Abstract copyright UK Data Service and data collection copyright owner.The Health Survey for England (HSE) is a series of surveys designed to monitor trends in the nation's health. It was commissioned by NHS Digital and carried out by the Joint Health Surveys Unit of the National Centre for Social Research and the Department of Epidemiology and Public Health at University College London.The aims of the HSE series are:to provide annual data about the nation’s health;to estimate the proportion of people in England with specified health conditions;to estimate the prevalence of certain risk factors associated with these conditions;to examine differences between population subgroups in their likelihood of having specific conditions or risk factors;to assess the frequency with which particular combinations of risk factors are found, and which groups these combinations most commonly occur;to monitor progress towards selected health targetssince 1995, to measure the height of children at different ages, replacing the National Study of Health and Growth;since 1995, monitor the prevalence of overweight and obesity in children.The survey includes a number of core questions every year but also focuses on different health issues at each wave. Topics are revisited at appropriate intervals in order to monitor change. Further information about the series may be found on the NHS Digital Health Survey for England; health, social care and lifestyles webpage, the NatCen Social Research NatCen Health Survey for England webpage and the University College London Health and Social Surveys Research Group UCL Health Survey for England webpage. Changes to the HSE from 2015:Users should note that from 2015 survey onwards, only the individual data file is available under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL HSE is subject to more restrictive access conditions than the EUL version (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version.COVID-19 and the HSE:Due to the COVID-19 pandemic, the HSE 2020 survey was stopped in March 2020 and never re-started. There was no publication that year. The survey resumed in 2021, albeit with an amended methodology. The full HSE resumed in 2022, with an extended fieldwork period. Due to this, the decision was taken not to progress with the 2023 survey, to maximise the 2022 survey response and enable more robust reporting of data. See the NHS Digital Health Survey for England - Health, social care and lifestyles webpage for more details.
The 2021 HSE included additional topics on physical activity, wellbeing (including loneliness), and gambling. The survey also provided updates on repeated core topics, including general health, long-standing illness, smoking and drinking.
Main Topics:
Core topicsGeneral healthLongstanding illnessSmokingAverage weekly alcohol consumptionDrinking (heaviest day in last week)Consent to data linkage (NHS central register, HES)Socio-economic information: sex, age, income, education, employment etcPrescribed medications (nurse)Additional topicsSocial care receipt and provisionProvision of unpaid careDental healthUse of GP and counselling servicesEating disordersMeasurementsHeight and weightBlood pressure (nurse)Waist and hip circumference (nurse)Blood sample for cholesterol, glycated haemoglobin (nurse)Saliva sample (nurse)
Multi-stage stratified random sample
Self-administered questionnaire: Paper
Face-to-face interview: Computer-assisted (CAPI/CAMI)
Clinical measurements
Self-administered questionnaire: Computer-assisted (CASI)
