Injury Indicators Consultation and Decision Process

In 2017, the AWISS team, based in the Farr Institute/Health Data Research UK centre at Swansea University, were commissioned to identify and develop a list of key injury indicators, to improve injury surveillance and support injury prevention programs and policies throughout Wales.

Welsh Government and Public Health Wales (PHW) reports ‘Public Health Outcomes Framework for Wales’ and ‘Early Years Outcomes Framework’ were utilised in the selection of the proposed injury indicators.

A number of factors influenced the design and development of the injury indicators:

  • Outcomes which are important to the health and well-being of the people of Wales
  • Align with Welsh Government Policy
  • Be amenable to interventions from public and other bodies that will lead to improved health and well-being, and reduce health inequalities
  • Be limited in number in order to be manageable
  • Form a coherent set, justified by rationale and evidence bases
  • Be capable of being summed up briefly in a way that will be readily understood by all
  • Where possible, be able to show important variation between areas and detect changes over time
  • Be able to be produced in a timely way
  • Where possible, be comparable with similar measures used outside of Wales
  • Be statistically appropriate
  • Utilise existing data collection systems where possible

Following a consultation process with individuals across Welsh health boards, Public Health Wales staff, academics, third sector organisations and injury prevention experts from a wide range of backgrounds; 25 injury prevention indicators for Wales were agreed:

  • All cause injuries – fatalities
  • All cause injuries – emergency hospital admissions
  • All cause injuries – emergency department attendances
  • All cause injuries – Disability adjusted life years
  • Home and leisure injuries in all age groups – emergency department attendances
  • Home and leisure injuries in all age groups – emergency hospital admissions
  • Unintentional injuries in the home in 0-7 year age group – emergency department attendances
  • Burns and scalds in 0-4 year age group – emergency hospital admissions
  • Falls in 65+ years – emergency hospital admissions
  • Road Traffic Injuries in all age groups – emergency department attendances
  • Road Traffic Injuries in all age groups – emergency hospital admissions
  • Road Traffic Injuries in young adults aged 17-24 years – fatalities
  • Road Traffic Injuries in young adults aged 17-24 years – emergency hospital admissions
  • Pedestrian and cycling injuries in 0-16 year age group – emergency hospital admissions
  • Poisoning in all age groups – emergency department attendances
  • Poisoning in all age groups – emergency hospital admissions
  • Poisoning in children and young people aged 0-24 years – emergency department attendances
  • Poisoning in children and young people aged 0-24 years – emergency hospital admissions
  • Self-harm in young people aged 10-24 years – fatalities
  • Self-harm in young people aged 10-24 years – emergency hospital admissions
  • Assault in all age groups – emergency hospital admissions
  • Public Health Outcome Framework (PHOF): Hip fractures among older people, analysis lead by Public Health Wales
  • PHOF: Injury related deaths, analysis lead by Public Health Wales
  • PHOF: Road Traffic injury deaths, analysis lead by Public Health Wales
  • PHOF: Suicide, analysis lead by Public Health Wales