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Health Survey for England - Health, social care and lifestyles

This is an annual survey looking at changes in the health and lifestyles of people all over the country. Find out more and download the latest survey report.

About the survey

The Health Survey for England (HSE) is an important annual survey looking at changes in the health and lifestyles of people all over the country.

Around 8,000 adults and 2,000 children take part in the survey each year. Information is collected through an interview and, if participants agree, a visit from a specially trained nurse.

The surveys, which have been carried out since 1991, provide regular information that cannot be obtained from other sources.

Find out more on the NatCen website.

Due to the COVID-19 pandemic the HSE 2020 survey was stopped in March 2020 and unfortunately never re-started. There will be no publication for HSE 2020.

HSE 2021 Fieldwork restarted in January 2021 and participants are being offered a telephone interview rather than in-home interviewing. Nurse visits, which will take place in the home, will re-start in October.

Plans for HSE2022 are underway, and all fieldwork will recommence as face to face, subject to covid restrictions allowing. 

Health Survey for England publication series

The Health Survey for England publication series includes links to the latest report and all previous HSE reports published by NHS Digital.

In July 2021, the Health Survey for England published a one-off report looking at health and health related behaviours of the Lesbian, Gay and Bisexual population in England. The data are based on a representative sample of adults, aged 16 and over, who participated in the Health Survey for England from 2011–2018. Read more about the report findings.


Health Survey for England content

The Health Survey for England content page includes information about which topics were included each year of the survey from 1993 to 2019.

There are core topics that are collected each year. Organisations including central government, charities and researchers can also fund additional topics to be included in specific survey years. Previous additional topics include questions about physical activity, mental health, gambling and asthma. In addition, organisations may choose to fund population boosts whereby a larger sample of a particular sub-group are interviewed, this provides more statistically robust data for that particular group. Previous boosts include children, ethnic minorities, or certain geographical locations.


Why we do this survey

The HSE provides vital information, which is used by central government (the Department of Health & Social Care and Public Health England) and local government for a range of different purposes, including:

  • monitoring changes in health and lifestyles
  • monitoring the prevalence of specific health conditions
  • planning services
  • policy development
  • monitoring and evaluating policy

Local authorities also use the survey to compare local indicators with national figures. Other organisations include NHS England, other NHS bodies, charities and voluntary organisations. The survey is also widely used by academics and researchers from different universities in the UK.

Examples of how information from the HSE has been used include:

  • it found that lots of older people weren't aware that they had kidney disease and that levels of undiagnosed kidney disease are significantly higher than the official diagnosed levels - this issue inspired action to tackle the problem
  • HSE is used to measure how many people are reaching the 5-a-day government target on fruit and vegetable consumption
  • HSE found that many people didn't know they had high blood pressure, which can cause serious health problems - doctors now check blood pressure more regularly
  • data from the survey is used as a component in the formula allocating public health grants from the Department of Health and Social Care to local authorities

Managing the survey

The current survey is being carried out by NatCen Social Research on behalf of NHS Digital. 


Survey review

The HSE surveys are reviewed yearly by an independent group of people called a Research Ethics Committee, to protect the safety, rights, wellbeing and dignity of those taking part.

The 2021 survey was reviewed by the East Midlands - Nottingham 2 Research Ethics Committee and given a favourable outcome (REC reference:15/EM/0254).


Participants

Addresses are chosen at random, meaning every address in England has an equal chance of being included. This ensures that we get a truly representative picture of people living in private households in England.


What the survey involves

If you've received a letter asking you to take part, one of NatCen's interviewers will soon call at your home to arrange an interview at a time that suits you. You can say no if you don’t want to take part, but the interview itself is relaxed and there's nothing to prepare. You can skip any questions you don't want to answer.

Due to the COVID-19 pandemic we have changed how we collect the survey for 2021. An interviewer will call at your home, but will remain on the doorstep, they will provide you with more information about the survey and answer any questions you may have. If you would like to take part they will offer you an interview by telephone for a time that is convenient to you.

You will be offered a telephone interview until we are safely able to return to face to face interviewing. Your interviewer will ask you about a range of topics including your health and aspects of your lifestyle that can affect it.  Again you do not have to answer any questions you don’t want to, you can just skip on to the next one.

During the interview we will also ask your permission for a nurse to visit, however this visit will not take place until current government restrictions allow. Nurse visits will re-commence in October 2021. You can find out more information about what’s involved on the NatCen taking Part webpage.


Data collected

The survey includes questions about your:

  • physical health
  • lifestyle behaviours such as smoking, exercise, fruit and veg consumption
  • mental health and wellbeing
  • social care
  • physical measures such as height, weight and blood pressure (carried out at the nurse visit)

Confidentiality

The answers

The answers from the questionnaire are put together with the answers collected from thousands of other people across England and the survey findings are published on our webpage, see the  Health Survey for England publication series for the latest report. The findings will not identify anyone who took part in the survey. 

If you’ve taken part in the survey and you change your mind you can ask for your details to be removed from the survey records. Please contact  enquiries@nhsdigital.nhs.uk and ask for the Surveys Team to remove your details from the Health Survey for England dataset. We will remove your survey details from the dataset and will no longer process your data however we won’t be able to change any publications that have already happened. 

The survey data

The data will not be presented in a form that can reveal any personal information that could be used to identify individuals. An anonymised dataset will be made available on the UK Data Service Catalogue. The data will be used by researchers within central and local government and academia for not-for-profit research to help improve health and social care services. The UK Data Service is home to the UK's largest collection of digital social and economic research data. The anonymised dataset made available by the UK Data Service has been carefully created following Government Statistical Service disclosure control guidance and removing any information that might identify individuals.

We may also share  more detailed data with specifically approved researchers and analysts under a Data Sharing Agreement. This would only be after following our independent scrutiny process for external data releases. NHS Digital will carefully review any requests (see the Data Access Request Service) and applicants will need to meet strict data governance standards. This information will be used for statistical, policy and research purposes only and again individuals will not be directly identified.


Survey dataset

The anonymised Health Survey for England datasets can be accessed via the UK Data Service. Strict measures are in place regarding who can access the data and users will need to agree to the licence conditions about use. Researchers interested in accessing the datasets will need to register with UK Data Service in the first instance.

Data is available for 1993 to 2018. The data items available will vary each year depending on what questions were asked that year and also disclosure control measures applied to the dataset to protect individuals' rights. The Health Survey for England Content page provides at a glance what topics were included each survey year. More specific information about which data items are available for each survey dataset can be found on the UK Data Service website under the HSE survey year of interest.

The latest HSE dataset available is 2018 which is available on the UK Data Service website: Health Survey for England 2018

To find out more about the methods of accessing this data set, visit the DARS Population health surveys page.


Bulletins

Subscribe to our bulletins to receive the latest information about HSE.  Manage your preferences on our bulletins subscription page.


Contact us

If you have any enquiries please contact enquiries@nhsdigital.nhs.uk and ask for the Surveys Team.


Further information

internal Health Survey for England content

The Health Survey for England content page describes what topics were included each year of the survey from 1993 to 2019.

external

Last edited: 10 September 2021 1:42 pm