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Health Survey for England

The Health Survey for England (HSE) is a series of annual surveys about the health of people living in England. Since 1994 the survey has been carried out by the Joint Health Surveys Unit of the National Centre for Social Research and the Department of Epidemiology and Public Health, Royal Free and University College Medical School, London. The survey is sponsored by the Department of Health to provide better and more reliable information about various aspects of people’s health and to monitor selected health targets.

The HSE began in 1991 and has been carried out annually since then. A number of core questions are included every year but each year’s survey also has a particular focus on a disease or condition or population group. Topics are brought back at appropriate intervals in order to monitor change. The survey combines questionnaire-based answers with physical measurements and the analysis of blood samples. Blood pressure, height and weight, smoking, drinking and general health are covered every year. An interview with each eligible person in the household is followed by a nurse visit.

The 'core' includes: questions on general health and psycho-social indicators, smoking, alcohol, demographic and socio-economic indicators, questions about use of health services and prescribed medicines and measurements of height, weight and blood pressure. The modules may be about a single topic, several topics or about population groups. The modules to date have been:

1993 cardiovascular disease

1994 cardiovascular disease

1995 asthma, accidents and disability

1996 asthma, accidents and special measures of general health (Euroquol, SF36)

1997 children and young people

1998 cardiovascular disease

1999 ethnic groups

2000 older people and social exclusion

2001 respiratory disease and atopic conditions, disability and non-fatal accidents

2002 children and young people (aged 0-24)

2003 cardiovascular disease

2004 ethnic minority groups

2005 older people

2006 cardiovascular disease

2007 knoweldge and attitudes

2008 physical activity and fitness

The early surveys, from 1991 to 1994, were confined to adults ages 16 and over but since 1995 HSE has also included children aged 2-15. In 2001, for the first time, this lower age limit was removed and the survey covers all ages. However, lower age limits are imposed for questions on certain topics. Information is obtained directly from persons aged 13 years and over. However, information about children aged under 13 years is obtained from a parent, with the child present.

Health and Social Care Survey Programme Review

In 2008 the NHS Information Centre (IC) reviewed its health and social care survey programme. The review process was overseen by a dedicated Survey Review Board with membership drawn from the Department of Health, Government Regional Offices, The Office of National Statistics, Public Health Observatories, and Universities. As part of the review the IC invited responses to a consultation on the future of its survey programme. The report on the outcome of the Survey Programme Consultation is available online to view or download from the IC.

The Survey Programme Review Board has now evolved into the Survey Programme Advisory Group (SPAG) and is continuing the work to develop the NHS IC's Survey Programme. The group has two roles: to explore issues relating to the survey programme as a whole, and to address issues around the design, specification and procurement of future surveys.

If you would like to receive regular updates on the NHS IC Survey Programme you can join the Virtual User Forum by sending an e-mail to surveys.queries@ic.nhs.uk

Detailed information from the NHS Information Centre web site


Detailed information from the Department of Health web site

Recent data




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  Page last updated 26 February 2010
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