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/">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.
Delivery of frontline healthcare services in Scotland are the responsibility of 14 regional National Health Service (NHS) Boards that report to the Scottish Government. Current boundaries of NHS Health Boards in Scotland are defined by National Health Service (Variation of Areas of Health Boards) (Scotland) Order 2013 (SSI 2013/347), which came into force on April 1st 2014, and replaces the previous definition based upon the former Regions and Districts of the Local Government (Scotland) Act 1973. This change was made in order to re-align Health Boards with the combined area of each Local Authority that they serve. Subsequent changes to Local Authorities will result in corresponding amendments to Health Board boundaries in order to maintain alignment.
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UK healthcare expenditure data by financing scheme, function and provider, and additional analyses produced to internationally standardised definitions.
Our statistical practice is regulated by the Office for Statistics Regulation (OSR). The OSR sets the standards of trustworthiness, quality and value in the Code of Practice for Statistics that all producers of official statistics should adhere to.
Provisional monthly uptake data for seasonal influenza and COVID-19 vaccines for frontline HCWs working in trusts, Independent Sector Healthcare Providers (ISHCPs), and GP practices in England.
Data is presented at national, NHS regional and individual trust levels.
View the pre-release access list for these reports.
In 2022, of the 228 billion British pounds the UK government spent on healthcare*, nearly half was spent on care and services in hospitals. A further 8.9 percent went towards offices of general practitioners (GP). This statistic shows the distribution of government-financed current healthcare expenditure in the United Kingdom in 2022, by provider.
Request I believe the above scheme needs to be put in place urgently. Can you please answer the following questions: 1. How many people have applied to you for Ill Health Retirement with Long Covid? 2. How many people have been rejected for Tier One and/or Tier Two levels of IHR when applying with Long Covid? 3. What evidence (listing guidance and research evidence) are being used to reject or confirm applications for IHR with Long Covid? Response Question 1 & 2 A copy of the information is attached. Question 3 Each Scheme Medical Adviser (SMA) is expected to adopt evidence-based practice in arriving at a decision. They do this by combining the following: Medical evidence provided in the Scheme member’s application, Further medical evidence that the SMA may have requested from the Scheme member’s treating healthcare professionals, Information that the employer may have provided in Part A of Form AW33E (e.g. demands of the work duties, any workplace adjustments tried, and the effectiveness of such adjustments), Information that the Scheme member may have provided in Part B of Form AW33E (for example, how long COVID affects them), Current medical literature on long COVID, And the SMA’s occupational health expertise. When assessing ill-health retirement applications from scheme members who have long COVID, the SMA might consult the following guidance and research evidence: • The Society of Occupational Medicine (SOM): ‘Long COVID and Return to Work – What Works?’ (https://www.som.org.uk/sites/som.org.uk/files/Long_COVID_and_Return_to_Work_What_Works_0.pdf) • The Faculty of Occupational Medicine (FOM): ‘Guidance for healthcare professionals on return to work for patients with post-COVID syndrome’ (https://www.fom.ac.uk/wp-content/uploads/FOM-Guidance-post-COVID_healthcare-professionals.pdf) • Occupational and Environmental Medicine (academic journal of the FOM: https://oem.bmj.com) • Occupational Medicine (academic journal of the SOM: https://academic.oup.com/occmed?login=false) • Industrial Injuries Advisory Council publication: ‘COVID-19 and Occupational Impacts’ (https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1119955/covid-19-and-occupational-impacts.pdf) • NICE: https://cks.nice.org.uk/topics/long-term-effects-of-coronavirus-long-covid • Nature. An example of a recent publication in this journal is Davis, H., McCorkell, L., Vogel, J. M., & Topol, E. J. (2023). Long covid: major findings, mechanisms and recommendations. Nature Reviews Microbiology, 21(3), 133-146. Full text available at https://www.nature.com/articles/s41579-022-00846-2 • British Medical Journal (BMJ) • Journal of the American Medical Association (JAMA) • The Lancet • New England Journal of Medicine In summary, the SMA is expected to adopt an individual approach to each case and use careful clinical judgement when applying the medical research literature and guidance to the specific medical circumstances of a Scheme member with long COVID.
https://digital.nhs.uk/about-nhs-digital/terms-and-conditionshttps://digital.nhs.uk/about-nhs-digital/terms-and-conditions
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. Adults and children aged 13 to 15 were interviewed in person, and parents of children aged 0 to 12 answered on behalf of their children for many topics. Children aged 8 to 15 filled in a self-completion booklet about their drinking and smoking behaviour. A total of 8,178 adults (aged 16 and over) and 2,072 children (aged 0 to 15) were interviewed in the 2018 survey. 4,825 adults and 1,103 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 detailed reports with supporting Excel tables can be found at the bottom of this page and comprise the following topics: Overweight and obesity in adults and children Asthma Adult's health-related behaviours (includes smoking, alcohol, fruit and vegetable consumption, physical activity and gambling) Longstanding conditions Adults' health (including diabetes, hypertension, and high cholesterol) Childrens' health (includes smoking, alcohol, and fruit and vegetable consumption) Social care in older adults _ This publication was updated on 31st January 2020. See the data quality statement attached to this page for more information.
This is a report on NHS-funded Community Services for children and young people aged 18 years or under using data from the new Children and Young People’s Health Services (CYPHS) data set reported in England for activity between April and June 2016. The CYPHS is a patient-level dataset providing information relating to NHS-funded community services for children and young people aged 18 years or under. These services can include health centres, schools and mental health trusts. The data collected includes personal and demographic information, diagnoses including long-term conditions and childhood disabilities and care events plus screening activities.
It has been developed as part of the Maternity and Children’s Data Set (MCDS) Project to achieve better outcomes of care for children and young people. It provides data that will be used to improve clinical quality and service efficiency, in a way that improves health and reduces inequalities.
These statistics are classified as experimental and should be used with caution. Experimental statistics are new official statistics undergoing evaluation. They are published in order to involve users and stakeholders in their development and as a means to build in quality at an early stage. More information about experimental statistics can be found on the UK Statistics Authority website.
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Health care of looked-after children including immunisations, health checks, dental checks etc. Source: Department for Children Schools and Families (DCSF) Publisher: Department for Children Schools and Families (DCSF) Geographies: County/Unitary Authority, Government Office Region (GOR) Geographic coverage: England Time coverage: 2006 to 2008 Type of data: Administrative data
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Several different organisation types which either did not warrant their own dedicated file at the point of creation, or did not easily fit within an existing file. Contains: Codes for: Local Service Providers (LSP), LSP Sites, Cancer Networks, Strategic Health Authority Sites (closed), Special Health Authority sites (see espha.csv for parent organisations), Other Statutory Authorities (OSA), OSA Sites, Executive Agencies of the Department of Health, Executive Agency Programmes, Executive Agency Programme Departments, Executive Agency Sites, Government Departments, Government Department Sites, Public Health Observatories, Cancer Registries, Channel Island Health Organisations, Military Hospitals, Clinical Networks, Application Service Providers, National Application Service Providers (NASP), NHS England Area Team Sites.
https://digital.nhs.uk/services/data-access-request-service-darshttps://digital.nhs.uk/services/data-access-request-service-dars
Data forming the COVID-19 SARI-Watch data set relate to demographic, risk factor, treatment, and outcome information for patients admitted to hospital with a confirmed COVID-19 diagnosis, as recorded in the PHE COVID-19 SARI-Watch Surveillance System.
SARI-Watch data are to be collected for the purposes of direct care, service monitoring, planning and research in response to the spread of COVID-19, including for the following purposes identified in the COVID-19 Directions (see below): •understanding information about patient access to health services and adult social care services as a direct or indirect result of COVID-19 and the availability and capacity of those services •monitoring and managing the response to COVID-19 by health and social care bodies and the Government, including providing information to the public about COVID-19 and its effectiveness, and information about capacity, medicines, equipment, supplies, services and the workforce within the health services and adult social care services •research and planning in relation to COVID-19, such as providing COVID-19 diagnosis.
Timescales for dissemination can be found under 'Our Service Levels' at the following link: https://digital.nhs.uk/services/data-access-request-service-dars/data-access-request-service-dars-process Standard wording
NHS Digital will only disseminate SARI-Watch data collected from PHE where the information is linked to other information controlled by NHS Digital.
https://bso.hscni.net/directorates/digital-operations/honest-broker-service/https://bso.hscni.net/directorates/digital-operations/honest-broker-service/
Pillar 2 data is processed by NHS Digital and extracts for NI residents are sent to the NI Public Health Agency.
The objective of UK Biobank is to create a large-scale biomedical database and research resource, containing in-depth genetic and health information from half a million UK participants, which will contribute to the advancement of modern medicine, treatment and scientific discoveries that improve human health.
Lifestyle and environmental information, medical history, physical measurements, and biological samples are being collected from about 500,000 people aged 40-69 at presentation and then, with consent, their health will be followed for many years through medical and other health related records. The biological samples are stored so that they can be used for a wide range of biochemical and genetic analyses in the future.
The update for December 2021 has been published by the Office for Health Improvement and Disparities (OHID).
The care home bed rate and nursing home bed rate indicators have been updated to include 2021 care home data for England, strategic clinical network areas, local authorities and government regions.
Percentage of deaths by place indicators (hospital, home, care home, hospice or other places) and age at death (all ages, under 65 years, 55 to 74 years, 75 to 84 years, 85 years or older) have been updated to include 2020 data for local authorities, regions, Clinical Commissioning Groups, Sustainability and Transformation Partnerships and Strategic Commissioning Networks.
Percentage of deaths by place indicators (hospital, home, care home, hospice or other places) and age at death (all ages, under 65 years, 55 to 74 years, 75 to 84 years, 85 years or older) have been updated to include 2020 data for local authorities, regions, Clinical Commissioning Groups, Sustainability and Transformation Partnerships and Strategic Commissioning Networks.
Place of death factsheets for Clinical Commissioning Groups have been updated to include monthly provisional place of death for September 2021.
The https://fingertips.phe.org.uk/profile/end-of-life" class="govuk-link">Palliative and end of life care profiles are presented in an interactive tool which aims to help local government and health services improve care at the end of life.
The following slide set is available to download for presentational use:
Data on all HIV diagnoses, AIDS and deaths among people diagnosed with HIV are collected from HIV outpatient clinics, laboratories and other healthcare settings. Data relating to people living with HIV is collected from HIV outpatient clinics. Data relates to England, Wales, Northern Ireland and Scotland, unless stated.
HIV testing, pre-exposure prophylaxis, and post-exposure prophylaxis data relates to activity at sexual health services in England only.
View the pre-release access lists for these statistics.
Previous reports, data tables and slide sets are also available for:
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/">Code of Practice for Statistics that all producers of Official Statistics should adhere to.
Additional information on HIV surveillance can be found in the HIV Action Plan for England monitoring and evaluation framework reports. Other HIV in the UK reports published by Public Health England (PHE) are available online.
This download service provides spatial data relating to human health and safety held by the Scottish Government.
https://www.sheffield.ac.uk/data-connect/data-assets/cured-research-databasehttps://www.sheffield.ac.uk/data-connect/data-assets/cured-research-database
This dataset contains structured records of attendances at Emergency Departments (EDs) in England. It includes information on patient demographics, arrival method, investigations, treatments, and discharge outcomes. It is based on the older HES A&E national data specification submitted routinely by EDs as part of national reporting requirements.
HES A&E was superseded by the Emergency Care Data Set (ECDS) as the national standard for Emergency Department data collection from 2018. While both datasets overlapped between 2018 and 2020, HES A&E captures more limited and less structured clinical information compared to ECDS.
Please provide the following information under FOI law full schedule of uk databases used to check eligibility for Health Insurance Card eg NI, passport, register of births number of applications for HI Card received april 22-april 23 number of applications rejected due to lack of proof of eligibility april 22-april 23 number of people required to provide further proof following application NHS definition of legal criteria for eligibility for Health Insurance Card Your request was received on 16 August 2023 and I am dealing with it under the terms of the Freedom of Information Act 2000. On 3 December 2023 you clarified the following: 1) When assessing UK Global Health Insurance Card applications does the Authority have access to UK Government records? For example Registration of Births, National Insurance, EU Settlement Scheme records, UK Passport Office Records, DVA Records of Driving Licences? 2) Please give me the number of applications for UK Global Health Insurance Card applications in the last financial year. Please also indicate the number that were approved and the number rejected due to insufficient proof of residency. On 27th December 2023 you clarified the following: 5) I can confirm I want the information for EHIC, UK EHIC and UK GHIC. Response Question 1 When assessing UK Global Health Insurance Card applications, the NHSBSA has access to some UK Government records, such as EU settlement Scheme records. The NHSBSA does not have access to National Insurance records, Registration of Births, UK Passport Office Records or DVA Records. UK Global Health Insurance Card applications are based on a residency system and the NHSBSA will use third party data provider Equifax to establish UK residency. This is stated in our Privacy Notice. https://www.nhsbsa.nhs.uk/our-policies/privacy/overseas-healthcare-services-privacy-notice#:~:text=You%20have%20the%20right%20to,it%20for%20longer%20than%20necessary Question 2 There were 6,510,849 UK Global Health Insurance Card applications in the last financial year. Question 3 and 4 6,016,310 applications were approved and 145,876 were rejected because we were unable to establish proof of residency. The remaining applications were either rejected for other reasons, or we have not yet finished dealing with them. Question 5 The following links provide definitions of legal criteria for eligibility for UK GHIC and UK EHIC: • https://faq.nhsbsa.nhs.uk/knowledgebase/article/KA-26813 • https://www.nhs.uk/using-the-nhs/healthcare-abroad/apply-for-a-free-uk-global-health-insurance-card-ghic/ Please note that we do not issue EHIC anymore as that card has been replaced by the UK EHIC.
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Databases and websites searched.
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Comparison of independent and supplementary prescribing.
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/">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.