The tables provide data for adults (defined as people aged 16 and over).

This publication series presents or signposts to a range of information relating to a range of Public Health Statistics on Alcohol, Drug Misuse, Obesity, Physical Activity, Diet and Smoking.

Contains tabulated outputs for obesity-related hospital admissions and prescriptions for the treatment of obesity.

• 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 England 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 2021 HSE included additional topics on physical activity, wellbeing (including loneliness), and gambling. The survey also provided updates on repeated core topics, including general health, long-standing illness, smoking and drinking.

SUMMARYTo be viewed in combination with the ‘Levels of obesity, inactivity and associated illnesses: Summary (England)’ dataset.This dataset shows where there was no data* relating to one of more of the following factors:Obesity/inactivity-related illnesses (recorded at the GP practice catchment area level*)Adult obesity (recorded at the GP practice catchment area level*)Inactivity in children (recorded at the district level)Excess weight in children (recorded at the Middle Layer Super Output Area level)* GPs do not have catchments that are mutually exclusive from each other: they overlap, with some geographic areas being covered by 30+ practices.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. This dataset identifies areas where data from 2019/20 was used, where one or more GPs did not submit data in either year (this could be because there are rural areas that aren’t officially covered by any GP practices), 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.Results of the ‘Levels of obesity, inactivity and associated illnesses: Summary (England)’ analysis in these areas should be interpreted with caution, particularly if the levels of obesity, inactivity and associated illnesses appear to be significantly lower than in their immediate surrounding areas.Really small areas with ‘missing’ data were deleted, where it was deemed that missing data will not have impacted the overall analysis (i.e. where GP data was missing from really small countryside areas where no people live).See also Health and wellbeing statistics (GP-level, England): Missing data and potential outliers dataDATA 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.- National Child Measurement Programme: 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. - Active Lives Survey 2019: Sport and Physical Activity Levels amongst children and young people in school years 1-11 (aged 5-16). © Sport England 2020.- Active Lives Survey 2019: Sport and Physical Activity Levels amongst adults aged 16+. © Sport England 2020.- 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.- Administrative boundaries: Boundary-LineTM: Contains Ordnance Survey data © Crown copyright and database right 2021. Contains public sector information licensed under the Open Government Licence v3.0.- MSOA boundaries: © Office for National Statistics licensed under the Open Government Licence v3.0. Contains OS data © Crown copyright and database right 2021.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; © Sport England 2020; © Office for National Statistics licensed under the Open Government Licence v3.0. Contains Ordnance Survey data © Crown copyright and database right 2021. Contains public sector information licensed under the Open Government Licence v3.0.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.

SUMMARYIdentifies Middle Layer Super Output Areas (MSOAs) with the greatest levels of excess weight in children (as measured in children in Reception and Year 6 respectively: three year average between academic years 2016/17, 2017/18, 2018/19).Although this layer is symbolised based on an overall score for excess weight, the underlying data, including the raw data for Reception and Year 6 children respectively, is included in the dataset.ANALYSIS METHODOLOGYThe following analysis was carried out using data for Reception and Year 6 children independently:Each MSOA was given a relative score between 1 and 0 (1 = worst, 0 = best) based on:A) the NUMBER of children in that year group with excess weight and;B) the PERCENTAGE of children in that year group with excess weight.An 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 children with excess weight, compared to other MSOAs, within that year group. In other words, those are areas where a large number of children have excess weight, and where those children make up a large percentage of the population of that age group, suggesting there is a real issue with childhood obesity in that area that needs addressing.The scores for the Reception and Year 6 analyses were added together then converted to relative scores between 1- 0 (1 = high levels of excess weight in children in both Reception and Year 6, 0 = very low levels of excess weight in either school year). The greater the total score, the greater the levels of excess weight in children within the local population, and the greater the benefits that could be achieved by investing in measures to reduce this issue in those areas.The data overall scores for Reception and Year 6 children, respectively, can be viewed via the following datasets:Excess weight in Reception children, England (three year average: academic years 2016-19)Excess weight in Year 6 children, England (three year average: academic years 2016-19)DATA SOURCESNational Child Measurement Programme: 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. MSOA boundaries: © Office for National Statistics licensed under the Open Government Licence v3.0. Contains OS data © Crown copyright and database right 2021.COPYRIGHT NOTICEBased on 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.; © Office for National Statistics licensed under the Open Government Licence v3.0. Contains OS data © Crown copyright and database right 2021. Data analysed and published by Ribble Rivers Trust © 2021.CaBA HEALTH & WELLBEING EVIDENCE BASEThis dataset forms part of the wider CaBA Health and Wellbeing Evidence Base.

This is the first release of data to form part of the National Obesity Audit (NOA). Data on NHS funded bariatric surgical procedures delivered in England, are presented in an interactive dashboard. All data is currently sourced from Hospital Episode Statistics (HES), NHS Digital. As more data starts to be submitted by other weight management services, the dashboard will develop to provide a comprehensive picture of commissioning, access and outcomes of weight management services across England. Future releases of the dashboard will add data from other sources and with additional functionality. See the metadata file for a list of measures published as part of this release. HES data continued to be submitted by providers throughout the pandemic. Disruption relating to the coronavirus illness (COVID-19) would seem to have affected the quality and coverage of some of our statistics, such as an increase in non-submissions for some datasets. We have also seen some different patterns in the submitted data. For example, fewer patients are being admitted to and discharged from hospital. Therefore, data should be interpreted with care over the COVID-19 period. Further information of how elective care including surgery will recover from the impact of COVID-19 is published by NHS England.

This report presents provisional findings from the Government's National Child Measurement Programme (NCMP) for England, 2021/22 school year. This report is based on the NCMP data that had been submitted to NHS Digital by 23rd May 2022. The findings presented here are based on children that were measured between September 2021 and May 2022 and whose measurements had been submitted to the national system before the extract was taken. Final data for the full 2021/22 school year is expected to be published in November 2022. It covers children in Reception (aged 4-5 years) and Year 6 (aged 10-11 years) in mainstream state-maintained schools in England. The report contains analyses of Body Mass Index (BMI) classification rates by age and sex. Data quality investigations determined that the provisional 2021/22 data is representative of the population and results are broadly comparable to previous years. Further information can be found in the data quality section. The NCMP series of publications are badged as national statistics. As this report is a supplementary provisional report based on an incomplete dataset, this report is being released as an official statistics publication.

This report presents findings on the health and health-related behaviours of the Lesbian, Gay and Bisexual (LGB) population in England. These are analysed by age, sex and ethnicity. The data are based on a representative sample of adults, aged 16 and over, who participated in the Health Survey for England from 2011–2018. 2% of adults surveyed in 2011-2018 identified as lesbian, gay or bisexual (LGB) The Health Survey for England series was designed to monitor trends in the health, and health related behaviours, of adults and children in England.

According to a survey carried out in England in June 2021, ** percent of women aged between 45 and 54 years described themselves as overweight*, while according to the official NHS figures ** percent of women in the same age group were overweight, obese or morbidly obese. This was the smallest difference in weight perceptions across the age groups.

SUMMARYIdentifies Middle Layer Super Output Areas (MSOAs) with the greatest levels of excess weight in Reception age children (three year average between academic years 2016/17, 2017/18, 2018/19).Although this layer is symbolised based on an overall score for excess weight, the underlying data, including the raw data for Reception children, is included in the dataset.ANALYSIS METHODOLOGYEach MSOA was given a relative score between 1 and 0 (1 = worst, 0 = best) based on:A) the NUMBER of Reception children with excess weight and;B) the PERCENTAGE of Reception children with excess weight.An 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 Reception children with excess weight, compared to other MSOAs. In other words, those are areas where a large number of children have excess weight, and where those children make up a large percentage of the population of that age group, suggesting there is a real issue with childhood obesity in that area that needs addressing.DATA SOURCESNational Child Measurement Programme: 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. MSOA boundaries: © Office for National Statistics licensed under the Open Government Licence v3.0. Contains OS data © Crown copyright and database right 2021.COPYRIGHT NOTICEBased on 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.; © Office for National Statistics licensed under the Open Government Licence v3.0. Contains OS data © Crown copyright and database right 2021. Data analysed and published by Ribble Rivers Trust © 2021.CaBA HEALTH & WELLBEING EVIDENCE BASEThis dataset forms part of the wider CaBA Health and Wellbeing Evidence Base.

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.