Latest developments in national health surveys
EMPHIN Forum 24th May 2012
Changes to ONS surveys
Integrated Household Survey, General Lifestyle
Survey, Opinions and Lifestyle Survey
Changes to HSCIC surveys
Health Survey for England
Other surveys
PHE National Data Requirements project
Background to the IHS
• ONS has several separate household surveys
– Different samples, fieldwork designs and processing systems
• All surveys have similar introductions
– Names, ages, work history
• Aim of the IHS is to integrate surveys into one modular
survey with a core set of questions and survey modules
‘bolted’ to the core
– Leading to …..
• The largest social survey ever produced by ONS
Surveys making up the IHS from
2009/10
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Annual Population Survey (APS)
Labour Force Survey (LFS)
Living Costs and Food Survey (LCF)
Life Opportunities Survey (LOS)
English Housing Survey (EHS)
Opinions Survey (OPN)
– OPN left the IHS after Dec. 2010
• General Lifestyle Survey (GLF)
– More later …….
IHS: Sample Size by Component
Survey
•The expected breakdown of the annual sample is as follows:
Interview Type
2009/2010 achieved
interviews
GLF
18,000
LCF
12,000
OPN
21,000
EHS
41,000
APS +LFS
LOS
Annual Total
334,000
23,000
449,000
• Common set of core
questions
• Continual sampling
• Adding up to large scale
quarterly datasets.
IHS Core Questions
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Household composition
Accommodation
Tenure
Nationality
Country of Birth
National identity
Ethnicity
Sexual identity
Religion
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Period at current address
Health
Smoking
Government training
scheme
• Work
• Looking for work
• Education
General Lifestyle Survey
Formerly General Household Survey
Requirement to harmonise UK and EU data on poverty
EU Statistics on Income and Living Conditions (EU-SILC)
Feasibility study and consultation 2010 and 2011
• Could EU-SILC be collected via Family Resource Survey (FRS)?
• Efficiency of data collection (duplication GLF and FRS)
• Cost savings
GLF ceased to run from Jan 2012
EU-SILC information – income, poverty, social exclusion, general
health, LLI
 Now collected by Family Resources survey
 24,000 households
Non EU-SILC information – health conditions, smoking and
drinking, use of health services
 Now collected by Opinions and Lifestyle Survey (merger of
non EU-SILC element of GLF and Opinions surveys)
 Sponsored questions - subject to funding (HSCIC funding
withdrawn)
 13,000 households
Health Survey for
England
Health Survey for England (HSE, pre 2009)
Health and Social Care Survey (HSCS, 2009 and
2010)
Health Survey for England: Health, Social Care and
Lifestyles (2011+)
Health Survey for England
• Annual since 1991
• Adults age >16 living in private households
• Children’s data from 1995 onwards
• Sample size varies 8,000-16,000 adults
• Clinical examination - height, weight, BP, blood
sample - as well as self report data
• Regional breakdowns - rarely anything sub-region
Health Survey for England 2010
Focus on kidney disease, respiratory disease
wellbeing and dental health
Core sample – 8,000 adults & 2,000 children
Boost sample – 4,000 children
Reports published and data deposited in Data
Archive
HSE 2011
Focus on social care, CVD, wellbeing, chronic pain,
social marketing segmentation
Core sample – 8,000 adults & 2,000 children
Fieldwork complete, report due Dec 2011 Dec 2012
HSE 2012
Focus on physical activity (accelerometry) and well
being
Also sexual health, flu preparedness, problem gambling
Core sample – 8,000 adults & 2,000 children
Fieldwork in progress
New HSE funding arrangements
Following the Comprehensive Spending Review the
HSCICs central budget allocation (known as 'grant in
aid') set to fall by at least 10% per year over three years
So,
HSCIC now fund core interview and nurse modules for
a core sample.
Additional modules and boost groups funded by others
(primarily DH but also e.g. Gambling Commission).
HSE Core topics (….. limited)
30 minute survey + 40 minute nurse visit
• Household details
• Age, ethnicity etc
• General health (LLI)
• Smoking and drinking (basic)
• Height and weight
• Consents for data linkage
• Fruit and veg consumption (alternate years)
Health Survey for England 2013 onwards
2013 Health and social care, subjective
disability (older people boost)
2014 Ethnic minority boost (10 years on …)
2015 Respiratory (progress since 2010)
2016 CVD (progress since 2011)
BUT “there has not been much interest expressed by DH for
content in 2013 due to funding constraints”. Perceived
lack of co-ordination between DH policy areas.
Other recent and forthcoming HSCIC surveys
Chidren’s Dental Health 2013/14
Adult Psychiatric Morbidity 2014
Smoking, drinking and drug use among young people (ongoing – next
report due July 2012)
Infant Feeding Survey (5 yearly since 1975, 2010 report due summer
2012)
Survey on Autistic Spectrum Conditions (released Jan 2012)
No longer funded by HSCIC:
National Maternity Survey; Mental Health among Children/ Carers/
Ethnic Minorities/ Prisoners etc; survey of adults with learning
difficulties
Other useful national surveys …
• Active People Survey (from 2005, APS6 in 2012, current
consultation)
• British Social Attitudes (annual since 1983, 28th report 2011)
• English Longitudinal Study of Ageing (panel survey wave 6 2012/13)
• Food and You Survey (wave 1 in 2010, wave 2 2012, replaced the
FSA Consumer Attitudes Survey)
• Family Food Survey (formerly the Expenditure and Food Survey)
• National Diet and Nutrition Survey (? extended to 2013)
• Understanding Society (NEW ….)
Understanding Society Survey
• Longitudinal panel survey, 100,000 individuals in 40,000 British
households
• £50 million funding
• 5 waves 2009-2014
• Includes health, crime, finances, attitudes, social involvement,
employment, politics
• Aims to give insight into the pathways that influence peoples
longer term occupational trajectories; their health and wellbeing, their financial circumstances and personal relationships
• “The study will capture biomedical data on 20,000 participants
and place this alongside rich social histories, helping to weigh
the extent to which people's environment influences their
health.”
Cancelled
Place Survey
• Replacement for “Best Value” survey
• Department of Communities and Local
Government
• Local Authority led
• Support new National Indicator set
• Fieldwork September 2008, then bi-annual
Cancelled
TellUs
• National survey to gather views of children and young people
• School years 6, 8 and 10 (ages 10 – 15)
• Measures progress against Every Child Matters outcomes: Be
healthy, Stay safe, Enjoy and achieve, Make positive
contribution, Achieve economic well-being
• Tellus2 (2007) and Tellus3 (2008) led by Ofsted
• Tellus4 (2009) led by DCSF
PHE National data requirements project
• Project rationale: there is no coordinated process for defining
and agreeing public health data requirements at a national
level
• Project aim: to develop a strategic process (and supporting
governance) for specifying and delivering national data
requirements to meet the needs of PHE and the new public
health system
• Key partners and stakeholders: DH, the IC, ONS, NHS CB, the
local public health system
Functional categorisation of data types
• The project is covering the following four broad categories of
national public health data:
– Operational health, social care and public health data from
routine practice and service provision;
– Surveys and population-based data on how people live their
lives;
– Indicators of health and social care, and the wider determinants
of health; and
– New national programmes and services to ensure that public
health data requirements are reflected in their development
and provision.
Proposed data requirements model
National Public Health Data Requirements Board
Overall governance and decision-making on data priorities and requirements
Specification of data requirements for PHE data services e.g. from NHS IC
National data source advisory groups
Operational data
Surveys and
populationbased data
Outcomes and
indicators
New national
programmes
and services
Consider requirements including reviewing existing and identifying new data sources
Make recommendations for commissioning and decommissioning data sources
Local stakeholder networks
Opportunities
• Seizing the opportunity presented by the
establishment of Public Health England to look at
the ‘big picture’ of public health data
commissioning and provision in a resource
constrained environment
• Support front line delivery of public health
services by addressing the national gaps in the
supply of public health data
• Prioritise and rationalise the commissioning of
public health data by PHE and key national
partners
caroldavies1@nhs.net
carol.davies@empho.nhs.uk