This report contains results from the latest survey of secondary school pupils in England in years 7 to 11 (mostly aged 11 to 15), focusing on smoking, drinking and drug use. It covers a range of topics including prevalence, habits, attitudes, and wellbeing. In 2023 the survey was administered online for the first time, instead of paper-based surveys as in previous years. This move online also meant that completion of the survey could be managed through teacher-led sessions, rather than being conducted by external interviewers. The 2023 survey also introduced additional questions relating to pupils wellbeing. These included how often the pupil felt lonely, felt left out and that they had no-one to talk to. Results of analysis covering these questions have been presented within parts of the report and associated data tables. The report includes this summary report showing key findings, excel tables with more detailed outcomes, technical appendices and a data quality statement. An anonymised record level file of the underlying data on which users can carry out their own analysis will be made available via the UK Data Service in early 2025 (see link below).

Smoking is a leading preventable cause of chronic diseases like circulatory disease, cancer, and chronic lung conditions, worsening outcomes in acute illnesses. Despite reductions from public health campaigns, 13-16% of the UK population still smoke, with higher rates in hospital admissions. Smoking-related admissions cost over £870,000 annually, prompting a focus on smoking cessation, particularly in secondary care, where targeted interventions are effective. Influenza often leads to severe complications in hospitals, such as ICU admission and death, especially in older adults and those with chronic respiratory conditions. Smoking increases risks of mortality and ICU admission in influenza cases, but UK-specific data, especially on seasonal influenza, is limited. Updated data on high-risk groups, including smokers, is crucial to guide interventions. This dataset of 26,047 admissions between Jan 2018 and Jul 2024 with influenza, includes demography, serial physiology, assessments, diagnostic codes (ICD-10 & SNOMED-CT), initial presentation, ventilation, ICU transfers, prescriptions and outcomes. 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. 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.

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 2007 was designed to provide data at both national and regional level about the population living in private households in England. The sample comprised two components; the core (general population) sample 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. For the HSE core sample, all adults aged 16 years or older at each household were selected for the interview (up to a maximum of ten adults). However, a limit of two was placed on the number of interviews carried out with children aged 0-15. For households with three or more children, interviewers selected two children at random. At boost addresses interviewers screened for households containing at least one child aged 2-15 years. For households which included eligible children, up to two 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 (bmicut1, 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. Main Topics: For adult respondents, the HSE 2007 focused on knowledge, attitudes and behaviour on key aspects of lifestyle - smoking, drinking, eating and physical activity. Both adults and children were asked about their views on what constitutes healthy behaviour, their knowledge of government recommendations and the factors that may encourage or discourage healthy behaviour. A secondary focus was the impact of the smokefree legislation. The 2007 survey allowed an initial examination of the effect of the legislation by looking at adults' and children's smoking behaviour and their exposure to other people's smoke, pre and post 1 July 2007 (the date the legislation came into effect). As well as questions being asked, saliva samples were taken and tested for cotinine, an indicator of recent nicotine exposure. Questionnaire interviews were followed by a nurse visit, both using computer assisted interviewing (CAPI) and self completion booklets. Parents of children aged 0-12 years were asked about their children, with the child interview including questions on physical activity and fruit and vegetable consumption. Children aged 13-15 were interviewed themselves. Standard Measures: Strengths and Difficulties Questionnaire (SDQ) Multi-stage stratified random sample Face-to-face interview Self-completion Clinical measurements Physical measurements CAPI 2007 ACCIDENTS ACUPUNCTURE AGE ALCOHOL USE ALCOHOLIC DRINKS ANTHROPOMETRIC DATA ANXIETY ATTITUDES BACTERIAL AND VIRUS... BEDROOMS CARDIOVASCULAR DISE... CHILD BEHAVIOUR CHILD CARE CHILD DEVELOPMENT CHILD NUTRITION CHILDREN CHRONIC ILLNESS CLINICAL TESTS AND ... CLUBS COHABITATION CONCENTRATION CONFECTIONERY CONFUSION COOKING CULTURAL IDENTITY CYCLING DAIRY PRODUCTS DAY CARE DEBILITATIVE ILLNESS DENTAL CARE DIABETES DIET AND EXERCISE DIGESTIVE SYSTEM DI... ECONOMIC ACTIVITY EDIBLE FATS EDUCATIONAL BACKGROUND EMOTIONAL DEVELOPMENT EMOTIONAL STATES EMPLOYEES EMPLOYMENT EMPLOYMENT HISTORY ENDOCRINE DISORDERS ETHNIC GROUPS EXERCISE PHYSICAL A... England FAMILIES FAMILY BENEFITS FATHERS FOOD FRIENDS FRUIT FURNISHED ACCOMMODA... GARDENING GENDER General health and ... HAPPINESS HEADS OF HOUSEHOLD HEALTH HEALTH ACT 2006 HEALTH ADVICE HEALTH CONSULTATIONS HEALTH PROFESSIONALS HEALTH SERVICES HEARING IMPAIRMENTS HEART DISEASES HEIGHT PHYSIOLOGY HOSPITAL OUTPATIENT... HOSPITALIZATION HOURS OF WORK HOUSEHOLD INCOME HOUSEHOLDS HOUSEWORK HOUSING BENEFITS HOUSING TENURE HUMAN SETTLEMENT Health care service... ILL HEALTH INCOME INDUSTRIES INFANTS INJURIES INVESTMENT RETURN JOB HUNTING LANDLORDS LEGUMES LOCAL COMMUNITY FAC... MARITAL STATUS MEAT MEDICAL CARE MEDICAL DIETS MEDICAL PRESCRIPTIONS MEDICINAL DRUGS MEDITATION MEMBERSHIP MEMORY DISORDERS MENTAL DISORDERS MENTAL HEALTH MILK MOTHERS MOTOR PROCESSES MOTOR VEHICLES MUSCULOSKELETAL SYSTEM NATIONAL BACKGROUND NERVOUS SYSTEM DISE... NURSES OCCUPATIONAL PENSIONS OCCUPATIONAL QUALIF... ORGANIZATIONS ORTHOPAEDICS OSTEOPATHY PAIN PASSIVE SMOKING PHYSICAL ACTIVITIES PHYSICAL MOBILITY PHYSICIANS PREGNANCY PREMATURE BIRTHS PRESERVED FOODS PRIVATE PERSONAL PE... QUALIFICATIONS RENTED ACCOMMODATION RESIDENTIAL MOBILITY RESPIRATORY TRACT D... SALT SAVOURY SNACKS SELF EMPLOYED SELF ESTEEM SKIN DISEASES SMOKING SMOKING CESSATION SMOKING RESTRICTIONS SOCIAL CLASS SOCIAL NETWORKS SOCIAL PARTICIPATION SOCIAL SECURITY BEN... SOCIAL SUPPORT SOCIO ECONOMIC STATUS SPORT STATE RETIREMENT PE... STRESS PSYCHOLOGICAL SUPERVISORY STATUS SURGERY TAX RELIEF TIED HOUSING TOBACCO UNDERAGE DRINKING UNFURNISHED ACCOMMO... VASCULAR DISEASES VEGETABLES VISION IMPAIRMENTS VITAMINS WAGES WALKING WEIGHT PHYSIOLOGY YOUTH YOUTH CLUBS

Contains a set of data tables for each part of the Smoking, Drinking and Drug Use among Young People in England, 2021 report