Analytics &Research 2018 National Reports -Hertfordshire...Legend Option 1 Legend Option 2 Legend Option 3 Legend Option 4 Legend Option 5 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Analytics & Research

2018 National Reports - Hertfordshire

Public Health 25/02/2019

INTRODUCTION

We are pleased to be able to present the fifth edition of the CIPFA Public Health Profile.

The report provides a comprehensive analysis of your authority’s financial data, collected as part

of the MHCLG Revenue Outturn Statistics and performance data published by Public Health

England.

The aim of the report is to provide management information and insight for decision makers

involved in public health areas. Due to the wide range of topics covered, the report will have a

broad appeal and should be of interest to anyone involved in public health.

The analysis is simple and non-judgemental, seeking to visualise the data and enable readers to

draw their own conclusions. The financial summary acts as a high level summary, but is also

designed as an introduction to the whole report.

We hope you find this report interesting and helpful. If you have any comments, suggestions or

queries then CIPFA would be delighted to hear from you - [email protected].

Public Health Page 2 25/02/2019

Preface Page 4

Financial Summary Page 6

A: Sexual Health Services Page 12

B: NHS Health Check Programme Page 18

C: Health Protection Page 20

D: National Child Measurement Programme Page 21

E: Public Health Advice Page 22

F: Obesity Page 23

G: Physical Activity Page 28

H: Substance Misuse Page 31

I: Smoking and Tobacco Page 36

J: Children's 5-19 Public Health Programmes Page 43

K: Children's 0-5 Services Page 44

L: Health at Work Page 46

M: Public Mental Health Page 47

N: Miscellaneous Public Health Services Page 50

O: Other Public Health Indicators Page 51

INDEX


Adults

Total Physical Activity

Children

£3.30 £3.95

£9.05 £7.67

£12.35 £11.62

Benchmarking Bar Charts

This is our standard method of displaying comparisons between authorities

Preface

Comparative Bar Charts

Tree Diagram

0

5

10

15

20

25

30

35

e s u k a r m y t w q n v h

Excess winter deaths for all ages

We use a large number of charts due to their ability to show a large amount of data in an efficient and accessible way. We assume that readers will have a working knowledge of basic charts such as simple bar charts, stacked bar charts, pie/donut charts and line charts. Here we give examples of some of the charts we use. Please take the time to familiarise yourself with these examples. Please let us know if any of these or the other charts are unclear as we may well be able to improve the presentation to make it more intuitive.

Your authority's bar is

highlighted in black

The group average

is shown by a horizontal line

'Missing bars' on the right represent zero values and are included in the average

Each bar represents an

authority's value

'Missing bars' on the left represent values that are not available and are not included in the average

Your authority figure

is presented on the left

Average figures are

presented on the right and italicised


Trends Graph

Scatterplot Chart

Donut Chart

Legend Option 1

Legend Option 2

Legend Option 3

Legend Option 4

Legend Option 5

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

0% 20% 40% 60% 80% 100%

Excess w

eig

ht

in 1

0-1

1 y

ear

old

s

Excess weight in 4-5 year olds

Other Authorities

Your Authority

£5.00

£7.00

£9.00

£11.00

£13.00

£15.00

£17.00

2016/17 2017/18 2018/19 E

Sexual Health Net Expenditure per Head

Your Authority Average

29%

26%

23%

18%

31%

24%

19%

16%

10%

Your authority's bar is

in green

Average is in black

(perforated)

The title

Missing labels mean

the value is less than 5%

Average figures are

represented by the outer ring of the chart

Your authority figures

are represented by the inner ring

Legend

Each figure is for

an authority. It is the figure on x-axis

comparing to y axis - in this case,

excess weight in

10-11 year olds and in 4-5 year

olds


This section provides a summary of the Net Expenditure on Public Health Services per head of the respective

populations for Hertfordshire.

Net Expenditure

2016/17

2017/18

* 2018/19 E

Employee Cost

Running Expenses

Total Expenditure

Sales, Fees & Charges

Other Income

Total Income

Net Expenditure

Total Population

* The 2018/19 Estimates are based on the population for 2017/18.

FINANCIAL SUMMARY

£ p/h

40.85

45,136 62.79

48,245 70.46

3,109 7.67

Net Expenditure on Public Health

2017/18 Actuals £'000Average

£ p/h

£'000

41.84 69.06

Average

£ p/h£ p/h

(3.43)

(161) (0.14) (4.08)

- (0.65)

65.51

(161)

49,237

48,084 40.72

1,180,934

(0.14)

49,208 41.67

66.38

2.63

38.22

-

48,084 40.72 66.38

£0.00

£20.00

£40.00

£60.00

£80.00

£100.00

£120.00

£140.00

£160.00 Public Health Net Expenditureper Head: 2017/18

£0.00

£10.00

£20.00

£30.00

£40.00

£50.00

£60.00

£70.00

£80.00

2016/17 2017/18 2018/19 E

Public Health Net Expenditure per Head

Hertfordshire Average


TOTAL PUBLIC HEALTH

Net Current Expenditure by Service - 2017/18 Actuals

Sexual Health Services

NHS Health Check Programme

Health Protection

National Child Measurement Programme

Public Health Advice

* Obesity

* Physical Activity

* Substance Misuse

Smoking and Tobacco

Children's 5-19 Public Health Programmes

Children's 0-5 Services (Prescribed functions)

Children's 0-5 Services (Non-prescribed functions)

Health at work

Public Mental Health

Miscellaneous

Total Public Health

Total Population

*

21.28%

1,310 1.11 3.25 4.90%

66.38

If the percentages above are less than 5%, they will not show on the

graph.

16,285 13.79

1,291 1.09 0.95 1.43%

£'000 £ p/hAverage

£ p/h

10,605 8.98 11.04 16.64%

Average %

22 0.02 0.66 1.00%

54 0.05 0.44 0.66%

134 0.11 1.03 1.56%

604 1.12 6.28 9.46%

1,411 1.19 1.86 2.80%

4,343 3.68 4.83 7.28%

378 0.80 5.95 8.96%

8,681 10.71 20.80 31.33%

14.13

Top 5 Costly Services for Hertfordshire and the Averages of all Local

Authorities - 2017/18 Actuals

Substance Misuse


Children's 5-19 Public Health

Programmes

All other services

The following table shows the actual net current expenditure for Hertfordshire on Public Health services for 2017/18. These

figures are represented in thousands (£'000), the £ per population head (p/h) and the percentage of each of the services out

of the total spend on Public Health. This includes the average for the £ per population head and the average percentage.

The percentages for Hertfordshire are the outer ring of the donut chart

above while the average percentages are the inner ring in the chart

above.

% of

Public

Health

22.05%

2.68%

0.05%

0.11%

0.28%

2.75%

1.96%

26.30%

2.93%

9.03%

33.87%

2.72%

5.94%

1,180,934

2,856 2.42 8.32 12.54%

48,084 40.72

Children's 0-5 Services (Prescribed

functions)

Please note that these sections have categories for both adults and youth so the £ p/h are calculated as per the respective

populations.

24

87

0.02

0.07

0.30 0.05% 0.46%

0.97 0.18% 1.47%

21%

31%17%

7%

23% 34%

26%

22%

9%

9%


TOTAL PUBLIC HEALTH

Net Current Expenditure by Service - 2018/19 Estimates


NHS Health Check Programme

Health Protection

National Child Measurement Programme


Obesity

Physical Activity

Substance Misuse

Smoking and Tobacco

Children's 5-19 Public Health Programmes

Children's 0-5 services - prescribed functions

Children's 0-5 services - non-prescribed functions

Health at work


Miscellaneous

Total Public Health

Total Population


graph.

The arrows represent an anticipated increase/decrease in 2018/19 compared to the 2017/18 actuals and the circle represents

no anticipated change or not applicable.

161 0.14 1.03 1.57%

8,458 7.16 13.77 21.02%

15,957 13.51 13.43 20.50%

4,678 3.96 5.04 7.69%9.51%

32.43%

2.25%

0.00%

0.33%

1.99

- 0.00 0.49 0.75%

560 0.47 2.33 3.56%

1,105 0.94 3.24 4.95%

1,444 1.22 1.89 2.89%

1,129 0.96 1.10 1.68%

£'000 £ p/hAverage

£ p/h

10,083 8.54 10.89 16.63%

Average %

% of

Public

Health

20.49%

2.29%

�

�

3.04%

1 0.00 0.73 1.12%

55 0.05 0.49 0.74%

132 0.11 1.09 1.67%

0.00%

0.11%

0.27%

0.94%

�

�

�

�462 0.39

1,180,934

4,983 4.22 7.99 12.20%

49,208 41.67 65.51�

10.13%

The following table shows the estimated net current expenditure for Hertfordshire on Public Health services for 2018/19. These

figures are represented in thousands (£'000), the £ per population head (p/h) and the percentage of each of the services out of

the total spend on Public Health. This includes the average for the £ per population head and the average percentage.

Top 5 Costly Services for Hertfordshire and the Averages of all Local

Authorities - 2018/19 Estimates

Children's 0-5 services - prescribed

functions


Substance Misuse

Miscellaneous

All other services



above.

�

�

�

�

�

�

�

�

�

1.14%

17.19%

2.93%

20%

17%

21%

12%

30%

32%

20%

17%

10%

20%


TOTAL PUBLIC HEALTH

Net Current Expenditure by Service - Differences

Difference between 2017/18 and 2016/17 Actuals

Difference between 2017/18 Estimates and 2017/18 Actuals

Abbreviations:

NCMP - National Child Measurement Programme

PH - Public Health

Total Public Health Services

ServicesTotal Public Health

-15%

-10%

-5%

0%

5%

10%

15%

20%

25%

30%

35%

-25%

-20%

-15%

-10%

-5%

0%

5%

10%

15%

-40% -20% 0% 20% 40% 60% 80% 100%

Miscellaneous

0-5 Non-Prescribed

0-5 Prescribed Services

5-19 PH Programmes

Smoking and Tobacco

Substance Misuse

Physical Activity

Obesity


NCMP

Health Protection

NHS Health Check


-100% 0% 100%200%300%400%500%600%700%

Miscellaneous


Health at Work

0-5 Non-Prescribed

0-5 Prescribed Services

5-19 PH Programmes

Smoking and Tobacco

Substance Misuse

Physical Activity

Obesity


NCMP

Health Protection

NHS Health Check



Life expectancy at birth

2015 - 17

Hertfordshire

Average

Source: Public Health Outcomes Indicator 0.1ii

Healthy life expectancy at birth

2015 - 17

Hertfordshire

Average

Source: Public Health Outcomes Indicator 0.1i

Contextual Indicators

62.6 63.1

Male Female

81.0 84.2

79.3 83.0

Male Female

65.9 65.9

50

55

60

65

70

75 Healthy life expectancy at birth - Male

50

55

60

65

70

75 Healthy life expectancy at birth - Female

65

67

69

71

73

75

77

79

81

83

85 Life expectancy at birth - Male

65

70

75

80

85

90 Life expectancy at birth - Female


Life expectancy at 65

2015 - 17

Hertfordshire

Average


Gap in life expectancy at birth between each local authority and England as a whole

2015 - 17

Hertfordshire

Average

Source: Public Health Outcomes Indicator 0.2iv

(0.15)

1.47

Male

1.10

18.6 21.0

(0.28)

Female

19.3 21.6

Male Female

0

5

10

15

20

25 Life expectancy at 65 - Male

0

5

10

15

20

25

30Life expectancy at 65 - Female

-6.00

-5.00

-4.00

-3.00

-2.00

-1.00

0.00

1.00

2.00

3.00

4.00

5.00Gap in life expectancy at birth - Male

-5.00

-4.00

-3.00

-2.00

-1.00

0.00

1.00

2.00

3.00

4.00Gap in life expectancy at birth - Female


This section provides a summary of the Revenue Outturn Net Sexual Health Services expenditure per head of the

respective populations for Hertfordshire.

Net Expenditure

2016/17

2017/18

* 2018/19 E

Employees

Running Expenses

Total Expenditure

Sales, Fees and Charges

Other Income

Total Income

Net Expenditure

Total Population


1,180,934

(11) (0.01) (0.82)

10,103 8.56 11.42

- -

(0.01)

(0.12)

(0.70) (11)

£'000 £ per head

10,605 8.98 11.04

0.43 0.44

10,616 8.99 11.86

Average

£ p/h

A: SEXUAL HEALTH SERVICES

10,786 9.17 11.61

10,605 8.98 11.04

10,083 8.54 10.89

£'000 £ p/h

Avg. £ per head

513

£0.00

£5.00

£10.00

£15.00

£20.00

£25.00

£30.00

£35.00 Sexual Health Services Net Expenditure per Head: 2017/18

£5.00

£6.00

£7.00

£8.00

£9.00

£10.00

£11.00

£12.00

2016/17 2017/18 2018/19 E

Sexual Health Net Expenditure per Head


Sexual Health Services Page 12 25/02/2019

SEXUAL HEALTH SERVICES - SERVICE EXPENDITURE

Total Service Net Expenditure (excluding capital charges)

STI Testing and Treatment

Total Sexual Health Services Contraception

Advice, Prevention and Promotion


graph.

STI Testing and Treatment

Contraception

Advice, Prevention and Promotion



above.

COST TREE

This tree diagram analyses the net expenditure per head of total population for each service area. Under each category two figures

are given, the first being the authority's cost and the second (in italics) is the group average.

£5.42 £6.99

£1.05£0.25

£8.98 £11.04 £3.31 £3.01

63%

27%

9%

60%

37%

Proportion of Total Sexual Health Services

Expenditure


All new STI diagnosis rate per 100,000

2017

Hertfordshire

Average

Source: Sexual and Reproductive Health Profiles

Net Expenditure on Sexual Health Services per STI diagnosis rate

2017/18 Actuals

Hertfordshire

Average

Chlamydia per 100,000 population (15-24 year olds)

2017

Hertfordshire

Chlamydia detection rate

Chlamydia proportion screened


16.3% 19.6%

Average

1,441 1,924

Sexual Health Services Indicators

574

795

£18,479

£5,367

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

4,500

5,000Chlamydia detection rate

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%Chlamydia proportion screened

£0

£5,000

£10,000

£15,000

£20,000

£25,000

£30,000 Net Expenditure per STI diagnosis rate


Genital Warts/Herpes diagnosis rate per 100,000 population

2017

Hertfordshire

Average


Pelvic inflammatory disease (PID) admissions rate per 100,000 (women aged 15-44 years)

2016/17

Hertfordshire

Average


HIV

2017

Hertfordshire

HIV testing uptake (%)

HIV late diagnosis (%)

HIV diagnosed prevalence rate (per 1,000 aged 15-59)


95.2%

43.9%

1.6

94.9%

41.6%

2.5

Average

247

203

Herpes

50

60

Warts

106

107

0

50

100

150

200

250

300Genital Warts diagnosis rate

0

20

40

60

80

100

120

140

160

180Genital Herpes diagnosis rate

0

100

200

300

400

500

600

700

800

0%

10%

20%

30%

40%

50%

60%

70%

80%HIV late diagnosis

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0 HIV diagnosed prevalence rate per 1,000 aged 15-59


Population vaccination coverage - HPV

2017/18

Hertfordshire

Average


Ectopic pregnancy admissions rate per 100,000 (women aged 15-44 years)

2016/17

Hertfordshire

Average


Abortions under 10 weeks

2017

Hertfordshire

Average


Under 25s repeat abortions

2017

Hertfordshire

Average


91

86

83.7%

86.6%

52.5%

74.9%

76.4%

53.3%

0

20

40

60

80

100

120

140

160

180

0%

20%

40%

60%

80%

100%

120%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%


Under 18s conception rate

2016

Hertfordshire

Average


Under 18s conceptions leading to abortion

2016

Hertfordshire

Average


GP prescribed LARC rate per 1,000 females aged 15-44 years

2017

Hertfordshire

Average


63.4%

52.8%

14.4%

19.6%

76.8%

53.0%

0%

20%

40%

60%

80%

100%

120%

140%

0%

5%

10%

15%

20%

25%

30%

35%

40%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


This section provides a summary of the Revenue Outturn Net NHS Health Check Programme expenditure per

head of the respective populations for Hertfordshire.

Net Expenditure

2016/17

2017/18

* 2018/19 E

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure

Population (Aged 18+)


1,130

1,353

-

(62)

£'000 £ per head Avg. £ per head

0.24 0.17 223

1.10

1.48 1.27

- (0.01)

1.24

1,291 1.42 1.21

1,129 1.24 1.40

(62)

1,291

911,638

(0.05)

(0.07) (0.06)

1.42 1.21

(0.07)

B: NHS HEALTH CHECK PROGRAMME

£'000 £ p/h

Average

£ p/h

722 0.79 1.22

£0.00

£0.20

£0.40

£0.60

£0.80

£1.00

£1.20

£1.40

£1.60

2016/17 2017/18 2018/19 E

NHS Health Check Programme Net Expenditure per Head


£0.00

£0.50

£1.00

£1.50

£2.00

£2.50

£3.00 NHS Health Check Programme Net Expenditure per Head: 2017/18

NHS Health Check Programme Page 18 25/02/2019

NHS Health Check*

2014/15 Q1 - 2018/19 Q2

Prevalence

Hertfordshire

Average

Source: Public Health Outcomes Indicator 2.22iii

2017/18 Actuals

Hertfordshire

Average

*This indicator is based on the population aged 40-74.

Cumulative % of the eligible population aged 40-74 offered and received an NHS Health Check

2013/14 - 2017/18

82.5% 39.4% 48.6%

NHS Health Check Indicators

Invited Receiving Take up

81.1% 40.9% 50.4%

£5.04

£4.93

Net Expenditure on NHS Health Check Programme per person offered an NHS Health Check and who received an NHS

Health Check*

0%

50%

100%

150%

200%

250% People invited for an NHS Health Check

0%

20%

40%

60%

80%

100% People receiving an NHS Health Check

£0.00

£0.50

£1.00

£1.50

£2.00

£2.50

£3.00

£3.50

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Net

Curr

ent

Expenditure

per

Head

Offered an NHS Health Check and who received an NHS Health Check (%)

Other Authorities

Hertfordshire

£0

£2

£4

£6

£8

£10

£12

£14

£16

NHS Health Check Programme Page 19 25/02/2019

This section provides a summary of the Revenue Outturn Net Health Protection expenditure per head of the


Net Expenditure

2016/17

2017/18

* 2018/19 E

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure

Total Population



C: HEALTH PROTECTION

£'000 £ p/h

Average

£ p/h

1 0.00 0.73

22 0.02 0.85

22 0.02 0.66

- - 0.31

- - (0.05)

- - (0.00)

22 0.02 0.40

22 0.02 0.71

1,180,934

- - (0.05)

22 0.02 0.66

£0.00

£2.00

£4.00

£6.00

£8.00

£10.00

£12.00 Health Protection Net Expenditure per Head: 2017/18

£0.00

£0.10

£0.20

£0.30

£0.40

£0.50

£0.60

£0.70

£0.80

£0.90

2016/17 2017/18 2018/19 E

Health Protection Net Expenditure per Head


Health Protection Page 20 25/02/2019

This section provides a summary of the Revenue Outturn Net National Child Measurement Programme

expenditure per head of respective populations for Hertfordshire.

Net Expenditure

2016/17

2017/18

* 2018/19 E

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure

Population (Aged 0-17)


54

2.2455

0.20 2.01

0.20

D: NATIONAL CHILD MEASUREMENT PROGRAMME

£'000 £ p/h

Average

£ p/h

54 0.20 2.04

(0.01)

51 0.19 1.79

54 0.20 2.02

- -


3 0.01 0.23

54 0.20 2.01

269,296

- - (0.01)

- - (0.02)

£0.00

£0.50

£1.00

£1.50

£2.00

£2.50

2016/17 2017/18 2018/19 E

National Child Measurement Programme Net Expenditure per Head


£0.00

£2.00

£4.00

£6.00

£8.00

£10.00

£12.00

£14.00

£16.00 National Child Measurement Programme Net Expenditure per Head: 2017/18

National Child Measurement Programme Page 21 25/02/2019

This section provides a summary of the Revenue Outturn Net Public Health Advice expenditure per head of the


Net Expenditure

2016/17

2017/18

* 2018/19 E

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure

Total Population


43 0.04 0.41


93 0.08 0.71

134 0.11 1.03

132 0.11 1.09

E: PUBLIC HEALTH ADVICE

£'000 £ p/h

Average

£ p/h

150 0.13 1.12

136 0.12 1.11

- - (0.01)

134 0.11 1.03

1,180,934

(2) (0.00) (0.07)

(2) (0.00) (0.08)

£0.00

£1.00

£2.00

£3.00

£4.00

£5.00

£6.00

£7.00

£8.00

£9.00 Public Health Advice Net Expenditure per Head: 2017/18

£0.00

£0.20

£0.40

£0.60

£0.80

£1.00

£1.20

2016/17 2017/18 2018/19 E

Public Health Advice Net Expenditure per Head


Public Health Advice Page 22 25/02/2019

This section provides a summary of the Revenue Outturn Net Obesity expenditure per head of the respective populations.

The Net Obesity expenditure per head below for Hertfordshire is the sum of the Adult and Children Obesity

Net Expenditure per head on page 24.

Net Expenditure

2016/17

2017/18

* 2018/19 E

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure

Population (Aged 0-17) Population (Aged 18+)


269,296 911,638

- - (0.02)

(41) (0.04) (0.12)

(41) (0.04) (0.14)

604 1.12 6.28

F: OBESITY

£'000 £ p/h

Average

£ p/h

649 1.42 6.12

604 1.12 6.28

462 1.00 5.49


120 0.16 0.96

525 1.01 5.46

645 1.17 6.42

£0.00

£1.00

£2.00

£3.00

£4.00

£5.00

£6.00

£7.00

2016/17 2017/18 2018/19 E

Obesity Net Expenditure per Head


£0.00

£10.00

£20.00

£30.00

£40.00

£50.00

£60.00

£70.00 Obesity Net Expenditure per Head: 2017/18

Obesity Page 23 25/02/2019

Obesity in Adults

£ per head

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure


Obesity in Children

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure


0.12

4.68

0.25

429 0.47 1.59

911,638

(41) (0.04) (0.05)

(41) (0.04) (0.06)

(0.01)

(0.07)

(0.09)

Summary of Income and Expenditure 2017/18

- - (0.01)

359 0.39 1.40

470 0.52 1.65

£'000 Avg. £ per head

£'000 £ per head

111

- -

175 0.65

- -

-

269,296

-

Avg. £ per head

4.77

9 0.03 0.71

166 0.62 4.06

175 0.65

£0.00

£2.00

£4.00

£6.00

£8.00

£10.00

£12.00

£14.00

£16.00

£18.00Adult Obesity - Net Expenditure (£p/h)

£0.00

£10.00

£20.00

£30.00

£40.00

£50.00

£60.00 Children Obesity - Net Expenditure (£p/h)


2017/18

Underweight

Healthy Weight

Overweight (incl. obese)

Source: NCMP Local Authority Profile

Year 6


76.6%

Year 6 Reception

1.0% 1.1%

Reception

Prevalence of weight among children

63.8%

14.2%

For Hertfordshire, there are 0.61% more children that are

underweight in Year 6 than in Reception and on average

there are 0.35% more underweight children in Year 6.

For Hertfordshire, there are 9.97% less children that are a

healthy weight in Year 6 than in Reception and on average

there are 12.83% less children that are a healthy weight in

Year 6.

1.6%

69.8%

13.4%

For Hertfordshire, there are 1.68% more children that are

overweight in Year 6 than in Reception and on average there

are 1.35% more overweight children in Year 6.

1.4%

11.7% 12.9%

79.8%

0.0%

0.5%

1.0%

1.5%

2.0%

2.5%

3.0%

3.5% Children in Reception - Underweight

0%

20%

40%

60%

80%

100% Children in Reception - Healthy Weight

0%

5%

10%

15%

20% Children in Reception - Overweight(incl. Obese)


Excess weight in 4-5 year olds and 10-11 year olds

2017/18

Hertfordshire

Average

Hertfordshire

Average

Hertfordshire

Average


28.6%

19.3%

22.4%

28.5%

34.6%

24.0%

0%

5%

10%

15%

20%

25%

30%

35%Excess weight in 4-5 year olds

0%

10%

20%

30%

40%

50%Excess weight in 10-11 year olds

0%

5%

10%

15%

20%

25%

30%

35%

40%Average Excess weight in 4-5 year olds and

10-11 year olds

15%

20%

25%

30%

35%

40%

45%

50%

10% 15% 20% 25% 30% 35%

Excess w

eig

ht

in 1

0-1

1 y

ear

old

s

Excess weight in 4-5 year olds

Excess weight in 4-5 year olds against 10-11 year olds

Other Authorities

Hertfordshire


Net Expenditure per Average Excess weight in 4-5 year olds and 10-11 year olds

2017/18 Actuals

Hertfordshire

Average

£2.71

£15.72

£0

£20

£40

£60

£80

£100

£120

£140

£160

£180

£200

£0.00

£5.00

£10.00

£15.00

£20.00

£25.00

£30.00

£35.00

£40.00

15% 20% 25% 30% 35% 40%

Net

Curr

ent

Expenditure

per

Head

Average Excess Weight in 4-5 and 10-11 Year Olds

Obesity in Children Net Expenditure and Average Excess Weight in 4-5 and 10-11 Year Olds (%)

Other Authorities

Hertfordshire


This section provides a summary of the Revenue Outturn Net Physical Activity expenditure per head of the

respective populations. The Net Physical Activity Expenditure per head below for Hertfordshire is the sum of the Adult and

Children Physical Activity Net Expenditure per head on page 30.

Net Expenditure

2016/17

2017/18

* 2018/19 E

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure



269,296 911,638

-

378 0.80 5.95

560 1.07 5.83

- (0.33)

378 0.80 5.95

- -

G: PHYSICAL ACTIVITY

£'000 £ p/h

Average

£ p/h

566 1.11 5.05

- - (0.09)


18 0.04 1.09

360 0.76 5.19

378 0.80 6.28

(0.24)

£0.00

£5.00

£10.00

£15.00

£20.00

£25.00

£30.00

£35.00

£40.00

£45.00

£50.00 Physical Activity Net Expenditure per Head: 2017/18

£0.00

£1.00

£2.00

£3.00

£4.00

£5.00

£6.00

£7.00

2016/17 2017/18 2018/19 E

Physical Activity Net Current Expenditure per Head


Physical Activity Page 28 25/02/2019

PHYSICAL ACTIVITY - SERVICE EXPENDITURE


Adults

Total Physical Activity

Children

COST TREE



£0.25 £1.98

£0.80 £5.95

£3.97£0.55


graph.


above while the average percentages are the inner ring in the chart above.

Children

Adults

67%

33%

68%

32%

Proportion of Total Physical Activity

Services Expenditure


Adults Physical Activity

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure


Children Physical Activity

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure


Summary of Income and Expenditure 2017/18


11 0.01 0.49

220 0.24 1.68

231 0.25 2.17

- - (0.16)

- - (0.03)

- - (0.20)

231 0.25 1.98

911,638


7 0.03 0.60

140 0.52 3.50

147 0.55 4.10

- - (0.08)

147 0.55 3.97

269,296

- - (0.06)

- - (0.14)

£0.00

£2.00

£4.00

£6.00

£8.00

£10.00

£12.00

£14.00

£16.00 Adults Net Expenditure - (£p/h)

£0.00

£2.00

£4.00

£6.00

£8.00

£10.00

£12.00

£14.00

£16.00

£0.00 £5.00 £10.00 £15.00 £20.00 £25.00 £30.00 £35.00 £40.00

Net

Expenditure

per

Head for

Adults

Net Expenditure per Head for Children

Net Expenditure for Adults and Children Physical Activity

Other Authorities

Hertfordshire

£0.00

£5.00

£10.00

£15.00

£20.00

£25.00

£30.00

£35.00

£40.00 Children Net Expenditure - (£p/h)


This section provides a summary of the Revenue Outturn Net Substance Misuse expenditure per head of the

respective populations. The Net Substance Misuse expenditure per head below for Hertfordshire is the sum of the Adult and

Children Substance Misuse Net Expenditure per head on pages 33 and 34.

Net Expenditure

2016/17

2017/18

* 2018/19 E

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure



£20.80

10.71 20.80

(8) (0.01)

8,458 £10.50 £20.38

8,681 £10.71


420 0.52 1.34

H: SUBSTANCE MISUSE

£ p/h

Average

£ p/h£'000

9,517 £11.67 £22.35

269,296 911,638

(0.01) (0.86)

8,269 10.20 20.48

8,689 10.72 21.82

- - (0.15)

(8)

(1.03)

8,681

£0.00

£5.00

£10.00

£15.00

£20.00

£25.00

£30.00

£35.00

£40.00

£45.00

£50.00 Substance Misuse Net Expenditure per Head: 2017/18

£0.00

£5.00

£10.00

£15.00

£20.00

£25.00

2016/17 2017/18 2018/19 E

Substance Misuse Net Expenditure per Head


Substance Misuse Page 31 25/02/2019

SUBSTANCE MISUSE - SERVICE EXPENDITURE


Treatment for adult drug misuse

Treatment for adult alcohol misuse

Total Substance Misuse Preventing and reducing harm from adult drug misuse

Preventing and reducing harm from adult alcohol misuse

Specialist drug and alcohol misuse services for children and youth

Preventing and reducing harm from adult

drug misuse

£0.47 £1.76

£0.61 £1.13

COST TREE



£5.01 £9.19

Treatment for adult drug misuse

£10.71 £20.80

£2.93 £4.51

£4.20£1.69

Treatment for adult alcohol misuse

Specialist drug and alcohol misuse services

for children and youth


graph.

Preventing and reducing harm from adult

alcohol misuse



above.

44%

22%

20%

5%8%

47%

27%

16%

6%

Proportion of Total Substance Misuse



Treatment for Adult Substance Misuse

Alcohol Misuse

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure

Drug Misuse

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure

Preventing and Reducing Harm from Adult Substance Misuse

Alcohol Misuse

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure

Drug Misuse

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure


- - (0.07)

426 0.47 1.76

- - (0.01)

- - (0.06)

405 0.44 1.69

426 0.47 1.83


21 0.02 0.14

0.11

- - (0.04)

560 0.61 1.13

- - (0.01)

- - (0.04)

Summary of Expenditure and Income 2017/18


129 0.14 0.24

2,544 2.79 4.47

2,673 2.93 4.72

- - (0.02)

(3) (0.00) (0.18)

(3) (0.00) (0.20)

2,670 2.93 4.51


221 0.24 0.36

4,355 4.78 9.42

4,576 5.02 9.78

- - (0.10)

(5) (0.01) (0.47)

(5) (0.01) (0.59)

4,571 5.01 9.19

533 0.58 1.07

560 0.61 1.18


27 0.03

911,638

£0.00

£5.00

£10.00

£15.00

£20.00

£25.00 Adult Alcohol Misuse Treatment -Net Expenditure (£p/h)

£0.00

£5.00

£10.00

£15.00

£20.00

£25.00

£30.00

£35.00 Adult Drug Misuse Treatment -Net Expenditure (£p/h)


Specialist Drug and Alcohol Misuse Services for Children and Youth

Youth Substance Misuse

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure


0.08 0.49

1.60 3.83

454 1.69 4.32

269,296

- - (0.12)

454 1.69 4.20

- - (0.01)

- - (0.11)

432


22

£0.00

£5.00

£10.00

£15.00

£20.00

£25.00 Youth Substance Misuse -Net Expenditure (£p/h)

£0.00

£2.00

£4.00

£6.00

£8.00

£10.00

£12.00Adult Alcohol Misuse Harm Prevention -

Net Expenditure (£p/h)

£0.00

£2.00

£4.00

£6.00

£8.00

£10.00

£12.00

£14.00Adult Drug Misuse Harm Prevention - Net

Expenditure (£p/h)


Admission episodes for alcohol-related conditions (Narrow) (Persons)

2017/18

Hertfordshire

Average

Source: Public Health Outcomes Indicator 2.18

Successful completion of drug treatment - opiate users

2017

Hertfordshire

Average

Source: Public Health Outcomes Indicator 2.15i

Successful completion of drug treatment - non-opiate users

2017

Hertfordshire

Average


37.53%

35.72%

Substance Misuse - Adult Indicators

Males

710

838

Females

442

484

9.30%

6.75%

0

200

400

600

800

1,000

1,200

1,400

1,600Alcohol related admissions to

hospital - Males

0

200

400

600

800

1,000Alcohol related admissions to

hospital - Females

0%

2%

4%

6%

8%

10%

12%

14%

16%

0%

10%

20%

30%

40%

50%

60%

70%


This section provides a summary of the Revenue Outturn Net Smoking and Tobacco expenditure per head of the


Net Expenditure

2016/17

2017/18

* 2018/19 E

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure

Total Population


1,411 1.19 1.86

1,444 1.22 1.89

I: SMOKING AND TOBACCO

£'000 £ p/h

Average

£ p/h

1,963 1.67 1.92

(0.11)

1,411 1.19 1.86

1,180,934

(9) (0.01)

(0.01) (0.10)

940 0.80 1.70

1,420 1.20 1.97

- - (0.02)

(9)


480 0.41 0.28

-£1.00

£0.00

£1.00

£2.00

£3.00

£4.00

£5.00

£6.00

£7.00

£8.00 Smoking and Tobacco Net Expenditure per Head: 2017/18

£0.00

£0.50

£1.00

£1.50

£2.00

£2.50

2016/17 2017/18 2018/19 E

Smoking and Tobacco Net Expenditure per Head


Smoking and Tobacco Page 36 25/02/2019

SMOKING AND TOBACCO - SERVICE EXPENDITURE


Stop Smoking Services and Interventions

Total Smoking and Tobacco

Wider Tobacco Control

£1.19 £1.86

COST TREE



£1.11 £1.65

£0.08


graph.


above while the average percentages are the inner ring in the chart above.

Stop Smoking Services and Interventions

Wider Tobacco Control

£0.21

89%

11%

93%

7%

Proportion of Total Smoking and Tobacco



Rate of successful quitters at 4 weeks per 100,000 smokers

2017/18

Hertfordshire

Average

Source: Local Tobacco Control Profiles

Net expenditure per rate of successful quitters at 4 weeks per 100,000 smokers

2017/18 Actuals

Hertfordshire

Average


Smoking Indicators

£710.25

£474.71

1,986

1,618

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

£0

£500

£1,000

£1,500

£2,000

£2,500

£3,000

£3,500

£0.00

£1.00

£2.00

£3.00

£4.00

£5.00

£6.00

£7.00

£8.00

0 1,000 2,000 3,000 4,000 5,000 6,000 7,000

Net

Curr

ent

Expenditure

per

Head

Rate of successful quitters at 4 weeks per 100,000 smokers

Smoking and Tobacco Net Expenditure and Successful Quitters at 4 Weeks

Other Authorities

Hertfordshire


2017/18

Hertfordshire

Average


Smoking status at time of delivery

2017/18

Hertfordshire

Average


100%

Percentage of people who set a quit date with a Stop Smoking Service for whom there was a valid NS-SEC recorded

86%

7.13%

11.12%

0%

5%

10%

15%

20%

25%

30%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

-£1.00

£0.00

£1.00

£2.00

£3.00

£4.00

£5.00

£6.00

£7.00

£8.00

40% 50% 60% 70% 80% 90% 100%

Net

Curr

ent

Expenditure

per

Head

Completeness of NS-SEC recording by Stop Smoking Services

Smoking and Tobacco Expenditure and Completeness of NS-SEC recording by Stop Smoking Services

Other Authorities

Hertfordshire


Age-standardised rate of mortality from lung cancer in persons of all ages per 100,000 population

2015 - 17

Hertfordshire

Average


Age-standardised rate of mortality from oral cancer in persons of all ages per 100,000 population

2015 - 17

Hertfordshire

Average


2015 - 17

Hertfordshire

Average


Age-standardised rate of mortality from chronic obstructive pulmonary disease in persons of all ages per 100,000

population

44.67

56.97

4.94

49.40

60.03

3.64

0

20

40

60

80

100

120

0

20

40

60

80

100

120

0

1

2

3

4

5

6

7

8

9

10


Deaths attributable to smoking, directly age-sex standardised rate for persons aged 35 years+

2015 - 17

Hertfordshire

Average


2015 - 17

Hertfordshire

Average


2015 - 17

Hertfordshire

Average


18.94

26.25

8.60

Directly age-standardised rate of smoking attributable deaths from heart disease per 100,000 population aged 35 years+

6.37

277.38

222.81

Directly age-standardised rate of smoking attributable deaths from stroke per 100,000 population aged 35 years+

0

100

200

300

400

500

600

0

2

4

6

8

10

12

14

16

18

0

10

20

30

40

50

60


2016/17

Hertfordshire

Average


2016/17

Hertfordshire

Average


Net expenditure per number of smoking attributable hospital admissions per 1,000 population

2016/17

Hertfordshire

Average


Total number of hospital admissions for diseases that are wholly or partially attributed to smoking in persons aged 35+

1,762.58

1,402.57

£1,399.58

£381.10

Cost per capita of smoking attributable hospital admissions

£28.50

£28.87

0

500

1,000

1,500

2,000

2,500

3,000

3,500

£0

£500

£1,000

£1,500

£2,000

£2,500

£3,000

£3,500

0 500 1,000 1,500 2,000 2,500 3,000 3,500

Net

Curr

ent

Expenditure

per

Head

Total number of hospital admissions for diseases that are wholly or partially attributed to smoking in persons aged 35+

Smoking and Tobacco Expenditure and Hospital Admissions

Other Authorities

Hertfordshire

£0

£500

£1,000

£1,500

£2,000

£2,500

£0

£10

£20

£30

£40

£50


This section provides a summary of the Revenue Outturn Net 5-19 Public Health Programme expenditure per

head of the respective populations for Hertfordshire.

Net Expenditure

2016/17

2017/18

* 2018/19 E

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure



(2.14)

(0.02) (2.35)

19.91 27.54

26.68

19.93 29.87

- (0.19)


0.96 3.19 210

4,343

218,127

18.97

(0.02)

4,138

4,348

-

(5)

(5)

J: CHILDREN'S 5-19 PUBLIC HEALTH PROGRAMMES

£'000 £ p/h

Average

£ p/h

4,475 20.76 30.38

4,343 19.91 27.54

4,678 21.45 28.83

£0.00

£5.00

£10.00

£15.00

£20.00

£25.00

£30.00

£35.00

2016/17 2017/18 2018/19 E

Children's 5-19 Public Health Programme NetExpenditure per Head


£0.00

£10.00

£20.00

£30.00

£40.00

£50.00

£60.00

£70.00

£80.00

£90.00

£100.00 Children's 5-19 Public Health Programme Net Expenditure per Head: 2017/18

Children's 5-19 Public Health Programme Page 43 25/02/2019

This section provides a summary of the Revenue Outturn Net Children's 0-5 Services expenditure per head

of the respective populations aged 0-5 (prescribed and non-prescribed functions) in Hertfordshire.

Net Expenditure

2016/17

2017/18

* 2018/19 E



91,849

15,957 173.73 177.48

14.2616,285 177.30 187.55 43.26

12.03 43.18

1,310

1,105

16,532 177.60 191.01 10.64

Prescribed Non- Prescribed

42.62990

K: CHILDREN'S 0-5 SERVICES

£'000 £ p/h

Average

£ p/h

Average

£ p/h£'000 £ p/h

£165.00

£170.00

£175.00

£180.00

£185.00

£190.00

£195.00

2016/17 2017/18 2018/19 E

Net Expenditure per Head - Prescribed Functions


£0.00

£5.00

£10.00

£15.00

£20.00

£25.00

£30.00

£35.00

£40.00

£45.00

£50.00

2016/17 2017/18 2018/19 E

Net Expenditure per Head - Non-Prescribed Functions


Children's 0-5 Services Page 44 25/02/2019

CHILDREN 0-5 PUBLIC HEALTH PROGRAMME

Summary of Income and Expenditure - Prescribed Functions 2017/18

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure

CHILDREN 0-5 PUBLIC HEALTH PROGRAMME

Summary of Income and Expenditure - Non-Prescribed Functions 2017/18

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure



63 0.69 7.76

1,248 13.59 37.22

1,311 14.27 44.98

- - (0.78)

(1) (0.01) (0.94)

(1) (0.01) (1.72)

1,310 14.26 43.26

91,849

(18) (0.20) (6.24)

16,285 177.30 187.55

- - (0.98)

(18) (0.20) (5.26)

15,515 168.92 182.72

16,303 177.50 193.79


788 8.58 11.07

£0.00

£50.00

£100.00

£150.00

£200.00

£250.00

£300.00

£350.00

£400.00Net Expenditure per Head -

Prescribed Functions: 2017/18

£0.00

£50.00

£100.00

£150.00

£200.00

£250.00

Net Expenditure per Head -Non-Prescribed Functions: 2017/18

Children's 0-5 Services Page 45 25/02/2019

This section provides a summary of the Revenue Outturn Net Public Health at Work expenditure per head of the


Net Expenditure

2016/17

2017/18

* 2018/19 E

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure

18+ Population


L: HEALTH AT WORK

£'000 £ p/h

Average

£ p/h

58 0.62 4.67

24 0.02 0.30

0 0.00 0.49


1 0.00 0.13

23 0.03 0.28

24 0.03 0.42

- - (0.00)

- - (0.03)

- - (0.03)

24 0.03 0.39

911,638

£0.00

£1.00

£2.00

£3.00

£4.00

£5.00

£6.00 Health at Work Net Expenditure per Head: 2017/18

£0.00

£0.50

£1.00

£1.50

£2.00

£2.50

£3.00

£3.50

£4.00

£4.50

£5.00

2016/17 2017/18 2018/19 E

Health at Work Net Expenditure per Head


Health at Work Page 46 25/02/2019

This section provides a summary of the Revenue Outturn Net Public Mental Health expenditure per head of the


Net Expenditure

2016/17

2017/18

* 2018/19 E

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure

Total Population


M: PUBLIC MENTAL HEALTH

£'000 £ p/h

Average

£ p/h

155 1.67 10.52

87 0.07 0.97

161 0.14 1.03


4 0.00 0.13

83 0.07 0.89

87 0.07 1.02

- - (0.01)

- - (0.04)

- - (0.05)

87 0.07 0.97

1,180,934

£0.00

£1.00

£2.00

£3.00

£4.00

£5.00

£6.00

£7.00

£8.00

£9.00

£10.00 Public Mental Health Net Expenditure per Head: 2017/18

£0.00

£2.00

£4.00

£6.00

£8.00

£10.00

£12.00

2016/17 2017/18 2018/19 E

Public Mental Health Net Expenditure per Head


Public Mental Health Page 47 25/02/2019

Violent crime rate per 1'000 population

2016/17

Hertfordshire

Average

Source: Mental Health Prevalence and Services

Emergency Hospital Admissions for Intentional Self-Harm: Directly age-sex standardised rate

2017/18

Hertfordshire

Average

Source: Mental Health Prevalence and Services

Hospital admissions as a result of self-harm: DSR per 100,000 population aged 10-24

2016/17

Hertfordshire

Average

Source: Children and Young People's Mental Health and Wellbeing

Count of unaccompanied asylum seeking children looked after

2018

Hertfordshire

Average


2.5

Public Mental Health Indicators

17

21

319

581

4.0

0.8

0.3

0

5

10

15

20

25

30

35

40

45

0

200

400

600

800

1,000

1,200

1,400

1,600

0

2

4

6

8

10

12

14

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5


Pupils with Learning Disability: % of school aged pupils

2017

Hertfordshire

Average


Children in need due to parent disability or illness: rate per 10,000 children under 18 years

2017

Hertfordshire

Average


Children in need due to child disability or illness: rate per 10,000 children aged under 18 years

2017

Hertfordshire

Average


10

37

32

5.1%

5.7%

13

0

10

20

30

40

50

60

70

80

0

20

40

60

80

100

120

140

0%

2%

4%

6%

8%

10%

12%

0

20

40

60

80

100

120

140

0 10 20 30 40 50 60 70 80

Childre

n in n

eed d

ue t

o c

hild d

isability o

r illn

ess:

rate

per

10,0

00 c

hildre

n u

nder

18 y

ears

Children in need due to parent disability or illness: rate per 10,000 children under 18 years

Children in need due to disability or illness: rate per 10,000 children under 18 years

Other Authorities

Hertfordshire


This section provides a summary of the Revenue Outturn Net Miscellaneous Public Health expenditure per head of

the respective populations for Hertfordshire.

Net Expenditure

2016/17

2017/18

* 2018/19 E

Employees

Running Expenses

Total Expenditure


Other Income

Total Income

Net Expenditure

Total Population


1,180,934

2,856 2.42 8.32

(4) (0.00) (0.83)

(4) (0.00) (0.90)


174 0.15 1.93

- - (0.07)

2,686 2.27 7.29

2,860 2.42 9.22

N: MISCELLANEOUS PUBLIC HEALTH SERVICES

£'000 £ p/h

Average

£ p/h

2,598 2.21 8.62

2,856 2.42 8.32

4,983 4.22 7.99

£0.00

£5.00

£10.00

£15.00

£20.00

£25.00

£30.00

£35.00

£40.00 Miscellaneous Net Expenditure per Head: 2017/18

£0.00

£1.00

£2.00

£3.00

£4.00

£5.00

£6.00

£7.00

£8.00

£9.00

£10.00

2016/17 2017/18 2018/19 E

Miscellaneous Net Expenditure per Head


Miscellaneous Public Health Services Page 50 25/02/2019

The percentage of households in an area that experience fuel poverty

2016

Hertfordshire

Average


Social Isolation

2017/18

Adult carers who have as much social contact as they would like

Source: Public Health Outcomes Indicators 1.18i & 1.18ii

Low birth weight of term babies

2016

Hertfordshire

Average


O: OTHER PUBLIC HEALTH INDICATORS

Average

22.90% 34.67%

8.30%

11.29%

Adult social care users who have as much social contact as they would like

Hertfordshire

46.30% 45.94%

2.43%

2.82%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

14.0%

16.0%

18.0%

0%

10%

20%

30%

40%

50%

60% Social isolation - adult social care users

0%

10%

20%

30%

40%

50%

60% Social isolation - adult carers

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%


Self-reported well-being

2017/18

Source: Public Health Outcomes Indicators 2.23i - iv

Injuries due to falls in people aged 65 and over (per 100,000)

2017/18

Source: Public Health Outcomes Indicators 2.24i - iii

Injuries due to falls in people aged 80+ 5,627 5,594


Injuries due to falls in people aged 65 and over 2,215 2,249

Injuries due to falls in people aged 65-79 1,039 1,095

Average

People with a high anxiety score

People with a low satisfaction score 3.10% 4.89%

People with a low worthwhile score na 4.37%

People with a low happiness score 5.99% 8.67%

18.60% 20.39%

Hertfordshire

0.0%

2.0%

4.0%

6.0%

8.0%

10.0% People with a low satisfaction score

0.0%

2.0%

4.0%

6.0%

8.0% People with a low worthwhile score

0.0%

5.0%

10.0%

15.0%

20.0% People with a low happiness score

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0% People with a high anxiety score

0

500

1,000

1,500

2,000

2,500

3,000

3,500 Injuries due to falls in people aged 65 and over

0

500

1,000

1,500

2,000 Injuries due to falls in people aged 65-79

0

2,000

4,000

6,000

8,000

10,000 Injuries due to falls in people aged 80+


Mortality rate from causes considered preventable (per 100,000)

2015 - 17

Hertfordshire

Average

Source: Public Health Outcomes Indicators 4.03

Excess under 75 mortality rate in adults with serious mental illness

2014/15

Hertfordshire

Average

Source: Public Health Outcomes Indicators 4.09i

Suicide rate (per 100,000 population)

2015 - 17

Hertfordshire

Average

Source: Public Health Outcomes Indicators 4.10

361.00

374.70

147.91

191.64

7.00%

9.90%

0

50

100

150

200

250

300

350

0

100

200

300

400

500

600

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%


Hip fractures in people aged 65 and over

2017/18

Source: Public Health Outcomes Indicators 4.14ii & 4.14iii

Excess Winter Deaths Index

Aug 2016 - Jul 2017


Excess Winter Deaths Index (single year, all ages) 24% 21%


Aged 65-79 243 252

Aged 80+ 1,492 1,526

Excess Winter Deaths Index (single year, ages 85+) 31% 31%


0

50

100

150

200

250

300

350

400

450 Hip fractures in people aged 65-79

0

500

1,000

1,500

2,000

2,500

3,000 Hip fractures in people aged 80+

-10%

-5%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45% All Ages

0%

10%

20%

30%

40%

50%

60%

70%

80% Aged 85+


Gap in the employment rate

2017/18

Source: Public Health Outcomes Indicators 1.08ii & 1.08iii

Sickness absence

2015 - 17


Hertfordshire


1.25% 2.14%

Working days lost due to sickness absence 0.56% 1.15%

Employees who had at least one day off in the previous week

Average

Gap in the employment rate for those in contact with secondary mental

health services and the overall employment rate

Gap in the employment rate between those with a learning disability and the

overall employment rate72.31% 68.12%

67.90% 66.57%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%Between those with a learning disability and

the overall employment rate

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%Between those in contact with secondary

mental health services and the overall

employment rate

0.0%

0.5%

1.0%

1.5%

2.0%

2.5%

3.0%

3.5%

4.0%

4.5%Employees who had at least one day off in

the previous week

0.0%

0.5%

1.0%

1.5%

2.0%

2.5%

3.0% Working days lost due to sickness absence


Public Health 25/02/2019

Documents

Analytics &Research 2018 National Reports -Hertfordshire...Legend Option 1 Legend Option 2 Legend Option 3 Legend Option 4 Legend Option 5 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%