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Public Health Outcomes Framework

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The public health outcomes framework, originally published in January 2012, sets out the desired outcomes for public health and how these will be measured. The framework concentrates on two high-level outcomes to be achieved across the public health system. These are:

  • increased healthy life expectancy

  • reduced differences in life expectancy and healthy life expectancy between communities

The outcomes reflect a focus not only on how long people live but on how well they live at all stages of life. The second outcome focuses attention on reducing health inequalities between people, communities and areas. Using a measure of both life expectancy and healthy life expectancy will enable the use of the most reliable information available to understand the nature of health inequalities both within areas and between areas.

A set of supporting public health indicators will help focus understanding of progress year by year nationally and locally on those things that matter most to public health. The indicators, which cover the full spectrum of public health and what can be currently realistically measured, are grouped into four ‘domains’:

  • improving the wider determinants of health

  • health improvement

  • health protection

  • healthcare public health and preventing premature mortality


November 2017 data release

Public Health England (PHE) issued a data refresh of the Public Health Outcomes Framework tool in November 2017.

This update contains new baseline information;

  • 73 updated indicators

  • 23 revised and updated indicators 

An Interactive data tool containing baseline data is available here: http://www.phoutcomes.info/

PHOF 2012 indicator tool

The tool is refreshed every 3 months with new data, revised data and data breakdowns and additional functionality has also been added.  Sometimes there may be more recent data available (nationally or locally) which could lead to conflicting messages about outcomes.  In the tool, Wiltshire can be compared against the England figure and against other authorities in the South West, the Avon, Gloucestershire and Wiltshire Public Health England centre or ONS classification.

The PHOF website also includes a downloadable profile for Wiltshire which includes spine charts for each domain and ‘tartan rugs’ statistically comparing each area in the South West with England.  These have been colour coded red, amber, green for easy interpretation.   There are also summary charts for each indicator showing the ranking of Wiltshire and other South West authorities and inequalities information for England (not Wiltshire).

Download Wiltshire’s profile here: