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
Public Health Page 3 25/02/2019
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
Public Health Page 4 25/02/2019
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
Public Health Page 5 25/02/2019
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
Public Health Page 6 25/02/2019
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
Sexual Health Services
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%
Public Health Page 7 25/02/2019
TOTAL PUBLIC HEALTH
Net Current Expenditure by Service - 2018/19 Estimates
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
If the percentages above are less than 5%, they will not show on the
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
Sexual Health Services
Substance Misuse
Miscellaneous
All other services
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.
�
�
�
�
�
�
�
�
�
1.14%
17.19%
2.93%
20%
17%
21%
12%
30%
32%
20%
17%
10%
20%
Public Health Page 8 25/02/2019
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
Public Health Advice
NCMP
Health Protection
NHS Health Check
Sexual Health Services
-100% 0% 100%200%300%400%500%600%700%
Miscellaneous
Public Mental Health
Health at Work
0-5 Non-Prescribed
0-5 Prescribed Services
5-19 PH Programmes
Smoking and Tobacco
Substance Misuse
Physical Activity
Obesity
Public Health Advice
NCMP
Health Protection
NHS Health Check
Sexual Health Services
Public Health Page 9 25/02/2019
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
Public Health Page 10 25/02/2019
Life expectancy at 65
2015 - 17
Hertfordshire
Average
Source: Public Health Outcomes Indicator 0.1ii
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
Public Health Page 11 25/02/2019
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
* The 2018/19 Estimates are based on the population for 2017/18.
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
Hertfordshire Average
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
If the percentages above are less than 5%, they will not show on the
graph.
STI Testing and Treatment
Contraception
Advice, Prevention and Promotion
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.
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
Sexual Health Services Page 13 25/02/2019
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
Source: Sexual and Reproductive Health Profiles
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
Sexual Health Services Page 14 25/02/2019
Genital Warts/Herpes diagnosis rate per 100,000 population
2017
Hertfordshire
Average
Source: Sexual and Reproductive Health Profiles
Pelvic inflammatory disease (PID) admissions rate per 100,000 (women aged 15-44 years)
2016/17
Hertfordshire
Average
Source: Sexual and Reproductive Health Profiles
HIV
2017
Hertfordshire
HIV testing uptake (%)
HIV late diagnosis (%)
HIV diagnosed prevalence rate (per 1,000 aged 15-59)
Source: Sexual and Reproductive Health Profiles
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
Sexual Health Services Page 15 25/02/2019
Population vaccination coverage - HPV
2017/18
Hertfordshire
Average
Source: Sexual and Reproductive Health Profiles
Ectopic pregnancy admissions rate per 100,000 (women aged 15-44 years)
2016/17
Hertfordshire
Average
Source: Sexual and Reproductive Health Profiles
Abortions under 10 weeks
2017
Hertfordshire
Average
Source: Sexual and Reproductive Health Profiles
Under 25s repeat abortions
2017
Hertfordshire
Average
Source: Sexual and Reproductive Health Profiles
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%
Sexual Health Services Page 16 25/02/2019
Under 18s conception rate
2016
Hertfordshire
Average
Source: Sexual and Reproductive Health Profiles
Under 18s conceptions leading to abortion
2016
Hertfordshire
Average
Source: Sexual and Reproductive Health Profiles
GP prescribed LARC rate per 1,000 females aged 15-44 years
2017
Hertfordshire
Average
Source: Sexual and Reproductive Health Profiles
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%
Sexual Health Services Page 17 25/02/2019
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
Sales, Fees and Charges
Other Income
Total Income
Net Expenditure
Population (Aged 18+)
* The 2018/19 Estimates are based on the population for 2017/18.
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
Hertfordshire Average
£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
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
* The 2018/19 Estimates are based on the population for 2017/18.
£'000 £ per head Avg. £ per head
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
Hertfordshire Average
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
Sales, Fees and Charges
Other Income
Total Income
Net Expenditure
Population (Aged 0-17)
* The 2018/19 Estimates are based on the population for 2017/18.
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
- -
£'000 £ per head Avg. £ per head
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
Hertfordshire Average
£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
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
* The 2018/19 Estimates are based on the population for 2017/18.
43 0.04 0.41
£'000 £ per head Avg. £ per head
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
Hertfordshire Average
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
Sales, Fees and Charges
Other Income
Total Income
Net Expenditure
Population (Aged 0-17) Population (Aged 18+)
* The 2018/19 Estimates are based on the population for 2017/18.
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
£'000 £ per head Avg. £ per head
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
Hertfordshire Average
£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
Sales, Fees and Charges
Other Income
Total Income
Net Expenditure
Population (Aged 18+)
Obesity in Children
Employees
Running Expenses
Total Expenditure
Sales, Fees and Charges
Other Income
Total Income
Net Expenditure
Population (Aged 0-17)
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)
Obesity Page 24 25/02/2019
2017/18
Underweight
Healthy Weight
Overweight (incl. obese)
Source: NCMP Local Authority Profile
Year 6
Hertfordshire Average
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)
Obesity Page 25 25/02/2019
Excess weight in 4-5 year olds and 10-11 year olds
2017/18
Hertfordshire
Average
Hertfordshire
Average
Hertfordshire
Average
Source: Public Health Outcomes Indicator 2.06ii
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
Obesity Page 26 25/02/2019
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
Obesity Page 27 25/02/2019
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
Sales, Fees and Charges
Other Income
Total Income
Net Expenditure
Population (Aged 0-17) Population (Aged 18+)
* The 2018/19 Estimates are based on the population for 2017/18.
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)
£'000 £ per head Avg. £ per head
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
Hertfordshire Average
Physical Activity Page 28 25/02/2019
PHYSICAL ACTIVITY - SERVICE EXPENDITURE
Total Service Net Expenditure (excluding capital charges)
Adults
Total Physical Activity
Children
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.
£0.25 £1.98
£0.80 £5.95
£3.97£0.55
If the percentages above are less than 5%, they will not show on the
graph.
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.
Children
Adults
67%
33%
68%
32%
Proportion of Total Physical Activity
Services Expenditure
Physical Activity Page 29 25/02/2019
Adults Physical Activity
Employees
Running Expenses
Total Expenditure
Sales, Fees and Charges
Other Income
Total Income
Net Expenditure
Population (Aged 18+)
Children Physical Activity
Employees
Running Expenses
Total Expenditure
Sales, Fees and Charges
Other Income
Total Income
Net Expenditure
Population (Aged 0-17)
Summary of Income and Expenditure 2017/18
£'000 £ per head Avg. £ per head
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
£'000 £ per head Avg. £ per head
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)
Physical Activity Page 30 25/02/2019
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
Sales, Fees and Charges
Other Income
Total Income
Net Expenditure
Population (Aged 0-17) Population (Aged 18+)
* The 2018/19 Estimates are based on the population for 2017/18.
£20.80
10.71 20.80
(8) (0.01)
8,458 £10.50 £20.38
8,681 £10.71
£'000 £ per head Avg. £ per head
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
Hertfordshire Average
Substance Misuse Page 31 25/02/2019
SUBSTANCE MISUSE - SERVICE EXPENDITURE
Total Service Net Expenditure (excluding capital charges)
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
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.
£5.01 £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
If the percentages above are less than 5%, they will not show on the
graph.
Preventing and reducing harm from adult
alcohol misuse
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.
44%
22%
20%
5%8%
47%
27%
16%
6%
Proportion of Total Substance Misuse
Services Expenditure
Substance Misuse Page 32 25/02/2019
Treatment for Adult Substance Misuse
Alcohol Misuse
Employees
Running Expenses
Total Expenditure
Sales, Fees and Charges
Other Income
Total Income
Net Expenditure
Drug Misuse
Employees
Running Expenses
Total Expenditure
Sales, Fees and Charges
Other Income
Total Income
Net Expenditure
Preventing and Reducing Harm from Adult Substance Misuse
Alcohol Misuse
Employees
Running Expenses
Total Expenditure
Sales, Fees and Charges
Other Income
Total Income
Net Expenditure
Drug Misuse
Employees
Running Expenses
Total Expenditure
Sales, Fees and Charges
Other Income
Total Income
Net Expenditure
Population (Aged 18+)
- - (0.07)
426 0.47 1.76
- - (0.01)
- - (0.06)
405 0.44 1.69
426 0.47 1.83
£'000 £ per head Avg. £ per head
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
£'000 £ per head Avg. £ per head
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
£'000 £ per head Avg. £ per head
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
£'000 £ per head Avg. £ per head
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)
Substance Misuse Page 33 25/02/2019
Specialist Drug and Alcohol Misuse Services for Children and Youth
Youth Substance Misuse
Employees
Running Expenses
Total Expenditure
Sales, Fees and Charges
Other Income
Total Income
Net Expenditure
Population (Aged 0-17)
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
£'000 £ per head Avg. £ per head
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)
Substance Misuse Page 34 25/02/2019
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
Source: Public Health Outcomes Indicator 2.15ii
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%
Substance Misuse Page 35 25/02/2019
This section provides a summary of the Revenue Outturn Net Smoking and Tobacco 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
* The 2018/19 Estimates are based on the population for 2017/18.
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)
£'000 £ per head Avg. £ per head
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
Hertfordshire Average
Smoking and Tobacco Page 36 25/02/2019
SMOKING AND TOBACCO - SERVICE EXPENDITURE
Total Service Net Expenditure (excluding capital charges)
Stop Smoking Services and Interventions
Total Smoking and Tobacco
Wider Tobacco Control
£1.19 £1.86
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.
£1.11 £1.65
£0.08
If the percentages above are less than 5%, they will not show on the
graph.
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.
Stop Smoking Services and Interventions
Wider Tobacco Control
£0.21
89%
11%
93%
7%
Proportion of Total Smoking and Tobacco
Services Expenditure
Smoking and Tobacco Page 37 25/02/2019
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
Source: Local Tobacco Control Profiles
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
Smoking and Tobacco Page 38 25/02/2019
2017/18
Hertfordshire
Average
Source: Local Tobacco Control Profiles
Smoking status at time of delivery
2017/18
Hertfordshire
Average
Source: Local Tobacco Control Profiles
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
Smoking and Tobacco Page 39 25/02/2019
Age-standardised rate of mortality from lung cancer in persons of all ages per 100,000 population
2015 - 17
Hertfordshire
Average
Source: Local Tobacco Control Profiles
Age-standardised rate of mortality from oral cancer in persons of all ages per 100,000 population
2015 - 17
Hertfordshire
Average
Source: Local Tobacco Control Profiles
2015 - 17
Hertfordshire
Average
Source: Local Tobacco Control Profiles
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
Smoking and Tobacco Page 40 25/02/2019
Deaths attributable to smoking, directly age-sex standardised rate for persons aged 35 years+
2015 - 17
Hertfordshire
Average
Source: Local Tobacco Control Profiles
2015 - 17
Hertfordshire
Average
Source: Local Tobacco Control Profiles
2015 - 17
Hertfordshire
Average
Source: Local Tobacco Control Profiles
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
Smoking and Tobacco Page 41 25/02/2019
2016/17
Hertfordshire
Average
Source: Local Tobacco Control Profiles
2016/17
Hertfordshire
Average
Source: Local Tobacco Control Profiles
Net expenditure per number of smoking attributable hospital admissions per 1,000 population
2016/17
Hertfordshire
Average
Source: Local Tobacco Control Profiles
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
Smoking and Tobacco Page 42 25/02/2019
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
Sales, Fees and Charges
Other Income
Total Income
Net Expenditure
Population (Aged 5-19)
* The 2018/19 Estimates are based on the population for 2017/18.
(2.14)
(0.02) (2.35)
19.91 27.54
26.68
19.93 29.87
- (0.19)
£'000 £ per head Avg. £ per head
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
Hertfordshire Average
£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
Population (Aged 0-5)
* The 2018/19 Estimates are based on the population for 2017/18.
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
Hertfordshire Average
£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
Hertfordshire Average
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
Sales, Fees and Charges
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
Sales, Fees and Charges
Other Income
Total Income
Net Expenditure
Population (Aged 0-5)
£'000 £ per head Avg. £ per head
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
£'000 £ per head Avg. £ per head
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
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
18+ Population
* The 2018/19 Estimates are based on the population for 2017/18.
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
£'000 £ per head Avg. £ per head
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
Hertfordshire Average
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
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
* The 2018/19 Estimates are based on the population for 2017/18.
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
£'000 £ per head Avg. £ per head
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
Hertfordshire Average
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
Source: Children and Young People's Mental Health and Wellbeing
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
Public Mental Health Page 48 25/02/2019
Pupils with Learning Disability: % of school aged pupils
2017
Hertfordshire
Average
Source: Children and Young People's Mental Health and Wellbeing
Children in need due to parent disability or illness: rate per 10,000 children under 18 years
2017
Hertfordshire
Average
Source: Children and Young People's Mental Health and Wellbeing
Children in need due to child disability or illness: rate per 10,000 children aged under 18 years
2017
Hertfordshire
Average
Source: Children and Young People's Mental Health and Wellbeing
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
Public Mental Health Page 49 25/02/2019
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
Sales, Fees and Charges
Other Income
Total Income
Net Expenditure
Total Population
* The 2018/19 Estimates are based on the population for 2017/18.
1,180,934
2,856 2.42 8.32
(4) (0.00) (0.83)
(4) (0.00) (0.90)
£'000 £ per head Avg. £ per head
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
Hertfordshire Average
Miscellaneous Public Health Services Page 50 25/02/2019
The percentage of households in an area that experience fuel poverty
2016
Hertfordshire
Average
Source: Public Health Outcomes Indicator 1.17
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
Source: Public Health Outcomes Indicator 2.01
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%
Public Health Page 51 25/02/2019
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
Hertfordshire Average
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+
Public Health Page 52 25/02/2019
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%
Public Health Page 53 25/02/2019
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
Source: Public Health Outcomes Indicators 4.15i & 4.15ii
Excess Winter Deaths Index (single year, all ages) 24% 21%
Hertfordshire Average
Aged 65-79 243 252
Aged 80+ 1,492 1,526
Excess Winter Deaths Index (single year, ages 85+) 31% 31%
Hertfordshire Average
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+
Public Health Page 54 25/02/2019
Gap in the employment rate
2017/18
Source: Public Health Outcomes Indicators 1.08ii & 1.08iii
Sickness absence
2015 - 17
Source: Public Health Outcomes Indicators 1.09i & 1.09ii
Hertfordshire
Hertfordshire Average
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 Page 55 25/02/2019
Public Health 25/02/2019