West Sussex Public Health and Social Research Unit,
2025
Overview - the State of Sussex
This interactive report shows the latest outcomes framework
indicators for NHS and local authority organisations across Sussex.
There are currently 226 indicators in this report
grouped into 12 domains. Some indicators have demographic breakdowns by
age or sex; for example, life expectancy at birth is reported for males
and females separately) and so will appear as multiple lines in the
tables.
The two largest domains are further split into sub domains. Good
infant and maternal health domain includes sub domains for infant
mortality, maternal focus, and baby focus. Tackling major burdens domain
is further split into sub domains for cancer, cardiovascular disease,
and respiratory diseases.
You can use the navigation panel on the left to navigate down this
page to the table containing the domain specific indicators.
Some of these indicators are CORE20Plus5 indicators and NHS
Health Inequalities 2024 Statement (HIState) indicators. These are
identified with in the domain tables throughout this report.
Data provided here are usually available for local authority
geographies (East Sussex and West Sussex upper tier and Brighton and
Hove unitary authorities, referred to as UTLAs) or for the equivalent
Sub-ICB locations.
Reading the tables
The tables in this report show one row per indicator with each
area/organisation’s latest value, a comparison against England, a recent
trend, and rankings among demographically similar peers and national
ranks, displayed for a quick glance of the State of
Sussex.
You can search for an indicator name in each table. For some
indicators, there may be additional notes which users may find helpful
when interpreting the values, particularly where there are one or more
outliers of concern.
Where this is the case the indicator will have a purple note icon
next to it; hover of this to find out more. I am an informative tooltip
An explainer table is given below and a table key ‘reading the icons’
is available on the bottom left of the page.
An image showing how to read icons
in an example table
The first icon, a circle under the latest value, shows whether the
latest value is statistically different compared to the England value
for the same time period. A green
circle
()
shows the value is significantly better than England, a red circle
()
shows significantly worse than the England value and a yellow circle
()
shows that the value is not statistically significantly different to
England. In some cases, a higher or lower value is not considered good
or bad. For these, we use a dark
green circle
()
to show significantly higher values, and light green circle
()
to show lower values.
The second icon shows an arrow for the trend of the latest value,
where data is available, with the direction and colour denoting
improvement over time (green
arrow, either
or
), getting worse over time (red
arrow, either
or
) or with no change (grey
arrow,
).
A grey dash
()
denotes no comparison available. Again, where there is no polarity value
(e.g. going up isn’t good or bad) the arrow is purple, either
or
).
In some cases there are no data at all for either a trend or
comparison or the latest value. This could be because of missing data,
or a data quality issue meaning that the value has not been published.
Where this is the case, the table will show a grey dash icon
().
For rankings, each area type is compared with demographically similar
peers as well as areas across the whole of England. There is one icon
next to the rank which is coloured light blue
()
if the area is among the top 25% of areas, and dark blue
()
if it is in the bottom 25% of areas (with light grey
()
showing it is ranked somewhere in the middle).
A table listing the peers for each area are given at the bottom of
this report. Go to peer list
For ICBs, there are up to six peers, SICBLs are compared with up to
11 peers and UTLAs are compared with up to 16 peers. As at July 2025,
there 42 ICBs, 106 SICBLs, and 153 UTLAs and our areas are ranked
amongst these respective areas.
In cases where two areas have the same value (tied values), these
are both given the highest (closest to 1st/best) rank. The grouping of
areas into quartiles ignores ties and so some areas with the same score
may be placed in two different quartiles.
Outliers and indicators of concern
In this report, we talk about ‘outliers of concern’
as being any value which is either significantly worse than the
England value (denoted with a
),
OR if the value is in the bottom quartile nationally (denoted by a
).
In addition to using the term value of concern, we also detail
‘indicators of concern’. These are indicators with at
least one area/organisation that has a value of concern.
There are a few things to remember when interpreting these
outliers/indicators of concern;
An area/organisation is only counted once as having a value of
concern for an indicator; even if it is worse than England AND is in the
bottom quartile nationally.
An indicator might have a value of concern for just one of the
local areas but overall at Sussex ICB level, the value may be similar to
or better than England.
In some cases, a high or low value is not considered better or
worse (as is the case for four indicators; Patients with Asthma (6-19
yrs): Second-hand smoking status recorded in the last 12 months,
percentage of patients with an asthma or COPD review review in last 12
months, and the number of people diagnosed with cancer as an emergency
presentation). These are not included in the value of concern
calculation.
Peers are not used for the calculation of outliers of concern
because the number of comparators can be very small.
There are a total of 226 indicators. Of these, 73 are
indicators of concern; that is indicators with at least one
area with an outlier value of concern. This is 32.3% of
indicators.
For five indicators, every area had an outlier value of concern.
These were; the proportion of estimated eligible population offered an
NHS Health Check, Cholesterol: QRISK >= 20% treated with LLT,
Proportion of those with Atrial Fibrillation treated with
anticoagulants, proportion of current smokers offered support/treatment,
and the uptake of physical health checks among those diagnosed with
Serious Mental Illness (SMI).
The table below shows the number of indicators in each domain, as
well as the number of indicators with at least one outlier value of
concern.
Use the check boxes below to show/hide indicators with at least one area
which has an outlier of concern.
00. Overarching indicators
Overarching indicators include life expectancy at birth, healthy life
expectancy, and the social inequality gap in life expectancy across. All
of these indicators are for UTLAs and the Sussex ICB footprint
overall.
01. Good Infant and Maternal Health indicators
Good Infant and Maternal Health include infant mortality rates,
maternity bookings, specialist perinatal measures and also baby weights
and preterm births.
There are 11 indicators in this domain.
02. Strong Foundations for Health indicators
Strong Foundations for Health include readiness for school measures,
uptake of childhood immunisations, healthy weight prevalence, special
education needs and attainment scores and tooth extractions.
There are 32 indicators in this domain.
03. Tackling Childhood Long Term Conditions indicators
The Tackling Childhood Long Term Conditions domain has seven
indicators. This includes hospital admissions and treatment for asthma,
access to epilepsy services and diabetes patient annual health checks.
It also includes any emergency admissions for under 18s. Some of these
indicators are CORE20Plus5 indicators and NHS Health Inequalities 2024
Statement indicators. These are identified with CORE20Plus5 and HIState in the tables.
The majority of indicators are for the local authority geographies,
with the exception of second-hand smoking status among patients with
asthma aged 6-19 years which is available for the ICB and sub ICB
locations. The sub ICB location values are given in a separate
table.
04. Mental Health Support indicators
Mental Health Support indicators primarily focus on young people’s
access to mental health services, children and young people with eating
disorders, hospital admissions for self harm, and measures of
transitions from children’s to adult’s services.
Some of these indicators are CORE20Plus5 indicators and NHS Health
Inequalities 2024 Statement indicators. These are identified with
CORE20Plus5 and
HIState labels in
the tables.
05. Core Determinants indicators
The Core Determinants domain is the first indicator in the Working
Age section of the Sussex Population Outcomes Framework. These domains
represent wider determinants and increasing challenges for population
health.
This includes the Local Health Index, measures of employment,
homelessness, fuel poverty, air pollution, and active travel.
06. Increasing Burdens indicators
The increasing burdens domain focuses on obesity prevalence and
management of diabetes among adults. Some of these indicators are NHS
Health Inequalities 2024 Statement indicators. These are identified with
HIState labels in
the tables.
Data for amputations of minor and major limbs are available at Sub
ICB location geographies and as such are given in a second table.
07. Tackling Alcohol indicators
This domain features admission episodes for alcohol specific
conditions, and alcohol misuse treatment services.
08. Tackling major burdens indicators
The Tackling Major burdens of ill health and premature mortality is
the biggest domain and is split into three sub domains; cardiovascular
disease, respiratory disease, and cancer. For each of these condition
subgroups there are measures for premature mortality, detection and
diagnosis, access to services and stage of presentation.
Some of these indicators are CORE20Plus5 indicators and NHS Health
Inequalities 2024 Statement indicators. These are identified with
CORE20Plus5 and
HIState labels in
the tables.
09. Improving Adult Mental Health and Wellbeing indicators
The Improving Adult Mental Health and Wellbeing indicators domain
explores self-reported wellbeing, and a range of measures of health
experiences of those with severe mental illness. It also includes drug
related deaths and suicide rates, and rates of detentions under the
Mental Health Act.
Some of these indicators are CORE20Plus5 indicators and NHS Health
Inequalities 2024 Statement indicators. These are identified with
CORE20Plus5 and
HIState labels in
the tables.
10. Maintaining Health and Mobility indicators
The Maintaining Health and Mobility is part of the Active Ageing and
Later Life section of the Sussex Population Outcomes Framework.
Indicators include adult physical activity and inactivity prevalence
estimates, emergency hospital admissions due to falls, assessment and
management of osteoporosis, and readmissions following hip replacement
surgery.
11. Care and Support indicators
The Care and Support indicators include measures of self-reported
quality of life, confidence, and feeling supported for managing long
term conditions. It also includes social prescribing referral rates,
diagnosis rates for dementia.
12. Inclusive Elective indicators
The final domain is inclusive elective. This explores measures around
treatment waiting times, reducing did not attend rates, improving access
to diagnostics services and measures of elective activity trends over
time particularly looking at pre- and post- COVID-19 pandemic.
Some of these indicators are NHS Health Inequalities 2024 Statement
indicators. These are identified with HIState labels in the tables.
Other data sources include: CYP Transformation Programme Dashboard,
National Diabetes Audit (NDA) NHS England Digital, Model Hospital,
Mental Health Act Statistics, Learning disability services monthly
statistics from the Assuring Transformation dataset, Network Contract
DES, CVDPREVENT, Young People with Type 2 Diabetes NHS England Digital,
Mental Health Services Monthly Statistics, Cancer Waiting Times
Database, NHS England: monthly RTT data collection, NHS England: DM01,
collected via SDCS, CYP Elective Recovery Dashboard
A full list of data sources will be made available as a separate
metadata file.
Peer groups
Each area is compared with a areas that are demographically similar.
This means that Brighton and Hove (UTLA) is compared with a different
set of areas to East Sussex (UTLA). The table below shows which areas
each of our geographies are compared to.