Living Well: Overview Living well in DGS CCG ContentsContents
Overview Demographics Demographics Premature mortality Premature mortality Healthcare usage Healthcare usage Clinical effectiveness Clinical effectiveness Lifestyle Lifestyle User guide Multimorbidity Multimorbidity Living Well in DGS CCG Living Well: DGS CCG Heath and Social Care Maps PREMATURE DEATHS LIFE EXPECTANCY LONG TERM CONDITIONS (under 75 years) at birth recorded prevalence Cause of death Infographic Diabetes Hypertension 8% 7% 6.9% Ages 17+ 2% 5% 4% 83.1 13.8% 4% years All ages 8% Other 2% Asthma 28% Cancer 79.6 COPD 6% 45% years 4.8% All ages 2% Circulatory 1.7% 5% 26% Source: QOF, 2018/19 All ages 20%Respiratory 4% 8% MENTAL HEALTH Other 9% 2% 2%3% Ward-level life expectancy (men) Depression
Highest 89.9 Riverview 7.6% Of adults recorded by their GP as having depression Inequalities by deprivation Emergency hospital admissions 504.3 Premature mortality per 100,000 rates (ASR) 79.9 Kent for serious mental health conditions 203.8 79.6 DGS CCG per 100,000 431 in 2018/19 Most Least Lowest 75.9 Bean & Darenth deprived deprived Health and Social CareSource: Maps: PCMD, 2017, 2013-2017 Source: NCMP, 2014/15Source:- 2015/16PCMD, 2013 combined-2017 Source: QOF, 2018/19;0 HES, Demographics
Index of Multiple Deprivation (IMD)
Living Well in DGS CCG Index of Multiple Deprivation (IMD): by electoral ward Overall IMD score, population weighted quintile, 2019
Littlebrook Northfleet North Joyce Princes Riverside
Westcourt
Coldharbour
Singlewell
Swanley St Mary's
Overall IMD score
1 Greater than 28.1 1 19.1 to 28.1 1 14.7 to 19.1 1 10.9 to 14.7 1 Less than 10.9
Source: DCLG, prepared by KPHO (MP), Oct-19
Living Well in DGS CCG Premature mortality
Premature mortalty from all causes Causes of premature death
Living Well in DGS CCG Premature mortality from all causes: by electoral ward Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: A00-Y99), 2015-2017 Ward Dartford, Gravesham & Swanley CCG Kent Labels
1200
1000
800
600
400
200
0 Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in DGS CCG Premature mortality from all causes: by electoral ward Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: A00-Y99), 2015- 2017
Littlebrook Swanscombe Pelham Joyce Princes
Brent
Bean & Darenth Coldharbour
Painters Ash
Age standardised rate per 100,000 people aged under 75 years
1 Greater than 391.6 1 324.9 to 391.6 1 286.9 to 324.9 1 225.8 to 286.9 1 Less than 225.8
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in DGS CCG Premature mortality from all causes: by CCG Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: A00-Y99), 2015-2017 CCG Kent Labels
1,200
1,000
800
600
400
200 Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age
0 Ashford CCG Canterbury and Coastal Dartford, Gravesham South Kent Coast CCG Swale CCG Thanet CCG West Kent CCG CCG and Swanley CCG
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in DGS CCG Premature mortality from all causes: trend Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10:A00-Y99), 2010 to 2017
Dartford,Gravesham & Swanley CCG Kent Labels
1,200
1,000
800
600
400
200
0 Age standardised rate100,000 per relevant resident population 2010 2011 2012 2013 2014 2015 2016 2017
Decreasing with a similar pace of change to Kent
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in DGS CCG Premature mortality from all causes: by deprivation Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: A00-Y99), 2010 to 2017
Kent least deprived Dartford, Gravesham & Swanley CCG least deprived Kent most deprived Dartford,Gravesham & Swanley CCG most deprived
1,200
1,000
800
600 525.2 496.4 495.9 507.2 490.6 433.5 441.9 438.7
400
200 267.2 250.1 231.4 209.1 212.0 193.2 209.5 193.2
0 Age standardised rate 100,000per relevant resident population 2010 2011 2012 2013 2014 2015 2016 2017
Least deprived trend - no significant change compared with stable trend for Kent Most deprived trend - decreasing compared with stable trend for Kent
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in DGS CCG Causes of premature mortality Underlying cause of death for persons aged under 75 years, 2017
8% 7%
2% 5% 4% 4%
Other 2% 8% 28%
Cancer 45% 6% Circulatory Cancer Ischaemic heart disease 2% Lung Heart disease (other) 26% Colorectal Circulatory Cerebrovascular diseases 5% Breast 20% Other Prostate Respiratory 4% Other 8% Other Injuries Respiratory Gastrointestinal diseases 9% 2% 3% 2% Pneumonia Neurological conditions Bronchitis, emphysema & other COPD Infant & congenital conditions Other Other
Source: PCMD, prepared by KPHO (RK), Jul -18
Living Well in DGS CCG Healthcare usage
A&E attendances Elective hospital admissions Emergency hospital admissions
Living Well in DGS CCG Accident & Emergency attendances: by electoral ward Age standardised rate per 100,000 resident population, , 2016/17-2018/19
Ward Dartford, Gravesham & Swanley CCG Kent Labels
100,000
80,000
60,000
40,000
20,000
0 Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (SR), Dec-19
Living Well in DGS CCG Accident & Emergency attendances: by electoral ward Age standardised rate per 100,000 resident population, 2016/17-2018/19
Littlebrook Swanscombe Pelham Northfleet North Joyce Central Princes Riverside Stone Whitehill
Westcourt Bean & Darenth Coldharbour
Singlewell
Hospital Episode Statistics (HES), NHS Digital, ONS
1 Greater than 45,312.4 1 37,571.8 to 45,312.4 1 33,267.1 to 37,571.8 1 29,290.9 to 33,267.1 1 Less than 29,290.9
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (SR), Dec-19
Living Well in DGS CCG Accident & Emergency attendances: by CCG Age standardised rate per 100,000 resident population, , 2016/17-2018/19
CCG Kent Labels
100,000
80,000
60,000
40,000
20,000
0 Ashford CCG Canterbury and Coastal Dartford, Gravesham South Kent Coast CCG Swale CCG Thanet CCG West Kent CCG
Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age CCG and Swanley CCG
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (SR), Dec-19
Living Well in DGS CCG Accident & Emergency attendances: trend Age standardised rate per 100,000 resident population, 2010/11 - 2012/13 to 2016/17 - 2018/19
Dartford,Gravesham & Swanley CCG Kent Labels
100,000
80,000
60,000
40,000
20,000 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 2014/15 - 2016/17 2015/16 - 2017/18 2016/17 - 2018/19
Increasing with a similar pace of change to Kent
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (SR), Dec-19
Living Well in DGS CCG Accident & Emergency attendances: by deprivation Age standardised rate per 100,000 resident population, 2011/12 - 2013/14 to 2016/17 - 2018/19
Kent least deprived Dartford, Gravesham & Swanley CCG least deprived Kent most deprived Dartford,Gravesham & Swanley CCG most deprived
100,000
80,000
60,000 51,049.3 49,263.3 49,933.3 45,551.7 41,922.2 38,406.8 40,000
32,558.6 30,860.6 31,570.6 20,000 28,584.1
25,664.8 26,875.1 Age standardised rate100,000 per relevant resident population 0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 2014/15 - 2016/17 2015/16 - 2017/18 2016/17 - 2018/19
Least deprived trend - increasing with a similar pace of change to Kent Most deprived trend - increasing with a similar pace of change to Kent
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (SR), Dec-19
Living Well in DGS CCG Elective hospital admissions: by electoral ward Age standardised rate per 100,000 resident population, 2016/17-2018/19
Ward Dartford, Gravesham & Swanley CCG Kent Labels
35,000
30,000
25,000
20,000
15,000
10,000
5,000
0 Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Nov-19
Living Well in DGS CCG Elective hospital admissions: by electoral ward Age standardised rate per 100,000 resident population, 2016/17-2018/19
Littlebrook West Hill Town Newtown Swanscombe Northfleet North Joyce Central Princes Northfleet South Riverside Stone Sutton-at-Hone & Whitehill Hawley Heath Greenhithe Chalk Brent Wilmington
Joydens Wood Westcourt Bean & Darenth Hextable Istead Rise Coldharbour
Swanley White Oak Singlewell Riverview
Swanley St Mary's Woodlands
Swanley Christchurch Painters Ash & Swanley Village Ash Crockenhill & Well Hill Age standardised rate per 100,000 Longfield, New Barn & Southfleet resident population Meopham North 1 Greater than 15,908.4 Hartley & Hodsoll Street 1 14,612.7 to 15,908.4 1 13,873.4 to 14,612.7 Fawkham & West Kingsdown 1 12,968.7 to 13,873.4 1 Less than 12,968.7
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Nov-19
Living Well in DGS CCG Elective hospital admissions: by CCG Age standardised rate per 100,000 resident population, 2016/17-2018/19
CCG Kent Labels
35,000
30,000
25,000
20,000
15,000
10,000
5,000
0 Ashford CCG Canterbury and Coastal Dartford, Gravesham South Kent Coast CCG Swale CCG Thanet CCG West Kent CCG
Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age CCG and Swanley CCG
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Nov-19
Living Well in DGS CCG Elective hospital admissions: trend Age standardised rate per 100,000 resident population, 2011/12 - 2013/14 to 2016/17 - 2018/19
Dartford,Gravesham & Swanley CCG Kent Labels
35,000
30,000
25,000
20,000
15,000
10,000
5,000 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 2014/15 - 2016/17 2015/16 - 2017/18 2016/17 - 2018/19
Increasing compared with a stable trend for Kent
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Nov-19
Living Well in DGS CCG Elective hospital admissions: by deprivation Age standardised rate per 100,000 resident population, 2011/12 - 2013/14 to 2016/17 - 2018/19
Kent least deprived Dartford, Gravesham & Swanley CCG least deprived Kent most deprived Dartford,Gravesham & Swanley CCG most deprived
35,000
30,000
25,000
18,786.4 18,687.7 20,000 17,988.5 18,454.4 16,848.1 16,089.9
15,000 16,514.3 16,887.9 16,962.4 15,770.4 14,681.6 13,887.3 10,000
5,000 Age standardised rate100,000 per relevant resident population 0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 2014/15 - 2016/17 2015/16 - 2017/18 2016/17 - 2018/19
Least deprived trend - increasing with a similar pace of change to Kent Most deprived trend - increasing compared with a stable trend for Kent
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Nov-19
Living Well in DGS CCG Emergency hospital admissions: by electoral ward Age standardised rate per 100,000 resident population, 2016/17-2018/19
Ward Dartford, Gravesham & Swanley CCG Kent Labels
22,000
20,000
18,000
16,000
14,000
12,000
10,000
8,000
6,000
4,000
2,000
0 Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (JS), Nov-19
Living Well in DGS CCG Emergency hospital admissions: by electoral ward Age standardised rate per 100,000 resident population, 2016/17-2018/19
Greenhithe Littlebrook Town Joyce Northfleet North Pelham Stone Swanscombe Princes Riverside
Bean & Darenth Westcourt
Coldharbour
Swanley White Oak
Swanley St Mary's
Age standardised rate per 100,000 resident population
1 Greater than 11,976.8 1 10,754.1 to 11,976.8 1 9,908.2 to 10,754.1 1 8,901.0 to 9,908.2 1 Less than 8,901.0
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (JS), Nov-19
Living Well in DGS CCG Emergency hospital admissions: by CCG Age standardised rate per 100,000 resident population, 2016/17-2018/19
CCG Kent Labels
22,000
20,000
18,000
16,000
14,000
12,000
10,000
8,000
6,000
4,000
2,000
0 Ashford CCG Canterbury and Coastal Dartford, Gravesham South Kent Coast CCG Swale CCG Thanet CCG West Kent CCG
Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age CCG and Swanley CCG
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (JS), Nov-19
Living Well in DGS CCG Emergency hospital admissions: trend Age standardised rate per 100,000 resident population, 2011/12 - 2013/14 to 2016/17 - 2018/19
Dartford,Gravesham & Swanley CCG Kent Labels
22,000
20,000
18,000
16,000
14,000
12,000
10,000
8,000
6,000
4,000
2,000 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 2014/15 - 2016/17 2015/16 - 2017/18 2016/17 - 2018/19
Increasing with a similar pace of change to Kent
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (JS), Nov-19
Living Well in DGS CCG Emergency hospital admissions: by deprivation Age standardised rate per 100,000 resident population, 2011/12 - 2013/14 to 2016/17 - 2018/19
Kent least deprived Dartford, Gravesham & Swanley CCG least deprived Kent most deprived Dartford,Gravesham & Swanley CCG most deprived
22,000
20,000
18,000
16,000 14,329.0 14,264.8 14,423.4 13,698.3 13,873.1 13,850.9 14,000
12,000
10,000
8,000 9,114.5 8,540.2 8,099.5 8,423.0 8,382.7 8,406.5 6,000
4,000
2,000 Age standardised rate100,000 per relevant resident population 0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 2014/15 - 2016/17 2015/16 - 2017/18 2016/17 - 2018/19
Least deprived trend - increasing with a similar pace of change to Kent Most deprived trend - no significant change compared with an increasing trend for Kent
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (JS), Nov-19
Living Well in DGS CCG Clinical effectiveness
Mortality from causes considered avoidable Mortality from causes considered amenable Mortality from causes considered preventable Avoidable admissions for chronic conditions Avoidable admissions for acute conditions
Living Well in DGS CCG Avoidable mortality: by electoral ward Age standardised rate per 100,000 resident population, for potentially avoidable deaths identified by using underlying cause and age group, 2013-2017 Ward Dartford, Gravesham & Swanley CCG Kent Labels
1,200
1,000
800
600
400
200
0 Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in DGS CCG Avoidable mortality: by electoral ward Age standardised rate per 100,000 resident population, for potentially avoidable deaths identified by using underlying cause and age group, 2013-2017
Littlebrook Swanscombe Pelham Northfleet North Princes Riverside Stone Sutton-at-Hone & Hawley Greenhithe Brent
Coldharbour
Swanley White Oak
Age standardised rate per 100,000 resident population
1 Greater than 251.8 1 209.8 to 251.8 1 180.0 to 209.8 1 140.7 to 180.0 1 Less than 140.7
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in DGS CCG Avoidable mortality: by CCG Age standardised rate per 100,000 resident population, for potentially avoidable deaths identified by using underlying cause and age group, 2013-2017 CCG Kent Labels
1,200
1,000
800
600
400
200 Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age
0 Ashford CCG Canterbury and Coastal Dartford, Gravesham South Kent Coast CCG Swale CCG Thanet CCG West Kent CCG CCG and Swanley CCG
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in DGS CCG Avoidable mortality: trend Age standardised rate per 100,000 resident population, for potentially avoidable deaths identified by using underlying cause and age group, 2010 - 2012 to 2015 - 2017
Dartford,Gravesham & Swanley CCG Kent Labels
800
600
400
200
0 Age standardised rate100,000 per relevant resident population 2010 - 2012 2011 - 2013 2012 - 2014 2013 - 2015 2014 - 2016 2015 - 2017
No significant change compared with a stable trend for Kent
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in DGS CCG Avoidable mortality: by deprivation Age standardised rate per 100,000 resident population, for potentially avoidable deaths identified by using underlying cause and age group, 2010 - 2012 to 2015 - 2017
Kent least deprived Dartford, Gravesham & Swanley CCG least deprived Kent most deprived Dartford,Gravesham & Swanley CCG most deprived
800
600
400 327.1 326.9 334.1 325.4 318.7 288.3
200
144.2 139.8 132.9 133.5 133.2 134.1
0 Age standardised rate 100,000per relevant resident population 2010 - 2012 2011 - 2013 2012 - 2014 2013 - 2015 2014 - 2016 2015 - 2017
Least deprived trend - no significant change compared with an stable trend for Kent Most deprived trend - no significant change compared with a stable trend for Kent
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in DGS CCG Amenable mortality: by electoral ward Age standardised rate per 100,000 resident population, for deaths amenable to healthcare identified by using underlying cause and age group, 2013-2017 Ward Dartford, Gravesham & Swanley CCG Kent Labels
600
500
400
300
200
100
0 Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in DGS CCG Amenable mortality: by electoral ward Age standardised rate per 100,000 resident population, for deaths amenable to healthcare identified by using underlying cause and age group, 2013-2017
Littlebrook Swanscombe Northfleet North Princes Riverside
Sutton-at-Hone & Hawley
Brent Higham
Bean & Darenth Coldharbour
Swanley White Oak
Swanley St Mary's
Age standardised rate per 100,000 resident population
1 Greater than 146.2 1 114.8 to 146.2 1 94.4 to 114.8 1 75.8 to 94.4 1 Less than 75.8
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in DGS CCG Amenable mortality: by CCG Age standardised rate per 100,000 resident population, for deaths amenable to healthcare identified by using underlying cause and age group, 2013-2017 CCG Kent Labels
600
500
400
300
200
100 Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age
0 Ashford CCG Canterbury and Coastal Dartford, Gravesham South Kent Coast CCG Swale CCG Thanet CCG West Kent CCG CCG and Swanley CCG
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in DGS CCG Amenable mortality: trend Age standardised rate per 100,000 resident population, for deaths amenable to healthcare identified by using underlying cause and age group, 2010 - 2012 to 2015 - 2017
Dartford,Gravesham & Swanley CCG Kent Labels
600
500
400
300
200
100
0 Age standardised rate100,000 per relevant resident population 2010 - 2012 2011 - 2013 2012 - 2014 2013 - 2015 2014 - 2016 2015 - 2017
Decreasing with a similar pace of change to Kent
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in DGS CCG Amenable mortality: by deprivation Age standardised rate per 100,000 resident population, for deaths amenable to healthcare identified by using underlying cause and age group, 2010 - 2012 to 2015 - 2017
Kent least deprived Dartford, Gravesham & Swanley CCG least deprived Kent most deprived Dartford,Gravesham & Swanley CCG most deprived
600
500
400
300
193.6 193.6 186.6 183.7 169.6 200 162.5
100
84.0 79.1 79.8 78.1 70.6 68.5
0 Age standardised rate 100,000per relevant resident population 2010 - 2012 2011 - 2013 2012 - 2014 2013 - 2015 2014 - 2016 2015 - 2017
Least deprived trend - decreasing compared with an stable trend for Kent Most deprived trend - decreasing with a faster pace of change than Kent
Source: PCMD, prepared by KPHO (RK), Nov-18 Preventable mortality: by electoral ward Age standardised rate per 100,000 resident population, for deaths that could be prevented by health intervention identified by using underlying cause and age group, 2013-2017 Ward Dartford, Gravesham & Swanley CCG Kent Labels
800
700
600
500
400
300
200
100
0 Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in DGS CCG Preventable mortality: by electoral ward Age standardised rate per 100,000 resident population, for deaths that could be prevented by health intervention identified by using underlying cause and age group, 2013-2017
Littlebrook Swanscombe Pelham Northfleet North Central Princes Castle Riverside Stone Sutton-at-Hone & Hawley Greenhithe Brent
Westcourt
Coldharbour
Age standardised rate per 100,000 resident population
1 Greater than 210.9 1 174.3 to 210.9 1 144.7 to 174.3 1 118.4 to 144.7 1 Less than 118.4
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in DGS CCG Preventable mortality: by CCG Age standardised rate per 100,000 resident population, for deaths that could be prevented by health intervention identified by using underlying cause and age group, 2013-2017 CCG Kent Labels
800
700
600
500
400
300
200
100 Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age
0 Ashford CCG Canterbury and Coastal Dartford, Gravesham South Kent Coast CCG Swale CCG Thanet CCG West Kent CCG CCG and Swanley CCG
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in DGS CCG Preventable mortality: trend Age standardised rate per 100,000 resident population, for deaths that could be prevented by health intervention identified by using underlying cause and age group, 2010 - 2012 to 2015 - 2017
Dartford,Gravesham & Swanley CCG Kent Labels
800
700
600
500
400
300
200
100
0 Age standardised rate100,000 per relevant resident population 2010 - 2012 2011 - 2013 2012 - 2014 2013 - 2015 2014 - 2016 2015 - 2017
No significant change compared with a stable trend for Kent
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in DGS CCG Preventable mortality: by deprivation Age standardised rate per 100,000 resident population, for deaths that could be prevented by health intervention identified by using underlying cause and age group, 2010 - 2012 to 2015 - 2017
Kent least deprived Dartford, Gravesham & Swanley CCG least deprived Kent most deprived Dartford,Gravesham & Swanley CCG most deprived
800
700
600
500
400
267.3 272.4 280.8 275.2 268.4 300 234.5
200
100 124.8 119.1 107.4 106.5 110.2 112.6
0 Age standardised rate 100,000per relevant resident population 2010 - 2012 2011 - 2013 2012 - 2014 2013 - 2015 2014 - 2016 2015 - 2017
Least deprived trend - no significant change compared with decreasing trend for Kent Most deprived trend - no significant change compared with stable trend for Kent
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in DGS CCG Avoidable emergency hospital admissions for chronic ambulatory care sensitive conditions: by CCG
Age standardised rate per 100,000 resident population, persons, 2016/17-2018/19
CCG Kent Labels
3,000
2,500
2,000
1,500
1,000
500
0 Ashford CCG Canterbury and Coastal Dartford, Gravesham South Kent Coast CCG Swale CCG Thanet CCG West Kent CCG
Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age CCG and Swanley CCG
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20
Living Well in DGS CCG Avoidable emergency hospital admissions for chronic ambulatory care sensitive conditions: trend
Age standardised rate per 100,000 resident population, persons, 2011/12 - 2013/14 to 2016/17 - 2018/19
Dartford,Gravesham & Swanley CCG Kent Labels
3,000
2,500
2,000
1,500
1,000
500 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 2014/15 - 2016/17 2015/16 - 2017/18 2016/17 - 2018/19
No significant change compared with a stable trend for Kent
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan -20
Living Well in DGS CCG Avoidable emergency hospital admissions for chronic ambulatory care sensitive conditions: by deprivation Age standardised rate per 100,000 resident population, persons, 2010/11 - 2014/15 to 2014/15 - 2018/19
Kent least deprived Dartford, Gravesham & Swanley CCG least deprived Kent most deprived Dartford,Gravesham & Swanley CCG most deprived
3,000
2,500
2,000
1,500 1,279.0 1,209.4 1,215.2 1,164.6 1,159.0
1,000
500 621.4 589.7
558.3 568.2 594.3 Age standardised rate100,000 per relevant resident population 0 2010/11 - 2014/15 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19
Least deprived trend - no significant change with a similar pace of change to Kent Most deprived trend - no significant change compared with an stable trend for Kent
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan -20
Living Well in DGS CCG Avoidable emergency hospital admissions for acute conditions: by electoral ward Age standardised rate per 100,000 resident population, persons, 2016/17-2018/19
Ward Dartford, Gravesham & Swanley CCG Kent Labels
3,000
2,500
2,000
1,500
1,000
500
0 Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20
Living Well in DGS CCG Avoidable emergency hospital admissions for acute conditions: by electoral ward Age standardised rate per 100,000 resident population, persons, 2016/17-2018/19
Littlebrook Swanscombe Pelham Northfleet North Joyce Princes Riverside Stone
Brent
Bean & Darenth
Swanley White Oak Singlewell
Swanley St Mary's Woodlands
Age standardised rate per 100,000 resident population
1 Greater than 1,550.1 1 1,365.4 to 1,550.1 1 1,209.7 to 1,365.4 1 1,049.2 to 1,209.7 1 Less than 1,049.2
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20
Living Well in DGS CCG Avoidable emergency hospital admissions for acute conditions: by CCG Age standardised rate per 100,000 resident population, persons, 2016/17-2018/19
CCG Kent Labels
3,000
2,500
2,000
1,500
1,000
500
0 Ashford CCG Canterbury and Coastal Dartford, Gravesham South Kent Coast CCG Swale CCG Thanet CCG West Kent CCG
Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age CCG and Swanley CCG
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20
Living Well in DGS CCG Avoidable emergency hospital admissions for acute conditions: trend Age standardised rate per 100,000 resident population, persons, 2011/12 - 2013/14 to 2016/17 - 2018/19
Dartford,Gravesham & Swanley CCG Kent Labels
3,000
2,500
2,000
1,500
1,000
500 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 2014/15 - 2016/17 2015/16 - 2017/18 2016/17 - 2018/19
Increasing with a similar pace of change to Kent
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan -20
Living Well in DGS CCG Avoidable emergency hospital admissions for acute conditions: by deprivation Age standardised rate per 100,000 resident population, persons, 2011/12 - 2013/14 to 2016/17 - 2018/19
Kent least deprived Dartford, Gravesham & Swanley CCG least deprived Kent most deprived Dartford,Gravesham & Swanley CCG most deprived
3,000
2,500
2,000 1,821.5 1,759.8 1,666.3 1,599.0 1,508.0 1,551.3 1,500
1,000 1,203.5 1,111.9 992.1 1,047.2 972.6 970.0
500 Age standardised rate100,000 per relevant resident population 0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 2014/15 - 2016/17 2015/16 - 2017/18 2016/17 - 2018/19
Least deprived trend - increasing compared with an increasing trend for Kent Most deprived trend - increasing with a similar pace of change to Kent
Source:
Living Well in DGS CCG Lifestyle
Excess weight Physical activity Smoking Fruit and vegetable consumption
Living Well in DGS CCG Adults classified as overweight or obese: by district Percentage of adults (aged 18+) classified as overweight or obese, 2017/18
District Kent Labels
100
Percentage 80
60
40
20
0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Shepway Swale Thanet Tonbridge & Tunbridge Malling Wells
Source: Public Health England (based on Active Lives survey, Sport England), prepared by KPHO (LLY), May-19
Living Well in DGS CCG Physical inactivity in adults: by district Percentage of adults (aged 19+) that are physically inactive (<30 moderate intensity equivalent minutes per week), 2017/18
District Kent Labels
40 Percentage 30
20
10
0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Shepway Swale Thanet Tonbridge & Tunbridge Malling Wells
Source: Public Health England (based on Active Lives, Sport England), prepared by KPHO (SR), Jun-19 Smoking prevalence in adults: by district Percentage of adults (aged 18+) who are self-reported smokers, 2018
District Kent Labels
40
35 Percentage 30
25
20
15
10
5
0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells
Source: Annual Population Survey (APS), prepared by KPHO (MP), Nov-19
Living Well in DGS CCG Smoking prevalence in adults: trend Percentage of adults (aged 18+) who are self-reported smokers, 2011 to 2018
England Kent Kent Labels
40
35 Percentage
30
25
20
15
10
5
0 2011 2012 2013 2014 2015 2016 2017 2018
Source: Annual Population Survey (APS), prepared by KPHO (MP), Nov-19
Living Well in DGS CCG Fruit and vegetable consumption in adults: by district Percentage of adults (aged 16+) meeting the recommended '5-a-day' on a 'usual day', 2017/18
District Kent Labels
100
Percentage 80
60
40
20
0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Shepway Swale Thanet Tonbridge & Tunbridge Malling Wells
Source: Public Health England (based on Active Lives, Sport England), prepared by KPHO (SR), Jun-19
Living Well in DGS CCG Multimorbidity
Multimorbidity prevalence Prevalence of long term condition combinations
Living Well in DGS CCG Multimorbidity (developmental statistics): by CCG Patients (aged 25 years and over) recorded by their GP as having 2 or more long-term conditions, analysis is restricted to GP practices flowing data into the KID at time of the analysis, 2019 CCG Kent Labels
45,000
40,000
35,000
30,000
25,000
20,000
15,000
10,000
5,000 Age standardised rate per 100,000 population relevant 100,000 per rate standardised Age
0 Ashford CCG Canterbury and Coastal Dartford, Gravesham South Kent Coast CCG Swale CCG Thanet CCG West Kent CCG CCG and Swanley CCG
Source: Kent Integrated Dataset (KID), prepared by KPHO (LLY), Aug-19
Living Well in DGS CCG Multimorbidity (developmental statistics): Prevalence of long term condition combinations
Patients recorded by their GP as having specific combinations of long term conditions, Kent, March 2018
AF Asthma Cancer CHD CKD COPD Dementia Depression Diabetes Epilepsy HF Hypertension LD MH Obesity Osteoporosis PAD RA Stroke
AF
Asthma 1.8% 2.2%
Cancer 0.0%
CHD 0.0%
CKD 2.1%
COPD
Dementia
Depression 2.3% 3.5%
Diabetes 2.8% 2.4%
Epilepsy
HF
Hypertension 5.1%
LD
MH
Obesity
Osteoporosis
PAD
Source: Kent Integrated Dataset (KID), prepared by KPHO (TG), March 2018 RA * Figures relate to persons resident in Kent and registered at a GP participating in the KID in March 2018 Stroke
Living Well in DGS CCG