Social determinants of health (SDH) impact health and care outcomes but are outside the clinical system. Education, autonomy, housing and poverty all play a big role. (PROM, 31 words, 7 years)
Patient Measures
Community
What we can measure
- Social determinants (SDoH)
- Social contact
- Loneliness
- Neighbour relationships
- Personal safety
- Digital confidence (DCS)
Loneliness
(This measure is included as an alternative to Social Contact, based on guidance from the Office of National Statistics (ONS). (PROM, 17 words, 5 years)

Neighbour relationships
Social capital, community cohesion and relationships with your neighbours are impacted by how much people know, trust and help each other. (PROM, 19 words, 8 years)

Personal safety
Personal safety includes physical safety (from injury) and emotional safety (from verbal abuse or discrimination), which may take place either inside your own home or when you go out. (PROM, 30 words, 10 years)

Digital confidence (DCS)
Digital confidence assesses people’s confidence in using digital apps and similar devices. (PROM, 36 words, 12 years)
