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Public Health Intelligence

Welcome to the Public Health Portal on Sandwell Trends

NEW* The 2015 Sandwell Pharmaceutical Needs Assessment has now been published, see

Sandwell PNA 2015


This page is the portal page for Public Health Intelligence in Sandwell Trends.

The area includes,  the Joint Strategic Needs Assessment (JSNA),

the Health Profiles  and the Director of Public Health Reports pages.

The Children Health Outcomes and School Health Nursing pages are part of the Children and Young People suite of pages.

General Health 2001 - 2011

General health has improved in Sandwell since the 2001 census.


  • 14.1% more people reported their health as good compared to the 2001 census.
  • 10,014 fewer Sandwell residents reported their health as not good in 2011 compared to 2001 despite the population increasing by more than 25,000 people.
  • The populations perception of health has improved across the whole of England and Wales compared to 2001, however Sandwell's populations perception of health has increased greater than the England and Wales average.


Level of activity limited by long-term health problem or disability 2001 - 2011

A smaller percentage of the population are having their level of activity limited by a long term health problem or disability than in 2001.


  • 20.9% of the population have their level of activity limited by a long term health problem or disability. This is an improvement of 0.8% compared to the 2001 census.
  • The proportion of residents in England and Wales whose activities are limited by a long term illness or disability has also declined compared to 2001.
  • The percentage of Sandwell's population who activities are limited by a long term condition or disability is decreasing faster than the national average.

Provision of unpaid care

The percentage of people providing unpaid care in Sandwell and in England & Wales has increased since the 2001 census.


  • A greater proportion of people in Sandwell provide care in Sandwell than in England in Wales, 12.2% in Sandwell compared to 11.54% in England and Wales.
  • People in Sandwell provide more hours of unpaid care than the average in England and Wales.
  • The total amount of unpaid care is rising at a similar level in Sandwell to the rest of the country, 1.58% for Sandwell compared to 1.51% for England and Wales.


Public Health Profiles for Sandwell

Below you can download the overaching health profile indicators for Sandwell.

Sandwell Health Profile

To access more health profiles, please visit the Health Profiles page.

Public Health, A Life Course

Annual Report 2013


In his final report as Director of Public Health in Sandwell, Dr John Middleton looks at a life course approach to public health inequalities


In this report Dr Middleton refects on some aspects of health inequalities over the life course.  He uses the Sandwell public health experience to show ways in which we can influence health at different stages of life - for better or for worse.

Browse the 2013 Annual Report on right - Public Health, A Life Course

You can browse the document online (see box on the right) or you can download a .pdf version here. 

The Role of Public Health Intelligence

Health Intelligence is a core function of the local Public Health teams.

Public Health is concerned with the wider determinants of health - the behavioural or environmental factors that affect people's health. Key areas of concern, as outlined in the Government's White Paper, Choosing Health: making healthier choices easier, are:

  • Smoking
  • Obesity
  • Physical exercise
  • Sexual health
  • Alcohol
  • Mental health
  • Health inequalities

The role of the Public Health Intelligence Teams (PHIT) is to support local bodies by:

  • monitoring health and disease trends and highlighting areas for action
  • identifying gaps in health information
  • advising on methods for health and health inequality impact assessment
  • drawing together information from different sources in new ways to improve health
  • carrying out projects to highlight particular health issues
  • evaluating progress by local agencies on improving health and cutting inequality
  • looking ahead to give early warning of future public health problems

Public Health, A Life Course

Health Inequalities

Health Inequalities: Marmot review and indicators for Sandwell

The Marmot independent review, Fair Society, Healthy Lives, was published in February 2010. The report included some suggested indicators to support monitoring of the overall strategic direction in reducing health inequalities.

Marmot Review: Fair Society, Healthy Lives

The indicators were updated in February 2012. You can download the latest reports for Sandwell below:

"Two Years On" Data - Marmot Indicators at February 2012

Marmot indicators for local authorities in England: Sandwell (2012)

Full press release on "Two Years On" Marmot Indicators (2012)

Maps displaying Marmot Indicators (at-a-glance comparisons between local authorities)

LGIU briefing on Marmot Review: Two years on (please note you need to register to see the full briefing).

Public Health Outcomes Framework 2013-2016

Healthy lives, healthy people: improving outcomes and supporting transparency

The new public health outcomes framework published on 24th 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


You can download the full related documents below

Part 1: A public health outcomes framework for England 2013-2016

Part 2: Summary technical specifications of public health indicators

Public Health Outcomes Framework summary factsheet

Equality Analysis Healthy Lives, Healthy People: Transparency in Outcomes

Research Sandwell - Local Intelligence and Consultation