What gets measured gets done
Measurement and monitoring is an essential component of work to improve outcomes and reduce inequalities. Measures help practitioners to prioritise action where need is greatest and to evaluate the success of their strategies.
IHE provide consultancy services in the form of data and advice on how to monitor health inequalities and the social determinants of health. In addition we have created guidelines for measurement in the early years, how to maximise scale and impact and how to monitor the impact of austerity and the economic downturn. We have provided advice to local areas, countries and international bodies.
We have advised on a number of measurement frameworks across the world. For example our work influenced the Public Health Outcomes Framework within the UK, and we are currently advising the WHO on the Universal Health Care Measurement Framework.
Across the world countries can learn from the indicators we've developed for the UK as well as from recommendations within our global and area reports.
Local practitioners may wish to look at the data available, and the opportunity to disaggregate the data by measures of socio-economic status. Where such data is not present then proxies could be utilised and data improvement strategies put in place.
If you would like advice regarding measuring inequalities or the social determinants of health, please get in touch.
Monitoring in England: The Marmot Indicators
In England, monitoring of health inequalities and the social determinants of health in life expectancy remains stable. There have been mixed results in term of progress on the social determinants of health, where only 52% of children have a good level of development at age 5, and the number of people living on incomes that are unacceptably low has risen. We are storing up problems for the future.
The Institute publishes the ‘Marmot Indicators’ for local authorities in England. To date we have published in 2012, 2014, and 2015 and 2017. The indicators include measures on:
- Life expectancy
- Health life expectancy
- Life satisfaction
- Children’s development at age 5
- Educational attainment from secondary school
- Young people not in education, employment or training (NEETs)
- Employment rates
- Workplace generated ill health
- Households reaching an acceptable minimum income standard
- Use of green space for health or exercise
- Fuel Poverty
See more about the latest 'Marmot Indicators'.
PDF documents for each upper tier local authority in England (excluding the City of London and Isles of Scilly) are available on the PHE fingertips website. These contain a spine chart and a short description of each indicator. You will also find the data sets on this page.
More about what we do:
- Working Toward Health Equity
- Action on the Social Determinants of Health
- Promoting What Works
- Building Networks