The Cheshire East Joint Outcomes Framework

The Cheshire East Joint Outcomes Framework aims to monitor progress against the Joint Health and Wellbeing strategy (PDF 6.6MB) and Place Delivery Plan (under development) towards improved health and wellbeing, reduced inequalities and further integration between services.

Please note: the Joint Outcomes Framework is not a tool to monitor how individual services are performing.

The Phase One Joint Outcomes Framework

Phase One of the Joint Outcomes Framework include the following indicators, which were agreed through cross-system consensus building:

1. Life expectancy at birth (upper age band 90 and over) (female, all ages) 2016-2020
2. Life expectancy at birth (upper age band 90 and over) (male, all ages) 2016-2020
3. Healthy life expectancy at birth (female, all ages) 2018-2020
4. Healthy life expectancy at birth (male, all ages) 2018-2020
5. Long-term unemployment - rate per 1,000, work age population (persons 16-64 years) 2021/22
6. Modelled estimates of the proportion of households in fuel poverty 2020
7. Smoking status at time of delivery (female, persons of all ages) 2021/22
8. Child development: percentage of children achieving a good level of development at 2 - 2.5 years (persons 2 - 2.5 years) 2021/22
9. Year 6 prevalence of overweight, including obesity, 3-years data combined (persons 10-11 years) 2019/20-2021/22
10. Social isolation: percentage of adult social care users who have as much social contact as they would like (persons 18+ years) 2021/22
11. Social isolation: percentage of adult carers who have as much social contact as they would like (persons 18+ years)
12. Emergency hospital admissions for intentional self harm,standardised admission ratio (persons of all ages) 2016/17-2020/21
13. Percentage of physically active adults (persons 19+years) 2020/21
14. Admission episodes for alcohol-specific conditions (persons of all ages) 2021/22

As at 22 January 2026, Cheshire East was significantly better than the England average for:

Cheshire East was significantly better than the England average for:

Cheshire East was in the best 40% of local authorities for:

Cheshire East was similar to the England average for:

Cheshire East was significantly worse than the England average for:

According to the framework, overall, Cheshire East performed significantly better than or similar to the England average for the majority of selected outcome indicators. However, there is considerable variation in relation to some of these indicators within Cheshire East at ward level. This will be illustrated as part of Phase Two of the framework’s development*.

* Office for Health Improvement & Disparities. Public Health Profiles. https://fingertips.phe.org.uk © Crown copyright 2023 (Accessed 8 March 2023).

Further information and comparisons of Cheshire East average figures are included within the following attachment: The Cheshire East Joint Outcomes Framework (PDF 2.2MB)

About the development of Cheshire East Joint Outcomes Framework

The development of the Cheshire East Joint Outcomes Framework is being led by the Business Intelligence Enabler Workstream Group which reports to both

• The Cheshire East Strategic Planning and Transformation Group
• The Cheshire East Joint Strategic Needs Assessment Steering Group

About Phase One of the Joint Outcomes Framework

Phase One agreed on 14 key outcome indicators for Cheshire East across the four outcomes outlined within the Health and Wellbeing Strategy that:

• Require system-level solutions across multiple partners/organisations
• If improved, might help to relieve system pressures and the extent to which Cheshire East thrives
• Are in line with Cheshire and Merseyside Integrated Care System-level priorities, where possible

Phase 1 focused on indicators within the Office for Health Improvement and Disparities Public health profiles - OHID (phe.org.uk). This tool was chosen to simplify the process of developing the first phase of the tool by utilising a single data source.

The indicators were agreed through a multi-stage, multi-partner consensus building approach. Further detail regarding this approach can be found at: Supplementary document - method for developing Phase One of the Joint Outcomes Framework (PDF 1.7MB)

About Phase Two of the Joint Outcomes Framework

We are working, as a system (which includes the NHS, Council, and Voluntary Faith and Social Enterprise sector), to develop a dashboard that will consider how we can make further improvements to the indicators in the Phase One framework.

This will involve us using more regularly updated data over smaller footprints to understand steps neighbourhoods can take to promote wellbeing, prevent ill health and reduce inequalities.

This second framework will help us to further monitor progress.

These tools should be used in combination with more in-depth reviews within the Joint Strategic Needs Assessment, the Tartan Rug, and care community insights to optimise health and wellbeing across Cheshire East, reducing inequalities, wherever possible.

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Accessibility

If you have any queries or further accessibility requirements, please contact: phit@cheshireeast.gov.uk.