The directly standardised proportion of people with a long-term health condition who report having had enough support from local services or organisations to help manage their condition, in the last six months.

The numerator is based on answers to the following question from the GP Patient Survey: In the last 12 months, have you had enough support from local services or organisations to help you to manage your long-term condition (or conditions)? Please think about all services and organisations, not just health services. The possible responses to the question are: • Yes, definitely • Yes, to some extent • No • I haven't needed support • Don't know/can't say. Respondents who answer 'Yes, to some extent' are deemed to feel half as supported as respondents who answer 'Yes, definitely'. Therefore, this group of responses is weighted by 0.5 when calculating the numerator. Given the data filter above, the numerator is therefore calculated as: Σ𝑖 (𝑤𝑡𝑛𝑒𝑤𝑖 × 1) + Σj (𝑤𝑡𝑛𝑒𝑤𝑗 × 0.5) where i = 1, …, m are respondents with a long-term condition who answer 'Yes, definitely'; and j = 1, …, n are respondents with a long-term condition who answer Yes, to some extent'.

The weighted count of respondents who answer 'Yes, definitely' OR 'Yes, to some extent' OR 'No' to the question in the numerator section: Σ𝑘(𝑤𝑡_𝑛𝑒𝑤𝑘 × 1) where k = 1, …, p are respondents with a long-term condition who answer 'Yes, definitely' OR 'Yes, to some extent' OR 'No'.

Directly age- and gender-standardised

10-year age bands from 18 - 24 to 85 and over Gender (Males and females) Ethnicity Sexual orientation Religion Deprivation deciles (from 1 – most deprived to 10 – least deprived) Number of long-term conditions (One to four plus)

GP Patient Survey (GPPS) from Ipsos MORI (www.gp-patient.co.uk) Survey of adults registered with a GP Practice in England. The GP Patient Survey is commissioned by NHS England and is conducted by the independent survey organisation Ipsos MORI. Patients are eligible for the survey if they have a valid NHS number and they have been registered with a GP in England continuously for six months or longer. Additionally, to reduce survey fatigue, patients are not to receive more than one GP Patient Survey in any 12-month period. The GP Patient Survey includes a weight for non-response bias. This adjusts the data to account for potential differences between the demographic profile of all eligible patients in a practice and the patients who actually complete the questionnaire. Incorporates age, gender, factors from area of residence (level of deprivation, ethnicity profile, ACORN classification).

Published annually - from 2016/17 onwards one survey wave covers January – March, prior to this two survey waves per year covered July – September and January – March. Data is available 3 to 4 months after the end of the financial year

digital.nhs.uk/data-and-information/publications/statistical/nhs-outcomes-framework

files.digital.nhs.uk/8F/335AC1/NHSOFDomain2_S.pdf