Public Health Outcomes Framework

Updated December 2013

The vision of the Public Health Outcomes Framework, which supports the new public health strategy, is to improve and protect the nation’s health and wellbeing and to improve the healthy of the poorest fastest. It includes specific outcome indicators for child injuries.

The PHOF was published in January 2012 and updated in November 2013. It framework sets out two overarching outcomes supported by a number of indicators grouped into four domains.


  • outcome 1: increased healthy life expectancy
  • outcome 2: reduced difference in life expectancy and healthy life expectancy between communities.


  • domain 1: improving the wider determinants of health
  • domain 2: health improvement
  • domain 3: health protection
  • domain 4: healthcare public health and preventing premature mortality.

Indicators for childhood injury prevention

Three indicators have specific relevance to child accident prevention work:

  • indicator 2.7: hospital admissions caused by unintentional and deliberate injuries in children and young people aged 0-14 and 15-24 years
  • indicator 1.10: killed and seriously injured casualties on England's roads
  • indicator 4.3: mortality rate from causes considered preventable.

Other indicators which are highly relevant to child accident prevention work include:

  • indicator 1.01: children in poverty
  • indicator 1.15: statutory homelessness
  • indicator 1.16: utilisation of outdoor space for exercise/health reasons
  • indicator 1.2: school readiness
  • indicator 2.5: child development at 2–2.5 years
  • indicator 4.1: infant mortality.

There are also some indicators relating to inequalities which professionals working in child accident prevention may find helpful:

  • indicator 0.1: healthy life expectancy
  • indicator 0.2: differences in life expectancy between communities
  • indicator 1.3: pupil absence
  • indicator 2.4: under 18 conceptions.

The Department of Health website has more details on the public health outcomes framework, including technical specifications.

The government is also developing a children and young people's health outcomes strategy. Read our August 2012 news story about the recommendations made by the Children and Young People's Health Outcomes Forum.

We have also produced a topic briefing on how child accident prevention fits into the new public health system.

Further information

Updated December 2013