1. Health Survey for England 2009 report results Rachel Craig

2. The Health Survey for England Series of annual health surveys  2011 is the 21st Commissioned by Department of Health up to 2004, NHS Information Centre from 2005 Conducted by  1991-1993 Social Surveys Division, ONS  1994 onwards Joint Health Surveys Unit NatCen and UCL

3. HSE Objectives Provide nationally representative samples to monitor trends in the nation’s health Measure proportions with specified health conditions Measure prevalence of certain risk factors and combinations of risk factors Examine differences between subgroups of the population Monitor key health trends  Prevalence of adult & child obesity

4. HSE Authoritative source of health statistics Trends over 15+ years Widely used by government, NHS, academics HSE 4 th most frequently used dataset in UK data archive

5. What makes HSE unique General population survey, not those visiting hospital/ GPs, so prevalence/ undiagnosed conditions Single data source that combines survey data and objective measures for the same individuals:  health interview + health examination All household members interviewed  Max 10 adults & 2 children aged 0-15  Enables intra-household analysis

6. Sample coverage All adults aged 16+  Up to 10 per household Children 0-15  Up to 2 per household PAF sample, addresses within postcode sectors In 2009:  Approx. 4,000 adults  And 4,000 children (including child boost of children 2-15)

7. Interviewer topics Socio-economic and demographic data General health and personal care plans Doctor diagnosed hypertension and diabetes (adults) Fruit and vegetable consumption Smoking Drinking (last 7 days) Kidney disease (adults) Measurement of height and weight (BMI) GHQ12 Consent to link to central register, Hospital Episodes

8. Nurse visit Questions: medications, vitamins, nicotine replacements, infant immunisations Objective measures: Blood pressure (16+ years) Waist & hip circumference (11+ years) Samples: Blood (16+ years) total and HDL cholesterol, glycated haemoglobin, high sensitivity C-reactive protein, ferritin, haemoglobin, fibrinogen and serum creatinine Saliva (4+) - for cotinine analysis Urine (16+ years) – for sodium/ potassium/ creatinine/ albumin

9. HSE 2009 report Full 2009 report available at: www.ic.nhs.uk/pubs/hse09report Summary report available in hard copy Trend tables available at: www.ic.nhs.uk/pubs/hse09trends

10. Prevalence of longstanding illness 41% of men and 43% of women have a longstanding illness 16% of men and 19% of women had two or more 22% of men and 23% of women have an illness that limits activities Most common illnesses Musculoskeletal system Heart and circulatory system

11. Longstanding illnesses by age Men Women Base: aged 16 and over

12. Limiting longstanding illnesses by income groups Men Women Base: aged 16 and over

13. Personal care plans 15% of men, 17% of women with longstanding illness reported a Personal Care Plan Most with a plan said that it had improved health and social care services they received Most common options for self care Help to find information about their condition Help to find information about choices for care Those with a Personal Care Plan more likely to be active with self care options

14. Self care options taken up MenWomen Have Personal Care Plan No Plan Base: aged 16 and over with a longstanding illness

15. Self-reported general health Three quarters of men and women said their health was good or very good 7% said it was bad or very bad 13% of men, 17% of women experienced acute sickness (cut down on activities in the last 2 weeks because of illness or injury)

16. Trends in general health and acute sickness Three year moving average 1993-2009 Men bad health Women bad health Men acute sickness Women acute sickness Base: aged 16 and over

17. Self-reported health by age Men Women Base: aged 16 and over

18. Self-reported health by income groups Base: aged 16 and over Men Women

19. GHQ 12 GHQ 12 used to identify ‘minor psychiatric disorder’ 12 item scale ‘High score’ of 4+ likely to indicate psychological disturbance or mental ill-health 15% of men, 18% of women had a high GHQ12 score

20. GHQ 12 by income groups Men Women Base: aged 16 and over

21. GHQ 12 and general health Link between mental and physical health Self-reported health bad/very bad 52% of men, 54% of women had high GHQ 12 scores Self-reported health good/very good 10% of men, 13% of women had high GHQ 12 scores