1. Health Survey User Meeting 14 July 2010 Health Survey for England Update Rachel Craig, Chloe Robinson

2. Health Survey User Meeting 14 July 2010 The Health Survey for England Commissioned by The NHS Information Centre for health and social care Conducted by NatCen and UCL 2008 report: Physical activity 2009 report: currently being written 2010 survey: fieldwork in progress From 2011, becomes The Health and Social Care Survey

3. Health Survey User Meeting 14 July 2010 HSE 2008 Sample size around 15,500 adults, and child boost sample Focus on physical activity: Self-reported measures Accelerometry Also a measure of physical fitness among adults Report available on www.ic.nhs.uk/pubs/hse08physicalactivity Trend tables available on www.ic.nhs.uk/pubs/hse08trends

4. Health Survey User Meeting 14 July 2010 HSE 2009 Sample size around 4,600 adults, and 4,000 children Chapters on: Kidney disease Diabetes GHQ12 Personal care plans Also chapters on core measures Report available December 2010

5. Health Survey User Meeting 14 July 2010 HSE 2010 Sample size around 8,000 adults, and 6,000 children Focus on respiratory disease: Questions about asthma, COPD Measures of lung function – new high tech spirometers Also questions on sexual health, dental health and wellbeing Currently in field, reporting end of 2011

6. Health Survey User Meeting 14 July 2010 Health and Social Care Survey 2011 Replaces the HSE from 2011 Retaining core elements of the HSE design and content Review of core content – every year: General health, smoking, drinking, height and weight Nurse visit: BP, waist and hip, blood sample, child saliva Alternate years: Questionnaire: Fruit and veg or GHQ12 and EQ5D Nurse: Adult urine sample or adult saliva sample New social care question module

7. Health Survey User Meeting 14 July 2010 HSCS 2011 content Sample size around 8,000 adults No child boost currently planned Expect focus to be on CVD: Continue trends from 1994, 1998, 2003, 2006 Will include self-reported usual drinking behaviour and 7-day drinking diary Currently in development, reporting end of 2012

8. Results from HSE 2008 Health Survey User Meeting 14 July 2010

9. Physical activity Chief Medical Officers recommendations For adults: At least 30 minutes of at least moderate intensity activity on five or more days per week Accumulated in bouts of at least 10 minutes For children: At least 60 minutes of at least moderate intensity physical activity each day

10. Health Survey User Meeting 14 July 2010 Physical activity Self-reported and objective measures Self-report questions for adults enhanced for 2008: Captured bouts of 10 minutes of activity More detail about activity at work, and sedentary time Refined questions about swimming, gym Childrens self-report questions completely revised for 2008: New categories of formal and informal sports and activities Recall over the last seven days, Asked about each day, exact time spent

11. Health Survey User Meeting 14 July 2010 Accelerometry Sub-samples of adults and children aged 4+ Asked to wear the accelerometer for 7 days Measures vertical movement: Under-represents activities such as cycling, rowing Cannot be worn for swimming At least 10 hours wear for a valid day Daily averages calculated from at least 4 days of wear

12. Health Survey User Meeting 14 July 2010 How many met the recommendations? Adults Self report: 39% of men 29% of women Accelerometry 6% of men 4% of women

13. Health Survey User Meeting 14 July 2010 Summary activity levels: self-reported MenWomen Low activity Some activity Meets recommendations

14. Health Survey User Meeting 14 July 2010 Summary activity levels: accelerometry MenWomen Low activity Some activity Meets recommendations

15. Health Survey User Meeting 14 July 2010 Average minutes of daily MVPA MenWomen Accelerometry Self-reported Accelerometry data based on those with 4+ days wear Comparing self report and accelerometry (bouts of at least 10 minutes)

16. Health Survey User Meeting 14 July 2010 How many children meet recommendations Boys Girls Self-reported

17. Health Survey User Meeting 14 July 2010 Summary activity levels: accelerometry BoysGirls Low activity Some activity Meets recommendations

18. Health Survey User Meeting 14 July 2010 Average minutes of daily MVPA Boys Girls Accelerometry Self-reported Accelerometry data based on those with 4+ days wear

19. Thank you www.natcen.ac.uk Rachel.Craig@natcen.ac.uk