The Public Health Outcomes Framework (PHOF) sets out a vision for public health to IMPROVE and PROTECT the nation’s health and improve the health of the poorest fastest.
Indicators within the framework, that are published by Public Health England (PHE), are grouped into 4 domains- wider determinants, health improvements, health protection, healthcare and premature mortality; which cover the full spectrum of public health. The outcomes reflect a focus not only on how long people live, but how well they live at all stages of life.
The public health outcome framework enables local authorities to benchmark and compare their own outcomes with other local authorities. Updates on PHOF are published as part of a quarterly cycle in August, November, February and May.
Latest Update – May 2020
PHOF- Public Health Outcomes Framework
Men B- Meningococcal group B
Dtap/IPV- diphtheria, tetanus, pertussis, polio
- The Public Health Board is recommended to review the PHOF data update and consider the indicators identified for consideration.
- Below is a summary of Wandsworth’s performance regarding the high priority indicators around screening, immunisation and air quality; as well as the other indicators that have been updated in this report:
High Priority Indicators
- No indicators were updated.
Historically and currently, London performs lower than national (England) averages across all immunisation programmes. The challenges that London faces (which are the same challenges Wandsworth faces) in attaining high coverage and uptake vaccination rates is due to the high population mobility (this affects data collection and accuracy), increasing population (London’s birth rate has increased resulting in a growing 0-5 population which puts pressure on existing resources such as GP Practices), increasing fiscal pressures and demands on health services and a decreasing vaccinating workforce.
- Population vaccination coverage -MenB (1 year)- This vaccination was introduced into the routine childhood immunisation programme in September 2015 for babies at 8 and 16 weeks of age with a booster dose after their 1st This indicator was introduced in the February 2020 PHOF update report with no comparison to the previous year. However, PHE have now included the 2017/18 value. The 2018/19 value for Wandsworth was 88% (n=4,233) which was significantly lower than the benchmark goal of 95% and a 2% decline from previous year. Compared to the inner London and London boroughs, Wandsworth was in the 2nd quartile.
- Population vaccination coverage- Rotavirus (Rota) (1 year)- This vaccine was introduced into the routine childhood immunisation programme in 2013 for babies aged 8 and 12 weeks of age. This indicator was introduced in the February 2020 PHOF update report with no comparison to the previous year. However, PHE have now included the 2016/17 and 2017/18 values. The 2018/19 borough value was 87.4% (n=4,205), which was significantly lower than the benchmark value of 95% and a 2% decline from previous year’s value. Compared to the inner London boroughs, Wandsworth was in the 1st quartile with one of the highest values.
- Population vaccination coverage- Dtap/IPV booster (5 years)- This indicator was updated in February 2020 report with no comparisons to the previous year. However, PHE have now included trend figures. In 2018/19 the borough’s vaccination coverage was 70% (n=3,333) which was lower than the benchmark goal of 95% and significantly lower than the London rate. Compared to the inner London boroughs, Wandsworth was in the 3d quartile. There was a 0.3% increase from previous year’s value and the borough has shown an increasing trend from 2016/17.
- Population vaccination coverage- Meningococcal ACWY conjugate vaccine (MenACWY) (14-15 years)– This vaccination was introduced in autumn 2015 to respond to a rapid and accelerating increase in cases of invasive meningococcal group W (MenW) disease, which was declared a national incident. In 2018/19, the borough’s value was 83.9% (n=1,912) which was lower than the benchmark goal of 90% and significantly similar to the London rate of 82.4%. Compared to the previous year, there was a 5% increase in vaccination coverage and the borough is showing an increasing trend.
- No indicators were updated.
Comparison is made to the borough’s previous value and:
- Improvement was seen on the following indicators:
- Baby’s first feed breast milk
- Worsening was not seen on any indicators.
- Wandsworth’s performance remained the same on other indicators presented in the table below
- The latest update to the Public Health Outcomes Framework was published by Public Health England in May. The PHOF contains a range of indicators covering:
- Overarching health (e.g. life expectancy)
- The wider determinants of health (e.g. education, employment, housing)
- Health improvement (e.g. smoking, physical activity)
- Health protection (e.g. vaccination)
- Healthcare and premature mortality (e.g. hospital emergency readmission)
- The full list of new and updated indicators is available online. The online tool allows trends, maps and comparisons with national, regional and other similar local authorities to be viewed.
- The appended table identifies the current level of performance in Wandsworth and compares it to the borough’s previous year’s performance showing absolute and relative changes. The relative performance is now reported both as inner London rank position and quartile position, as requested by the Board.
- All comparisons made below are to inner London and all London boroughs. Where Wandsworth is “1st or 2nd quartile” its performance is good, where it is “ 3rd quartile” its performance is borderline , and where it is “4th quartile” its performance is worse compared to the other boroughs.
This document is also available in PDF format: Public Health Outcomes Framework-May 2020
Previous updates are readily available in PDF format: