Living Well: Specific Conditions Living Well in & Hythe ContentsContents

Overview Premature mortality Premature mortality Cancer Cancer Respiratory disease Respiratory disease Mental health Mental health

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Living Well in Folkestone & Hythe Living Well: Folkestone & Hythe Heath and Social Care Maps PREMATURE DEATHS LIFE EXPECTANCY LONG TERM CONDITIONS (under 75 years) at birth recorded Cause of death Infographic Diabetes prevalence 6.8% Hypertension 7% 11% 3%1% 83.2 Ages 17+ 14.7% 7% 5% years All ages Other 26% 5% Asthma 8% Cancer 2% 79.4 COPD 49% years 5.6% 2% All ages 2% Circulatory 1% 2.1% 17% Source: QOF, 2018/19 All ages Respiratory 11% 9% 25% MENTAL HEALTH 1% Other 5% 2% Ward-level life expectancy (men) Depression

Elham & Stelling Highest 86.4 11.2% Minnis Of adults recorded by their GP as having depression Inequalities by deprivation

525.8 Premature mortality Emergency hospital admissions per 100,000 rates (ASR) 79.9 Kent for serious mental health conditions 79.4 Folkestone & Hythe 258.9 180 per 100,000 Folkestone in 2018/19 Most Least Lowest 75.6 deprived deprived Harbour Source: PCMD, 2017, 2013-2017 Source: NCMP, 2014/15Source:- 2015/16PCMD, 2013 combined-2017 Source: QOF, 2018/19; HES, Premature mortality

Premature mortality & hospital admissions Atrial fibrillation Coronary heart disease (CHD) Heart failure Acute myocardial infarction Revascularisation Stroke Diabetes Chronic Kidney disease (CKD) Hypertension

Living Well in Folkestone & Hythe Premature mortality from cardiovascular disease: by electoral ward Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: I00-I99), 2013-2017 Ward Shepway Kent Labels 350

300

250

200

150

100

50

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 Folkestone & Hythe Premature mortality from cardiovascular disease: by electoral ward Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: I00-I99), 2013- 2017

Folkestone Foord

Folkestone Harbour

Folkestone Harvey Central

Dymchurch & St Mary's Bay

Age standardised rate per 100,000 people aged under 75 years Town

1 Greater than 88.1 1 63.9 to 88.1 1 51.9 to 63.9 1 39.1 to 51.9 1 Less than 39.1 Wards in grey have been subject to suppression rules.

Source: PCMD, prepared by KPHO (MP), Nov-18

Living Well in Folkestone & Hythe Premature mortality from cardiovascular disease: by district Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: I00-I99), 2013-2017 District Kent Labels

350

300

250

200

150

100

50 Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age

0 Ashford Shepway Swale Thanet & Tunbridge Malling Wells

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

Living Well in Folkestone & Hythe Premature mortality from cardiovascular disease: trend Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: I00-I99), 2010 to 2017

Shepway Kent labels

350

300

250

200

150

100

50

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 Folkestone & Hythe Premature mortality from cardiovascular disease: by deprivation Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: I00-I99), 2010 - 2014 to 2013 - 2017

Kent least deprived Kent most deprived

350

300

250

200

150 127.2 120.9 116.4 111.3

100

50

47.0 43.2 42.3 42.1

0 Age standardised rate 100,000per relevant resident population 2010 - 2014 2011 - 2015 2012 - 2016 2013 - 2017 Least deprived trend - stable Most deprived trend - decreasing

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

Living Well in Folkestone & Hythe Emergency hospital admissions for cardiovascular disease: by electoral ward Age standardised rate per 100,000 resident population, ICD-10: I00-I99 in primary, 2016/17-2018/19

Ward Folkestone & Hythe 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 (SR), Dec-19

Living Well in Folkestone & Hythe Emergency hospital admissions for cardiovascular disease: by electoral ward Age standardised rate per 100,000 resident population, ICD-10: I00-I99 in primary, 2016/17-2018/19

Folkestone East

Folkestone Park

Lympne & Stanford

Folkestone Harvey West

Dymchurch & St Mary's Bay

Age standardised rate per 100,000 resident population

1 Greater than 1,048.3 1 951.8 to 1,048.3 1 857.3 to 951.8 1 756.3 to 857.3 1 Less than 756.3

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

Living Well in Folkestone & Hythe Emergency hospital admissions for cardiovascular disease: by district Age standardised rate per 100,000 resident population, ICD-10: I00-I99 in primary, 2016/17-2018/19

District Kent Labels

3,000

2,500

2,000

1,500

1,000

500

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 (HES), NHS Digital, ONS, prepared by KPHO (SR), Dec-19

Living Well in Folkestone & Hythe Emergency hospital admissions for cardiovascular disease: trend Age standardised rate per 100,000 resident population, ICD-10: I00-I99 in primary, 2010/11 to 2018/19

Folkestone & Hythe Kent labels

3,000

2,500

2,000

1,500

1,000

500 Age standardised rate 100,000per relevant resident population 0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

Decreasing with a faster pace of change than Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (SR), Dec-19

Living Well in Folkestone & Hythe Emergency hospital admissions for cardiovascular disease: by deprivation Age standardised rate per 100,000 resident population, ICD-10: I00-I99 in primary, 2010/11 - 2012/13 to 2016/17 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 3,000

2,500

2,000

1,224.2 1,182.8 1,500 1,200.9 1,193.5 1,185.2 1,183.0

1,000

792.0 767.1 752.4 741.1 738.7 736.9

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

Least deprived trend - decreasing compared with a increasing trend for England Most deprived trend - decreasing compared with a increasing trend for England

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

Living Well in Folkestone & Hythe Recorded atrial fibrillation prevalence: by practice Percentage of patients recorded on GP QOF registers as having atrial fibrillation, 2018/19

Practice Kent Labels

12

10 Percentage

8

6

4

2

0

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

Living Well in Folkestone & Hythe Recorded atrial fibrillation prevalence: by CCG Percentage of patients recorded on GP QOF registers as having atrial fibrillation, 2018/19

CCG Kent England Labels

12

10 Percentage

8

6

4

2

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

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

Living Well in Folkestone & Hythe Recorded atrial fibrillation prevalence: trend Percentage of patients recorded on GP QOF registers as having atrial fibrillation, 2010/11 to 2018/19

England Kent Kent Labels

12

Percentage 10

8

6

4

2

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

Increasing with a similar pace of change to England

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

Living Well in Folkestone & Hythe Recorded CHD prevalence: by practice Percentage of patients recorded on GP QOF registers as having coronary heart disease, 2018/19

Practice Kent Labels

12

10 Percentage

8

6

4

2

0

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

Living Well in Folkestone & Hythe Recorded CHD prevalence: by CCG Percentage of patients recorded on GP QOF registers as having coronary heart disease, 2018/19

CCG Kent England Labels

12

10 Percentage

8

6

4

2

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

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

Living Well in Folkestone & Hythe Recorded CHD prevalence: trend Percentage of patients recorded on GP QOF registers as having coronary heart disease, 2010/11 to 2018/19

England Kent Kent Labels

12

Percentage 10

8

6

4

2

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

Decreasing with a similar pace of change to England

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

Living Well in Folkestone & Hythe Hospital admissions for Coronary Heart Disease (CHD): by electoral ward Age standardised rate per 100,000 resident population, ICD-10: I20-I25 (primary diagnosis), 2016/17-2018/19

Ward Folkestone & Hythe Kent Labels

1,800

1,600

1,400

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

Living Well in Folkestone & Hythe Hospital admissions for Coronary Heart Disease (CHD): by district Age standardised rate per 100,000 resident population, ICD-10: I20-I25 (primary diagnosis), 2016/17-2018/19

District Kent Labels

1,800

1,600

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 (HES), NHS Digital, ONS, prepared by KPHO (ZC), Dec-19

Living Well in Folkestone & Hythe Hospital admissions for Coronary Heart Disease (CHD): trend Age standardised rate per 100,000 resident population, ICD-10: I20-I25 (primary diagnosis), 2011/12 - 2013/14 to 2016/17 - 2018/19

Folkestone & Hythe Kent labels

1,800

1,600

1,400

1,200

1,000

800

600

400

200 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

Decreasing with a faster pace of change than Kent Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Dec-19

Living Well in Folkestone & Hythe Hospital admissions for Coronary Heart Disease (CHD): by deprivation Age standardised rate per 100,000 resident population, ICD-10: I20-I25 (primary diagnosis), 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 1,800

1,600

1,400

1,200

1,000

800 627.4 595.2 576.5 549.8 600

400 397.9 381.3 367.7 355.3

200 Age standardised rate 100,000per relevant resident population 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 - decreasing with a similar pace of change to England

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

Living Well in Folkestone & Hythe Recorded prevalence of heart failure: by practice Percentage of patients recorded on GP QOF registers as having heart failure, 2018/19

Practice Kent Labels

3.0

2.5 Percentage

2.0

1.5

1.0

0.5

0.0

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

Living Well in Folkestone & Hythe Recorded prevalence of heart failure: by CCG Percentage of patients recorded on GP QOF registers as having heart failure, 2018/19

CCG Kent England Labels

3.0

2.5 Percentage

2.0

1.5

1.0

0.5

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

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

Living Well in Folkestone & Hythe Recorded prevalence of heart failure: trend Percentage of patients recorded on GP QOF registers as having heart failure, 2010/11 to 2018/19

England Kent Kent Labels

3.0

Percentage 2.5

2.0

1.5

1.0

0.5

0.0 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

Increasing with a similar pace of change to England

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

Living Well in Folkestone & Hythe Emergency hospital admissions for acute myocardial infarction: by electoral ward Age standardised rate per 100,000 resident population, ICD 10: I21 (primary diagnosis) , 2014/15-2018/19

Ward Folkestone & Hythe Kent Labels

500

400

300

200

100

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), Nov-19

Living Well in Folkestone & Hythe Emergency hospital admissions for acute myocardial infarction: by electoral ward Age standardised rate per 100,000 resident population, ICD 10: I21 (primary diagnosis) , 2014/15-2018/19

Folkestone Park

Folkestone Harbour

Folkestone Harvey West

Folkestone Cheriton

Dymchurch & St Mary's Bay

Age standardised rate per 100,000 resident population New Romney Town

1 Greater than 151.8 1 129.9 to 151.8 Lydd 1 108.8 to 129.9 1 85.5 to 108.8 1 Less than 85.5

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

Living Well in Folkestone & Hythe Emergency hospital admissions for acute myocardial infarction: by district Age standardised rate per 100,000 resident population, ICD 10: I21 (primary diagnosis) , 2014/15-2018/19

District Kent Labels

500

400

300

200

100

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 (HES), NHS Digital, ONS, prepared by KPHO (ZC), Nov-19

Living Well in Folkestone & Hythe Emergency hospital admissions for acute myocardial infarction: trend Age standardised rate per 100,000 resident population, ICD 10: I21 (primary diagnosis) , 2011/12 - 2015/16 to 2014/15 - 2018/19

Folkestone & Hythe Kent labels

500

400

300

200

100 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

No significant change with a similar pace of change to Kent Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Nov-19

Living Well in Folkestone & Hythe Emergency hospital admissions for acute myocardial infarction: by deprivation Age standardised rate per 100,000 resident population, ICD 10: I21 (primary diagnosis) , 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 500

400

300

171.1 166.1 200 159.6 166.2

100

89.3 94.7 90.3 88.8 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2015/16 2012/13 - 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 (ZC), Nov-19

Living Well in Folkestone & Hythe Hospital episodes for revascularisation procedures: by electoral ward Age standardised rate per 100,000 resident population, OPCS4: K40-K46, K49-K50, K75 (primary procedure), 2014/15-2018/19

Ward Folkestone & Hythe Kent Labels

500

400

300

200

100

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), Nov-19

Living Well in Folkestone & Hythe Hospital episodes for revascularisation procedures: by electoral ward Age standardised rate per 100,000 resident population, OPCS4: K40-K46, K49-K50, K75 (primary procedure), 2014/15-2018/19

Folkestone East

Lympne & Stanford

Romney Marsh Folkestone Cheriton

Dymchurch & St Mary's Bay

Age standardised rate per 100,000 New Romney Coast resident population New Romney Town

1 Greater than 140.1 1 121.2 to 140.1 1 107.1 to 121.2 1 88.8 to 107.1 1 Less than 88.8

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

Living Well in Folkestone & Hythe Hospital episodes for revascularisation procedures: by district Age standardised rate per 100,000 resident population, OPCS4: K40-K46, K49-K50, K75 (primary procedure), 2014/15- 2018/19 District Kent Labels

500

400

300

200

100

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 (HES), NHS Digital, ONS, prepared by KPHO (ZC), Nov-19

Living Well in Folkestone & Hythe Hospital episodes for revascularisation procedures: trend Age standardised rate per 100,000 resident population, OPCS4: K40-K46, K49-K50, K75 (primary procedure), 2011/12 - 2013/14 to 2016/17 - 2018/19

Folkestone & Hythe Kent labels

500

400

300

200

100 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

Decreasing with a faster pace of change than England Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Nov-19

Living Well in Folkestone & Hythe Hospital episodes for revascularisation procedures: by deprivation Age standardised rate per 100,000 resident population, OPCS4: K40-K46, K49-K50, K75 (primary procedure), 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 500

400

300

200 143.5 138.1 137.0 136.3

100

104.3 102.0 98.3 97.2 Age standardised rate 100,000per relevant resident population 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), Nov-19

Living Well in Folkestone & Hythe Recorded stroke and TIA prevalence: by practice Percentage of patients recorded on GP QOF registers as having Stroke or TIA, 2018/19

Practice Kent Labels

10

Percentage 8

6

4

2

0

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

Living Well in Folkestone & Hythe Recorded stroke and TIA prevalence: by CCG Percentage of patients recorded on GP QOF registers as having Stroke or TIA, 2018/19

CCG Kent England Labels

10

Percentage 8

6

4

2

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

Source: QOF, prepared by KPHO (ZC), Dec-19 Recorded stroke and TIA prevalence: trend Percentage of patients recorded on GP QOF registers as having Stroke or TIA, 2010/11 to 2018/19

England Kent Kent Labels

10 Percentage 8

6

4

2

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

Increasing with a similar pace of change to England

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

Living Well in Folkestone & Hythe Emergency hospital admissions for stroke: by electoral ward Age standardised rate per 100,000 resident population, ICD-10: I61-I64 (primary diagnosis), 2014/15-2018/19

Ward Folkestone & Hythe Kent Labels

450

400

350

300

250

200

150

100

50

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 Folkestone & Hythe Emergency hospital admissions for stroke: by electoral ward Age standardised rate per 100,000 resident population, ICD-10: I61-I64 (primary diagnosis), 2014/15-2018/19

Folkestone Morehall

Folkestone Harvey West

Romney Marsh

Age standardised rate per 100,000 resident population

1 Greater than 171.0 1 151.7 to 171.0 1 137.9 to 151.7 1 119.9 to 137.9 1 Less than 119.9

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

Living Well in Folkestone & Hythe Emergency hospital admissions for stroke: by district Age standardised rate per 100,000 resident population, ICD-10: I61-I64 (primary diagnosis), 2014/15-2018/19

District Kent Labels

450

400

350

300

250

200

150

100

50

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 (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20

Living Well in Folkestone & Hythe Emergency hospital admissions for stroke: trend Age standardised rate per 100,000 resident population, ICD-10: I61-I64 (primary diagnosis), 2011/12 - 2015/16 to 2014/15 - 2018/19

Folkestone & Hythe Kent labels

450

400

350

300

250

200

150

100

50 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

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

Living Well in Folkestone & Hythe Emergency hospital admissions for stroke: by deprivation Age standardised rate per 100,000 resident population, ICD-10: I61-I64 (primary diagnosis), 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 450

400

350

300

250 182.5 177.2 174.0 170.7 200

150

130.3 129.8 130.4 100 126.2

50 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

Least deprived trend - stable compared with a decreasing trend for England Most deprived trend - decreasing compared with a stable trend for England

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

Living Well in Folkestone & Hythe Recorded diabetes prevalence: by practice Percentage of patients aged 17+ recorded on GP QOF registers as having diabetes mellitus, 2018/19

Practice Kent Labels

35

30 Percentage

25

20

15

10

5

0

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

Living Well in Folkestone & Hythe Recorded diabetes prevalence: by CCG Percentage of patients aged 17+ recorded on GP QOF registers as having diabetes mellitus, 2018/19

CCG Kent England Labels

35

30 Percentage

25

20

15

10

5

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

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

Living Well in Folkestone & Hythe Recorded diabetes prevalence: trend Percentage of patients aged 17+ recorded on GP QOF registers as having diabetes mellitus, 2010/11 to 2018/19

England Kent 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 2018/19

Increasing with a similar pace of change to England

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

Living Well in Folkestone & Hythe Emergency hospital admissions for diabetes: by electoral ward Age standardised rate per 100,000 resident population, ICD 10: E10-14 (primary diagnosis) , 2014/15-2018/19

Ward Folkestone & Hythe Kent Labels

300

250

200

150

100

50

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 Folkestone & Hythe Emergency hospital admissions for diabetes: by electoral ward Age standardised rate per 100,000 resident population, ICD 10: E10-14 (primary diagnosis) , 2014/15-2018/19

Folkestone Morehall

Hythe Central

Age standardised rate per 100,000 New Romney Coast resident population

1 Greater than 110.7 1 83.6 to 110.7 1 63.4 to 83.6 1 46.6 to 63.4 1 Less than 46.6

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

Living Well in Folkestone & Hythe Emergency hospital admissions for diabetes: by district Age standardised rate per 100,000 resident population, ICD 10: E10-14 (primary diagnosis) , 2014/15-2018/19

District Kent Labels

300

250

200

150

100

50

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 (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20

Living Well in Folkestone & Hythe Emergency hospital admissions for diabetes: trend Age standardised rate per 100,000 resident population, ICD 10: E10-14 (primary diagnosis) , 2011/12 - 2013/14 to 2016/17 - 2018/19

Folkestone & Hythe Kent labels

300

250

200

150

100

50 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 an increasing trend for Kent Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (JS), Dec-19

Living Well in Folkestone & Hythe Emergency hospital admissions for diabetes: by deprivation Age standardised rate per 100,000 resident population, ICD 10: E10-14 (primary diagnosis) , 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 300

250

200

150 134.8 138.1 130.2 131.2

100

50

45.5 45.2 46.4 49.2 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

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

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

Living Well in Folkestone & Hythe Recorded chronic kidney disease (CKD) prevalence: by practice Percentage of patients aged 18+ recorded on GP QOF registers as having CKD, 2018/19

Practice Kent Labels

20 Percentage 15

10

5

0

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

Living Well in Folkestone & Hythe Recorded chronic kidney disease (CKD) prevalence: by CCG Percentage of patients aged 18+ recorded on GP QOF registers as having CKD, 2018/19

CCG Kent England Labels

20 Percentage 15

10

5

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

Source: QOF, prepared by KPHO (ZC), Dec-19 Recorded chronic kidney disease (CKD) prevalence: trend Percentage of patients aged 18+ recorded on GP QOF registers as having CKD, 2010/11 to 2018/19

England Kent Kent Labels

20 Percentage

15

10

5

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

Decreasing compared with a stable trend for England

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

Living Well in Folkestone & Hythe Recorded hypertension prevalence: by practice Percentage of patients recorded on GP QOF registers as having hypertension, 2018/19

Practice Kent Labels

60

50 Percentage

40

30

20

10

0

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

Living Well in Folkestone & Hythe Recorded hypertension prevalence: by CCG Percentage of patients recorded on GP QOF registers as having hypertension, 2018/19

CCG Kent England Labels

60

50 Percentage

40

30

20

10

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

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

Living Well in Folkestone & Hythe Recorded hypertension prevalence: trend Percentage of patients recorded on GP QOF registers as having hypertension, 2010/11 to 2018/19

England Kent Kent Labels

60

Percentage 50

40

30

20

10

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

Increasing with a faster pace of change than England

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

Living Well in Folkestone & Hythe Undiagnosed hypertension (estimated): by general practice Modelled estimates of the prevalence of undiagnosed hypertension, ages 16+, 2015

Practice Kent Labels

20

18

Percentage 16

14

12

10

8

6

4

2

0

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

Living Well in Folkestone & Hythe Undiagnosed hypertension (estimated): by CCG Modelled estimates of the prevalence of undiagnosed hypertension, ages 16+, 2015

CCG Kent Labels

20

18

Percentage 16

14

12

10

8

6

4

2

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

Source: Imperial College London, prepared by KPHO (ZC), Feb-20

Living Well in Folkestone & Hythe Cancer

Premature mortality from cancers Cancers considered amenable to early detection Cancers considered preventable Cancer registrations Cancer prevalence Hospital admissions with cancer Cancer screening: Bowel Cancer screening: Breast Cancer screening: Cervical

Living Well in Folkestone & Hythe Premature mortality from cancer: by electoral ward Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: C00-C97), 2013-2017 Ward Shepway 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 Folkestone & Hythe Premature mortality from cancer: by electoral ward Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: C00-C97), 2013- 2017

North Downs East

Folkestone East

Folkestone Park

Lympne & Stanford Folkestone Harbour

Folkestone Harvey Central

Folkestone Harvey West

Dymchurch & St Mary's Bay

Age standardised rate per 100,000 people aged under 75 years New Romney Town

1 Greater than 166.2 1 140.8 to 166.2 1 123.2 to 140.8 1 104.8 to 123.2 1 Less than 104.8

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

Living Well in Folkestone & Hythe Premature mortality from cancer: by district Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: C00-C97), 2013-2017 District 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 Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Shepway Swale Thanet Tonbridge & Tunbridge Malling Wells

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

Living Well in Folkestone & Hythe Premature mortality from cancer: trend Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: C00-C97), 2010 to 2017

Shepway Kent labels

600

500

400

300

200

100

0 Age standardised rate100,000 per relevant resident population 2010 2011 2012 2013 2014 2015 2016 2017

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

Living Well in Folkestone & Hythe Premature mortality from cancer: by deprivation Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: C00-C97), 2010 - 2014 to 2013 - 2017

Kent least deprived Kent most deprived

600

500

400

300

200 175.1 175.3 174.8 175.1

100 114.0 111.7 109.6 107.2

0 Age standardised rate 100,000per relevant resident population 2010 - 2014 2011 - 2015 2012 - 2016 2013 - 2017

Least deprived trend - decreasing Most deprived trend - stable

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

Living Well in Folkestone & Hythe Premature mortality from cancers considered amenable to early detection: by district Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: C17-C21, C43, C50, C53, C61), 2015-2017 District Kent Labels

80

70

60

50

40

30

20

10

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

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

Living Well in Folkestone & Hythe Premature mortality from cancers considered amenable to early detection: trend Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: C17-C21, C43, C50, C53, C61), 2010 - 2012 to 2015 - 2017

Shepway Kent labels

80

70

60

50

40

30

20

10 Age standardised rate 100,000per relevant resident population 0 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 Folkestone & Hythe Premature mortality from cancers considered amenable to early detection: by deprivation Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: C17-C21, C43, C50, C53, C61), 2010 - 2012 to 2015 - 2017

Kent least deprived Kent most deprived

80

60

37.8 38.3 38.8 40 34.9 34.5 34.1

32.9 31.0 31.2 30.7 29.2 30.3

20 Age standardised rate 100,000per relevant resident population 0 2010 - 2012 2011 - 2013 2012 - 2014 2013 - 2015 2014 - 2016 2015 - 2017

Least deprived trend - decreasing Most deprived trend - increasing

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

Living Well in Folkestone & Hythe Premature mortality from cancers considered preventable: by district Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: C00-C16, C18- C22, C33-C34, C43, C45, C50, C53), 2015-2017 District Kent Labels

160

140

120

100

80

60

40

20

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

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

Living Well in Folkestone & Hythe Premature mortality from cancers considered preventable: trend Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: C00-C16, C18-C22, C33- C34, C43, C45, C50, C53), 2010 to 2017

Shepway Kent labels

160

140

120

100

80

60

40

20 Age standardised rate 100,000per relevant resident population 0 2010 2011 2012 2013 2014 2015 2016 2017

No significant change compared with a decreasing trend for Kent Source: PCMD, prepared by KPHO (RK), Nov-18

Living Well in Folkestone & Hythe Premature mortality from cancers considered preventable: by deprivation Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: C00-C16, C18-C22, C33-C34, C43, C45, C50, C53), 2010 - 2012 to 2015 - 2017

Kent least deprived Kent most deprived

160

140

120 114.5 109.6 111.9 108.5 106.3 106.9

100

80

60 66.5 64.8 63.4 59.8 56.4 56.9 40

20 Age standardised rate 100,000per relevant resident population 0 2010 - 2012 2011 - 2013 2012 - 2014 2013 - 2015 2014 - 2016 2015 - 2017

Least deprived trend - decreasing Most deprived trend - stable

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

Living Well in Folkestone & Hythe Cancer registrations - all ages: by electoral ward All malignant cancers (ICD10 C00-C97) excluding Basal Cell Carcinoma of the skin (ICD10 C44, M8090 - M8098), crude rate per 10,000 population, 2012-2016 Ward Shepway Kent Labels

200

180

160

140

120

100

80

60

40

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

0

Source: The National Cancer Registration Service (NCRS), prepared by KPHO (RK), Feb-19

Living Well in Folkestone & Hythe Cancer registrations - all ages: by electoral ward All malignant cancers (ICD10 C00-C97) excluding Basal Cell Carcinoma of the skin (ICD10 C44, M8090 - M8098), crude rate per 10,000 population, 2012-2016

Elham &

North Downs West

Tolsford

Hythe East Folkestone Harvey Central

Hythe West

Dymchurch & St Mary's Bay

Crude rate per 10,000 population New Romney Coast

1 Greater than 81.5 1 71.0 to 81.5 1 62.1 to 71.0 1 52.3 to 62.1 1 Less than 52.3

Source: The National Cancer Registration Service (NCRS), prepared by KPHO (RK), Feb-19

Living Well in Folkestone & Hythe Cancer registrations - all ages: by district All malignant cancers (ICD10 C00-C97) excluding Basal Cell Carcinoma of the skin (ICD10 C44, M8090 - M8098), crude rate per 10,000 population, 2012-2016 District Kent Labels

200

180

160

140

120

100

80

60

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

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

Source: The National Cancer Registration Service (NCRS), prepared by KPHO (RK), Feb-19

Living Well in Folkestone & Hythe Cancer registrations - all ages: trend All malignant cancers (ICD10 C00-C97) excluding Basal Cell Carcinoma of the skin (ICD10 C44, M8090 - M8098), crude rate per 10,000 population, 2008-2012 - 2012-2016

Shepway Kent labels

200

180

160

140

120

100

80

60 Crudeper rate 10,000 relevant resident population 40

20

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

No significant change compared with a stable trend for Kent Source: Source: The National Cancer Registration Service (NCRS), prepared by KPHO (RK), Feb-19

Living Well in Folkestone & Hythe Cancer registrations - under 75's: by electoral ward All malignant cancers (ICD10 C00-C97) excluding Basal Cell Carcinoma of the skin (ICD10 C44, M8090 - M8098), crude rate per 10,000 population, 2012-2016 Ward Shepway Kent Labels

140

120

100

80

60

40

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

0

Source: The National Cancer Registration Service (NCRS), prepared by KPHO (RK), Feb-19

Living Well in Folkestone & Hythe Cancer registrations - under 75's: by electoral ward All malignant cancers (ICD10 C00-C97) excluding Basal Cell Carcinoma of the skin (ICD10 C44, M8090 - M8098), crude rate per 10,000 population, 2012-2016

Elham & Stelling Minnis

Tolsford

Lympne & Stanford

Hythe East

Hythe Central

Hythe West

Dymchurch & St Mary's Bay

Crude rate per 10,000 population New Romney Coast

1 Greater than 48.2 1 42.0 to 48.2 1 38.1 to 42.0 1 32.4 to 38.1 1 Less than 32.4

Source: The National Cancer Registration Service (NCRS), prepared by KPHO (RK), Feb-19

Living Well in Folkestone & Hythe Cancer registrations - under 75's: by district All malignant cancers (ICD10 C00-C97) excluding Basal Cell Carcinoma of the skin (ICD10 C44, M8090 - M8098), crude rate per 10,000 population, 2012-2016 District Kent Labels

140

120

100

80

60

40

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

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

Source: The National Cancer Registration Service (NCRS), prepared by KPHO (RK), Feb-19

Living Well in Folkestone & Hythe Cancer registrations - under 75's: trend All malignant cancers (ICD10 C00-C97) excluding Basal Cell Carcinoma of the skin (ICD10 C44, M8090 - M8098), crude rate per 10,000 population, 2008-2012 - 2012-2016

Shepway Kent labels

140

120

100

80

60

40 Crudeper rate 10,000 relevant resident population

20

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

No significant change compared with a stable trend for Kent Source: Source: The National Cancer Registration Service (NCRS), prepared by KPHO (RK), Feb-19

Living Well in Folkestone & Hythe Recorded cancer prevalence: by practice Percentage of patients recorded on GP QOF registers as having cancer, excluding non-melanoma skin cancer, 2018/19

Practice Kent Labels

20 Percentage 15

10

5

0

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

Living Well in Folkestone & Hythe Recorded cancer prevalence: by CCG Percentage of patients recorded on GP QOF registers as having cancer, excluding non-melanoma skin cancer, 2018/19

CCG Kent England Labels

20 Percentage 15

10

5

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

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

Living Well in Folkestone & Hythe Recorded cancer prevalence: trend Percentage of patients recorded on GP QOF registers as having cancer, excluding non-melanoma skin cancer, 2010/11 to 2018/19

England Kent Kent Labels

20 Percentage

15

10

5

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

Increasing with a faster pace of change than England

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

Living Well in Folkestone & Hythe Emergency hospital admissions with cancer: by electoral ward Age standardised rate per 100,000 resident population, ICD-10: C00-C97, D00-D09, D33, D37-D48, 2014/15-2018/19

Ward Folkestone & Hythe Kent Labels

1,800

1,600

1,400

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

Living Well in Folkestone & Hythe Emergency hospital admissions with cancer: by electoral ward Age standardised rate per 100,000 resident population, ICD-10: C00-C97, D00-D09, D33, D37-D48, 2014/15-2018/19

Folkestone Park

Age standardised rate per 100,000 resident population

1 Greater than 642.9 1 572.3 to 642.9 Lydd 1 526.7 to 572.3 1 457.6 to 526.7 1 Less than 457.6

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

Living Well in Folkestone & Hythe Emergency hospital admissions with cancer: by district Age standardised rate per 100,000 resident population, ICD-10: C00-C97, D00-D09, D33, D37-D48, 2014/15-2018/19

District Kent Labels

1,800

1,600

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 (HES), NHS Digital, ONS, prepared by KPHO (ZC), Dec-19

Living Well in Folkestone & Hythe Emergency hospital admissions with cancer: trend Age standardised rate per 100,000 resident population, ICD-10: C00-C97, D00-D09, D33, D37-D48, 2011/12 - 2015/16 to 2014/15 - 2018/19

Folkestone & Hythe Kent labels

1,800

1,600

1,400

1,200

1,000

800

600

400

200 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

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

Living Well in Folkestone & Hythe Emergency hospital admissions with cancer: by deprivation Age standardised rate per 100,000 resident population, ICD-10: C00-C97, D00-D09, D33, D37-D48, 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 1,800

1,600

1,400

1,200

1,000

800

604.1 617.9 620.1 621.3 600

400 493.0 502.3 501.1 498.6

200 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

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

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

Living Well in Folkestone & Hythe Bowel cancer screening rate (60-74): by practice Percentage of persons aged 60-74 screened for bowel cancer in the last 30 months, 2018/19

Practice Kent Labels

100

Percentage 80

60

40

20

0

Source: Open Exeter, prepared by KPHO (MP), Jan-20

Living Well in Folkestone & Hythe Bowel cancer screening rate (60-74): by CCG Percentage of persons aged 60-74 screened for bowel cancer in the last 30 months, 2018/19

CCG Kent England Labels

100

Percentage 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: Open Exeter, prepared by KPHO (MP), Jan-20

Living Well in Folkestone & Hythe Bowel cancer screening rate (60-74): trend Percentage of persons aged 60-74 screened for bowel cancer in the last 30 months, 2010/11 to 2018/19

England Kent Kent Labels

100 Percentage 80

60

40

20

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

Increasing with a similar pace of change to England

Source: Open Exeter, prepared by KPHO (MP), Jan-20

Living Well in Folkestone & Hythe Breast cancer screening rate: by practice Percentage of women aged 50-70 screened for breast cancer in the last 36 months, 2018/19

Practice Kent Labels

100

Percentage 80

60

40

20

0

Source: Open Exeter, prepared by KPHO (MP), Jan-20

Living Well in Folkestone & Hythe Breast cancer screening rate: by CCG Percentage of women aged 50-70 screened for breast cancer in the last 36 months, 2018/19

CCG Kent England Labels

100

Percentage 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: Open Exeter, prepared by KPHO (MP), Jan-20

Living Well in Folkestone & Hythe Breast cancer screening rate: trend Percentage of women aged 50-70 screened for breast cancer in the last 36 months, 2012/13 to 2018/19

England Kent Kent Labels

100 Percentage 80

60

40

20

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

Stable with a similar pace of change to England

Source: Open Exeter, prepared by KPHO (MP), Jan-20

Living Well in Folkestone & Hythe Cervical cancer screening rate: by practice Percentage of women aged 25-64 screened for cervical cancer within the target period, 2018/19

Practice Kent Labels

100

Percentage 80

60

40

20

0

Source: Open Exeter, prepared by KPHO (MP), Jan-20

Living Well in Folkestone & Hythe Cervical cancer screening rate: by CCG Percentage of women aged 25-64 screened for cervical cancer within the target period, 2018/19

CCG Kent England Labels

100

Percentage 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: Open Exeter, prepared by KPHO (MP), Jan-20

Living Well in Folkestone & Hythe Cervical cancer screening rate: trend Percentage of women aged 25-64 screened for cervical cancer within the target period, 2012/13 to 2018/19

England Kent Kent Labels

100 Percentage 80

60

40

20

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

Decreasing with a similar pace of change to England

Source: Fingertips, prepared by KPHO (ZC), Jan-20

Living Well in Folkestone & Hythe Respiratory disease

Premature mortality from respiratory disease Hospital admissions for respiratory disease COPD prevalence Undiagnosed COPD (estimated) Hospital admissions for COPD Asthma prevalence

Living Well in Folkestone & Hythe Premature mortality from respiratory disease: by district Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: J00-J99) , 2015-2017 District Kent Labels

100

80

60

40

20 Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age

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

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

Living Well in Folkestone & Hythe Premature mortality from respiratory disease: trend Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: J00-J99) , 2009 - 2011 to 2015 - 2017

Shepway Kent labels

180

160

140

120

100

80

60

40

20

0 Age standardised rate100,000 per relevant resident population 2009 - 2011 2010 - 2012 2011 - 2013 2012 - 2014 2013 - 2015 2014 - 2016 2015 - 2017

Decreasing compared with a stable trend for Kent Source: PCMD, prepared by KPHO (RK), Nov-18

Living Well in Folkestone & Hythe Premature mortality from respiratory disease: by deprivation Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: J00-J99) , 2010 - 2014 to 2013 - 2017

Kent least deprived Kent most deprived

100

80

59.4 60.2 56.7 58.4 60

40

20

18.3 16.7 18.1 18.2

0 Age standardised rate 100,000per relevant resident population 2010 - 2014 2011 - 2015 2012 - 2016 2013 - 2017 Least deprived trend - stable Most deprived trend - increasing

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

Living Well in Folkestone & Hythe Emergency hospital admissions for all respiratory disease for persons aged 20 to 64 years: by electoral ward

Age standardised rate per 100,000 people aged 20-64, ICD-10: J00-J99 in primary, 2014/15-2018/19

Ward Folkestone & Hythe Kent Labels

1,800

1,600

1,400

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

Living Well in Folkestone & Hythe Emergency hospital admissions for all respiratory disease for persons aged 20 to 64 years: by electoral ward

Age standardised rate per 100,000 people aged 20-64, ICD-10: J00-J99 in primary, 2014/15-2018/19

Folkestone East

Folkestone Park

Folkestone Harbour

Dymchurch & St Mary's Bay

Age standardised rate per 100,000 people aged 20-64

1 Greater than 722.8 1 593.7 to 722.8 1 499.1 to 593.7 1 401.7 to 499.1 1 Less than 401.7

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

Living Well in Folkestone & Hythe Emergency hospital admissions for all respiratory disease for persons aged 20 to 64 years: by district

Age standardised rate per 100,000 people aged 20-64, ICD-10: J00-J99 in primary, 2014/15-2018/19

District Kent Labels

2,200

2,000

1,800

1,600

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 (HES), NHS Digital, ONS, prepared by KPHO (MP), Dec-19

Living Well in Folkestone & Hythe Emergency hospital admissions for all respiratory disease for persons aged 20 to 64 years: trend

Age standardised rate per 100,000 people aged 20-64, ICD-10: J00-J99 in primary, 2011/12 - 2015/16 to 2014/15 - 2018/19

Folkestone & Hythe Kent labels

2,200

2,000

1,800

1,600

1,400

1,200

1,000

800

600

400

200 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

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

Living Well in Folkestone & Hythe Emergency hospital admissions for all respiratory disease for persons aged 20 to 64 years: by deprivation Age standardised rate per 100,000 people aged 20-64, ICD-10: J00-J99 in primary, 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 2,200

2,000

1,800

1,600

1,400

1,200

1,000 897.7 837.5 862.7 785.6 800

600

400 393.9 359.6

200 321.0 340.4 Age standardised rate 100,000per relevant 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 similar pace of change to England Most deprived trend - increasing with a similar pace of change to England

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

Living Well in Folkestone & Hythe Recorded COPD prevalence: by practice Percentage of patients recorded on GP QOF registers as having COPD, 2018/19

Practice Kent Labels

10

Percentage 8

6

4

2

0

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

Living Well in Folkestone & Hythe Recorded COPD prevalence: by CCG Percentage of patients recorded on GP QOF registers as having COPD, 2018/19

CCG Kent England Labels

10

Percentage 8

6

4

2

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

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

Living Well in Folkestone & Hythe Recorded COPD prevalence: trend Percentage of patients recorded on GP QOF registers as having COPD, 2010/11 to 2018/19

England Kent Kent Labels

10 Percentage 8

6

4

2

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

Increasing with a faster pace of change than England

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

Living Well in Folkestone & Hythe Undiagnosed COPD (estimated): by general practice Modelled estimates of the prevalence of undiagnosed COPD, all ages, 2015

Practice Kent Labels

7.0 6.5 6.0

Percentage 5.5 5.0 4.5 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0.5 0.0

Source: Imperial College London, prepared by KPHO (ZC), Feb-20

Living Well in Folkestone & Hythe Undiagnosed COPD (estimated): by CCG Modelled estimates of the prevalence of undiagnosed COPD, all ages, 2015

CCG Kent Labels

7.0 6.5 6.0

Percentage 5.5 5.0 4.5 4.0 3.5 3.0 2.5 2.0 1.5 1.0 0.5 0.0 Ashford CCG Canterbury and Coastal Dartford, Gravesham South Kent Coast CCG Swale CCG Thanet CCG West Kent CCG CCG and Swanley CCG

Source: Imperial College London, prepared by KPHO (ZC), Feb-20

Living Well in Folkestone & Hythe Emergency hospital admissions for COPD: by electoral ward Age standardised rate per 100,000 adults aged 35+, ICD 10: J40-44 (primary diagnosis), 2014/15-2018/19

Ward Folkestone & Hythe Kent Labels

1,600

1,400

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

Living Well in Folkestone & Hythe Emergency hospital admissions for COPD: by electoral ward Age standardised rate per 100,000 adults aged 35+, ICD 10: J40-44 (primary diagnosis), 2014/15-2018/19

Folkestone East

Folkestone Foord

Dymchurch & St Mary's Bay

Age standardised rate per 100,000 adults aged 35+

1 Greater than 503.3 1 371.9 to 503.3 1 283.9 to 371.9 1 196.5 to 283.9 1 Less than 196.5

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

Living Well in Folkestone & Hythe Emergency hospital admissions for COPD: by district Age standardised rate per 100,000 adults aged 35+, ICD 10: J40-44 (primary diagnosis), 2014/15-2018/19

District Kent Labels

1,600

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 (HES), NHS Digital, ONS, prepared by KPHO SR, Nov-19

Living Well in Folkestone & Hythe Emergency hospital admissions for COPD: trend Age standardised rate per 100,000 adults aged 35+, ICD 10: J40-44 (primary diagnosis), 2011/12 to 2018/19

Folkestone & Hythe Kent labels

1,600

1,400

1,200

1,000

800

600

400

200 Age standardised rate 100,000per relevant 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 (HES), NHS Digital, ONS, prepared by KPHO (SR), Nov-19

Living Well in Folkestone & Hythe Emergency hospital admissions for COPD: by deprivation Age standardised rate per 100,000 adults aged 35+, ICD 10: J40-44 (primary diagnosis), 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 1,600

1,400

1,200

1,000

800 657.3 658.1 656.9 667.8

600

400

191.5 187.2 187.4 185.6

200 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2015/16 2012/13 - 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 compared with a increasing trend for England

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

Living Well in Folkestone & Hythe Recorded asthma prevalence: by practice Percentage of patients recorded on GP QOF registers as having Asthma, 2018/19

Practice Kent Labels

20 Percentage 15

10

5

0

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

Living Well in Folkestone & Hythe Recorded asthma prevalence: by CCG Percentage of patients recorded on GP QOF registers as having Asthma, 2018/19

CCG Kent England Labels

20 Percentage 15

10

5

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

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

Living Well in Folkestone & Hythe Recorded asthma prevalence: trend Percentage of patients recorded on GP QOF registers as having Asthma, 2010/11 to 2018/19

England Kent Kent Labels

20 Percentage

15

10

5

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

Stable with a similar pace of change to England

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

Living Well in Folkestone & Hythe Mental health

Prevalence of serious mental health conditions Hospital admissions for mental health conditions Prevalence of learning disabilities Suicides Hospital admissions for self harm

Living Well in Folkestone & Hythe Recorded prevalence of serious mental health conditions: by practice The percentage of patients recorded on GP QOF registers as having schizophrenia, bipolar affective disorder, other psychoses or on lithium therapy, 2018/19 Practice Kent Labels

5

Percentage 4

3

2

1

0

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

Living Well in Folkestone & Hythe Recorded prevalence of serious mental health conditions: by CCG The percentage of patients recorded on GP QOF registers as having schizophrenia, bipolar affective disorder, other psychoses or on lithium therapy, 2018/19 CCG Kent England Labels

5

Percentage 4

3

2

1

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

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

Living Well in Folkestone & Hythe Recorded prevalence of serious mental health conditions: trend The percentage of patients recorded on GP QOF registers as having schizophrenia, bipolar affective disorder, other psychoses or on lithium therapy, 2010/11 to 2018/19

England Kent Kent Labels

5 Percentage 4

3

2

1

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

Increasing with a similar pace of change to England

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

Living Well in Folkestone & Hythe Hospital admissions for mental health conditions: by electoral ward Age standardised rate per 100,000 resident population, ICD 10: F (primary diagnosis) , 2014/15-2018/19

Ward Folkestone & Hythe Kent Labels

1,400

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

Living Well in Folkestone & Hythe Hospital admissions for mental health conditions: by electoral ward Age standardised rate per 100,000 resident population, ICD 10: F (primary diagnosis) , 2014/15-2018/19

Folkestone East

Folkestone Foord

Folkestone Harbour

Folkestone Harvey Central

Folkestone Harvey West

Age standardised rate per 100,000 resident population

1 Greater than 239.7 1 195.6 to 239.7 1 153.0 to 195.6 1 130.9 to 153.0 1 Less than 130.9

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

Living Well in Folkestone & Hythe Hospital admissions for mental health conditions: by district Age standardised rate per 100,000 resident population, ICD 10: F (primary diagnosis) , 2014/15-2018/19

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 (HES), NHS Digital, ONS, prepared by KPHO (ZC), Dec-19

Living Well in Folkestone & Hythe Hospital admissions for mental health conditions: trend Age standardised rate per 100,000 resident population, ICD 10: F (primary diagnosis) , 2011/12 - 2015/16 to 2014/15 - 2018/19

Folkestone & Hythe Kent labels

1,400

1,200

1,000

800

600

400

200 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

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

Living Well in Folkestone & Hythe Hospital admissions for mental health conditions: by deprivation Age standardised rate per 100,000 resident population, ICD 10: F (primary diagnosis) , 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 1,400

1,200

1,000

800

600 453.2 412.0 400 352.6 302.3

200 191.5 171.1 152.5 Age standardised rate 100,000per relevant resident population 140.7 0 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

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

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

Living Well in Folkestone & Hythe Recorded prevalence of learning disabilities: by practice Percentage of patients recorded on GP QOF registers as having a learning disability, 2018/19

Practice Kent Labels

2.5

Percentage 2.0

1.5

1.0

0.5

0.0

Source: QOF, prepared by KPHO (ZC), Feb-19

Living Well in Folkestone & Hythe Recorded prevalence of learning disabilities: by CCG Percentage of patients recorded on GP QOF registers as having a learning disability, 2018/19

CCG Kent England Labels

2.5

Percentage 2.0

1.5

1.0

0.5

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

Source: QOF, prepared by KPHO (ZC), Feb-19

Living Well in Folkestone & Hythe Recorded prevalence of learning disabilities: trend Percentage of patients recorded on GP QOF registers as having a learning disability, 2014/15 to 2018/19

England Kent Kent Labels

2.5 Percentage 2.0

1.5

1.0

0.5

0.0 2014/15 2015/16 2016/17 2017/18 2018/19

Increasing with a similar pace of change to England

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

Living Well in Folkestone & Hythe Suicide rate: by district Age standardised rate per 100,000 people aged 10+, classified by underlying cause of death (ICD-10: X60-X84 (ages 10+ only), Y10-Y34 (ages 15+ only)), 2015-2017 District Kent Labels

35

30

25

20

15

10

5

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

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

Living Well in Folkestone & Hythe Suicide rate: trend Age standardised rate per 100,000 people aged 10+, classified by underlying cause of death (ICD-10: X60-X84 (ages 10+ only), Y10-Y34 (ages 15+ only)), 2010 - 2012 to 2015 - 2017

Shepway Kent labels

35

30

25

20

15

10

5 Age standardised rate 100,000per relevant resident population 0 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 Folkestone & Hythe Suicide rate: by deprivation Age standardised rate per 100,000 people aged 10+, classified by underlying cause of death (ICD-10: X60-X84 (ages 10+ only), Y10-Y34 (ages 15+ only)), 2010 - 2014 to 2013 - 2017

Kent least deprived Kent most deprived

35

30

25

20 17.1 16.3 15.9 14.7 15

10

8.6 8.0 8.4 8.4

5 Age standardised rate 100,000per relevant resident population 0 2010 - 2014 2011 - 2015 2012 - 2016 2013 - 2017

Least deprived trend - stable Most deprived trend - stable

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

Living Well in Folkestone & Hythe Emergency hospital admissions for self-harm: by electoral ward Age standardised rate per 100,000 resident population, ICD 10: X60-X84 (main recorded cause), 2014/15-2018/19

Ward Folkestone & Hythe Kent Labels

1,400

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

Living Well in Folkestone & Hythe Emergency hospital admissions for self-harm: by electoral ward Age standardised rate per 100,000 resident population, ICD 10: X60-X84 (main recorded cause), 2014/15-2018/19

Folkestone East

Folkestone Harbour

Folkestone Harvey Central

Age standardised rate per 100,000 resident population

1 Greater than 234.6 1 177.3 to 234.6 1 140.6 to 177.3 1 107.6 to 140.6 1 Less than 107.6

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

Living Well in Folkestone & Hythe Emergency hospital admissions for self-harm: by district Age standardised rate per 100,000 resident population, ICD 10: X60-X84 (main recorded cause), 2014/15-2018/19

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 (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20

Living Well in Folkestone & Hythe Emergency hospital admissions for self-harm: trend Age standardised rate per 100,000 resident population, ICD 10: X60-X84 (main recorded cause), 2011/12 - 2015/16 to 2014/15 - 2018/19

Sevenoaks Kent labels

1,400

1,200

1,000

800

600

400

200 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

No significant change compared with a decreasing trend for Kent

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

Living Well in Folkestone & Hythe Emergency hospital admissions for self-harm: by deprivation Age standardised rate per 100,000 resident population, ICD 10: X60-X84 (main recorded cause), 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 1,400

1,200

1,000

800

600

359.4 400 340.4 320.5 297.5

200

Age standardised rate 100,000per relevant resident population 116.4 114.5 116.3 114.1 0 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

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

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

Living Well in Folkestone & Hythe