This register records any declared interests that members of PHE’s Advisory board hold outside the agency.

This report presents information about the health of people in England and how this has changed over time. Data is presented for England and English regions.

It has been developed by the Department of Health and Social Care and is intended to summarise information and provide an accessible overview for the public. Topics covered have been chosen to include a broad range of conditions, health outcomes and risk factors for poor health and wellbeing. These topics will continue to be reviewed to ensure they remain relevant. A headline indicator is presented for each topic on the overview page, with further measures presented on a detailed page for each topic.

All indicators in health trends in England are taken from https://fingertips.phe.org.uk/" class="govuk-link">a large public health data collection called Fingertips. Indicators in Fingertips come from a number of different sources. Fingertips indicators have been chosen to show the main trends for outcomes relating to the topics presented.

If you have any comments, questions or feedback, contact us at pha-ohid@dhsc.gov.uk. Please use ‘Health Trends in England feedback’ as the email subject.

Contact: odr@phe.gov.uk

This tool brings together available indicators at England and local authority levels on the wider determinants of health with links to further resources.

The https://fingertips.phe.org.uk/profile/wider-determinants" class="govuk-link">Wider Determinants of Health tool is designed to:

• draw attention to the broad range of individual, social and environmental factors which influence our health
• provide the public health system with intelligence on the wider determinants of health, to help improve population health and reduce health inequalities

This update contains:

• percentage of people aged 16 to 64 in employment
• percentage of people unemployed (model based)
• percentage of people economically inactive
• gap in the employment rate between those with a physical or mental long term health condition and the overall employment rate
• the percentage of the population with a physical or mental long term health condition in employment
• violent crime - violence offences per 1,000 population
• violent crime - sexual offences per 1,000 population

The tool is an ongoing project and will continue to be developed over time.

If you would like to send us feedback on the tool contact profilefeedback@phe.gov.uk

Public Health England (PHE) records and publishes its management committee members’ expenses every 3 months of each financial year.

This dataset is derived from reports to Public Health England (PHE) of infectious disease outbreaks in care homes. Care homes in this dataset refers to all supported living facilities such as residential homes, nursing homes, rehabilitation units and assisted living units.

The tables in this publication provide the latest management information on suspected or confirmed outbreaks of COVID-19 for upper tier local authorities, lower tier local authorities, government office regions and PHE centres.

Any individual care home will only be included in the dataset once. If a care home has reported more than one outbreak, only the first is included in this dataset.

As the details of an outbreak are investigated data will be subject to revision and the numbers in this dataset may change in future publications.

This dataset contains no indication of whether the reported outbreaks are still active.

Each weekly total refers to reports in the period Monday to the following Sunday.

As the COVID-19 situation in England continues to evolve, the previous report providing management information on care home outbreaks is no longer appropriate. Therefore, this publication ceased on 23 July 2020.

PHE continues to share all relevant case and outbreak data with local authorities and other stakeholders regularly and is developing additional integrated tools to support their ongoing need for intelligence. The COVID-19 surveillance report is published weekly.

If you have any comments or queries email asc@phe.gov.uk .

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  If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email <a href="mailto:publications@phe.gov.uk" target="_blank" class="govuk-link">publications@phe.gov.uk</a>. Please tell us what format you need. It will help us if you say what assistive technology you use.

The Office for Health Improvement and Disparities (OHID) has published the https://fingertips.phe.org.uk/profile/public-health-outcomes-framework" class="govuk-link">Public Health Outcomes Framework (PHOF) quarterly data update for November 2022.

The data is presented in an interactive tool that allows users to view it in a user-friendly format. The data tool also provides links to further supporting information, to aid understanding of public health in a local population.

26 indicators have been updated in this release:

• 5 indicators from the wider determinants domain including employment and violent crime offences indicators
• 7 indicators from the health improvement domain including child and maternal health indicators, smoking status at time of delivery and substance misuse
• 14 population vaccination coverage indicators from the health protection domain

See links to indicators updated document for full details of what’s in this update.

View previous Public Health Outcomes Framework data tool updates.

The Public Health Outcomes Framework (PHOF) data update for February 2018 has been published by Public Health England (PHE).

The data are presented in an interactive tool that allows users to view them in a user-friendly format. The data tool also provides links to further supporting and relevant information to aid understanding of public health in a local population.

This update contains:

• more recent data for 60 indicators
• 3 new indicators
• 1 indicator with a revised definition
• revised back series data for 1 indicator
• equalities and inequalities breakdowns for 35 indicators

See the attached indicators updated document for full details of what’s in this update.

The Public Health Outcomes Framework was refreshed in May 2016, following a consultation in 2015. We will add new indicators as they become available.

See the government response to the consultation for details of the new framework.

View previous Public Health Outcomes Framework data tool updates.

Details of PHE transactions over £25,000 in 2020.

This file shows details of PHE transactions over £25,000 in October 2019.

Updates to the CHIME tool are paused pending the results of a review of the content and presentation of data within the tool. The tool has not been updated since the 16 March 2023.

This update contains data from 152 local authorities for July to September 2021 (quarter 2 for 2021 to 2022) and cumulative data from 1 April 2017 to 30 September 2021. The cumulative data also includes amended statistics for 39 local authorities for April to June 2021 (quarter 1 of 2021 to 2022).

For more information about NHS Health Check data, contact PHE.enquiries@phe.gov.uk.

This update contains data from 151 local authorities for January to March 2020 (quarter 4 for 2019 to 2020) and cumulative data from 1 April 2015 to 31 March 2020.

The cumulative data also includes amended statistics for 40 local authorities for April to December 2019 (quarter 1, quarter 2 and quarter 3 for 2019 to 2020).

For more information about NHS Health Check data contact PHE.enquiries@phe.gov.uk.

The UK Health Security Agency (UKHSA) collects data on all sexually transmitted infection (STI) diagnoses made at sexual health services in England. This page includes information on trends in STI diagnoses, as well as the numbers and rates of diagnoses by demographic characteristics and UKHSA public health region.

View the pre-release access lists for these statistics.

Previous reports, data tables, slide sets, infographics, and pre-release access lists are available online:

• https://webarchive.nationalarchives.gov.uk/ukgwa/20250521191602/https://www.gov.uk/government/statistics/sexually-transmitted-infections-stis-annual-data-tables" class="govuk-link">data to end of December 2023
• https://webarchive.nationalarchives.gov.uk/ukgwa/20240503171913/https:/www.gov.uk/government/statistics/sexually-transmitted-infections-stis-annual-data-tables" class="govuk-link">data to end of December 2022
• https://webarchive.nationalarchives.gov.uk/ukgwa/20230503112152/https:/www.gov.uk/government/statistics/sexually-transmitted-infections-stis-annual-data-tables" class="govuk-link">data to end of December 2021
• https://webarchive.nationalarchives.gov.uk/ukgwa/20220929154802/https:/www.gov.uk/government/statistics/sexually-transmitted-infections-stis-annual-data-tables" class="govuk-link">data to end of December 2020
• https://webarchive.nationalarchives.gov.uk/ukgwa/20210827221835/https:/www.gov.uk/government/statistics/sexually-transmitted-infections-stis-annual-data-tables" class="govuk-link">data to end of December 2019
• https://webarchive.nationalarchives.gov.uk/ukgwa/20200828013604/https:/www.gov.uk/government/statistics/sexually-transmitted-infections-stis-annual-data-tables" class="govuk-link">data to end of December 2018
• https://webarchive.nationalarchives.gov.uk/ukgwa/20190508232927/https:/www.gov.uk/government/statistics/sexually-transmitted-infections-stis-annual-data-tables" class="govuk-link">data to end of December 2017
• https://webarchive.nationalarchives.gov.uk/ukgwa/20180510183040/https:/www.gov.uk/government/statistics/sexually-transmitted-infections-stis-annual-data-tables" class="govuk-link">data to end of December 2016
• https://webarchive.nationalarchives.gov.uk/ukgwa/20170517101539/https:/www.gov.uk/government/statistics/sexually-transmitted-infections-stis-annual-data-tables" class="govuk-link">data to end of December 2015

The STI quarterly surveillance reports of provisional data for diagnoses of syphilis, gonorrhoea and ceftriaxone-resistant gonorrhoea in England are also available online.

Our statistical practice is regulated by the Office for Statistics Regulation (OSR). The OSR sets the standards of trustworthiness, quality and value in the https://code.statisticsauthority.gov.uk/" class="govuk-link">Code of Practice for Statistics that all producers of Official Statistics should adhere to.

The cover of vaccination evaluated rapidly programme (COVER) evaluates childhood immunisation in England, collating data for children aged 1, 2 and 5. Data is collected by financial year.

Vaccination coverage statistics quarterly data tables are provisional and give an indication of current coverage.

Vaccination coverage by GP data tables are experimental and should be viewed with caution.

Quarterly data

https://webarchive.nationalarchives.gov.uk/ukgwa/20211123180403/https://www.gov.uk/government/statistics/cover-of-vaccination-evaluated-rapidly-cover-programme-2021-to-2022-quarterly-data" class="govuk-link">Previous quarterly reports published by Public Health England (PHE).

https://webarchive.nationalarchives.gov.uk/20140713020827/http://www.hpa.org.uk/webw/HPAweb&HPAwebStandard/HPAweb_C/1211441442288" class="govuk-link">Quarterly reports published prior to 2012 (pre-PHE).

Annual data

Annual data for England, by financial year, is collected by the UK Health Security Agency (UKHSA) under the COVER programme with further checks and final publication by NHS Digital as national statistics. Annual data is more complete and should be used to look at longer term trends.

Vaccination coverage data for Scotland, Northern Ireland and Wales:

• https://publichealthscotland.scot/publications/childhood-immunisation-statistics-scotland/childhood-immunisation-statistics-scotland-quarter-and-year-ending-30-june-2021/" class="govuk-link">Scotland
• https://www.publichealth.hscni.net/directorate-public-health/health-protection/vaccination-coverage" class="govuk-link">Northern Ireland
• http://www.wales.nhs.uk/sites3/page.cfm?orgid=457&pid=54144#1" class="govuk-link">Wales

Enquiries or feedback

For any enquiries or feedback, contact cover@phe.gov.uk

The WICH monitoring tool collates metrics across a range of wider impacts to provide stakeholders with a single point of access. This will enable stakeholders to:

• monitor changes over time or against an agreed point in time
• make timely, informed decisions
• intervene early to mitigate against poor outcomes
• understand the wider context on population health

The WICH tool was first published on 16 July 2020. Since then, we have continually developed the tool to include additional metrics and make it easier to use.

On 1 October 2021, Public Health England (PHE) closed and responsibility for the WICH tool transferred to the Office for Health Improvement and Disparities (OHID).

On 5 November 2020, PHE published an in-depth commentary and associated tables on the impact of the COVID-19 pandemic on grocery shopping behaviours during the period March to June 2020.

Please send any questions or comments to pha-ohid@dhsc.gov.uk

These reports summarise the surveillance of influenza, COVID-19 and other seasonal respiratory illnesses.

Weekly findings from community, primary care, secondary care and mortality surveillance systems are included in the reports.

Due to the COVID-19 pandemic, for the 2020 to 2021 season the weekly reports will be published all year round.

This page includes reports published from 8 October 2020 to the 8 July 2021.

Due to a misclassification of 2 subgroups within the Asian and Asian British and Black and Black British ethnic categories, the proportions of deaths for these ethnic categories in reports published between week 27 2021 and week 29 2021 were incorrect. These have been corrected from week 30 2021 report onwards.

The impact of the correction specifically affects the proportion of deaths with an Asian and Asian British and/or Black and Black British ethnic categories. The total number of deaths reported was unaffected. Other ethnicity data included in the reports were not affected by this issue.

Previous reports on influenza surveillance are also available for:

• 2019 to 2020 season
• 2018 to 2019 season
• 2017 to 2018 season
• 2016 to 2017 season
• 2015 to 2016 season
• 2014 to 2015 season
• 2013 to 2014 season

From 15 July this report will be available at National flu and COVID-19 surveillance reports: 2021 to 2022 season.

Reports from spring 2013 and earlier are available on https://webarchive.nationalarchives.gov.uk/20140629102650tf_/http://www.hpa.org.uk/Publications/InfectiousDiseases/Influenza/" class="govuk-link">the UK Government Web Archive.

View previous COVID-19 surveillance reports.