Starting Well: Children in ContentsContents

Overview Demographics Demographics Birth statistics Birth statistics Wellbeing Wellbeing Healthcare usage Healthcare usage

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Starting Well: Children in Dartford Starting Well: Children in Dartford Heath and Social Care Maps BIRTHS CHILDHOOD OBESITY WELLBEING 1,668 Infographic 25% births in 2018 of Year R pupils overweight receive two doses of the MMR vaccine by Low birth weight or obese 88% age 5 37% 5.3% of Year 6 pupils Source: ONS, NHS Digital, 2012-2016 overweight or obese Infant mortality Source: NHS , Source: NCMP, 2014/15-2018/19 2014/15-2018/19 4.6 Ward-level excess weight (Year 6) In 2018/19 amongst 0-24 year olds: per 1,000 44% Source: PCMD, ONS, NHS Digital, 2014-2016 Highest Town Teenage conceptions Hospital admissions 359 for unintentional injuries 37% Dartford down 33% 59% 15.2 A&E 17,034 per 1,000 attendances Lowest 28% Joydens Wood 2009 2017 Source: ONS Source: NCMP, 2014/15-2018/19 combined Source: HES Images from Noun Project Health and Social Care Maps: 0 Demographics

Population numbers: Ages 0 to 4 Population projections: Ages 0 to 4 Population numbers: Ages 0 to 19 Population projections: Ages 0 to 19 Population Numbers: Summary table Income Deprivation Affecting Children Index (IDACI)

Starting Well: Children in Dartford Children aged 0-4 years: by electoral ward Office for National Statistics mid-year estimates, number and percentage of the relevant resident population, 2018

1,400

number 1,200

1,000

800

600

400

200

0

Source: ONS, prepared by KPHO (LLY), Oct-19

Starting Well: Children in Dartford Children aged 0-4 years: by electoral ward Office for National Statistics mid-year estimates, number and percentage of the relevant resident population, 2018

Joyce Green

Littlebrook

Stone

Newtown

Swanscombe

Princes

Office for National Statistics mid- year estimates

1 Greater than 451 1 339 to 451 1 253 to 339 1 154 to 253 1 Less than 154

Source: ONS, prepared by KPHO (MP), Oct-19

Starting Well: Children in Dartford Children aged 0-4 years: population projections Office for National Statistics 2016-based projections, KCC housing-led forecast (September 2019)

Dartford KCC housing-led projection Dartford ONS projection

10,000

9,000

Population 8,000

7,000

6,000

5,000

4,000

3,000

2,000

1,000

0 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036

Source: ONS, KCC, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Children & young people aged 0-19 years: by electoral ward Office for National Statistics mid-year estimates, number of the relevant resident population, 2018

4,000

3,500 Number

3,000

2,500

2,000

1,500

1,000

500

0

Source: Office for National Statistics mid-year estimates, prepared by KPHO (MP), Nov-19

Starting Well: Children in Dartford Children & young people aged 0-19 years: by electoral ward Office for National Statistics mid-year estimates, number of the relevant resident population, 2018

Joyce Green

Stone

West Hill

Newtown

Swanscombe

Princes Greenhithe

Office for National Statistics mid- year estimates

1 Greater than 1,822 1 1,442 to 1,822 1 1,132 to 1,442 1 729 to 1,132 1 Less than 729

Source: ONS, prepared by KPHO (MP), Nov-19

Starting Well: Children in Dartford Children & young people aged 0-19 years: population projections Office for National Statistics 2016-based projections, KCC housing-led forecast (October 2018)

Dartford KCC housing-led projection Dartford ONS projection

50,000

45,000 Population

40,000

35,000

30,000

25,000

20,000

15,000

10,000

5,000

0 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 3034 2035 2036 2037 2038 2039 2040 2041

Source: ONS, KCC, prepared by KPHO (RK), Nov-18

Starting Well: Children in Dartford Mid 2018 Population Estimates for Children and 0-4 0-19 Ward Code 2011 Ward Name Young People by Electoral Ward Number % Number % Source: ONS E05004926 Bean and 390 6.7% 1529 26.3% E05004927 Brent 434 6.2% 1762 25.2% E05004928 Castle 341 9.8% 971 27.9% E05004929 Greenhithe 734 8.6% 2064 24.2% E05004930 Heath 305 4.9% 1456 23.5% E05004931 Joyce Green 1101 13.1% 2848 33.9% E05004932 Joydens Wood 340 4.7% 1674 23.4% E05004933 Littlebrook 481 9.2% 1522 29.1% E05004934 , and 357 5.3% 1348 20.2% E05004935 Newtown 632 7.6% 2201 26.4% E05004936 Princes 471 7.2% 1886 28.7% E05004937 Stone 533 7.1% 1881 25.2% E05004938 Sutton-at-Hone and Hawley 236 5.7% 915 22.0% E05004939 Swanscombe 698 8.4% 2404 29.0% E05004940 Town 384 7.1% 1422 26.2% E05004941 West Hill 437 6.3% 1935 27.7% E05004942 Wilmington 205 5.1% 906 22.4% Dartford Total 8079 7.4% 28724 26.2%

Starting Well: Children in Dartford Income deprivation affecting children (IDACI): by electoral ward The percentage of children aged 0-15 years living in income deprived households, 2019

Littlebrook

Swanscombe

The percentage of children aged 0-15 years living in income deprived households 1 Greater than 21.5% 1 15.1% to 21.5% 1 11.7% to 15.1% 1 8.0% to 11.7% 1 Less than 8.0%

Source: DCLG, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Birth statistics

General fertility rate Low birth weight Infant mortality Teenage conceptions

Starting Well: Children in Dartford General fertility rate: by electoral ward The crude rate of total live births per 1,000 women aged 15 to 44, 2016-2018

Ward Dartford Kent Labels

140

120

100

80

60

40

20 Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude

0

Source: ONS, NHS Digital, NOMIS, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford General fertility rate: by electoral ward The crude rate of total live births per 1,000 women aged 15 to 44, 2016-18

Joyce Green

Littlebrook

Town

Castle

Newtown

Swanscombe

Greenhithe

The crude rate of total live births per 1,000 women aged 15-44

Bean & Darenth 1 Greater than 70.9 1 64.0 to 70.9 1 59.4 to 64.0 1 52.1 to 59.4 1 Less than 52.1

Source: ONS, NHS Digital, NOMIS, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford General fertility rate: by district The crude rate of total live births per 1,000 women aged 15 to 44, 2016-2018

District Kent Labels

120

100

80

60

40

Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 20

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: ONS, NHS Digital, NOMIS, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford General Fertility Rate: trend The crude rate of total live births per 1,000 women aged 15-44 years, 2010/11 to 2018/19

Dartford Kent labels

120

100

80

60

40 Crudeper rate 1,000 relevant residentpopulation

20

0 2011 2012 2013 2014 2015 2016 2017 2018

No significant change compared with a stable trend for Kent Source: ONS, NHS Digital, NOMIS, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford General Fertility Rate: by deprivation The crude rate of total live births per 1,000 women aged 15 - 44 years, 2010-2012 to 2016-2018

Kent least deprived Dartford least deprived

Kent most deprived Dartford most deprived 140

120

100

82.9 83.8 79.5 80.2 76.3 77.7 80

60

57.5 55.4 55.2 53.8 52.9 52.3

40 Crudeper rate 1,000 relevant registeredpopulation

20

0 2011-2013 2012-2014 2013-2015 2014-2016 2015-2017 2016-2018

Least deprived trend - no significant change compared with decreasing trend for Kent Most deprived trend - increasing compared with decreasing trend for Kent

Source: ONS, NHS Digital, NOMIS, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Low birth weight: by electoral ward The percentage of live births with low birth weight, 2500 grams or less, 2013-2015

Ward Dartford Kent Labels 30

25 Percentage

20

15

10

5

0

Source: ONS, NHS Digital, prepared by KPHO (RK), Nov-17

Starting Well: Children in Dartford Low birth weight: by electoral ward The percentage of live births with low birth weight, 2500 grams or less, 2013-2015

The percentage of live births with low birth weight

1 Greater than 7.2 1 6.0 to 7.2 1 4.9 to 6.0 Longfield, New Barn & 1 3.8 to 4.9 Southfleet 1 Less than 3.8

Source: ONS, NHS Digital, prepared by KPHO (RK), Nov-17

Starting Well: Children in Dartford Low birth weight: by district The percentage of live births with low birth weight, 2500 grams or less, 2013-2015

District Kent Labels

30

Percentage 25

20

15

10

5

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Shepway Swale Thanet Tonbridge & Tunbridge Malling Wells

Source: ONS, NHS Digital, prepared by KPHO (RK), Nov-17

Starting Well: Children in Dartford Low birth weight: trend The percentage of live births with low birth weight, 2500 grams or less, 2006 to 2015

Dartford Kent labels

20

18

Percentage 16

14

12

10

8

6

4

2

0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

No significant change compared with a decreasing trend for Kent Source: ONS, NHS Digital, prepared by KPHO (RK), Nov-17

Starting Well: Children in Dartford Low birth weight: by deprivation The percentage of live births with low birth weight, 2500 grams or less, 2006 - 2008 to 2013 - 2015

Kent least deprived Kent most deprived

20

18

Percentage 16

14

12

10 7.5 7.4 7.1 8 7.0 6.8 6.7 6.6 6.8

6

5.5 5.6 5.4 5.5 4 5.3 5.0 5.0 5.2

2

0 2006 - 2008 2007 - 2009 2008 - 2010 2009 - 2011 2010 - 2012 2011 - 2013 2012 - 2014 2013 - 2015

Least deprived trend - stable Most deprived trend - decreasing

Source: ONS, NHS Digital, prepared by KPHO (RK), Nov-17

Starting Well: Children in Dartford Infant mortality rate: trend Crude rate of deaths that occur in infants under the age of 1 year per 1,000 live births, 2006 - 2008 to 2014 - 2016

Dartford Kent labels

12

10

8

Crudeper rate 1,000 birthslive 6

4

2

0 2006 - 2008 2007 - 2009 2008 - 2010 2009 - 2011 2010 - 2012 2011 - 2013 2012 - 2014 2013 - 2015 2014 - 2016

No significant change compared with a decreasing trend for Kent Source: PCMD, ONS, NHS Digital, prepared by KPHO (RK), Nov-17

Starting Well: Children in Dartford Infant mortality rate: by district Crude rate of deaths that occur in infants under the age of 1 year per 1,000 live births, 2012-2016

District Kent Labels

10

8

6 Crude rate per 1,000 births live1,000 rate per Crude

4

2

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Shepway Swale Thanet Tonbridge & Tunbridge Malling Wells

Source: PCMD, ONS, NHS Digital, prepared by KPHO (RK), Nov-17

Starting Well: Children in Dartford Infant mortality rate: by deprivation Crude rate of deaths that occur in infants under the age of 1 year per 1,000 live births, 2006 - 2010 to 2012 - 2016

Kent least deprived Kent most deprived

12

10

8

Crudeper rate 1,000 birthslive 5.5 6 5.2 4.7 4.3 4.3 3.9 3.8 4

2 2.3 2.0 2.1 2.0 2.2 1.7 1.6

0 2006 - 2010 2007 - 2011 2008 - 2012 2009 - 2013 2010 - 2014 2011 - 2015 2012 - 2016

Least deprived trend - stable Most deprived trend - decreasing

Source: PCMD, ONS, NHS Digital, prepared by KPHO (RK), Nov-17

Starting Well: Children in Dartford Under 18 teenage conceptions: trend Conception rate per 1,000 15-17 year olds, residence based, 2001 to 2017

England Kent Kent Labels

90

80

70

60

50

40

30 Crudeper rate 1,000 relevant residentpopulation 20

10

0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Source: ONS, prepared by KPHO (ZC), Feb-20

Starting Well: Children in Dartford Under 18 teenage conceptions: by district Conception rate per 1,000 15-17 year olds, residence based, 2017

District Kent Labels

90

80

70

60

50

40

30

20 Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 10

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: ONS, prepared by KPHO (LLY), Feb-20

Starting Well: Children in Dartford Wellbeing

Life expectancy at birth Smoking at time of delivery Breastfeeding: New born visit Breastfeeding: 6-8 weeks Immunisations: Dtap /IPV / Hib (1 year) Immunisations: MMR for two doses (5 years) Obesity & excess weight: Year R Obesity & excess weight: Year 6 Good level of development Tooth decay: Age 5

Starting Well: Children in Dartford Life expectancy at birth, male: by electoral ward Figures based on deaths registered and mid-year population estimates, life expectancy in years calculated using the Public Health England calculator, 2013-2017 Ward Dartford Kent Labels

120

100

80 Life expectancy in years in expectancy Life

60

40

20

0

Source: PCMD, ONS, PHE, prepared by KPHO (ZC), Nov-18

Starting Well: Children in Dartford Life expectancy at birth, male: by electoral ward Figures based on deaths registered and mid-year population estimates, life expectancy in years calculated using the Public Health England calculator, 2013-2017

Joyce Green

Town Stone

Castle

Swanscombe

Princes

Brent

Life expectancy in years

Bean & Darenth 1 Less than 77.6 1 77.6 to 79.6 1 79.6 to 81.2 1 81.2 to 82.4 1 Greater than 82.4

Source: PCMD, ONS, PHE, prepared by KPHO (ZC), Nov-18

Starting Well: Children in Dartford Life expectancy at birth, male: by district Figures based on deaths registered and mid-year population estimates, life expectancy in years calculated using the Public Health England calculator, 2013-2017 District Kent Labels

120

100

80 Life expectancy in years in expectancy Life

60

40

20

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Shepway Swale Thanet Tonbridge & Tunbridge Malling Wells

Source: PCMD, ONS, PHE, prepared by KPHO (ZC), Nov-18

Starting Well: Children in Dartford Life expectancy at birth, male: trend Figures based on deaths registered and mid-year population estimates, life expectancy in years calculated using the Public Health England calculator, 2010 to 2017

Dartford Kent labels

120

100

80 Life expectancy in years

60

40

20

0 2010 2011 2012 2013 2014 2015 2016 2017

No significant change compared with a stable trend for Kent Source: PCMD, ONS, PHE, prepared by KPHO (ZC), Nov-18

Starting Well: Children in Dartford Life expectancy at birth, male: by deprivation Figures based on deaths registered and mid-year population estimates, life expectancy in years calculated using the Public Health England calculator, 2010 - 2014 to 2013 - 2017

Kent least deprived Dartford least deprived

Kent most deprived Dartford most deprived 120

100

83.0 83.4 83.0 83.2

80 Life expectancy in years

75.6 75.4 75.5 75.7

60

40

20

0 2010 - 2014 2011 - 2015 2012 - 2016 2013 - 2017

Least deprived trend - no significant change compared with stable trend for Kent Most deprived trend - no significant change compared with decreasing trend for Kent

Source: PCMD, ONS, PHE, prepared by KPHO (ZC), Nov-18

Starting Well: Children in Dartford Life expectancy at birth, female: by electoral ward Figures based on deaths registered and mid-year population estimates, life expectancy in years calculated using the Public Health England calculator, 2013-2017 Ward Dartford Kent Labels

120

100

80 Life expectancy in years in expectancy Life

60

40

20

0

Source: PCMD, ONS, PHE, prepared by KPHO (ZC), Nov-18

Starting Well: Children in Dartford Life expectancy at birth, female: by electoral ward Figures based on deaths registered and mid-year population estimates, life expectancy in years calculated using the Public Health England calculator, 2013-2017

Town Stone

Swanscombe

Princes Greenhithe

Brent

Wilmington

Life expectancy in years

Bean & Darenth 1 Less than 81.8 1 81.8 to 83.4 1 83.4 to 84.8 1 84.8 to 86.0 1 Greater than 84.8

Wards in grey did not meet 5,000 total person years Source: PCMD, ONS, PHE, prepared by KPHO (ZC), Nov-18

Starting Well: Children in Dartford Life expectancy at birth, female: by district Figures based on deaths registered and mid-year population estimates, life expectancy in years calculated using the Public Health England calculator, 2013-2017 District Kent Labels

120

100

80 Life expectancy in years in expectancy Life

60

40

20

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Shepway Swale Thanet Tonbridge & Tunbridge Malling Wells

Source: PCMD, ONS, PHE, prepared by KPHO (ZC), Nov-18

Starting Well: Children in Dartford Life expectancy at birth, female: trend Figures based on deaths registered and mid-year population estimates, life expectancy in years calculated using the Public Health England calculator, 2010 to 2017

Dartford Kent labels

120

100

80 Life expectancy in years

60

40

20

0 2010 2011 2012 2013 2014 2015 2016 2017

No significant change compared with a stable trend for Kent Source: PCMD, ONS, PHE, prepared by KPHO (ZC), Nov-18

Starting Well: Children in Dartford Life expectancy at birth, female: by deprivation Figures based on deaths registered and mid-year population estimates, life expectancy in years calculated using the Public Health England calculator, 2010 - 2014 to 2013 - 2017

Kent least deprived Dartford least deprived

Kent most deprived Dartford most deprived 120

100

85.1 85.4 84.9 84.4

80 Life expectancy in years 80.1 80.0 79.8 79.9

60

40

20

0 2010 - 2014 2011 - 2015 2012 - 2016 2013 - 2017

Least deprived trend - no significant change compared with stable trend for Kent Most deprived trend - no significant change compared with stable trend for Kent

Source: PCMD, ONS, PHE, prepared by KPHO (ZC), Nov-18

Starting Well: Children in Dartford Smoking status at time of delivery: by district Percentage of mothers known to be smokers at the time of delivery as a percentage of all maternities, 2017/18

District Kent Labels

35

30 Percentage

25

20

15

10

5

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Shepway Swale Thanet Tonbridge & Tunbridge Malling Wells

Source: PHE, NHS Digital, prepared by KPHO (RK), Feb-19

Starting Well: Children in Dartford Smoking status at time of delivery: trend Percentage of mothers known to be smokers at the time of delivery as a percentage of all maternities, 2010/11 to 2017/18

Dartford Kent labels

35

30 Percentage

25

20

15

10

5

0 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18

No significant change compared with a stable trend for Kent Source: PHE, NHS Digital, prepared by KPHO (RK), Feb-19

Starting Well: Children in Dartford New born visit breastfeeding: by electoral ward Percentage of babies recorded as being breastfed, as a percentage of all those due a new born visit, January 2018 -June 2019 Ward Dartford Kent Labels

100

Percentage 80

60

40

20

0

Source: KCHFT, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford New born visit breastfeeding: by electoral ward Percentage of babies recorded as being breastfed, as a percentage of all those due a new born visit, January 2018-June 2019

Swanscombe

Joydens Wood

Percentage

Bean & Darenth 1 Greater than 55.6% 1 61.9% to 55.6% 1 69.0% to 61.9% 1 100.0% to 69.0% 1 Less than 100.0%

Source: KCHFT, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford New born visit breastfeeding: by district Percentage of babies recorded as being breastfed, as a percentage of all those due a new born visit, January 2018-June 2019

District Kent Labels

100

Percentage 80

60

40

20

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: KCHFT, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Breastfeeding at 6-8 weeks: by electoral ward Percentage of babies recorded as breastfed at 6-8 week health visitor check, January 2018 - June 2019

Ward Dartford Kent Labels

100

Percentage 80

60

40

20

0

Source: KCHFT, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Breastfeeding at 6-8 weeks: by electoral ward Percentage of babies recorded as breastfed at 6-8 week health visitor check, January 2018 - June 2019

Joyce Green

Greenhithe

Percentage

1 Greater than 55.1% 1 48.1% to 55.1% 1 41.7% to 48.1% 1 34.8% to 41.7% 1 Less than 34.8%

Source: KCHFT, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Breastfeeding at 6-8 weeks: by district Percentage of babies recorded as breastfed at 6-8 week health visitor check, January 2018 - June 2019

District Kent Labels

100

Percentage 80

60

40

20

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: KCHFT, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Population vaccination coverage - Dtap/IPV/Hib (1 year old): by electoral ward Percentage of eligible children having immunisation, 2018/19

Practice Kent Labels

160

140 Percentage 120

100

80

60

40

20

0

Source: NHS England, prepared by KPHO (MP), Dec-19

Starting Well: Children in Dartford Population vaccination coverage - Dtap/IPV/Hib (1 year old): trend Percentage of eligible children having immunisation, 2014/15 to 2018/19

England Kent Kent Labels

140

120 Percentage

100

80

60

40

20

0 2014/15 2015/16 2016/17 2017/18 2018/19

Increasing compared with a decreasing trend for England

Source: NHS England, prepared by KPHO (ZC), Dec-19

Starting Well: Children in Dartford Population vaccination coverage - Dtap/IPV/Hib (1 year old): by CCG Percentage of eligible children having immunisation, 2018/19

CCG Kent Labels

160

140 Percentage 120

100

80

60

40

20

0 Ashford CCG Canterbury and Coastal Dartford, Gravesham South Kent Coast CCG Swale CCG Thanet CCG West Kent CCG CCG and CCG

Source: NHS England, prepared by KPHO (MP), Dec-19

Starting Well: Children in Dartford Population vaccination coverage - MMR for two doses (5 years old): by electoral ward Percentage of eligible children having immunisation, 2018/19

Practice Kent Labels

140

120 Percentage

100

80

60

40

20

0

Source: NHS England, prepared by KPHO (MP), Dec-19

Starting Well: Children in Dartford Population vaccination coverage - MMR for two doses (5 years old): trend Percentage of eligible children having immunisation, 2014/15 to 2018/19

England Kent Kent Labels

140

120 Percentage

100

80

60

40

20

0 2014/15 2015/16 2016/17 2017/18 2018/19

Increasing compared with a decreasing trend for England

Source: NHS England, prepared by KPHO (MP), Dec-19

Starting Well: Children in Dartford Population vaccination coverage - MMR for two doses (5 years old): by CCG Percentage of eligible children having immunisation, 2018/19

CCG Kent Labels

140

120 Percentage

100

80

60

40

20

0 Ashford CCG Canterbury and Coastal Dartford, Gravesham South Kent Coast CCG Swale CCG Thanet CCG West Kent CCG CCG and Swanley CCG

Source: NHS England, prepared by KPHO (MP), Dec-19

Starting Well: Children in Dartford Obesity in reception year children aged 4-5 years: by electoral ward Percentage of reception year pupils measured as obese, Body Mass Index greater than or equal to the 95th centile of the UK90 growth reference according to age and sex, 2014/15-2018/19 Ward Dartford Kent Labels

50

Percentage 40

30

20

10

0

Source: NCMP, NHS Digital, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Obesity in reception year children aged 4-5 years: by electoral ward Percentage of reception year pupils measured as obese, Body Mass Index greater than or equal to the 95th centile of the UK90 growth reference according to age and sex, 2014/15-2018/19

Joyce Green

Littlebrook

Town Stone

Swanscombe

Brent

Percentage of reception year pupils measured as obese

Bean & Darenth 1 Greater than 11.3% 1 9.7% to 11.3% 1 8.3% to 9.7% 1 6.7% to 8.3% 1 Less than 6.7%

Source: NCMP, NHS Digital, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Obesity in reception year children aged 4-5 years: by district Percentage of reception year pupils measured as obese, Body Mass Index greater than or equal to the 95th centile of the UK90 growth reference according to age and sex, 2014/15-2018/19 District Kent Labels

50

Percentage 40

30

20

10

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: NCMP, NHS Digital, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Obesity in reception year children aged 4-5 years: trend Percentage of reception year pupils measured as obese, Body Mass Index greater than or equal to the 95th centile of the UK90 growth reference according to age and sex, 2011/12 to 2018/19

Dartford Kent labels

50 Percentage 40

30

20

10

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

No significant change compared with a stable trend for Kent Source: NCMP, NHS Digital, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Obesity in reception year children aged 4-5 years: by deprivation Percentage of reception year pupils measured as obese, Body Mass Index greater than or equal to the 95th centile of the UK90 growth reference according to age and sex, 2011/12 to 2018/19

Kent least deprived Dartford least deprived

Kent most deprived Dartford most deprived 50

Percentage 40

30

20 16.5 16.4 15.0 15.0

10

8.4 6.9 6.8 6.9

0 201112 - 201516 201213 - 201617 201314 - 201718 201415 - 201819

Least deprived trend - no significant change with a similar pace of change to Kent Most deprived trend - no significant change compared with increasing trend for Kent

Source: NCMP, NHS Digital, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Excess weight in reception year children aged 4-5 years: by electoral ward Percentage of reception year pupils measured as overweight or obese, Body Mass Index greater than or equal to the 85th centile of the UK90 growth reference according to age and sex, 2014/15-2018/19 Ward Dartford Kent Labels

50

Percentage 40

30

20

10

0

Source: NCMP, NHS Digital, prepared by KPHO (SR), Jan-20

Starting Well: Children in Dartford Excess weight in reception year children aged 4-5 years: by electoral ward Percentage of reception year pupils measured as overweight or obese, Body Mass Index greater than or equal to the 85th centile of the UK90 growth reference according to age and sex, 2014/15-2018/19

Joyce Green

Littlebrook

Stone

Swanscombe

Wilmington

Percentage of reception year pupils measured as overweight or obese

Bean & Darenth 1 Greater than 26.2% 1 24.1% to 26.2% 1 21.6% to 24.1% 1 19.1% to 21.6% 1 Less than 19.1%

Source: NCMP, NHS Digital, prepared by KPHO (SR), Jan-20

Starting Well: Children in Dartford Excess weight in reception year children aged 4-5 years: by district Percentage of reception year pupils measured as overweight or obese, Body Mass Index greater than or equal to the 85th centile of the UK90 growth reference according to age and sex, 2014/15-2018/19 District Kent Labels

50

Percentage 40

30

20

10

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: NCMP, NHS Digital, prepared by KPHO (SR), Jan-20

Starting Well: Children in Dartford Excess weight in reception year children aged 4-5 years: trend Percentage of reception year pupils measured as overweight or obese, Body Mass Index greater than or equal to the 85th centile of the UK90 growth reference according to age and sex, 2011/12 to 2018/19

Dartford Kent labels

50 Percentage 40

30

20

10

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

No significant change compared with a stable trend for Kent Source: NCMP, NHS Digital, prepared by KPHO (SR), Jan-20

Starting Well: Children in Dartford Excess weight in reception year children aged 4-5 years: by deprivation Percentage of reception year pupils measured as overweight or obese, Body Mass Index greater than or equal to the 85th centile of the UK90 growth reference according to age and sex, 2011/12 to 2018/19

Kent least deprived Dartford least deprived

Kent most deprived Dartford most deprived 50

Percentage 40

29.8 30.1 29.2 29.0 29.7 30 26.2

20 21.4 21.3 20.6 20.2 17.8 17.5

10

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 stable trend for Kent Most deprived trend - no significant change compared with increasing trend for Kent

Source: NCMP, NHS Digital, prepared by KPHO (SR), Jan-20

Starting Well: Children in Dartford Obesity in year six children aged 10-11 years: by electoral ward Percentage of year six pupils measured as obese, Body Mass Index greater than or equal to the 95th centile of the UK90 growth reference according to age and sex, 2014/15-2018/19 Ward Dartford Kent Labels

50

Percentage 40

30

20

10

0

Source: NCMP, NHS Digital, prepared by KPHO (SR), Jan-20

Starting Well: Children in Dartford Obesity in year six children aged 10-11 years: by electoral ward Percentage of year six pupils measured as obese, Body Mass Index greater than or equal to the 95th centile of the UK90 growth reference according to age and sex, 2014/15-2018/19

Joyce Green

Littlebrook

Town Stone

Newtown

Swanscombe

Princes

Brent

Percentage of year six pupils measured as obese

1 Greater than 21.8% 1 19.1% to 21.8% 1 16.9% to 19.1% 1 13.6% to 16.9% 1 Less than 13.6%

Source: NCMP, NHS Digital, prepared by KPHO (SR), Jan-20

Starting Well: Children in Dartford Obesity in year six children aged 10-11 years: by district Percentage of year six pupils measured as obese, Body Mass Index greater than or equal to the 95th centile of the UK90 growth reference according to age and sex, 2014/15-2018/19 District Kent Labels

50

Percentage 40

30

20

10

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: NCMP, NHS Digital, prepared by KPHO (SR), Jan-20

Starting Well: Children in Dartford Obesity in year six children aged 10-11 years: trend Percentage of year six pupils measured as obese, Body Mass Index greater than or equal to the 95th centile of the UK90 growth reference according to age and sex, 2011/12 to 2018/19

Dartford Kent labels

60

Percentage 50

40

30

20

10

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

No significant change compared with a stable trend for Kent Source: NCMP, NHS Digital, prepared by KPHO (SR), Jan-20

Starting Well: Children in Dartford Obesity in year six children aged 10-11 years: by deprivation Percentage of year six pupils measured as obese, Body Mass Index greater than or equal to the 95th centile of the UK90 growthreference according to age and sex, 2011/12 - 2013/14 to 2016/17 - 2018/19

Kent least deprived Dartford least deprived

Kent most deprived Dartford most deprived 60

Percentage 50

40

28.6 30 26.7 25.4 23.7 22.8 20.7 20

17.0 15.8 15.4 15.8 16.2 14.4 10

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 - no significant change with a similar pace of change to Kent Most deprived trend - no significant change compared with increasing trend for Kent

Source: NCMP, NHS Digital, prepared by KPHO (SR), Feb-20

Starting Well: Children in Dartford Excess weight in year six children aged 10-11 years: by electoral ward Percentage of year six pupils measured as overweight or obese, Body Mass Index greater than or equal to the 85th centile of the UK90 growth reference according to age and sex, 2014/15 to 2018/19 Ward Dartford Kent Labels

60

50 Percentage

40

30

20

10

0

Source: NCMP, NHS Digital, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Excess weight in year six children aged 10-11 years: by electoral ward Percentage of year six pupils measured as overweight or obese, Body Mass Index greater than or equal to the 85th centile of t he UK90 growth reference according to age and sex, 2014/15 to 2018/19

Joyce Green

Littlebrook

Town Stone

Newtown

Swanscombe

Princes

Percentage of year six pupils measured as overweight or obese

1 Greater than 37.0% 1 33.9% to 37.0% 1 31.3% to 33.9% 1 26.5% to 31.3% 1 Less than 26.5%

Source: NCMP, NHS Digital, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Excess weight in year six children aged 10-11 years: by district Percentage of year six pupils measured as overweight or obese, Body Mass Index greater than or equal to the 85th centile of the UK90 growth reference according to age and sex, 2014/15 to 2018/19 District Kent Labels

60

50 Percentage

40

30

20

10

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: NCMP, NHS Digital, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Excess weight in year six children aged 10-11 years: trend Percentage of year six pupils measured as overweight or obese, Body Mass Index greater than or equal to the 85th centile of t he UK90 growth reference according to age and sex, 2011/12 to 2018/19

Dartford Kent labels

60

Percentage 50

40

30

20

10

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

Increasing compared with a stable trend for Kent Source: NCMP, NHS Digital, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Excess weight in year six children aged 10-11 years: by deprivation Percentage of year six pupils measured as overweight or obese, Body Mass Index greater than or equal to the 85th centile of t he UK90 growth reference according to age and sex, 2011/12 to 2018/19

Kent least deprived Dartford least deprived

Kent most deprived Dartford most deprived 60

Percentage 50

40.8 40.2 40.9 39.2 40

30 30.2 29.8 29.7 28.1

20

10

0 201112 - 201516 201213 - 201617 201314 - 201718 201415 - 201819

Least deprived trend - no significant change with a similar pace of change to Kent Most deprived trend - no significant change compared with increasing trend for Kent

Source: NCMP, NHS Digital, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Children achieving a good level of development at the end of reception year: by electoral ward Achieving a good level of development at the end of the Early Years Foundation Stage (EYFS) as a percentage of all eligible children, 2017-2019 Ward Dartford Kent Labels

100

Percentage 80

60

40

20

0

Source: KCC, Management Information Unit, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Children achieving a good level of development at the end of reception year: by electoral ward Achieving a good level of development at the end of the Early Years Foundation Stage (EYFS) as a percentage of all eligible children, 2017-2019

Stone

Newtown

Percentage

1 Less than 74.7% 1 77.7% to 74.7% 1 81.2% to 77.7% 1 90.6% to 81.2% 1 Greater than 90.6%

Source: KCC, Management Information Unit, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Children achieving a good level of development at the end of reception year: by district Achieving a good level of development at the end of the Early Years Foundation Stage (EYFS) as a percentage of all eligible children, 2017-2019 District Kent Labels

100

Percentage 80

60

40

20

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: KCC, Management Information Unit, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Children achieving a good level of development at the end of reception year: trend Achieving a good level of development at the end of the Early Years Foundation Stage (EYFS) as a percentage of all eligible children, 2013 to 2019

Dartford Kent labels

100 Percentage 80

60

40

20

0 2013 2014 2015 2016 2017 2018 2019

Increasing with a similar pace of change to Kent Source: KCC, Management Information Unit, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Tooth decay in children aged five: by district The percentage of children at age 5 years, within the survey sample, who experienced decayed, missing or extracted teeth, 2017 District Kent Labels

45

40 Percentage

35

30

25

20

15

10

5

- Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Shepway Swale Thanet Tonbridge & Tunbridge Malling Wells

Source: Dental Public Health Epidemiology Programme for England: Oral health survey of five-year-old children, prepared by KPHO (TG), May-18

Starting Well: Children in Dartford Tooth decay in children aged five: trend The percentage of children at age 5 years (within the survey sample) who experienced decayed, missing or extracted teeth, 200 9 to 2017

Dartford Kent labels

45

40 Percentage 35

30

25

20

15

10

5

0 2009 2012 2015 2017

No significant change compared with a stable trend for Kent

Source: Dental Public Health Epidemiology Programme for England: Oral health survey of five-year-old children, prepared by KPHO (RK), Jun-18

Starting Well: Children in Dartford Healthcare usage

A&E attendances Elective hospital admissions Emergency hospital admissions

Starting Well: Children in Dartford Accident & Emergency attendances in children aged 0-4 years: by electoral ward Crude rate per 1,000 children aged 0-4 years, 2016/17-2018/19

Ward Dartford Kent Labels

1,200

1,000

800

600

400

200 Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude

0

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (JS), Dec-19

Starting Well: Children in Dartford Accident & Emergency attendances in children aged 0-4 years: by electoral ward Crude rate per 1,000 children aged 0-4 years, 2016/17-2018/19

Joyce Green

Littlebrook

Town Stone

Castle

Newtown

Swanscombe

Princes Greenhithe

Brent

Crude rate per 1,000 children aged 0-4 years

Bean & Darenth 1 Greater than 621.3 1 550.6 to 621.3 1 492.8 to 550.6 1 432.0 to 492.8 1 Less than 432.0

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (JS), Dec-19

Starting Well: Children in Dartford Accident & Emergency attendances in children aged 0-4 years: by district Crude rate per 1,000 children aged 0-4 years, 2016/17-2018/19

District Kent Labels

1,200

1,000

800

600

400

Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 200

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (JS), Dec-19

Starting Well: Children in Dartford Accident & Emergency attendances in children aged 0-4 years: trend Crude rate per 1,000 children aged 0-4 years, 2011/12 to 2018/19

Dartford Kent labels

1,200

1,000

800

600

400 Crudeper rate 1,000 relevant residentpopulation

200

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

No significant change compared with an increasing trend for Kent Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (JS), Dec-19

Starting Well: Children in Dartford Accident & Emergency attendances in children aged 0-4 years: by deprivation Crude rate per 1,000 children aged 0-4 years, 2011/12 - 2013/14 to 2016/17 - 2018/19

Kent least deprived Dartford least deprived

Kent most deprived Dartford most deprived 1,000

851.3 796.5 772.7 782.0 800 749.7 746.0

600 603.2 566.2 562.3 554.1 564.0 531.4

400 Crudeper rate 1,000 relevant residentpopulation 200

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 - no significant change compared with an increasing trend for Kent Most deprived trend - increasing with a similar pace of change to Kent

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (JS), Dec-19

Starting Well: Children in Dartford Accident & Emergency attendances in children & young people aged 0-19 years: by electoral ward Crude rate per 1,000 children and young people aged 0-19 years, 2016/17-2018/19

Ward Dartford Kent Labels

1,000

800

600

400

200 Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude

0

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (SR), Jan-20

Starting Well: Children in Dartford Accident & Emergency attendances in children & young people aged 0-19 years: by electoral ward Crude rate per 1,000 children and young people aged 0-19 years, 2016/17-2018/19

Joyce Green

Littlebrook

Stone

Castle

Swanscombe

Greenhithe

Crude rate per 1,000 children and young people aged 0-19 years

Bean & Darenth 1 Greater than 471.3 1 400.2 to 471.3 1 350.5 to 400.2 1 307.5 to 350.5 1 Less than 307.5

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (SR), Jan-20

Starting Well: Children in Dartford Accident & Emergency attendances in children & young people aged 0-19 years: by district Crude rate per 1,000 children and young people aged 0-19 years, 2016/17-2018/19

District Kent Labels

1,000

800

600

400

200 Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (SR), Jan-20

Starting Well: Children in Dartford Accident & Emergency attendances in children & young people aged 0-19 years: trend Crude rate per 1,000 children and young people aged 0-19 years, 2012/13-2018/19

Dartford Kent labels

1,000

800

600

400 Crudeper rate 1,000 relevant residentpopulation 200

0 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

No significant change compared with an increasing trend for Kent Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (SR), Jan-20

Starting Well: Children in Dartford Accident & Emergency attendances in children & young people aged 0-19 years: by deprivation Crude rate per 1,000 children and young people aged 0-19 years, 2012/13 -2014/5 to 2016/17 - 2018/19

Kent least deprived Dartford least deprived

Kent most deprived Dartford most deprived 1,000

800

600 561.5 522.4 532.5 492.6 507.1

400

362.0 358.9

343.7 346.4 351.5 Crudeper rate 1,000 relevant residentpopulation 200

0 2012/13 - 2014/15 2013/14 - 2015/16 2014/15 - 2016/17 2015/16 - 2017/18 2016/17 - 2018/19

Least deprived trend - no significant change compared with an increasing trend for 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), Jan-20

Starting Well: Children in Dartford Elective hospital admissions in children aged 0-4 years: by electoral ward Crude rate per 1,000 children aged 0-4 years, 2014/15-2018/19

Ward Dartford Kent Labels

300

250

200

150

100

50 Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude

0

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Elective hospital admissions in children aged 0-4 years: by electoral ward Crude rate per 1,000 children aged 0-4 years, 2014/15-2018/19

Joyce Green

Littlebrook

Town Stone

Swanscombe

Greenhithe

Brent

Joydens Wood Wilmington

Crude rate per 1,000

Bean & Darenth 1 Greater than 68.3 1 53.3 to 68.3 Sutton-at-Hone & Hawley 1 45.1 to 53.3 Longfield, New Barn & 1 36.2 to 45.1 Southfleet 1 Less than 36.2

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Elective hospital admissions in children aged 0-4 years: by district Crude rate per 1,000 children aged 0-4 years, 2014/15-2018/19

District Kent Labels

300

250

200

150

100

Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 50

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Elective hospital admissions in children aged 0-4 years: trend Crude rate per 1,000 children aged 0-4 years, 2011/12 to 2018/19

Dartford Kent labels

300

250

200

150

100 Crudeper rate 1,000 relevant residentpopulation

50

0 2011/12 2012/23 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

Increasing with a faster pace of change than Kent Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Elective hospital admissions in children aged 0-4 years: by deprivation Crude rate per 1,000 children aged 0-4 years, 2011/12-2015/16 to 2014/15-2018/19

Kent least deprived Dartford least deprived

Kent most deprived Dartford most deprived 300

250

200

150

100 87.5 71.7 64.9

Crudeper rate 1,000 relevant residentpopulation 62.3

50 61.6 76.4 41.9 51.6

0 2011/12 - 2015/16 2012/23 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

Least deprived trend - increasing with a faster pace of change than Kent Most deprived trend - no significant change compared with a increasing trend for Kent

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Elective hospital admissions in children and young people aged 0-19 years: by electoral ward Crude rate per 1,000 children and young people aged 0-19 years, 2016/17-2018/19

Ward Dartford Kent Labels

160

140

120

100

80

60

40

Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 20

0

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Elective hospital admissions in children and young people aged 0-19 years: by electoral ward Crude rate per 1,000 children and young people aged 0-19 years, 2016/17-2018/19

Joyce Green

Littlebrook

Town Stone

West Hill Castle

Newtown

Heath Swanscombe

Princes Greenhithe

Brent

Joydens Wood Wilmington

Crude rate per 1,000

Bean & Darenth 1 Greater than 54.7 1 45.1 to 54.7 Sutton-at-Hone & Hawley 1 39.7 to 45.1 Longfield, New Barn & 1 35.1 to 39.7 Southfleet 1 Less than 35.1

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Elective hospital admissions in children and young people aged 0-19 years: by district Crude rate per 1,000 children and young people aged 0-19 years, 2016/17-2018/19

District Kent Labels

160

140

120

100

80

60

40 Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 20

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Elective hospital admissions in children and young people aged 0-19 years: trend Crude rate per 1,000 children and young people aged 0-19 years, 2011/12 to 2018/19

Dartford Kent labels

160

140

120

100

80

60

Crudeper rate 1,000 relevant residentpopulation 40

20

0 2011/12 2012/23 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

Increasing with a faster pace of change than Kent Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Elective hospital admissions in children and young people aged 0-19 years: by deprivation Crude rate per 1,000 children and young people aged 0-19 years, 2011/12 - 2015/16 to 2014/15 - 2018/19

Kent least deprived Dartford least deprived

Kent most deprived Dartford most deprived 160

140

120

100

80 66.1 58.5

60 47.6 52.3

Crudeper rate 1,000 relevant residentpopulation 40 46.1 54.7 64.4 40.5

20

0 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

Least deprived trend - increasing with a faster pace of change than Kent Most deprived trend - increasing with a faster pace of change than Kent

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Emergency hospital admissions in children aged 0-4 years: by electoral ward Crude rate per 1,000 children aged 0-4 years, 2016/17-2018/19

Ward Dartford Kent Labels

400

350

300

250

200

150

100

Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 50

0

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Nov-19

Starting Well: Children in Dartford Emergency hospital admissions in children aged 0-4 years: by electoral ward Crude rate per 1,000 children aged 0-4 years, 2016/17-2018/19

Joyce Green

Littlebrook

Town Stone

Newtown

Swanscombe

Princes Greenhithe

Brent

Joydens Wood Wilmington

Crude rate per 1,000 children aged 0- 4 years

Bean & Darenth 1 Greater than 204.8 1 173.4 to 204.8 1 147.4 to 173.4 Longfield, New Barn & 1 84.3 to 147.4 Southfleet 1 Less than 84.3

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Nov-19

Starting Well: Children in Dartford Emergency hospital admissions in children aged 0-4 years: by district Crude rate per 1,000 children aged 0-4 years, 2016/17-2018/19

District Kent Labels

400

350

300

250

200

150

100 Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 50

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Nov-19

Starting Well: Children in Dartford Emergency hospital admissions in children aged 0-4 years: trend Crude rate per 1,000 children aged 0-4 years, 2011/12 to 2018/19

Dartford Kent labels

400

350

300

250

200

150

Crudeper rate 1,000 relevant residentpopulation 100

50

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

Increasing with a similar pace of change to Kent Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Nov-19

Starting Well: Children in Dartford Emergency hospital admissions in children aged 0-4 years: by deprivation Crude rate per 1,000 children aged 0-4 years, 2011/12 - 2015/16 to 2014/15 - 2018/19

Kent least deprived Dartford least deprived

Kent most deprived Dartford most deprived 400

350

300 265.3 256.6 247.0 250 229.0

200

150 179.5 187.7 161.8 177.2

Crudeper rate 1,000 relevant residentpopulation 100

50

0 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 - increasing with a similar pace of change to Kent

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Nov-19

Starting Well: Children in Dartford Emergency hospital admissions in children and young people aged 0-19 years: by electoral ward

Crude rate per 1,000 children and young people aged 0-19 years, 2016/17-2018/19

Ward Dartford Kent Labels

180

160

140

120

100

80

60

40

Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 20

0

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20

Starting Well: Children in Dartford Emergency hospital admissions in children and young people aged 0-19 years: by electoral ward Crude rate per 1,000 children and young people aged 0-19 years, 2016/17-2018/19

Joyce Green

Littlebrook

Town Stone

Castle

Newtown

Swanscombe

Princes Greenhithe

Crude rate per 1,000 children and young people aged 0-19 years

Bean & Darenth 1 Greater than 85.6 1 73.6 to 85.6 1 62.0 to 73.6 Longfield, New Barn & 1 49.2 to 62.0 Southfleet 1 Less than 49.2

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20

Starting Well: Children in Dartford Emergency hospital admissions in children and young people aged 0-19 years: by district

Crude rate per 1,000 children and young people aged 0-19 years, 2016/17-2018/19

District Kent Labels

180

160

140

120

100

80

60

40 Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 20

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20

Starting Well: Children in Dartford Emergency hospital admissions in children and young people aged 0-19 years: trend Crude rate per 1,000 children and young people aged 0-19 years, 2011/12 to 2018/19

Dartford Kent labels

180

160

140

120

100

80

60 Crudeper rate 1,000 relevant residentpopulation 40

20

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 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

Starting Well: Children in Dartford Emergency hospital admissions in children and young people aged 0-19 years: by deprivation Crude rate per 1,000 children and young people aged 0-19 years, 2011/12 - 2015/16 to 2014/15 - 2018/19

Kent least deprived Dartford least deprived

Kent most deprived Dartford most deprived 180

160

140

114.6 120 111.6 108.3 102.5 100

80

60

Crudeper rate 1,000 relevant residentpopulation 40 42.7 38.4 40.8 40.4 20

0 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 - increasing with a similar pace of change to Kent

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20

Starting Well: Children in Dartford Emergency hospital admissions for asthma in children and young people aged 0-19 years: by district

Crude rate per 100,000 children and young people aged 0-19, ICD 10: J45-J46 (primary diagnosis), 2014/15-2018/19

District Kent Labels

1,000

800

600

400

200 Crude rate per 100,000 population resident relevant 100,000 rate per Crude

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Feb-20

Starting Well: Children in Dartford Emergency hospital admissions for asthma in children and young people aged 0-19 years: trend

Crude rate per 100,000 children and young people aged 0-19, ICD 10: J45-J46 (primary diagnosis), 2011/12 - 2013/14 to 2016/17 - 2018/19

Dartford Kent labels

1,000

800

600

400

Crudeper rate 100,000 relevant resident population 200

0 2011/12 - 2013/14 2012/23 - 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 (MP), Jan-20

Starting Well: Children in Dartford Emergency hospital admissions for asthma in children and young people aged 0-19 years: by deprivation Crude rate per 100,000 children and young people aged 0-19, ICD 10: J45-J46 (primary diagnosis), 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 1,000

800

600

400

215.3 216.4 207.8 213.6 Crude rateper 100,000relevant resident population 200

95.0 97.7 93.2 95.8 0 2011/12 - 2015/16 2012/23 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

Least deprived trend - stable with a similar pace of change to England Most deprived trend - stable with a similar pace of change to England

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 0-4 years: by district

Crude rate per 10,000 children and young people aged 0-4, ICD 10: S00-T79, V01-Y36, 2014/15-2018/19

District Kent Labels

500

400

300

200

100 Crude rate per 10,000 population resident relevant 10,000 rate per Crude

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 0-4 years: trend

Crude rate per 10,000 children and young people aged 0-4, ICD 10: S00-T79, V01-Y36, 2011/12 to 2018/19

Dartford Kent labels

500

400

300

200 Crude perrate 10,000 relevant resident population 100

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

No significant change compared with a decreasing trend for Kent Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 0-4 years: by deprivation Crude rate per 10,000 children and young people aged 0-4, ICD 10: S00-T79, V01-Y36, 2011/12 - 2015/16 to 2014/15 - 2018/19

Kent least deprived Dartford least deprived

Kent most deprived Dartford most deprived 500

400

300 254.7 246.0 221.0 220.9

200 Crudeper rate 10,000 relevant resident population 100 158.4 179.5 165.1 174.6

0 2011/12 - 2015/16 2012/23 - 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 a decreasing trend for Kent

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 0-14 years: by electoral ward

Crude rate per 10,000 children and young people aged 0-14, ICD 10: S00-T79, V01-Y36, 2014/15-2018/19

Ward Dartford Kent Labels

450

400

350

300

250

200

150

100

50 Crude rate per 10,000 population resident relevant 10,000 rate per Crude

0

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 0-14 years: by electoral ward Crude rate per 10,000 children and young people aged 0-14, ICD 10: S00-T79, V01-Y36, 2014/15-2018/19

Joyce Green

Littlebrook

Heath Swanscombe

Princes Greenhithe

Brent

Crude rate per 10,000 children and young people aged 0-14

Bean & Darenth 1 Greater than 108.7 1 95.6 to 108.7 1 84.3 to 95.6 1 73.5 to 84.3 1 Less than 73.5

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 0-14 years: by district

Crude rate per 10,000 children and young people aged 0-14, ICD 10: S00-T79, V01-Y36, 2014/15-2018/19

District Kent Labels

450

400

350

300

250

200

150

100 Crude rate per 10,000 population resident relevant 10,000 rate per Crude 50

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 0-14 years: trend

Crude rate per 10,000 children and young people aged 0-14, ICD 10: S00-T79, V01-Y36, 2011/12 to 2018/19

Dartford Kent labels

450

400

350

300

250

200

150

Crude perrate 10,000 relevant resident population 100

50

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

No significant change compared with a decreasing trend for Kent Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 0-14 years: by deprivation Crude rate per 10,000 children and young people aged 0-14, ICD 10: S00-T79, V01-Y36, 2011/12 - 2015/16 to 2014/15 - 2018/19

Kent least deprived Dartford least deprived

Kent most deprived Dartford most deprived 450

400

350

300

250

200 169.5 172.3 154.5 155.5 150

Crudeper rate 10,000 relevant resident population 100

97.6 104.6 50 99.8 102.0

0 2011/12 - 2015/16 2012/23 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

Least deprived trend - no significant change compared with a decreasing trend for Kent Most deprived trend - no significant change compared with a decreasing trend for Kent

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Jan-20

Starting Well: Children in Dartford Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 15-24 years: by electoral ward

Crude rate per 10,000 children and young people aged 15-24, ICD 10: S00-T79, V01-Y36, 2014/15-2018/19

Ward Dartford Kent Labels

600

500

400

300

200

100 Crude rate per 10,000 population resident relevant 10,000 rate per Crude

0

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (JS), Nov-19

Starting Well: Children in Dartford Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 15-24 years: by electoral ward

Crude rate per 10,000 children and young people aged 15-24, ICD 10: S00-T79, V01-Y36, 2014/15-2018/19

Joyce Green

Littlebrook

Newtown

Swanscombe

Princes Greenhithe

Crude rate per 10,000 children and young people aged 15-24

Bean & Darenth 1 Greater than 172.5 1 142.8 to 172.5 Sutton-at-Hone & Hawley 1 121.1 to 142.8 1 99.2 to 121.1 1 Less than 99.2

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (JS), Nov-19

Starting Well: Children in Dartford Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 15-24 years: by district

Crude rate per 10,000 children and young people aged 15-24, ICD 10: S00-T79, V01-Y36, 2014/15-2018/19

District Kent Labels

600

500

400

300

200

100 Crude rate per 10,000 population resident relevant 10,000 rate per Crude

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (JS), Nov-19

Starting Well: Children in Dartford Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 15-24 years: trend

Crude rate per 10,000 children and young people aged 15-24, ICD 10: S00-T79, V01-Y36, 2011/12 to 2018/19

Dartford Kent labels

600

500

400

300

200 Crude perrate 10,000 relevant resident population

100

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

No significant change compared with a decreasing trend for Kent Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (JS), Nov-19

Starting Well: Children in Dartford Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 15-24 years: by deprivation Crude rate per 10,000 children and young people aged 15-24, ICD 10: S00-T79, V01-Y36, 2011/12 - 2015/16 to 2014/15 - 2018/19

Kent least deprived Dartford least deprived

Kent most deprived Dartford most deprived 600

500

400

300 241.8 238.4 229.8 232.4

200 Crudeper rate 10,000 relevant resident population 100 112.0 97.9 82.0 84.5

0 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

Least deprived trend - increasing with a similar pace of change to Kent Most deprived trend - no significant change compared with a decreasing trend for Kent

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (JS), Dec-19

Starting Well: Children in Dartford Hospital admissions for self-harm in children and young people aged 10-24 years: by district Age standardised rate per 100,000 children and young people aged 10-24 years, ICD 10: X60-X84 (main recorded cause), 2013/14 to 2018/19 District Kent Labels

1,400

1,200

1,000

800

600

400

200

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age Hythe Malling Wells

Source: Hospital Episode Statistics, NHS Digital, ONS, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Hospital admissions for self-harm in children and young people aged 10-24 years: trend Age standardised rate per 100,000 children and young people aged 10-24 years, ICD 10: X60-X84 (main recorded cause), 2011/12 to 2018/19

Dartford Kent labels

1,400

1,200

1,000

800

600

400

200 Age standardised rate100,000 perrelevant resident population 0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

No significant change compared with a stable trend for Kent Source: Hospital Episode Statistics, NHS Digital, ONS, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Hospital admissions for self-harm in young people aged 10-24 years: by deprivation Age standardised rate per 100,000 children and young people aged 10-24 years, 2011/12 - 2015/16 to 2014/15 - 2018/19

Kent least deprived Dartford least deprived

Kent most deprived Dartford most deprived 1,400

1,200

1,000

800 729.2 658.6 653.4 671.6

600

400

200 292.1 231.8 200.5

164.0 Age standardised rate100,000 perrelevant resident population 0 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

Least deprived trend - increasing with a faster pace of change than Kent Most deprived trend - no significant change compared with a decreasing trend for Kent

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Dartford Hospital admissions for respiratory tract infections in infants under 1: by district Crude rate per 10,000 resident population, ICD 10: J10, J110-1, J12-6, J180-1, J189, J21 (primary diagnosis), 2014/15-2018/19

District Kent Labels

1,200

1,000

800

600

400

200 Crude rate per 100,000 population resident relevant 100,000 rate per Crude

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20

Starting Well: Children in Dartford Hospital admissions for respiratory tract infections in infants under 1: trend Crude rate per 10,000 resident population, ICD 10: J10, J110-1, J12-6, J180-1, J189, J21 (primary diagnosis), 2011/12 - 2013/14 to 2016/17 - 2018/19

Dartford Kent labels

1,200

1,000

800

600

400 Crude perrate 10,000 relevant resident population

200

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 faster pace of change than Kent Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20

Starting Well: Children in Dartford Hospital admissions for respiratory tract infections in infants under 1: by deprivation Crude rate per 10,000 resident population, ICD 10: J10, J110-1, J12-6, J180-1, J189, J21 (primary diagnosis), 2010/11 - 2014/15 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 1,200

1,000

755.9 800 674.3

606.6 600 506.3 447.3

400

375.7

Crudeper rate 10,000 relevant resident population 339.7 307.5 200 268.5 272.8

0 2010/11 - 2014/15 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

Least deprived trend - increasing with a similar pace of change to England Most deprived trend - increasing with a faster pace of change than England

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20

Starting Well: Children in Dartford Hospital admissions for gastroenteritis in infants under 1: by district Crude rate per 10,000 resident population, ICD 10: A020, A04-5, A072, A080-1, A083-5, A09, K520-2, K528-9 (primary diagnosis), 2014/15-2018/19 District Kent Labels

600

550

500

450

400

350

300

250

200

150

100 Crude rate per 10,000 population resident relevant 10,000 rate per Crude

50

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Feb-20

Starting Well: Children in Dartford Hospital admissions for gastroenteritis in infants under 1: trend Crude rate per 10,000 resident population, ICD 10: A020, A04-5, A072, A080-1, A083-5, A09, K520-2, K528-9 (primary diagnosis), 2011/12 - 2013/14 to 2016/17 - 2018/19

Dartford Kent labels

600

550

500

450

400

350

300

250

200

150 Crude perrate 10,000 relevant resident population

100

50

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

Decreasing compared with a stable trend for Kent Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20

Starting Well: Children in Dartford Hospital admissions for gastroenteritis in infants under 1: by deprivation Crude rate per 10,000 resident population, ICD 10: A020, A04-5, A072, A080-1, A083-5, A09, K520-2, K528-9 (primary diagnosis), 2011/12 - 2015/16 to 2014/15 - 2018/19 England least deprived Kent least deprived

England most deprived Kent most deprived 600

550

500

450

400

350 235.7 300 242.2 238.0 235.7 250

200

150 Crudeper rate 10,000 relevant resident population

100 126.6 132.8 116.9 114.2 50

0 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

Least deprived trend - decreasing with a similar pace of change to England Most deprived trend - stable compared with a decreasing trend for England

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20

Starting Well: Children in Dartford Emergency admissions of babies to hospital within 14 days of birth: by electoral ward Crude rate per 1,000 relevant resident population, 2011/12 - 2018/19

Ward Dartford Kent Labels

180

160

140

120

100

80

60

40

Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 20

0

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20

Starting Well: Children in Dartford Emergency admissions of babies to hospital within 14 days of birth: by electoral ward Crude rate per 1,000 live births, 2011/12 - 2018/19

Princes

Crude rate per 1,000 live births

Bean & Darenth 1 Greater than 63.0 1 50.7 to 63.0 1 41.2 to 50.7 1 29.5 to 41.2 1 Less than 29.5

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20

Starting Well: Children in Dartford Emergency admissions of babies to hospital within 14 days of birth: by district Crude rate per 1,000 relevant resident population, 2016/17-2018/19

District Kent Labels

180

160

140

120

100

80

60

40 Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 20

0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells

Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20

Starting Well: Children in Dartford Emergency admissions of babies to hospital within 14 days of birth: trend Crude rate per 1,000 live births, 2011/12 - 2013/14 to 2016/17 - 2018/19

Dartford Kent labels

180

160

140

120

100

80

60 Crudeper rate 1,000 relevant residentpopulation 40

20

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 an increasing trend for Kent Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20

Starting Well: Children in Dartford