The 2019 Local Authority Health Profiles have been published.

The Local Authority Health Profiles pull together existing information in one place and contain data on a range of health and wellbeing indicators for local populations. They are intended as ‘conversation starters’ to highlight local issues and priorities for members, and for discussion at Health and Wellbeing Boards.

To find your local 2019 Local Authority Health Profile:

• visit the http://fingertips.phe.org.uk/profile/health-profiles">Local Authority Health Profiles homepage and insert a postcode, town or local authority in the ‘Find your Health Profile’ search box
• alternatively click on the ‘Downloads’ section of the online tool which can be accessed by clicking ‘Start Go to the data’ on the health profiles homepage

This statistical report presents a range of information on alcohol use and misuse by adults and children drawn together from a variety of sources for England unless otherwise stated. More information can be found in the source publications which contain a wider range of data and analyses. Newly published data includes: Alcohol-related hospital admissions published by PHE in their Local Alcohol Profiles for England (LAPE) which uses data from NHS Digital’s Hospital Episode Statistics (HES). New analyses of data on affordability of alcohol using already published ONS data. The latest information from already published sources includes: Alcohol-specific deaths published by ONS. Information on the volume and cost of alcohol related prescriptions from NHS Digital. Adult drinking behaviours from the Health Survey for England (HSE). Child drinking behaviours from the Smoking, Drinking and Drug Use Survey (SDD). Road casualties involving illegal alcohol levels published by Department for Transport. Expenditure on alcohol from the Family Food report from the Living Costs and Food Survey (LCFS).

This report presents information on obesity, physical activity and diet drawn together from a variety of sources for England. More information can be found in the source publications which contain a wider range of data and analysis. Each section provides an overview of key findings, as well as providing links to relevant documents and sources. Some of the data have been published previously by NHS Digital. A data visualisation tool (link provided within the key facts) allows users to select obesity related hospital admissions data for any Local Authority (as contained in the data tables), along with time series data from 2013/14. Regional and national comparisons are also provided.

The Health Survey for England (HSE) monitors trends in the nation’s health and care. It provides information about adults aged 16 and over, and children aged 0 to 15, living in private households in England. The survey consists of an interview, followed by a visit from a nurse who takes some measurements and blood and saliva samples. Interviews for children aged 0 to 12 were carried out with a parent; children aged 13 to 15 were interviewed directly. Children aged 8 to 15 filled in a self-completion booklet about their drinking and smoking behaviour and young adults, aged between 16 and 17 completed these questions directly into a computer. A total of 8,205 adults (aged 16 and over) and 2,095 children (aged 0 to 15) were interviewed in the 2019 survey. 4,947 adults and 1,169 children had a nurse visit. Each survey in the series includes core questions, and measurements such as blood pressure, height and weight measurements and analysis of blood and saliva samples. In addition, there are modules of questions on specific topics that vary from year to year. The Main Findings follow this page via the link at the bottom. Detailed reports and a link to the supporting Excel tables can be found further down this page and include: • Overweight and obesity in adults and children • Eating Disorders • Adults' health-related behaviours (includes smoking and alcohol consumption) • Children’s health (includes smoking and alcohol consumption) • Providing care to family and friends • Adults' health (includes diabetes, hypertension, and high cholesterol) • Use of health care services

The Local Tobacco Control Profiles data update for November 2019 has been published by Public Health England (PHE).

These profiles have been designed to help local government and health services to assess the effect of tobacco use on their local populations. The data are presented in an interactive tool that allows users to view them in a user-friendly format.

This update contains:

• new data for smoking attributable mortality for 2016 to 2018
• new data for mortality rates from smoking related conditions for 2016 to 2018
• new data for smoking prevalence in adults for 2018/19 from the GP Patient survey

See the attached data to be included document for full details of what’s in this update.

View previous Local Tobacco Control Profiles updates.

This statistical report, co-authored with Public Health England (PHE), reports childhood vaccination coverage statistics for England in 2019-20. Data relates to the routine vaccinations offered to all children up to the age of five years, derived from the Cover of Vaccination Evaluated Rapidly (COVER). Additional information on children aged 2 and 3 vaccinated against seasonal flu are collected from GPs through PHE's ImmForm system.

This publication provides the most timely statistics available relating to NHS funded secondary mental health, learning disabilities and autism services in England. This information will be of use to people needing access to information quickly for operational decision making and other purposes. These statistics are derived from submissions made using version 3.0 of the Mental Health Services Dataset (MHSDS). This edition includes final statistics for March 2019. NHS Digital review the quality and completeness of the submissions used to create these statistics on an ongoing basis. More information about this work can be found in the Accuracy and reliability section of this report. Fully detailed information on the quality and completeness of particular statistics in this release is not available due to the timescales involved in reviewing submissions and engaging with data providers. The information that has been obtained at the time of publication is made available in the Provider Feedback sections of the Data Quality Reports which accompany this release. Information gathered after publication is released in future editions of this publication series. More detailed information on the quality and completeness of these statistics and a summary of how these statistics may be interpreted is made available later in our Mental Health Bulletin: Annual Report publication series. All elements of this publication, other editions of this publication series, and related annual publication series' can be found in the Related Links below. Please note the following: The Quarter 4 Children and Young People Receiving Second Contact With Services measure will not be included in the June 2019 publication. A validation of this data is currently underway; we expect statistics for the full 2018-19 financial year to be published in the July 2019 publication. This publication includes annual statistics for the 2018-19 year: Annual - People in contact with services - April 2018 to March 2019, with age group breakdowns and Annual - People in contact with services with a hospital provider spell - April 2018 to March 2019, with age group breakdowns. Further annual statistics will be published in the annual Mental Health Bulletin in the Autumn. It was intended that data quality statistics for Provisional April 2019 data, collected via the newly introduced Strategic Data Collection Service (SDCS), be published alongside this publication; due to system issues this has not been possible. An update on this will be given alongside the next publication, published July 2019. As part of the update to include the provider XenZone/ Kooth in the Children and Young People Receiving Second Contact With Services measure (MHS69), in the 2019-20 year, Final March 2019 analysis was to be presented here; this was added here 17 July 2019. NHS Digital apologises for any inconvenience caused. The provider breakdown for AMH04 (People in contact with adult mental health services on CPA at the end of RP with HoNOS recorded) has not been included in this publication and will not be included in future publications until the cause is rectified. NHS Digital will inform users once this issue has been resolved. NHS Digital apologises for any inconvenience caused.

Publication changes: Please read the section on 'Notes on changes to publications' within the PDF report as this highlights changes to data currently published and potentially the frequency of future reports. This report shows monthly numbers of NHS Hospital and Community Health Service (HCHS) staff groups working in Trusts and CCGs in England (excluding primary care staff). Data is available as headcount and full-time equivalents. This data is an accurate summary of the validated data extracted from the NHS's HR and Payroll system. In addition to the regular monthly reports there are a series of quarterly reports (first published on 26 July 2016 looking at the data for March 2016) which include statistics on staff in Trusts and CCGs and information for NHS Support Organisations and Central Bodies. The quarterly analysis will be published each September (showing June statistics), December (showing September statistics), March (showing December statistics), and June (showing March statistics). Additional healthcare workforce data relating to GPs and the Independent Healthcare Provider workforce are also available. Links to these data are available below. We welcome feedback on the methodology and tables within this publication. Please email us with your comments and suggestions, clearly stating Monthly HCHS Workforce as the subject heading, via enquiries@nhsdigital.nhs.uk or 0300 303 5678

Tables provide data on: contraceptive activity taking place at dedicated Sexual and Reproductive Health (SRH) services in England, as recorded in the Sexual and Reproductive Health Activity Dataset (SRHAD), a mandated collection for all providers of NHS SRH services.

Life expectancy (LE), healthy life expectancy (HLE), disability-free life expectancy (DFLE), Slope Index of Inequality (SII) and range by national deprivation deciles using the Index of Multiple Deprivation 2015 for data periods from 2011 to 2013 to 2015 to 2017, and the Index of Multiple Deprivation 2019 for data periods from 2016 to 2018 to 2018 to 2020: England, 2011 to 2013 to 2018 to 2020.

Age-standardised rates based on data from the European Health Interview Survey (EHIS), 2019 to 2020, for the UK by sex and country.

SUMMARYTo be viewed in combination with the following datasets and their accompanying metadata:- Levels of obesity, inactivity and associated illnesses (England): Summary-Levels of obesity and inactivity related illnesses (physical and mental illnesses): Summary -Levels of obesity and inactivity related illnesses (physical illnesses only): Summary-Obesity in adults (ages 18+)-Depression in adults (aged 18+)-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)-Diabetes mellitus (in persons aged 17+)-Hypertension (in persons of all ages)-Stroke and transient ischaemic attack (in persons of all ages)For the aforementioned analyses, GP 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 identifies 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.DATA SOURCESThis dataset was produced using:Quality and Outcomes Framework data: Copyright © 2020, Health and Social Care Information Centre. The Health and Social Care Information Centre is a non-departmental body created by statute, also known as NHS Digital.GP Catchment Outlines. Copyright © 2020, Health and Social Care Information Centre. The Health and Social Care Information Centre is a non-departmental body created by statute, also known as NHS Digital. Data was cleaned by Ribble Rivers Trust before use.COPYRIGHT NOTICEThe reproduction of this data must be accompanied by the following statement:© Ribble Rivers Trust 2021. Produced using data that is: Copyright © 2020, Health and Social Care Information Centre. The Health and Social Care Information Centre is a non-departmental body created by statute, also known as NHS Digital.CaBA HEALTH & WELLBEING EVIDENCE BASEThis dataset forms part of the wider CaBA Health and Wellbeing Evidence Base.

SUMMARYThis analysis, designed and executed by Ribble Rivers Trust, identifies areas across England with the greatest levels of cancer (in persons of all ages). Please read the below information to gain a full understanding of what the data shows and how it should be interpreted.ANALYSIS METHODOLOGYThe analysis was carried out using Quality and Outcomes Framework (QOF) data, derived from NHS Digital, relating to cancer (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.The percentage of each MSOA’s population (all ages) with cancer 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 registered patients that have that illness The estimated percentage of each MSOA’s population with cancer 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 cancer, within the relevant age range.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 cancerB) the NUMBER of people within that MSOA who are estimated to have cancerAn 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 that are estimated to have cancer, compared to other MSOAs. In other words, those are areas where it’s estimated a large number of people suffer from cancer, and where those people make up a large percentage of the population, indicating there is a real issue with cancer within the population and the investment of resources to address that issue could have the greatest benefits.LIMITATIONS1. GP 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 ‘Health and wellbeing statistics (GP-level, England): Missing data and potential outliers’ 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 (see the ‘Levels of obesity, inactivity and associated illnesses: Summary (England)’ dataset), 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 populations that are registered with each GP practice or who live within each MSOA. Populations might be concentrated in certain areas of a GP practice’s catchment area or MSOA and relatively sparse in other areas. Therefore, the dataset should be used to identify general areas where there are high levels of cancer, rather than interpreting the boundaries between areas as ‘hard’ boundaries that mark definite divisions between areas with differing levels of cancer.TO BE VIEWED IN COMBINATION WITH:This dataset should be viewed alongside the following datasets, which highlight areas of missing data and potential outliers in the data:Health and wellbeing statistics (GP-level, England): Missing data and potential outliersLevels of obesity, inactivity and associated illnesses (England): Missing dataDOWNLOADING THIS DATATo access this data on your desktop GIS, download the ‘Levels of obesity, inactivity and associated illnesses: Summary (England)’ dataset.DATA SOURCESThis dataset was produced using:Quality and Outcomes Framework data: Copyright © 2020, Health and Social Care Information Centre. The Health and Social Care Information Centre is a non-departmental body created by statute, also known as NHS Digital.GP Catchment Outlines. Copyright © 2020, Health and Social Care Information Centre. The Health and Social Care Information Centre is a non-departmental body created by statute, also known as NHS Digital. Data was cleaned by Ribble Rivers Trust before use.MSOA boundaries: © Office for National Statistics licensed under the Open Government Licence v3.0. Contains OS data © Crown copyright and database right 2021.Population data: Mid-2019 (June 30) Population Estimates for Middle Layer Super Output Areas in England and Wales. © Office for National Statistics licensed under the Open Government Licence v3.0. © Crown Copyright 2020.COPYRIGHT NOTICEThe reproduction of this data must be accompanied by the following statement:© Ribble Rivers Trust 2021. Analysis carried out using data that is: Copyright © 2020, Health and Social Care Information Centre. The Health and Social Care Information Centre is a non-departmental body created by statute, also known as NHS Digital; © Office for National Statistics licensed under the Open Government Licence v3.0. Contains OS data © Crown copyright and database right 2021. © Crown Copyright 2020.CaBA HEALTH & WELLBEING EVIDENCE BASEThis dataset forms part of the wider CaBA Health and Wellbeing Evidence Base.

Life expectancy (LE), healthy life expectancy (HLE), disability-free life expectancy (DFLE), Slope Index of Inequality (SII) and range at birth and age 65 by national deprivation deciles (IMD 2015 and IMD 2019), England, 2011 to 2019.

This biannual report contains dental activity for England covering April to September 2019 and patients seen data for 24 month period (adults) and 12 month period (children) up to 31 December 2019. This report includes, for the first time, adult patients seen figures broken down for 18-64, 65-74, 75-84 and 85+ age groups, alongside the single year age groups for children. Following the NHS Dental Statistics Review 2019, NHS Dental Statistics publication have been changed from quarterly to twice a year. The next release is in August 2020. It will reflect significant changes to NHS England's hierarchical structure, which are taking place in April 2020. 14 NHS England (Region, Local Offices), are being replaced by 42 sustainability and transformation partnerships (STPs) as the Higher-Level Health Authority. There are currently 191 Clinical Commissioning Groups (CCGs), 74 of these are merging into 18 new CCGs which will leave a total of 135. For more information please see link below to Change summary - 2020 STP, CCG and Commissioning Hub reconfiguration.