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hertshealthevidence.org
September 2017
Health & Wellbeing Strategy dashboard update Q1-2 2017/18
Key Messages
There have been some notable improvements in outcomes and how we compare with our
peer group of similar local authorities, as well as some areas in which outcomes
themselves or our peer group ranking has worsened.
Inter-district inequalities have increased for some indicators and reduced for others.
New data have not yet been released for all of the indicators.
How are we measuring outcomes of the Health & Wellbeing
Strategy?
A basket of statistical indicators has been selected for each of the four life stages covered by the
strategy. The Public Health Evidence & Intelligence Team have created a set of data indicator
dashboards (one for each life stage) to track changes in these indicators over the lifetime of the
strategy. The dashboards are updated quarterly with whatever new data are available at that time
(new figures for most indicators are only available on an annual basis, although the release dates for
new figures vary between indicators). The dashboards can be accessed at:
https://www.hertshealthevidence.org/data/hwb
About this update
This update highlights the most notable changes in the dashboard indicators since baseline,
irrespective of whether they are positive or negative. Statistically significant* changes in figures or
notable changes in peer group rankings are described, along with changes in the number of districts
whose figures are statistically significantly different from the Hertfordshire average. For each life stage,
a brief note from a member of the Health & Wellbeing Board adds context.
What do the latest figures show?
Starting Well
In the latest round of figures for this life stage there have been notable changes in:
• % take up of free early education entitlement among 2 years olds – this indicator
showed statistically significant* improvements since baseline (Jan-March 2015) and from Jan-
March 2016 to Jan-March 2017 (with Hertfordshire remaining 4th best out 11 in its peer
group)
• Year 1 pupils achieving the expected level in the phonics screening check – this
indicator showed a statistically significant* improvement between 2015 and 2016 (with
Hertfordshire remaining at the top of its peer group)
• Gap between free and non-free school meal children achieving a good level of
development – this indicator worsened between 2015 and 2016, although we don’t have the
Health & Wellbeing Strategy dashboard update: Q2 2017/18 September 2017
hertshealthevidence.org
necessary data to calculate whether this change was statistically significant* (with
Hertfordshire dropping from 5th to 7th best out of 11 in its peer group)
• % children registered with a children’s centre within 2 months of their date of
birth – this indicator showed a statistically significant* improvement from baseline (April-June
2016) to Jan-March 2017
District variations
Compared with baseline figures, there are greater numbers of statistically significant* variations
between districts for:
• % children registered with a children’s centre within 2 months of their date of
birth (Watford has the lowest figure and East Hertfordshire has the highest)
• Overweight and obesity in children aged 4-5 (St Albans has the lowest figure and
Broxbourne has the highest)
• Hospital admissions for accidental and deliberate injuries in children aged 0-4
(Dacorum has the lowest figure and Stevenage has the highest)
Compared with baseline figures, there are fewer statistically significant* variations between districts
for:
• % take up of free early education entitlement for 2 year olds
• % take up of free early education entitlement for 3 and 4 year olds
Viewpoint
There has been a significant focus on take up of free early education and progress is being made.
Narrowing the gap for disadvantaged children is a key priority for Hertfordshire and is a focus for all
early years providers and nursery schools.
The transformation of the early childhood offer, with Family Centre procurement going live in autumn
2017, is designed to be more targeted to families’ needs and will extend the offer to mums-to-be and
children from before birth to age 19 in some circumstances.
Jenny Coles, Director of Children’s Services, Hertfordshire County Council
Developing Well
In the latest round of figures for this life stage there have been notable changes in:
• Family homelessness – this indicator worsened between 2014/15 and 2015/16 (although
this change was not statistically significant*, Hertfordshire dropped from 10th best out of 11
to bottom in its peer group)
• Overweight and obesity in children aged 10-11 – this indicator worsened statistically
significantly* between 2014/15 and 2015/16 (with Hertfordshire remaining 4th in its peer
group)
Health & Wellbeing Strategy dashboard update: Q2 2017/18 September 2017
hertshealthevidence.org
• First time entrants to the youth justice system – there was a non-statistically
significant improvement in this indicator between 2015 and 2016; however, Hertfordshire
dropped from 7th to 9th best out of 11 in its peer group)
District variations
Compared with baseline figures, there is a greater number of statistically significant* variations
between districts for:
• Overweight and obesity in children aged 10-11 (East Hertfordshire has the lowest
figure and Broxbourne has the highest)
There remain no statistically significant* variations between districts for:
• Alcohol-specific hospital admissions in under 18s
Viewpoint
Hertfordshire recently undertook a comprehensive questionnaire with children looked after as part of the
Coram ‘Bright Spots’ research – 14 other authorities took part. The results are more up to date that the
SDQ indicator here and have produced positive feedback on services and areas for improvement now in
an action plan.
Family homelessness is being closely monitored, with District Councils and preventative actions being
taken where possible. Intentionally homeless families have increased, although small in number, and
families with no recourse to public funds have increased.
Jenny Coles, Director of Children’s Services, Hertfordshire County Council
Living & Working Well
In the latest round of figures for this life stage there have been notable changes in:
• People with a self-reported high anxiety score – this indicator showed a statistically
significant* improvement between 2014/15 and 2015/16 (with Hertfordshire moving from
the bottom to the top of its peer group)
• Participation in sport among adults – this indicator worsened statistically significantly*
between 2014/15 and 2015/16 (with Hertfordshire dropping from 4th to 6th best out of 11
in its peer group)
• Statutory homelessness – this indicator worsened between 2014/15 and 2015/16
(although this change was not statistically significant*, Hertfordshire dropped from 7th to
9th best out of 11 in its peer group)
District variations
Compared with baseline figures, there is a greater number of statistically significant* variations
between districts for:
• Statutory homelessness (East Hertfordshire has the lowest figure and Broxbourne has
the highest)
Health & Wellbeing Strategy dashboard update: Q2 2017/18 September 2017
hertshealthevidence.org
Compared with baseline figures, there are fewer statistically significant* variations between districts
for:
• Alcohol-related hospital admissions (East Hertfordshire has the lowest figure and
Watford has the highest)
Viewpoint
Hertfordshire has made some good progress on a range of indicators, but as always there
remain persistent inequalities across the County. While there are some good areas of
performance, this update shows that we still have more to do to reduce avoidable morbidity,
disability and hence avoidable cost in the system.
We still have opportunities to improve outcomes while also saving cost, and early tackling of
variations in care outcomes remains less than optimal.
Jim McManus, Director of Public Health, Hertfordshire County Council
Ageing Well
In the latest round of figures for this life stage there have been notable changes in:
• Injuries due to falls in people aged 65+ – this indicator improved between 2014/15 and
2015/16 (although this change was not statistically significant*, Hertfordshire rose from 8th
to 4th best out of 11 in its peer group)
• Hip fractures in people aged 65+ – this indicator improved between 2014/15 and
2015/16 (although this change was not statistically significant*, Hertfordshire rose from 4th
to 2nd best out of 11 in its peer group)
• Adult social care users who have as much social contact as they would like – this
indicator improved between 2014/15 and 2015/16 (although this change was not statistically
significant*, Hertfordshire rose from bottom to 7th best out of 11 in its peer group)
District variations
Compared with baseline figures, there is a greater number of statistically significant* variations
between districts for:
• Injuries due to falls in people aged 65+ (Broxbourne has the lowest figure and
Stevenage has the highest)
Compared with baseline figures, there are fewer statistically significant variations between districts for:
• Health related quality of life for older people (as a result of this change there are now
no statistically significant variations between districts for this indicator)
There remain no statistically significant* variations between districts for:
• Hip fractures in people aged 65+
Health & Wellbeing Strategy dashboard update: Q2 2017/18 September 2017
hertshealthevidence.org
Viewpoint
The Hertfordshire and West Essex Sustainability and Transformation Plan (STP) includes a
workstream for ‘frailty’; a full review of the preventative and reactive services available for older
people who are assessed as being clinically frail and are therefore at risk of falls are being
reviewed, with a view to minimising falls and preventing further accidents.
The Care Act 2014 provided an opportunity to review services available to older people and
their carers in line with the county’s agreed Ageing Well Strategy. People said they wanted
something purposeful to do in the daytime and maintain their own local connections when they
were assessed as having social care needs. All voluntary sector services have been reviewed to
ensure they are targeted and ACS’ new practice principles and assessment methodology
promotes a ‘Community First’ approach to achieve this. Iain MacBeath, Director of Adult Care Services, Hertfordshire County Council
What does this mean?
The current round of new figures shows a mixed picture of change since the baseline for the Health &
Wellbeing Strategy indicators was set, with some notable improvements in outcomes and how we
compare with our peer group of similar local authorities, as well as some areas in which outcomes
themselves or our peer group ranking has worsened. Inter-district inequalities have increased for
some indicators and reduced for others.
At the moment, the picture is incomplete because new data have not yet been released for all of the
indicators in the dashboards. Also, due to time lags in the release of data, it will be a little longer
before we are able to assess how all outcomes have changed in the period since the 2016-2020
strategy went live.
* A certain amount of variation in figures will occur due to chance, so simply looking at whether there is a difference
between two figures can be misleading. In order to judge whether differences between two figures are statistically meaningful
we calculate 95% confidence intervals for each. Where those confidence intervals do not overlap we say that the difference
between the figures is statistically significant.
Overarching goal: Healthy mothers and healthy babies
1 - 1 0 5 equal districts
- 9 6.4 - 7.9
2014/15 2015/16 /8 /8 Surrey 3 - 3 0 4 equal districts
1 3 1 - Stevenage
4 - 69.5 - 86.9
2014/15 - /10 - Surrey 3 1 3 - St Albans
1 1 1 3 Broxbourne
8 7 73.6 - 87.8
Apr 16 to Jun 16 Jan 17 - Mar 17 - - - 3 1 3 0 Welwyn Hatfield
1 - 1 - -
- - - - -
2014/15 2016/17 - - - 3 - 3 - -
Overarching goal: Parenting for a bright future: All young children given a strong foundation
1 - 1 - -
- - - - -
2014/15 2015/16 /11 /11 Hertfordshire 3 - 3 - -
1 1 1 1 St Albans
9 8 16 - 22.5
2014/15 2015/16 /11 /11 Surrey 3 0 3 1 Broxbourne
1 1 1 0 Dacorum
9 8 72.2 - 141.9
2014/15 2015/16 /11 /11 Cambridgeshire 3 0 3 2 Stevenage
1 3 1 2 Hertsmere
5 7 62.6 - 87.2
Jan 15 - Mar 15 Jan 17 - Mar 17 /11 /11 Warwickshire 3 2 3 1 Stevenage
1 2 1 3 Three Rivers
1 4 80.7 - 94.2
Jan 15 - Mar 15 Jan 17 - Mar 17 /11 /11 Warwickshire 3 7 3 3 Stevenage
1 - 1 - Hertsmere
- - 13.2 - 30.4
2015 2016 /11 /11 Northamptonshire 3 - 3 - St Albans
Domestic abuse incidents recorded by the Police
where a child is present
7.81 % 7.04 %
77.64 %
77.86 % 82.73 %
2 2
% children registered with a children’s centre
within 2 months of their date of birth
Breastfeeding initiation
- -
-
103 %% take up of free early education entitlement for 3
and 4 year olds
90.32 % 90.06 %
11 11
106.26 per
10,000
82.56 %
4 2
Best/highest
neighbour
4 4
5 7
Inter-district range
Percentage of mothers smoking at time of delivery
Change from
previous
Change from
baseline
Baseline
neighbours rank
Latest neighbours
rank
Change from
previous
Best/highest
neighbour
Baseline district
variation
Latest district
variationIndicator (not all available at all geographies)
5.85 %
Latest Herts.
figure
Baseline Herts.
figure
Baseline district
variation
-5-
16.87 per 1,000
children
18.09 per 1,000
children-
Latest neighbours
rank
Change from
previous
Latest Herts.
figure
84.68 %
-
-
Change from
previous
Change from
baseline
Year 1 pupils achieving the expected level in the
phonics screening check
79.46 % 82.56 %
1
1
% take up of free early education entitlement for 2
year olds
64.9 % 77.58 %
Overweight and obesity in children aged 4-519.42 % 19.11 %
81 %
Hospital admissions for accidental and deliberate
injuries in children aged 0-4
117.62 per
10,000
Indicator (not all available at all geographies)Baseline Herts.
figure
16.56 %
4 4
Baseline
neighbours rank
Hertfordshire Health & Wellbeing Strategy 2016-2020 – Starting Well indicators dashboardClick here for user guide
Q2 2017/18
Latest district
variationInter-district range
18 %
Gap between free and non-free school meal
children achieving a good level of development at
ages 3-4
20.18 % 22.55 %
105.22 per
10,000
No change in ranking Decrease / worsening in
ranking
Statistically significantly lower
Statistically significantly higher
Statistically significant
improvement No statistically significant change Statistically significant
worsening
Districts compared to Hertfordshire
Statistically significantly worse
Statistically significant increase Statistically significant decrease No data / no updateNot statistically significantly different
Statistically significantly better
Increase / improvement in
ranking
Overarching goal: Good mental health and wellbeing for children and young people
1 - 1 - -
- - - - -
2015/16 - /10 - Surrey 3 - 3 - -
1 - 1 - -
- - - - -
2014/15 - /11 - Buckinghamshire 3 - 3 - -
1 - 1 - -
- - - - -
2014/15 2015/16 /11 /11 Hampshire 3 - 3 - -
1 - 1 - North Hertfordshire
- - 36 - 145
2015/16 - - - - 3 - 3 - Welwyn Hatfield
1 2 1 - Hertsmere
5 - 14.2 - 48.9
31/03/2016 - - - - 3 3 3 - Stevenage
Overarching goal: Parenting for a bright future: All young children given a strong foundation
1 1 1 1 East Hertfordshire
8 7 23.9 - 36.6
2014/15 2015/16 /11 /11 Surrey 3 1 3 2 Broxbourne
1 - 1 - -
- - - - -
2016 - - - - 3 - 3 - -
1 0 1 0 St Albans
10 10 15.1 - 38.8
2012/13 - 14/15 2013/14 - 15/16 /11 /11 Buckinghamshire 3 0 3 0 Three Rivers
1 - 1 - -
- - - - -
2012/13 - 14/15 2013/14 - 15/16 /11 /11 Buckinghamshire 3 - 3 - -
1 - 1 - -
- - - - -
2015 2016 /11 /11 Surrey 3 - 3 - -
1 - 1 - -
- - - - -
2015 - /10 - West Sussex 3 - 3 - -
1 0 1 - Dacorum
10 - 29.6 - 53.9
31/03/2016 - - - - 3 0 3 - Hertsmere
1 0 1 - Watford
10 - 90.5 - 100
31/03/2016 - - - - 3 0 3 - Welwyn Hatfield
1 - 1 - -
- - - - -
2014 - /6 - Essex 3 - 3 - -
1 - 1 - -
- - - - -
2014 - /5 - Hertfordshire 3 - 3 - -
97.52 per
100,000
23.9 %
0.86 per 1000
--
Increase / improvement in
ranking No change in ranking
14.6 % -
14.6 %1 -
Care leavers not in education, employment or
training (NEET)
40.54 % -
- -
4 -
Care leavers in suitable accommodation95.26 % -
People aged 16-25 who are insufficiently
physically active
-
3 3
First time entrants to the youth justice system
314.56 per
100,000
313.67 per
100,000 7 9
Alcohol-specific hospital admissions in under 18s
25.51 per
100,000
26.01 per
100,000
21.54 per
100,000
- --
3 3
Latest district
variationInter-district range
Overweight and obesity in children aged 10-1127.65 % 29.38 %
4 4
26.5 %
Indicator (not all available at all geographies)Baseline Herts.
figure
Latest Herts.
figure
Change from
previous
Change from
baseline
Baseline
neighbours rank
Latest
neighbours rank
Change from
previous
Best/highest
neighbour
Rate of children looked after25.2 per 10,000 -
-
- -
- -
Latest district
variationInter-district range
% of looked after children considered 'of concern'
for emotional wellbeing
35.57 -
3 -
33.45
Indicator (not all available at all geographies)Baseline Herts.
figure
Latest Herts.
figure
Change from
previous
Change from
baseline
Baseline
neighbours rank
Latest
neighbours rank
Change from
previous
Best/highest
neighbour
Family homelessness2.06 per 1000 2.11 per 1000
10 11
Child protection cases (new and repeat)794 -
Smoking at age 156.61 %
GCSE attainment for children looked after10.5 % -
-
People aged 16-25 who are physically inactive16.6 %
Hospital admissions due to substance misuse in
15-24 year olds
64.83 per
100,000
67.31 per
100,000
Children and young people who have been
bullied in the past two months (age 15)
55.6 % -
4 -
Q2 2017/18Click here for user guide
Hertfordshire Health & Wellbeing Strategy 2016-2020 – Developing Well indicators dashboard
Statistically significant
improvement No statistically significant change Statistically significant
worsening
Districts compared to Hertfordshire
Statistically significantly worse
Statistically significant increase Statistically significant decrease No data / no updateNot statistically significantly different
Statistically significantly better
Baseline district
variation
54.2 %
-
Baseline district
variation
-
8
46.1 per 100,000
-
-
10.5 %
Decrease / worsening in
ranking
Statistically significantly lower
Statistically significantly higher
Overarching goal: Good mental health and wellbeing for working age adults
1 2 1 3 East Hertfordshire
5 3 1.2 - 5.4
2014/15 2015/16 /9 /11 Oxfordshire 3 3 3 4 Broxbourne
1 - 1 - -
- - - - -
2014/15 2015/16 /11 /11 Hertfordshire 3 - 3 - -
1 0 1 - St Albans
3 - 7 - 9.2
2013 - 15 - /11 - Hertfordshire 3 0 3 - Welwyn Hatfield
1 - 1 - -
- - - - -
Dec 2015 Aug 2016 /11 /11 Oxfordshire 3 - 3 - -
Overarching goal: Healthy lifestyles for working age adults
1 1 1 - Welwyn Hatfield
8 - 59.3 - 68.7
2013 - 15 - /11 - Oxfordshire 3 1 3 - Stevenage
1 0 1 0 Watford
10 10 11 - 45.9
2015 2016 /11 /11 Surrey 3 0 3 0 Three Rivers
1 0 1 - Stevenage
9 - 48.7 - 62.5
2015 - /11 - Buckinghamshire 3 1 3 - Hertsmere
1 3 1 1 East Hertfordshire
7 8 438.5 - 613.8
2014/15 2015/16 /11 /11 Hampshire 3 0 3 1 Watford
1 - 1 - -
- - - - -
2014 - /11 - Cambridgeshire 3 - 3 - -
1 - 1 - -
- - - - -
2014 - /11 - Warwickshire 3 - 3 - -
1 - 1 - -
- - - - -
2014/15 2015/16 /11 /11 Surrey 3 - 3 - -
13.6 %
Participation in sport among adults50.99 % 49.91 %
54.32 %
10 -
4 6
Adults who are insufficiently physically active17.1 % -
Adults who are physically inactive24.4 % -
5 -
19.9 %
Proportion of the population meeting the
recommended '5-a-day’
55.3 % -
59.95 %
Alcohol-related hospital admissions
509.31 per
100,000
500.33 per
100,000
480.92 per
100,000
7 -
4 4
Change from
previous
Best/highest
neighbour
Smoking among adults in routine and manual
occupations
33.39 % 28.89 %
11 9
23.58 %
0.07 %
1 -
8 8
Baseline district
variation
Latest district
variationInter-district range
Overweight and obesity in adults62.83 % -
4 -
60.32 %
Indicator (not all available at all geographies)Baseline Herts.
figure
Latest Herts.
figure
Change from
previous
Change from
baseline
Baseline
neighbours rank
Latest neighbours
rank
% of the working age population in long-term
unemployment
0.22 % 0.2 %
16.04 %
Suicide
6.57 per
100,000-
6.57 per 100,000
People with a self-reported high anxiety score21.28 % 16.04 %
11 1
Baseline district
variation
Latest district
variationInter-district range
Statutory homelessness2.49 per 1000 2.63 per 1000
7 9
1.2 per 1000
Indicator (not all available at all geographies)Baseline Herts.
figure
Latest Herts.
figure
Change from
previous
Change from
baseline
Baseline
neighbours rank
Latest neighbours
rank
Change from
previous
Best/highest
neighbour
Click here for user guide
Q2 2017/18Hertfordshire Health & Wellbeing Strategy 2016-2020 – Living & Working Well indicators dashboard
Districts compared to Hertfordshire
Statistically significantly worse
Statistically significant increase Statistically significant decrease No data / no updateNot statistically significantly different
Statistically significantly better
Statistically significantly lower
Statistically significantly higher
Statistically significant
improvement No statistically significant change Statistically significant
worsening
Increase / improvement in
ranking No change in ranking Decrease / worsening in
ranking
Overarching goal: Older people remaining physically active and independent
1 - 1 - -
- - - - -
2013/14 - /11 - Warwickshire 3 - 3 - -
1 - 1 - -
- - - - -
2014/15 2015/16 /11 /11 Surrey 3 - 3 - -
1 2 1 3 Broxbourne
6 5 1657.4 - 2708.2
2014/15 2015/16 /11 /11 Hampshire 3 2 3 2 Stevenage
1 0 1 0 Welwyn Hatfield
10 10 473.2 - 631.6
2014/15 2015/16 /11 /11 Hampshire 3 0 3 0 Stevenage
1 3 1 - Stevenage
4 - 20.2 - 22.7
2013 - 15 - /11 - Buckinghamshire 3 3 3 - Broxbourne
1 2 1 - Watford
7 - 17.8 - 20.2
2013 - 15 - /11 - Buckinghamshire 3 1 3 - St Albans
1 - 1 - -
- - - - -
2014 - /11 - Buckinghamshire 3 - 3 - -
1 - 1 - -
- - - - -
2014 - /11 - Cambridgeshire 3 - 3 - -
Overarching goal: Good support in older age and end of life
1 - 1 - -
- - - - -
2014/15 2015/16 /11 /11 Buckinghamshire 3 - 3 - -
1 0 1 - Broxbourne
10 - 17.6 - 50.5
Aug 2014 - Jul 2015 - /11 - Oxfordshire 3 0 3 - North Hertfordshire
1 0 1 0 Three Rivers
9 10 0.7 - 0.8
2014/15 2015/16 /11 /11 Surrey 3 1 3 0 East Hertfordshire
1 - 1 - -
- - - - -
2014/15 2015/16 /11 /11 Northamptonshire 3 - 3 - -
1 - 1 - -
- - - - -
2014/15 2015/16 /11 /11 Hampshire 3 - 3 - -
1 - 1 - -
- - - - -
2014/15 - /11 - Hertfordshire 3 - 3 - -
No data / no update
Decrease / worsening in
ranking
Districts compared to Hertfordshire
Statistically significantly worse
Not statistically significantly different
Statistically significantly better
Statistically significantly lower
Statistically significantly higher
22.35 Years
46.8 %
0.77
23.54
Statistically significant
worsening
Inter-district range
51.4 %
2429.69 per
100,000
Baseline district
variation
Latest district
variation
Best/highest
neighbour
-
7 8
8.7 per 100,000
21.62 Years -
7 -
4 2
Delayed transfers of care
12.9 per
100,000
15.8 per
100,000
Percentage of adult carers who have as much
social contact as they would like
46.8 % -
1 -
Health related quality of life for older people0.76 0.76
Adult social care users who have as much
social contact as they would like
40.1 % 46.2 %
11 7
Overall satisfaction of people who use services
with their care and support
63.4 % 63.3 %
67.6 %
7 7
6 8
-
11 -
Latest Herts.
figure
Change from
previous
Change from
baseline
Baseline
neighbours rank
Latest neighbours
rank
Change from
previous
3135.87 per
100,000 9 6
Excess winter deaths index34.55
Adults (65+) who are physically inactive42 % -
37.3 %
Adults (65+) who are insufficiently physically
active
15.8 % -
12.4 %
6 -
8 -
Indicator (not all available at all geographies)Baseline Herts.
figure
Dementia emergency admissions (aged 65+)
3251.85 per
100,000
Life expectancy at 65 (Male)19.21 Years
7 -
19.8 Years
Injuries due to falls in people aged 65+
2212.94 per
100,000
2124.3 per
100,000
1952.72 per
100,000
Hip fractures in people aged 65+
560.93 per
100,000
538.37 per
100,000
489.65 per
100,000
8 4
Life expectancy at 65 (Female)
Baseline district
variation
Latest district
variationInter-district range
People aged 65+ offered reablement services
after discharge from hospital
2.19 % -
9 -
9.85 %
Indicator (not all available at all geographies)Baseline Herts.
figure
Latest Herts.
figure
Change from
previous
Change from
baseline
Baseline
neighbours rank
Latest neighbours
rank
Change from
previous
Best/highest
neighbour
Statistically significant
improvementNo statistically significant change
Statistically significant increase Statistically significant decrease
No change in rankingIncrease / improvement in
ranking
Q2 2017/18Click here for user guide
Hertfordshire Health & Wellbeing Strategy 2016-2020 – Ageing Well indicators dashboard