and should not be used. Further information is available in the documentation and on the Information Centre for Health and Social Care Health Survey for England web page. For the third edition (July 2011), the GHQ12 variables were amended to correct errors in the GHQ12 scores. See document 'Note about GHQ12 problems in HSE Data' for details. Main Topics: For adult respondents, the HSE 2005 focused on the health of older people. All adults were asked modules of questions on general health, alcohol consumption, smoking, fruit and vegetable consumption and complementary and alternative medicine. Older informants were also asked about use of health, dental and social care services, cardiovascular disease (CVD), chronic diseases and quality of care, disabilities and falls. Older informants in the boost sample received a slightly shorter questionnaire, omitting questions about fruit and vegetable consumption and complementary and alternative medicines. An interview with each eligible person was followed by a nurse visit. Children aged 13-15 years were interviewed themselves, and parents of children aged 0-12 were asked about their children. The child interview included questions on physical activity, and fruit and vegetable consumption. Standard Measures:General Health Questionnaire (GHQ12)Strengths and Difficulties Questionnaire (SDQ)Geriatric Depression ScoreEQ-5D Health State Multi-stage stratified random sample Face-to-face interview Self-completion Clinical measurements Physical measurements

This bulletin provides statistics on NHS services for people with severe and enduring mental health problems developed from the Mental Health Minimum Dataset (MHMDS) annual returns.

SUMMARYThis analysis, designed and executed by Ribble Rivers Trust, identifies areas across England with the greatest levels of obesity, inactivity and inactivity/obesity-related illnesses. Please read the below information to gain a full understanding of what the data shows and how it should be interpreted.The analysis incorporates data relating to the following:Obesity/inactivity-related illnesses (asthma, cancer, chronic kidney disease, coronary heart disease, depression, diabetes mellitus, hypertension, stroke and transient ischaemic attack)Excess weight in children and obesity in adults (combined)Inactivity in children and adults (combined)The analysis was designed with the intention that this dataset could be used to identify locations where investment could encourage greater levels of activity. In particular, it is hoped the dataset will be used to identify locations where the creation or improvement of accessible green/blue spaces and public engagement programmes could encourage greater levels of outdoor activity within the target population, and reduce the health issues associated with obesity and inactivity.ANALYSIS METHODOLOGY1. Obesity/inactivity-related illnessesThe analysis was carried out using Quality and Outcomes Framework (QOF) data, derived from NHS Digital, relating to:- Asthma (in persons of all ages)- Cancer (in persons of all ages)- Chronic kidney disease (in adults aged 18+)- Coronary heart disease (in persons of all ages)- Depression (in adults aged 18+)- Diabetes mellitus (in persons aged 17+)- Hypertension (in persons of all ages)- Stroke and transient ischaemic attack (in persons of all ages)This information was recorded at the GP practice level. However, GP catchment areas are not mutually exclusive: they overlap, with some areas covered by 30+ GP practices. Therefore, to increase the clarity and usability of the data, the GP-level statistics were converted into statistics based on Middle Layer Super Output Area (MSOA) census boundaries.For each of the above illnesses, the percentage of each MSOA’s population with that illness was estimated. This was achieved by calculating a weighted average based on:The percentage of the MSOA area that was covered by each GP practice’s catchment areaOf the GPs that covered part of that MSOA: the percentage of patients registered with each GP that have that illness The estimated percentage of each MSOA’s population with each illness was then combined with Office for National Statistics Mid-Year Population Estimates (2019) data for MSOAs, to estimate the number of people in each MSOA with each illness, within the relevant age range.For each illness, each MSOA was assigned a relative score between 1 and 0 (1 = worst, 0 = best) based on:A) the PERCENTAGE of the population within that MSOA who are estimated to have that illnessB) the NUMBER of people within that MSOA who are estimated to have that illnessAn average of scores A & B was taken, and converted to a relative score between 1 and 0 (1= worst, 0 = best). The closer to 1 the score, the greater both the number and percentage of the population in the MSOA predicted to have that illness, compared to other MSOAs. In other words, those are areas where a large number of people are predicted to suffer from an illness, and where those people make up a large percentage of the population, indicating there is a real issue with that illness within the population and the investment of resources to address that issue could have the greatest benefits.The scores for each of the 8 illnesses were added together then converted to a relative score between 1 – 0 (1 = worst, 0 = best), to give an overall score for each MSOA: a score close to 1 would indicate that an area has high predicted levels of all obesity/inactivity-related illnesses, and these are areas where the local population could benefit the most from interventions to address those illnesses. A score close to 0 would indicate very low predicted levels of obesity/inactivity-related illnesses and therefore interventions might not be required.2. Excess weight in children and obesity in adults (combined)For each MSOA, the number and percentage of children in Reception and Year 6 with excess weight was combined with population data (up to age 17) to estimate the total number of children with excess weight.The first part of the analysis detailed in section 1 was used to estimate the number of adults with obesity in each MSOA, based on GP-level statistics.The percentage of each MSOA’s adult population (aged 18+) with obesity was estimated, using GP-level data (see section 1 above). This was achieved by calculating a weighted average based on:The percentage of the MSOA area that was covered by each GP practice’s catchment areaOf the GPs that covered part of that MSOA: the percentage of adult patients registered with each GP that are obeseThe estimated percentage of each MSOA’s adult population with obesity was then combined with Office for National Statistics Mid-Year Population Estimates (2019) data for MSOAs, to estimate the number of adults in each MSOA with obesity.The estimated number of children with excess weight and adults with obesity were combined with population data, to give the total number and percentage of the population with excess weight.Each MSOA was assigned a relative score between 1 and 0 (1 = worst, 0 = best) based on:A) the PERCENTAGE of the population within that MSOA who are estimated to have excess weight/obesityB) the NUMBER of people within that MSOA who are estimated to have excess weight/obesityAn average of scores A & B was taken, and converted to a relative score between 1 and 0 (1= worst, 0 = best). The closer to 1 the score, the greater both the number and percentage of the population in the MSOA predicted to have excess weight/obesity, compared to other MSOAs. In other words, those are areas where a large number of people are predicted to suffer from excess weight/obesity, and where those people make up a large percentage of the population, indicating there is a real issue with that excess weight/obesity within the population and the investment of resources to address that issue could have the greatest benefits.3. Inactivity in children and adultsFor each administrative district, the number of children and adults who are inactive was combined with population data to estimate the total number and percentage of the population that are inactive.Each district was assigned a relative score between 1 and 0 (1 = worst, 0 = best) based on:A) the PERCENTAGE of the population within that district who are estimated to be inactiveB) the NUMBER of people within that district who are estimated to be inactiveAn average of scores A & B was taken, and converted to a relative score between 1 and 0 (1= worst, 0 = best). The closer to 1 the score, the greater both the number and percentage of the population in the district predicted to be inactive, compared to other districts. In other words, those are areas where a large number of people are predicted to be inactive, and where those people make up a large percentage of the population, indicating there is a real issue with that inactivity within the population and the investment of resources to address that issue could have the greatest benefits.Summary datasetAn average of the scores calculated in sections 1-3 was taken, and converted to a relative score between 1 and 0 (1= worst, 0 = best). The closer the score to 1, the greater the number and percentage of people suffering from obesity, inactivity and associated illnesses. I.e. these are areas where there are a large number of people (both children and adults) who are obese, inactive and suffer from obesity/inactivity-related illnesses, and where those people make up a large percentage of the local population. These are the locations where interventions could have the greatest health and wellbeing benefits for the local population.LIMITATIONS1. For data recorded at the GP practice level, data for the financial year 1st April 2018 – 31st March 2019 was used in preference to data for the financial year 1st April 2019 – 31st March 2020, as the onset of the COVID19 pandemic during the latter year could have affected the reporting of medical statistics by GPs. However, for 53 GPs (out of 7670) that did not submit data in 2018/19, data from 2019/20 was used instead. Note also that some GPs (997 out of 7670) did not submit data in either year. This dataset should be viewed in conjunction with the ‘Levels of obesity, inactivity and associated illnesses: Summary (England). Areas with data missing’ dataset, to determine areas where data from 2019/20 was used, where one or more GPs did not submit data in either year, or where there were large discrepancies between the 2018/19 and 2019/20 data (differences in statistics that were > mean +/- 1 St.Dev.), which suggests erroneous data in one of those years (it was not feasible for this study to investigate this further), and thus where data should be interpreted with caution. Note also that there are some rural areas (with little or no population) that do not officially fall into any GP catchment area (although this will not affect the results of this analysis if there are no people living in those areas).2. Although all of the obesity/inactivity-related illnesses listed can be caused or exacerbated by inactivity and obesity, it was not possible to distinguish from the data the cause of the illnesses in patients: obesity and inactivity are highly unlikely to be the cause of all cases of each illness. By combining the data with data relating to levels of obesity and inactivity in adults and children, we can identify where obesity/inactivity could be a contributing factor, and where interventions to reduce obesity and increase activity could be most beneficial for the health of the local population.3. It was not feasible to incorporate ultra-fine-scale geographic distribution of

Abstract copyright UK Data Service and data collection copyright owner.The Health Survey for England (HSE) is a series of surveys designed to monitor trends in the nation's health. It was commissioned by NHS Digital and carried out by the Joint Health Surveys Unit of the National Centre for Social Research and the Department of Epidemiology and Public Health at University College London.The aims of the HSE series are:to provide annual data about the nation’s health;to estimate the proportion of people in England with specified health conditions;to estimate the prevalence of certain risk factors associated with these conditions;to examine differences between population subgroups in their likelihood of having specific conditions or risk factors;to assess the frequency with which particular combinations of risk factors are found, and which groups these combinations most commonly occur;to monitor progress towards selected health targetssince 1995, to measure the height of children at different ages, replacing the National Study of Health and Growth;since 1995, monitor the prevalence of overweight and obesity in children.The survey includes a number of core questions every year but also focuses on different health issues at each wave. Topics are revisited at appropriate intervals in order to monitor change. Further information about the series may be found on the NHS Digital Health Survey for England; health, social care and lifestyles webpage, the NatCen Social Research NatCen Health Survey for England webpage and the University College London Health and Social Surveys Research Group UCL Health Survey for England webpage. Changes to the HSE from 2015:Users should note that from 2015 survey onwards, only the individual data file is available under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL HSE is subject to more restrictive access conditions than the EUL version (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version. For the fifth edition (August 2017), a new version of the individual data file was deposited. A Government Office Region variable has been added, and some previous health authority and socio-economic variables removed. Main Topics: The survey had two separate elements: an interviewer visit and a nurse visit. At the first visit all respondents aged 13 and over were asked to give a CAPI (computed assisted) interview, which included a self-completion element, on a range of health related topics. Parents/Guardians of 2-12 year olds were interviewed about the child. The interview collected information relating to respondents' history of respiratory and atopic conditions, non-fatal accidents, general health and disability. Adults were questioned about smoking and drinking behaviour. All respondents aged 8 and over were also asked to complete a booklet. For adults and young adults (from the age of 13) these self-completion documents contained the General Health Questionnaire, designed to measure psychosocial well-being. 8-17 year olds completed questions on smoking and drinking experiences. Adults aged 16 and over were asked about incontinence and prescription contraceptives. All respondents were then asked to have their height and weight measured. A limited amount of proxy information was obtained, where possible, about those unwilling or unable to take part in the survey. Those who agreed to the second visit, made later by a nurse, were then surveyed about their use of prescribed medications. Then, if the respondent was willing, further anthropometric measurements (i.e. demi-span, mid-upper arm circumference) were taken, their blood pressure was measured and they provided a blood sample (which was analysed for IgE, house dust mite IgE, and for children, ferritin, and haemoglobin). For a part of the year, blood was also analysed for lead content. Standard measures: General health questionnaire (GHQ12) - copyright David Goldberg, 1978 reproduced by permission of NFER - NELSON. Data on age at death, date of death and causes of death (ICD codes) are also included for those respondents known to have died. Multi-stage stratified random sample Face-to-face interview Self-completion Clinical measurements Physical measurements CAPI 1995 ACCIDENTS ADVANCED LEVEL EXAM... ADVANCED SUPPLEMENT... ADVICE AGE ALCOHOL USE ALCOHOLIC DRINKS ALLERGIES ANTHROPOMETRIC DATA ANXIETY APPOINTMENT TO JOB APPRENTICESHIP ASTHMA ATTITUDES BEDROOMS BICYCLES BLOOD BUSINESS AND TECHNO... CARDIOVASCULAR DISE... CARDIOVASCULAR SYSTEM CARE OF DEPENDANTS CAUSES OF DEATH CERTIFICATE OF SECO... CERTIFICATE OF SIXT... CHILDREN CITY AND GUILDS OF ... CLINICAL TESTS AND ... CONCENTRATION CONTACT LENSES CONTRACEPTIVE DEVICES COUGHING DECISION MAKING DEGREES DIGESTIVE SYSTEM DI... DISABILITIES DISABLED PERSONS DISEASES DOMESTIC RESPONSIBI... DRUG USE ECONOMIC ACTIVITY EDUCATIONAL BACKGROUND EMPLOYEES EMPLOYMENT EMPLOYMENT HISTORY ETHNIC GROUPS EXAMINATIONS EXERCISE PHYSICAL A... England FAMILIES FAMILY MEMBERS FATHERS FOOD SUPPLEMENTS FRIENDS FRIENDSHIP FULL TIME EMPLOYMENT FURNISHED ACCOMMODA... GENDER GENERAL CERTIFICATE... GENERAL PRACTITIONERS General health and ... HAEMATOLOGIC DISEASES HAPPINESS HEADS OF HOUSEHOLD HEALTH HEALTH CONSULTATIONS HEALTH PROFESSIONALS HEARING HEARING AIDS HEARING IMPAIRMENTS HEART DISEASES HEATING SYSTEMS HEIGHT PHYSIOLOGY HIGHER EDUCATION IN... HOME OWNERSHIP HOSPITAL OUTPATIENT... HOSPITAL SERVICES HOSPITALIZATION HOUSEHOLD PETS HOUSEHOLDS HOUSING HOUSING AGE HOUSING TENURE Health care service... INDUSTRIAL INJURIES INDUSTRIES INJURIES INTERPERSONAL RELAT... JOB DESCRIPTION JOB HUNTING LANDLORDS MANAGERS MARITAL STATUS MEDICAL CARE MEDICAL DIAGNOSIS MEDICAL HISTORY MEDICAL PRESCRIPTIONS MORTALITY MOTHERS MOTOR PROCESSES MOTOR VEHICLES NEIGHBOURHOODS OCCUPATIONAL QUALIF... OCCUPATIONAL SAFETY OCCUPATIONS ORDINARY LEVEL EXAM... PARENTS PART TIME EMPLOYMENT PASSIVE SMOKING PATIENTS PERSONAL PROTECTIVE... PHYSICAL ACTIVITIES PHYSICIANS PLACE OF BIRTH PREGNANCY PROBLEM SOLVING PROFESSIONAL CONSUL... QUALIFICATIONS RENTED ACCOMMODATION RESPIRATORY TRACT D... RETIREMENT ROAD ACCIDENTS SCOTTISH CERTIFICAT... SELF EMPLOYED SELF ESTEEM SICK LEAVE SICK PERSONS SKIN DISEASES SLEEP SMOKING SMOKING CESSATION SOCIAL HOUSING SOCIAL SECURITY BEN... SOCIAL SUPPORT SPECTACLES SPEECH IMPAIRMENTS SPORT STRESS PSYCHOLOGICAL STUDENTS SUPERVISORS SURGERY SYMPTOMS TEACHER QUALIFICATIONS TELEPHONES TIED HOUSING TOBACCO TOP MANAGEMENT TRANSPORT ACCIDENTS UNEMPLOYED UNEMPLOYMENT UNFURNISHED ACCOMMO... URINARY INCONTINENCE UROGENITAL DISORDERS VISION IMPAIRMENTS VITAMINS VOCATIONAL EDUCATIO... WALKING WALKING AIDS WEIGHT PHYSIOLOGY YOUTH

This report presents the latest results and trends from the women's smoking status at time of delivery (SATOD) data collection in England.

The results provide a measure of the prevalence of smoking among pregnant women at Commissioning Region, Area Team and Clinical Commissioning Group level. This supplements the national information available from the Infant Feeding Survey (IFS).

Smoking during pregnancy can cause serious pregnancy-related health problems. These include complications during labour and an increased risk of miscarriage, premature birth, low birth-weight and sudden unexpected death in infancy.

Reports in the series prior to 2011-12 quarter 3 are available from the Department of Health website (see below).

Novel coronavirus (COVID-19) is a new strain of coronavirus first identified in Wuhan, China. Clinical presentation may range from mild-to-moderate illness to pneumonia or severe acute respiratory infection. The COVID-19 pandemic has wider impacts on individuals' health, and their use of healthcare services, than those that occur as the direct result of infection. Reasons for this may include: * Individuals being reluctant to use health services because they do not want to burden the NHS or are anxious about the risk of infection. * The health service delaying preventative and non-urgent care such as some screening services and planned surgery. * Other indirect effects of interventions to control COVID-19, such as mental or physical consequences of distancing measures. This dataset provides information on trend data regarding the wider impact of the pandemic on hospital admissions. Data are shown by age group, sex, broad deprivation category and specialty groups. Information is also available at different levels of geographical breakdown such as Health Boards, Health and Social Care partnerships, and Scotland totals. This data is also available on the COVID-19 Wider Impact Dashboard. Additional data sources relating to this topic area are provided in the Links section of the Metadata below. Information on COVID-19, including stay at home advice for people who are self-isolating and their households, can be found on NHS Inform. All publications and supporting material to this topic area can be found in the weekly COVID-19 Statistical Report. The date of the next release can be found on our list of forthcoming publications.

This dataset forms part of the OPTIMising therapies, discovering therapeutic targets and AI-assisted clinical management for patients Living with complex multimorbidity (OPTIMAL) NIHR funded programme.

The dataset includes >40,000 adult patients with multimorbidity who were acutely admitted to hospital and had an inpatient stay. Longitudinal data includes serial physiology readings, frailty scores, blood results, medications, comorbidities, drug allergies, treatments, procedures and mortality outcomes up to a year post discharge.

Geography: The West Midlands (WM) has a population of 6 million & includes a diverse ethnic & socio-economic mix. UHB is one of the largest NHS Trusts in England, providing direct acute services & specialist care across four hospital sites, with 2.2 million patient episodes per year, 2750 beds & > 120 ITU bed capacity. UHB runs a fully electronic healthcare record (EHR) (PICS; Birmingham Systems), a shared primary & secondary care record (Your Care Connected) & a patient portal “My Health”.

Data set availability: Data access is available via the PIONEER Hub for projects which will benefit the public or patients. This can be by developing a new understanding of disease, by providing insights into how to improve care, or by developing new models, tools, treatments, or care processes. Data access can be provided to NHS, academic, commercial, policy and third sector organisations. Applications from SMEs are welcome. There is a single data access process, with public oversight provided by our public review committee, the Data Trust Committee. Contact pioneer@uhb.nhs.uk or visit www.pioneerdatahub.co.uk for more details.

All data uses should name both PIONEER and the NIHR Optimal programme in data outputs. This will be specified in the Data Licensing Agreement.

Available supplementary data: Matched controls; ambulance and community data. Unstructured data (images). We can provide the dataset in OMOP and other common data models and can build synthetic data to meet bespoke requirements.

Available supplementary support: Analytics, model build, validation & refinement; A.I. support. Data partner support for ETL (extract, transform & load) processes. Bespoke and “off the shelf” Trusted Research Environment (TRE) build and run. Consultancy with clinical, patient & end-user and purchaser access/ support. Support for regulatory requirements. Cohort discovery. Data-driven trials and “fast screen” services to assess population size.

These are aggregated data on key health issues for people who are recorded by their GP as having a learning disability, and comparative data about a control group who are not recorded by their GP as having a learning disability.