Public Health Outcomes Framework

Public Health Outcomes Framework

The Department of Health first published the Public Health Outcomes Framework (PHOF) for England in January 2012, setting out a vision for progress in public health.  The framework was revised in August 2016, presenting a refreshed PHOF for England 2016-2019; a set of indicators helping us to understand how well public health is being improved and protected.

Local quarterly commentary and ‘at a glance’ weblinks

Our local PHOF commentaries for August 2019 highlight key changes to indicator RAG-ratings with the data updates released in the quarter, as well as providing information on newly published indicators and other key changes.

August19 PHOF Summary Cambridgeshire (671 KB)

August19 PHOF Summary Peterborough (578 KB)

At a glance

‘At a glance’ summaries produced by Public Health England for Cambridgeshire and Peterborough provide an additional overview of the PHOF indicators for the local area.

Nov18 PHOF Summary Cambridgeshire (646 KB)

2017 Annual review for Cambridgeshire

In May 2017, we completed an annual review of the data in PHOF for Cambridgeshire.  In the review, we compared the latest available data with the most recent previous rating, helping to assess recent change and progress.

PHOF Annual review for Cambridgeshire – May 2017 (73.49 KB)

Grouped data views in the PHOF Data Tool

In the latest version of the data tool, it’s possible to view data for Cambridgeshire and its districts, or Peterborough and its statistical neighbours, in a simple overview.

  1.  Go to
  2. Click ‘Start’ or choose one of the domains of public health
  3. For Cambridgeshire and districts: On the overview tab, choose: a) Area type: District & UA; b) Areas grouped by: County & UA; c) County & UA: Cambs (Fig 1)
  4. For Peterborough and statistical neighbours: On the overview tab, choose: a) Region: East of England; b) Area: Peterborough; c) Select CIPFA nearest neighbours for Peterborough

The Public Health Outcomes Framework

The PHOF focuses on two high-level outcomes to be achieved across the public health system: ‘Increased healthy life expectancy’ and ‘Reduced differences in life expectancy and healthy life expectancy between communities’.

A supporting set of public health indicators in the PHOF are split over four domains:

  • Improving the wider determinants of health
  • Health improvement
  • Health protection
  • Healthcare public health and preventing premature mortality

Public Health England launched an interactive PHOF Data Tool for England in November 2012, providing baseline data at upper-tier local authority level for a number of indicators, comparing local values to national averages.  New and amended baseline data, additional latest data and data for lower-tier local authorities continue to be added and updated on a quarterly basis.

The latest technical specification can be found at:

Public Health England are currently running a Consultation on the Public Health Outcomes Framework indicator set. A proposal for changes to the Public Health Outcomes Framework indicators for 2019-2022 has been published, and the consultation runs until 22 February 2019.

For more details on the PHOF and further information on the indicators included in our local summaries, contact us at