Early Years Profile - Canterbury
November 2016
Produced by
Samantha Bennett: Public Health Consultant (samantha.bennett2@Kent.gov.uk) Del Herridge: Public Health Product & Data Manager ([email protected]) Zara Cuccu: Public Health Analyst ([email protected]) Lauren Liddell-Young: Information Officer ([email protected]) Correspondence to: Del Herridge Version: 1b Last Updated: November 2016
| Contents
1. Executive Summary ...... 2
1.1 Priorities for Canterbury ...... 2
1.2 Key Findings ...... 3
1.3 Call to Action ...... 5
2. Introduction & Objectives...... 6
3. Health Outcome Indicators ...... 9
3.1 Under 18 conceptions ...... 9
3.2 Infant mortality ...... 11
3.3 Low birth weight ...... 13
3.4 Smoking status at time of delivery ...... 15
3.5 Breastfeeding (initiation) ...... 16
3.6 Breastfeeding (prevalence at 6-8 weeks) ...... 17
3.7 Vaccination coverage ...... 18
3.8 Child development & school readiness ...... 20
3.9 Healthy weight (excess weight at 4-5 years) ...... 22
3.10 Tooth decay ...... 24
3.11 Hospital admissions due to an injury ...... 25
Appendix A: Ward key...... 27
Appendix B: Technical Information ...... 28
A.1.1 Confidence intervals ...... 28 A.1.1 Statistical significance ...... 28 A.1.1 Trend analysis ...... 28
Appendix C: Practice level immunisation data ...... 31
1 Early Years Profile – Canterbury, November 2016
| 1. Executive Summary
1.1 Priorities for Canterbury
• Reduce the number of women who smoke in pregnancy
o The rate of mothers smoking in pregnancy is almost 1 in 8 • Increase the prevalence & coverage of breastfeeding at 6-8 weeks
o Coverage of breastfeeding status is less than required 95%, whilst prevalence is only 45% • Increase MMR vaccination coverage
o Level of MMR dose 2 coverage is less than the recommended 90% • Reduce the percentage of reception year children who are overweight
o 1 in 5 reception year children are overweight
2 Early Years Profile – Canterbury, November 2016
1.2 Key Findings
Population Deprivation
16.5% 5.9% of children of Canterbury’s population were living in income are aged 0 to 5 deprived household
Northgate, St Stephens & Heron were highlighted as high.
Under 18 conceptions Infant mortality
20.4 per 1,000 2.6 per 1,000 15- 17 year olds live births between 2012 and 2014
Similar to Kent. Decreasing across Kent since 1998-2001. Decreasing since 1998-2000. Low birth weight (less than 2500g) Smoking at time of delivery
Of 1,414 maternities in 2015/16, 245 or 5.9% 172 were smoking at
of live births time of delivery between 2013 and 2014
12.2%
Similar to Kent. Stable since 1998-2000. Similar to previous years and Kent.
3 Early Years Profile – Canterbury, November 2016
Breastfeeding prevalence at 6-8 weeks MMR vaccination coverage The prevalence of 87.4% breastfeeding at 6-8 of children at age 5 years week check had received two doses of MMR
45.4% Similar to Kent and just short of 90% 12.0% had unknown breastfeeding vaccination coverage targets.
Child development Excess weight 74.0% Of children aged 4-5 years, measured as part of the of pupils achieved a good level of development National Child Measurement Programme
during 2014/15 20.0% were overweight or obese Similar to Kent. Similar to previous years and Kent. Tooth decay
Of children aged five surveyed,
experienced 15.1% decayed, missing or filled teeth
Similar to Kent.
4 Early Years Profile – Canterbury, November 2016
1.3 Call to Action
Overall, Canterbury performs similar to or better than Kent for the early years profile health outcome indicators.
Effective interventions should focus on the wards identified within the Mind the Gap analysis; particularly Northgate & Wincheap. From analysis these wards or practices serving these were often identified within the highest 10% of early years health outcome indicators across Canterbury.
5 Early Years Profile – Canterbury, November 2016
| 2. Introduction & Objectives
The report has been produced to mirror the NHS England and Public Health England, Child & Maternal Intelligence Network early years profiles for children aged 0 to 5 years.1 The early years have been well identified as the critical point to improve health and wellbeing over the life course.2
The health outcome indicators used include;
• under 18 conceptions, • infant mortality, • low birth weight, • smoking status at time of delivery, • breastfeeding prevalence at 6-8 weeks, • vaccination coverage, • child development, • excess weight, • tooth decay.
Comparisons have been made to Kent and England. Where possible, our analysis has been completed at a lower geographical level, by ward; therefore, we have pooled several years data to improve the reliability of our findings.
1 Public Health England (2015) National child & maternal health intelligence network: early years profiles. http://atlas.chimat.org.uk/IAS/dataviews/earlyyearsprofile 2 NHS England and Public Health England (2014) Guide to the early years profiles. https://www.england.nhs.uk/wp-content/uploads/2014/03/hv-ey-hlth-prof.pdf
6 Early Years Profile – Canterbury, November 2016
Canterbury is a district located within the east of the county. The main towns include; Canterbury, Whitstable, Herne Bay and Faversham. With good transport links from the A2 and M2, as well as, A28. The rest of the district is largely rural with many villages. A ward map has been included, the key for ward names within Appendix A.
The Health & Social Care Maps detail the headline demographic information for Canterbury. For the purpose of this report, we explored ward level population estimates for children aged 0 to 5, as a percentage of the all age resident population. For Canterbury 5.9% of its population were aged 0 to 5. The highest 20% and 10%;
Table 1: Resident population estimates, 2014: by ward.
Ward name Ages 0-5 All ages Percentage (n) (n) aged 0-5 (%) Herne and Broomfield 723 9076 8.0% Chartham and Stone Street 466 6047 7.7% Marshside 260 3400 7.6% Harbour 436 5807 7.5% Gorrell 476 6490 7.3% Source: ONS, produced by KPHO (ZC) October 2016.
7 Early Years Profile – Canterbury, November 2016
The Mind the Gap: Health Inequalities Action Plan for Kent sought to characterise the most deprived decile for Kent using segmentation. Within the Canterbury & Coastal CCG area (not coterminous with district boundary) this highlighted LSOAs within the wards of Davington Priory, Northgate, Gorrell, Seasalter & Wincheap. Which were characterised by being typically:
• Type 3: families in social housing • Type 4: young people in poor quality accommodation
See the Canterbury & Coastal CCG summary for detailed locality maps. The GP practices that serve the most deprived decile, include: Faversham Medical Practice, the Coach House Surgery, Newington Road Surgery, Northgate Medical Practice, Whitstable Medical Practice, Sturry Surgery, St Annes Group Practice and the Park Surgery.
The Income Deprivation Affecting Children Index has been mapped as part of the Health & Social Care Maps. This is an indicator that describes the proportion of children living within income deprived families.3
For Canterbury 16.5% of children were living in income deprived households. The highest 20% and 10% of Canterbury wards have been highlighted;
Table 2: Income deprivation affecting children, 2015.
Ward name Percentage of children living in income deprived households (%) Northgate 40.5% St Stephens 24.8% Heron 24.0% Wincheap 20.2% Source: IMD, produced by KPHO (ZC) October 2016.
3 Families that either receive Income Support or income-based Jobseekers Allowance or Employment and Support Allowance or Pension Credit (Guarantee) or families in receipt of Working Tax Credit or Child Tax Credit with an equivalised income (excluding housing benefit) below 60 per cent of the national median before housing costs.
8 Early Years Profile – Canterbury, November 2016
| 3. Health Outcome Indicators
3.1 Under 18 conceptions The indicator definition4 is the rate of conceptions under the age of 18 per 1,000 female population aged 15-17 years. See the following report for Kent analysis.
A key measure of inequality3 from the known relationship and poorer outcomes for mum and child in terms of:
• mum’s education, qualifications, risk of postnatal depression and mental health risk, • child’s likelihood of low birth weight, being breastfed and experiencing accidents and behavioural problems.
But, a limitation of this indicator is that it does not acknowledge miscarriage or abortion.
The rate of under 18 conceptions across Canterbury in 2012-2014 was:
• 20.4 per 1,000 female population aged 15-17 years,
• this was similar in comparison to 23.7 for Kent,
• and was lower in comparison to 25.0 for England.
4 NHS England and Public Health England (2014) Guide to the early years profiles. https://www.england.nhs.uk/wp-content/uploads/2014/03/hv-ey-hlth-prof.pdf
9 Early Years Profile – Canterbury, November 2016
The rate of under 18 conceptions across Canterbury between 1998-2000 and 2012- 2014 has been:
• decreasing by 1.2 under 18 conceptions per 1,000 female population with each passing time period,
• this was similar in comparison to decreases of 1.0 Kent and 1.3 in England.
Ward level under 18 conceptions have been mapped for Canterbury within the Health & Social Care Maps this includes the following wards5 within the highest 20% and highlights those in the upper 10%. Whereby the rate was greater than 29.0 per 1,000 female population aged 15-17 years.
Table 3: Under 18 conceptions: by ward in 2012-2014.
Local percentile Sturry North Northgate Within the highest 10% Wincheap Barton Within the highest 20% Heron Source: ONS, prepared by KPHO (ZC) October 2016.
5 Note: the remaining wards were suppressed due to conception counts less than 5.
10 Early Years Profile – Canterbury, November 2016
3.2 Infant mortality The indicator definition6 is the rate of infant deaths (persons aged less than 1 year) per 1,000 live births.
A key measure of inequality5 and an indicator of population health. There is a known relationship between infant mortality and:
• deprivation, maternal age under 20 years and non-white ethnicity of infant
This indicator is known to have a high level of validity.
The rate of infant mortality across Canterbury in 2013-20156 was:
• 2.6 per 1,000 live births, • this was in comparison to 3.0 for Kent. For Canterbury there were 11 infant deaths for the total period, which was an average of 3-4 infant deaths per year.
6 NHS England and Public Health England (2014) Guide to the early years profiles. https://www.england.nhs.uk/wp-content/uploads/2014/03/hv-ey-hlth-prof.pdf 6 Note: this is a locally produced figure, therefore, England data not available for the latest period.
11 Early Years Profile – Canterbury, November 2016
The rate of infant mortality across Canterbury has been presented between 1999- 2001 and 2012-2014:
• there were 22 infant deaths during 1999-2001,
• and a peak of 25 infant deaths during 2002-2004,
• this was in comparison to 14 infant deaths during 2012-2014.
Across Kent, there has been a decrease in infant mortality over the period studied.
12 Early Years Profile – Canterbury, November 2016
3.3 Low birth weight The indicator definition7 is the percentage of live births with a low birth weight (less than 2500g).
A key public health indicator5 and a known relationship between low birth weight and:
• deprivation, lifestyle factors and access to maternity services. • And outcomes for; morbidity, mortality in infancy and childhood, as well as, long term health outcomes in adulthood
This indicator is known to have limitations as an indicator within some ethnic groups.
The percentage of low birth weight across Canterbury in 2013-20157 was:
• 5.9% of live births, • similar this was in comparison to 5.8% for Kent.
7 NHS England and Public Health England (2014) Guide to the early years profiles. https://www.england.nhs.uk/wp-content/uploads/2014/03/hv-ey-hlth-prof.pdf 7 Note: this is a locally produced figure, therefore, England data not available for the latest period.
13 Early Years Profile – Canterbury, November 2016
Low birth weight across Canterbury has been presented between 2006-2008 and
2013-2015:
• there were 222 low birth weight live births during 2006-2008,
• this was in comparison to 245 during 2013-2015.
Kent shows a decrease in low birth weight over the period studied.
Ward level low birth weight has been mapped for Canterbury within the Health & Social Care Maps this includes the following wards within the highest 20% and highlights those in the upper 10%; Table 4: Low birth weight: by ward in 2013-2015. Local percentile Sturry North Heron Within the highest 10% Sturry South Reculver Chestfield and Swalecliffe Within the highest 20% North Nailbourne Source: ONS, prepared by KPHO (ZC) October 2016.
14 Early Years Profile – Canterbury, November 2016
3.4 Smoking status at time of delivery The indicator definition8 is the percentage of maternities whereby the woman was smoking at time of delivery.
A key public health indicator5 and a known relationship with:
• growth and development of baby, • complications during pregnancy, • as well as, preventable morbidity and mortality
This indicator is produced for CCGs and has been modelled to district level based on the number of births for district residents within CCGs. We are able to present data for the latest 3 contract years. All of the Kent districts met the quality indicator for less than 5% of records with an unknown smoking status.
The percentage smoking at time of delivery across Canterbury in 2015/16 was:
• 12.2% of maternities, similar to previous years
• and similar to 13.0% for Kent and 10.6% for England in 2015/16.
8 NHS England and Public Health England (2014) Guide to the early years profiles. https://www.england.nhs.uk/wp-content/uploads/2014/03/hv-ey-hlth-prof.pdf
15 Early Years Profile – Canterbury, November 2016
3.5 Breastfeeding (initiation) The indicator definition9 is the percentage of all mothers who breastfeed their babies in the first 48hrs after delivery.
A key public health indicator5 with known benefits from:
• reduced illness and hospital admissions, • and lifetime risk of obesity and diabetes The prevalence of breastfeeding initiation across the county in 2014/15 was 71.3%, which compares to an England rate of 74.3%. Several areas recorded no prevalence due to data quality issues. Data for 2015/16 is yet to be published.
The percentage of mothers who initiated breastfeeding in Canterbury in 2014/15:
• 74.9%
9 Taken from Public Health Profiles http://www.phoutcomes.info/search/Initiation#page/6/gid/1/pat/6/par/E12000008/ati/101/are/E07000110
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3.6 Breastfeeding (prevalence at 6-8 weeks) The indicator definition10 is the percentage of infants who were totally or partially breastfed at the 6-8 week check.
A key public health indicator5 with known benefits from:
• reduced illness and hospital admissions, • and lifetime risk of obesity and diabetes
None of the Kent districts met the quality indicator for more than 95% of maternities to have a known breastfeeding status. Therefore, there are great limitations for interpretation of this indicator, affecting accurate interpretation and comparison.
The percentage of infants totally or partially breastfed in Canterbury in 2015/16:
• 45.4% due a 6-8 week check,
• it should be recognised that 12.0% of maternities had a unknown status
10 NHS England and Public Health England (2014) Guide to the early years profiles. https://www.england.nhs.uk/wp-content/uploads/2014/03/hv-ey-hlth-prof.pdf
17 Early Years Profile – Canterbury, November 2016
3.7 Vaccination coverage The indicator definition11 is the percentage of children at age 5 years who have received two doses of MMR vaccine.
A key public health indicator5 for levels of other immunisation rates and the: • level of protection against vaccine preventable communicable diseases, • as well as, the overall levels of disease in the population. This indicator is produced at a general practice level and has been modelled to CCG level based on practice location. This was then apportioned to district level based on the numbers of children aged 5 years resident within the district as a proportion of the CCG total.
MMR vaccination coverage across Canterbury in 2015/167 was:
• 87.4% of children aged 5 years,
• this was similar in comparison to 85.9% for Kent.
Note 90% vaccination coverage targets are set for local authority districts.
11 NHS England and Public Health England (2014) Guide to the early years profiles. https://www.england.nhs.uk/wp-content/uploads/2014/03/hv-ey-hlth-prof.pdf
18 Early Years Profile – Canterbury, November 2016
MMR vaccination coverage has been presented for Kent and England between
2010/11 and 2015/16. For Kent:
• coverage was higher than England during 2010/11 and 2012/13,
• lower than England during 2014/15,
• but remains similar to England in the latest year.
MMR vaccination coverage for two doses (5 year olds); highlighted the following practices within the lowest 20% and the lowest 10%. Whereby coverage was 80% or lower.
Table 5: MMR vaccination coverage for two doses (5 year olds): by practice in 2015/16. Local percentile Canterbury Health Centre Within the lowest 10% Coach House Surgery Saddleton Road Surgery Within the lowest 20% Source: CHIS, prepared by KPHO (ZC) October 2016.
A wider range of general practice vaccination coverage data for Canterbury has been included within Appendix B.
19 Early Years Profile – Canterbury, November 2016
3.8 Child development & school readiness The indicator definition12 is the percentage of children achieving a good level of development at the end of Early Years Foundation Stage (the end of the academic year in which the child turns 5). This is defined as achieving the expected level in areas of learning13 and in specific areas of literacy and mathematics.
A key public health indicator and priority: 10
• essential of children’s healthy development, • fundamental to later outcomes and life chances.
This is an indication for those in receipt of government funded education at the end of Early Years Foundation Stage. Therefore, does not represent those not in receipt of government funded education. Note there has been some change to this indicator over time.
Good level of development in Canterbury in 2014/15 was:
• achieved by 74.0% of pupils, • this was similar in comparison to 73.6% for Kent and 66.3% for England.
12 Department for Education (2016) Early years foundation stage profile https://www.gov.uk/government/collections/statistics-early-years-foundation-stage-profile 13 personal, social and emotional development; physical development; and communication and language
20 Early Years Profile – Canterbury, November 2016
Achieving good level of development has been presented for Kent and England
between 2013/14 and 2016/17. For Kent:
• higher than England consistently across the period,
• and has increased over time.
Achieving good level of development; highlighted the following wards within the lowest 20% and the lowest 10%. Whereby achievement was lower than 70%.
Table 6: Good level of development: by ward in 2014/15. Local percentile Greenhill and Eddington Harbour Within the lowest 10% Northgate Wincheap Within the lowest 20% Heron Source: MIU, prepared by KPHO (ZC) October 2016.
21 Early Years Profile – Canterbury, November 2016
3.9 Healthy weight (excess weight at 4-5 years) The indicator definition14 is the percentage of children aged 4-5 years who were classified as overweight or obese of those who had valid height and weight measurements.
A key public health indicator and priority5 and known relationship with:
• risk of obesity in adulthood, • and increased morbidity and mortality.
Low participation would affect interpretation of prevalence estimates. Kent had high participation and met the quality indicator for greater than 90% participation by pupils in reception year.
The percentage of excess weight in Canterbury in 2014/15 was:
• 20.0% of those measured, • this was similar in comparison to 22.5% for Kent and 21.9% for England.
See the following for further analysis.
14 NHS England and Public Health England (2014) Guide to the early years profiles. https://www.england.nhs.uk/wp-content/uploads/2014/03/hv-ey-hlth-prof.pdf
22 Early Years Profile – Canterbury, November 2016
Overweight, obesity and excess weight across Canterbury and Kent has been presented between 2010/11 and 2014/15:
• the prevalence of overweight, obesity and excess weight has remained similar in both Canterbury and Kent between 2010/11 and 2014/15
Ward level reception year excess weight has been mapped for Dartford within the Health & Social Care Maps this includes the following wards within the highest prevalence of excess weight within the highest 20% and highlights those in the upper 10%;
Table 7: Excess weight in reception year: by ward in 2013/14-2014/15. Local percentile Northgate Wincheap Within the highest 10% Sturry North Chestfield & Swalecliffe Within the highest 20% Sturry South Source: NCMP, prepared by KPHO (ZC) October 2016.
23 Early Years Profile – Canterbury, November 2016
3.10 Tooth decay The indicator definition15 is the percentage of children at age five years, within the survey sample, who had experienced decayed, missing or filled teeth.
A key public health indicator5 known to impact:
• quality of life, appearance and confidence, • as well as, missed school and education.
Each survey covers a cohort or children and there have been methodological changes between previous surveys, limiting analysis of trend. Survey non-response has been identified to be higher within more deprived areas, known to have higher tooth decay.13
Tooth decay (decayed, missing or filled) in children age five across Canterbury in
2015:7
• 15.1% of children aged five years, • similar in comparison to 16.2% for Kent and lower than 24.7% England.
Among Canterbury children, the average number of decayed teeth was 0.63 (a child this age normally has 20 primary teeth).
15 NHS England and Public Health England (2014) Guide to the early years profiles. https://www.england.nhs.uk/wp-content/uploads/2014/03/hv-ey-hlth-prof.pdf
24 Early Years Profile – Canterbury, November 2016
3.11 Hospital admissions due to an injury The indicator definition is the number of children aged 0-4 years who were admitted to hospital as a result of a deliberate or unintentional injury in per 10,000 resident 0-4 year olds.
The admission rate in Canterbury in 2015/16 was:
• 122.5 per 10,000 population • this was similar in comparison to 118.6 for Kent.
25 Early Years Profile – Canterbury, November 2016
Ward level deliberate and unintentional injury admissions have been mapped for Canterbury within the Health & Social Care Maps. This includes the following wards with admissions rates within the highest 20% across Kent.
Deliberate and unintentional injury admissions: by ward in 2015/16.
The following wards had admission rates which were in the highest Kent quintile
• West Bay • Blean Forest • Sturry North • Westgate
Source: SUS, ONS prepared by KPHO (LLY) November 2016.
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| Appendix A: Ward key
Table 8: Canterbury: by ward
Key Name 153 Chartham & Stone Street 154 Barham Downs 155 Harbledown 156 Seasalter 157 Gorrell 158 Chestfield & Swalecliffe 159 North Nailbourne 160 Blean Forest 161 Little Stour 162 Sturry North 163 Marshside 164 Reculver 165 Wincheap 166 Harbour 167 Tankerton 168 Barton 169 St Stephens 170 Northgate 171 Sturry South 172 Greenhill & Eddington 173 Herne & Broomfield 174 Westgate 175 West Bay 176 Heron Source: ONS, produced by KPHO (ZC) October 2016
27 Early Years Profile – Canterbury, November 2016
| Appendix B: Technical Information
A.1.1 Confidence intervals Confidence intervals have been presented throughout this report. For percentages the Wilson & Newcombe method was used, whereas, for rates the Byar’s method was used.
A.1.1 Statistical significance Statistical significance has been referred to throughout this report. The Altman method was used to explore statistical significance for percentages, as overlapping confidence intervals do not necessarily indicate no significant difference.
A.1.1 Trend analysis Trend analysis has been referred to throughout this report. Simple linear regression was used to calculate slope, to explore rate of change of indicators over time. Visual inspection of the data determined whether the trend was stable and this method appropriate.
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Indicator Data definition
Rate of conceptions per 1,000 females aged Numerator: Total conceptions to all women aged under 18 15-17 Denominator: Total female population aged 15-17
Crude rate of infant deaths (persons aged Numerator: The number of infant deaths (aged under 1 year) in calendar year. less than 1 year) per 1,000 live births, Denominator: The number of live births in calendar years pooled data for three year periods.
Percentage of all live births at term with Numerator: Number of live births with low birth weight (<2500g) low birth weight. Denominator: Number of live births
Proportion of women smoking at time of Numerator: Number of women who smoke at time of delivery delivery Denominator: Number of maternities
Breastfeeding prevalence at 6-8 weeks Numerator: Number of infants who are totally or partially breastfed at 6-8 week check after birth Denominator: Total number of infants due a 6-8 week check
MMR vaccination coverage for two doses (5 Numerator: Number of children at age 5 years who have received two doses of MMR vaccine year olds) Denominator: Number of children at age 5 years resident within each reporting area
Children achieving good level of Numerator: Number of foundation stage pupils with a good level of development. development at the end of reception Denominator: Number of foundation stage pupils.
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Indicator Data definition
Percentage of children aged 4-5 classified Numerator: The number of primary school age children in Reception with valid height and as overweight or obese weight recorded who are classified as overweight or obese. Denominator: The total number of primary school age children in Reception with valid height and weight recorded in a particular school year.
Rate of tooth decay in children aged 5 years Numerator: Total number of decayed, missing or filled teeth in the survey sample of 5-year-old children Denominator: Number of 5-year-old children in the survey sample.
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| Appendix C: Practice level immunisation data
MMR vaccination coverage is a good indicator of vaccination coverage as a whole, due to public concerns regarding safety.
The table below shows vaccination coverage for general practices within Canterbury district:
31 Early Years Profile – Canterbury, November 2016
Table 9: Vaccination coverage: by practice in 2015/16.
Up to 1st Birthday Up to 2nd Birthday Up to 2nd Up to 5th Birthday primaries Up to 5th birthday boosters DTaP MenC PCV DTaP MMR MenC Hib PCV DT Pol Pertussis Hib MenC MMR PCV DtaP Hib MMR PCV Code Practice Name IPV Hib IPV Hib Infant MenC Booster Infant Infant 1st Infant IPV MenC Booster dose % % % % % % % % % % % % % % % % % % G82012 Cossington House Surgery 98.0 98.0 98.0 94.1 92.2 94.1 92.2 37.3 95.3 95.3 95.3 97.7 97.7 95.3 81.4 97.7 86.0 97.7 G82029 The Coach House Surgery 60.8 70.6 62.7 91.9 73.0 91.9 75.7 54.1 88.9 88.9 88.9 86.7 91.1 86.7 75.6 86.7 73.3 82.2 G82060 Northgate Medical Practice 85.6 92.8 83.8 92.7 78.1 98.3 89.9 43.3 95.5 95.5 95.5 94.4 93.9 94.4 89.9 93.3 88.3 90.5 G82061 Chartham Surgery 100.0 100.0 100.0 100.0 100.0 100.0 100.0 51.3 97.8 97.8 97.8 97.8 97.8 97.8 93.5 97.8 93.5 95.7 G82071 Whitstable Health Centre 92.4 96.8 92.4 94.6 91.9 96.7 91.9 80.7 97.1 97.1 97.1 97.1 96.5 96.3 92.3 95.5 92.0 93.4 G82082 Sturry Surgery 91.6 95.5 91.6 92.8 87.5 96.1 87.5 50.0 94.7 94.7 94.7 94.0 93.4 92.7 84.8 92.1 84.8 90.1 G82090 St Annes Group Practice 87.5 93.3 87.5 94.6 92.2 97.7 93.0 37.2 97.8 97.8 97.8 97.8 98.5 97.8 92.6 96.3 94.1 96.3 G82115 New Dover Road Surgery 86.0 94.2 86.0 95.8 95.8 96.9 92.7 56.3 92.7 92.7 92.7 91.7 95.8 93.8 87.5 93.8 86.5 92.7 G82119 The Park Surgery 77.8 91.9 82.7 60.0 88.2 82.4 89.4 48.8 98.1 98.1 98.1 98.1 96.2 98.1 89.2 95.3 88.3 94.4 G82140 University Medical Centre 95.8 95.8 95.8 87.9 90.9 90.9 81.8 57.6 79.3 79.3 79.3 79.3 82.8 79.3 82.8 79.3 82.8 75.9 G82204 William Street Surgery 93.2 97.7 93.2 91.4 91.4 94.3 91.4 60.0 97.4 97.4 97.4 97.4 97.4 97.4 92.1 97.4 92.1 97.4 G82228 Canterbury Medical Practice 69.7 93.2 91.7 90.3 85.8 91.0 85.8 41.0 94.7 94.7 94.7 93.4 94.7 94.0 83.4 91.4 82.1 90.7 G82726 Saddleton Road Surgery 89.5 94.7 94.7 100.0 83.9 100.0 87.1 71.0 92.0 92.0 92.0 92.0 92.0 92.0 80.0 92.0 80.0 92.0 G82790 The Old School Surgery 43.3 61.7 60.0 90.2 65.6 93.4 63.9 47.5 93.1 93.1 93.1 90.3 91.7 91.7 83.3 90.3 81.9 87.5 G82802 Canterbury Health Centre 86.0 92.0 86.0 94.4 83.3 94.4 83.3 53.7 91.4 91.4 91.4 93.1 89.7 91.4 70.7 89.7 72.4 86.2 Source: CHIS, prepared by KPHO (ZC) October 2016.
Key less than 80 80-90 90-95 95 or more
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