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Ashford Clinical Commissioning Group Health & Demographic Profile

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Ashford Clinical Commissioning Group Health & Demographic Profile Ashford Clinical Commissioning Group Ashford Clinical Commissioning Group Health & Demographic Profile 2014 Contributors; Dr Faiza Khan Consultant in Public Health Kent County Council Jack Baxter Public Health Information Officer Kent & Medway Public Health Observatory Contents Summary of Findings ........................................................................................................................... 3 Links to other useful documents/ plans ................................................................................................ 3 Introduction .......................................................................................................................................... 5 Geography ........................................................................................................................................... 6 Demography ....................................................................................................................................... 10 Population Breakdowns ........................................................................................................... 10 Population Projections ............................................................................................................. 11 Population Distribution Maps- ONS 2013 Mid-year estimates ................................................. 13 Health Inequalities .............................................................................................................................. 21 Indices of Multiple Deprivation (IMD) 2010 .............................................................................. 23 Children .............................................................................................................................................. 30 Life Expectancy from Birth ....................................................................................................... 30 Infant Mortality ......................................................................................................................... 33 General Fertility Rate ............................................................................................................... 35 Low Birth Weight ..................................................................................................................... 36 Breastfeeding .......................................................................................................................... 36 Children’s Centres ................................................................................................................... 37 Child Wellbeing Index 2009 ..................................................................................................... 39 Immunisation & Vaccination .................................................................................................... 41 National Child Measurement Programme (NCMP) .................................................................. 44 Child and Adolescent Mental Health Services ......................................................................... 45 Sexual Health .......................................................................................................................... 48 Older People ...................................................................................................................................... 50 Chronic Diseases ............................................................................................................................... 51 Risk Factors for Chronic Diseases .......................................................................................... 51 Smoking Prevalence ................................................................................................................ 51 Adult Obesity Prevalence ........................................................................................................ 52 Alcohol Misuse ........................................................................................................................ 54 Ashford LAPE Profile (2012 Update) ....................................................................................... 56 Chronic Disease Patterns ................................................................................................................... 58 King’s Fund 10 Priorities for Commissioners ........................................................................... 58 Long Term Conditions ........................................................................................................................ 59 Cancer Registrations ............................................................................................................... 59 Quality Outcomes Framework (QOF) ................................................................................................. 62 Diabetes .................................................................................................................................. 63 Coronary Heart Disease .......................................................................................................... 67 Stroke or Transient Ischaemic Attacks .................................................................................... 71 Hypertension ........................................................................................................................... 75 Chronic Obstructive Pulmonary Disorder (COPD) ................................................................... 79 Mental Health ..................................................................................................................................... 83 Dementia ................................................................................................................................. 83 Page | 2 Mental Illness Needs Index 2000 ............................................................................................. 85 Falls ......................................................................................................................................... 90 Hospital Activity: A&E Attendances and Admissions .......................................................................... 95 Ashford CCG A&E Attendance Rates ...................................................................................... 95 Emergency admission rates in Ashford, 2012/13 .................................................................. 109 Elective admission rates in Ashford for older people, 2012/13 .............................................. 123 Outpatient attendance rates in Ashford for older people, 2012/13......................................... 127 Links to other useful documents/ plans Healthy Lives, Healthy People: Our strategy for public health in England https://www.gov.uk/government/publications/healthy-lives-healthy-people-our-strategy-for-public- health-in-england Kent Joint Strategic Needs Assessment 13/14 Update http://www.kmpho.nhs.uk/jsna/ Kent Alcohol Strategy 2014-2016 http://www.kmpho.nhs.uk/EasysiteWeb/getresource.axd?AssetID=379439&type=full&servicetype=Att achment Ashford Borough Council corporate plan 2013-2015 http://www.ashford.gov.uk/focus-2013-15-corporate-plan Ashford CCG plans, reports and strategies http://www.ashfordccg.nhs.uk/about-us/our-plans-reports-and-strategies/ NHS England five year forward view http://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf Public Health England marketing strategy: 2014 to 2017 https://www.gov.uk/government/publications/public-health-england-marketing-strategy-2014-to-2017 Page | 3 Summary of Findings 1. The area which comprises the CCG is made up of 35 electoral wards. 2. The CCG has a total of 14 practices with 3 branch practices. 3. It has a total registered population of 64,457 females and 61,943 males as of 31/12/2014. 4. Ashford CCG has a lower proportion of registered patients aged 65+ and 85+ compared to the Kent average. 5. The most deprived areas are mainly central to the area in Downs West, Norman, Bockhanger, Stanhope, Beaver, Victoria and Aylesford Green wards. 6. Ashford has no GP practices that serve patients in the 20%-40% most deprived areas nationally. 7. Ashford CCG has the highest life expectancy from birth of all Kent CCG’s at 82.5 years. 8. Ashford has the third lowest infant mortality rate of all the CCGs in Kent for 2011-2013. 9. Ashford has a higher General Fertility Rate than Kent for the period 2009-2013. 10. Ashford has a lower percentage of babies born with a low birth weight compared to Kent and England. 11. It has a 6-8 week breastfeeding prevalence of 36.8% with a coverage of 75.5% for 2013/14. 12. It has a total of 6 Children’s Centres. 13. There are a number of practices failing to reach the minimum target of 90% immunisation for vaccinations in Ashford practices at quarter 2 in 2014/15. 14. Ashford has the lowest admission rate in 2013/14 of all Kent CCGs for deliberate and unintentional injuries for 0-19 year olds. 15. There is a high prevalence of obesity for Year R & 6 children in Aylesford Green and Stanhope wards. 16. Ashford has a lower teenage conception rate than Kent for the year 2012. 17. Ashford has the highest life expectancy once you reach the age of 65 of all Kent CCGs at 20.7 years for the period 2009-2013. 18. Approximately 22.7% of adults in Ashford borough are obese compared to 21.2% in Kent and 23% in England (Active People Survey 2012). 19. Ashford has held a significantly lower admission rate due to alcohol-specific
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