Ageing Well: Older People in Tonbridge & Malling Contentscontents

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Ageing Well: Older people in Tonbridge & Malling ContentsContents

Overview Demographics Demographics Wellbeing & disease prevalence Wellbeing & disease prevalence Mortality Mortality Healthcare usage Healthcare usage

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Ageing Well: Older people in Tonbridge & Malling Ageing Well: Older people in Tonbridge and MallingHeath and Social Care Maps POPULATION GROWTH LIFE EXPECTANCY HOSPITAL ADMISSIONS In the 10 years between 2016 and 2026 at age 65 Age 65+ Infographic 65-84 year olds 22.5 years 19.5 + 17.8% years 48% Aged 85+ Elective of admissions Emergency are emergencies

Ward-level life expectancy (men)

In 2018/19: +31.6% Highest 22.8 Hildenborough

Source: ONS population projections 672 admissions MULTIMORBIDITY for falls age 65+, developmental statistics 19.5 Tonbridge & Malling have 2 or more long 18.9 Kent term conditions admissions recorded by their GP for fracture 49% Burham, Eccles & Lowest 14.3 of femur Wouldham 127 Source: KID, 2017 Source: PCMD, 2013-2017 Source: HES Images from Noun project Health and Social Care Maps: 0 Demographics

Population numbers: Age 65+ Population projections: Age 65+ Population numbers: Age 85+ Population Numbers: Summary table Income Deprivation Affecting Older People Index (IDAOPI)

Ageing Well: Older people in Tonbridge & Malling Persons aged 65 years and over: by electoral ward

Office for National Statistics mid-year estimates, 2018

4,000

3,500 number

3,000

2,500

2,000

1,500

1,000

500

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

Ageing Well: Older people in Tonbridge & Malling Persons aged 65 years and over: by electoral ward Office for National Statistics mid-year estimates, 2018

Borough Green & Long Mill

Office for National Statistics mid- Higham year estimates

1 Greater than 1,483 1 1,155 to 1,483 1 890 to 1,155 1 695 to 890 1 Less than 695

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

Ageing Well: Older people in Tonbridge & Malling Persons aged 65 years and over: population projections Office for National Statistics 2016-based projections, KCC housing-led forecast (September 2019)

Tonbridge & Malling KCC housing-led projection Tonbridge & Malling ONS projection

40,000

35,000 Population

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 2034 2035 2036

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

Ageing Well: Older people in Tonbridge & Malling Persons aged 85 years and over: by electoral ward

Office for National Statistics mid-year estimates, 2018

1,000.

900. number 800.

700.

600.

500.

400.

300.

200.

100.

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

Ageing Well: Older people in Tonbridge & Malling Persons aged 85 years and over: by electoral ward Office for National Statistics mid-year estimates, 2018

West Malling & Leybourne

Borough Green & Long Mill

Office for National Statistics mid- Higham year estimates

1 Greater than 212 1 155 to 212 1 114 to 155 1 81 to 114 1 Less than 81

Source: Office for National Statistics mid-year estimates, prepared by KPHO (ZC), Feb-20

Ageing Well: Older people in Tonbridge & Malling Mid 2018 Population Estimates 65+ 85+ Ward Code 2011 Ward Name by Electoral Ward Number % Number % Source: ONS E05005104 Aylesford 1162 21.0% 155 2.8% E05005105 Blue Bell Hill and Walderslade 857 20.9% 91 2.2% E05005106 Borough Green and Long Mill 1632 21.5% 277 3.6% E05005107 Burham, Eccles and Wouldham 834 17.9% 89 1.9% E05005108 Cage Green 1153 26.4% 164 3.8% E05005109 Castle 999 17.9% 197 3.5% E05008540 Ditton 1140 18.9% 93 1.5% E05005111 Downs 975 24.2% 84 2.1% E05005112 East Malling 924 17.3% 92 1.7% E05005113 East Peckham and Golden Green 919 24.1% 109 2.9% E05005114 Hadlow, Mereworth and West Peckham 1034 22.9% 129 2.9% E05005115 Higham 1594 26.4% 232 3.8% E05005116 Hildenborough 1084 20.9% 168 3.2% E05005117 Ightham 471 23.0% 49 2.4% E05005118 Judd 696 13.9% 116 2.3% E05005119 Kings Hill 988 10.3% 60 0.6% E05008541 Larkfield North 775 18.1% 59 1.4% E05005121 Larkfield South 903 22.4% 66 1.6% E05005122 Medway 1010 15.0% 197 2.9% E05005123 Snodland East 588 12.5% 58 1.2% E05005124 Snodland West 1173 16.6% 148 2.1% E05005125 Trench 817 19.2% 90 2.1% E05005126 Vauxhall 642 12.1% 66 1.2% E05005127 Wateringbury 429 20.2% 32 1.5% E05005128 West Malling and Leybourne 1329 20.1% 227 3.4% E05005129 Wrotham 409 20.4% 43 2.1% Tonbridge & Malling Total 24537 18.8% 3091 2.4%

Ageing Well: Older people in Tonbridge & Malling Income deprivation affecting older people (IDAOPI): by electoral ward The percentage of those aged 60 or over who experience income deprivation, 2019

The percentage of those aged 60 or over who experience income deprivation 1 Greater than 17.5% 1 13.2% to 17.5% 1 9.7% to 13.2% 1 7.4% to 9.7% 1 Less than 7.4%

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

Ageing Well: Older people in Tonbridge & Malling Wellbeing & disease prevalence

Life expectancy at 65 Dementia prevalence Multimorbidity: Age 65+

Ageing Well: Older people in Tonbridge & Malling Life expectancy at 65 years, 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 Tonbridge & Malling Kent Labels

30 Life expectancy in years in expectancy Life

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

Ageing Well: Older people in Tonbridge & Malling Life expectancy at 65 years, 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

Burham, Eccles & Wouldham

Snodland East

Life expectancy in years

1 Less than 17.5 1 17.5 to 18.7 1 18.7 to 19.6 1 19.6 to 20.5 1 Greater than 20.5

Wards in grey had total person years below 5,000 Source: ONS, NHS Digital, PHE, prepared by KPHO (ZC), Nov-18

Ageing Well: Older people in Tonbridge & Malling Life expectancy at 65 years, 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

30 Life expectancy in years in expectancy Life

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

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

Ageing Well: Older people in Tonbridge & Malling Life expectancy at 65 years, 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

Tonbridge & Malling Kent labels

30 Life expectancy in years

0 2010 2011 2012 2013 2014 2015 2016 2017

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

Ageing Well: Older people in Tonbridge & Malling Life expectancy at 65 years, 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 Kent most deprived

30 Life expectancy in years

20.0 20.1 20.2 20.2 20

17.0 17.0 17.0 17.0

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

Least deprived trend - increasing Most deprived trend - stable

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

Ageing Well: Older people in Tonbridge & Malling Life expectancy at 65 years, 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 Tonbridge & Malling Kent Labels

30 Life expectancy in years in expectancy Life

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

Ageing Well: Older people in Tonbridge & Malling Life expectancy at 65 years, 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

Burham, Eccles & Wouldham

Snodland East

Life expectancy in years

1 Less than 20.0 1 20.0 to 21.5 1 21.5 to 22.4 1 22.4 to 23.4 1 Greater than 23.4

Source: ONS, NHS Digital, PHE, prepared by KPHO (ZC), Nov-18 Wards in grey have total person years below 5,000

Ageing Well: Older people in Tonbridge & Malling Life expectancy at 65 years, 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

30 Life expectancy in years in expectancy Life

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

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

Ageing Well: Older people in Tonbridge & Malling Life expectancy at 65 years, 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

Tonbridge & Malling Kent labels

30 Life expectancy in years

0 2010 2011 2012 2013 2014 2015 2016 2017

Increasing compared with a stable trend for Kent Source: ONS, NHS Digital, PHE, prepared by KPHO (ZC), Nov-18

Ageing Well: Older people in Tonbridge & Malling Life expectancy at 65 years, 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 Kent most deprived

30 Life expectancy in years 22.2 22.3 22.3 22.4

20 20.0 19.9 19.9 19.9

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

Least deprived trend - stable Most deprived trend - stable

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

Ageing Well: Older people in Tonbridge & Malling Recorded dementia prevalence: by practice

Percentage of patients recorded on GP QOF registers as having dementia, all ages, 2018/19

Practice Kent Labels

4 Percentage 3

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

Ageing Well: Older people in Tonbridge & Malling Recorded dementia prevalence: by CCG Percentage of patients recorded on GP QOF registers as having dementia, all ages, 2018/19

CCG Kent Labels

4 Percentage 3

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), Nov-19

Ageing Well: Older people in Tonbridge & Malling Recorded dementia prevalence: trend Percentage of patients recorded on GP QOF registers as having dementia, all ages, 2010/11 to 2018/19

England Kent Kent Labels

4.0 Percentage

3.0

2.0

1.0

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

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

Ageing Well: Older people in Tonbridge & Malling Multimorbidity in people aged 65 and over (developmental statistics): by district Patients recorded by their GP as having 2 or more long-term conditions, age standardised rate per 100,000 people aged 65 years and over, 2017 District Kent Labels

80,000

70,000

60,000

50,000

40,000

30,000

20,000

10,000 Age standardised rate per 100,000 population relevant 100,000 per rate standardised Age

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

Source: Kent Integrated Dataset (KID), prepared by KPHO (TG), Apr-18

Ageing Well: Older people in Tonbridge & Malling Mortality

Mortality from all causes: Age 65+ Cause of death: Age 65+ Mortality from cancers: Age 65+ Mortality from cardiovascular disease: Age 65+ Mortality from respiratory disease: Age 65+

Ageing Well: Older people in Tonbridge & Malling Mortality from all causes for people aged 65 and over: by electoral ward

Age standardised rate per 100,000 people aged 65 and over, classified by underlying cause of death (ICD-10:A00-Y99), 2015-2017

Ward Tonbridge & Malling Kent Labels 14,000

12,000

10,000

8,000

6,000

4,000

2,000

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

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

Ageing Well: Older people in Tonbridge & Malling Mortality from all causes for people aged 65 and over: by electoral ward Age standardised rate per 100,000 people aged 65 and over, classified by underlying cause of death (ICD-10: A00-Y99), 2015-2017

Burham, Eccles & Wouldham

Snodland East

Age standardised rate per 100,000 people aged 65 and over

1 Greater than 4894.0 1 4189.1 to 4894.0 1 3688.8 to 4189.1 1 3301.3 to 3688.8 1 Less than 3301.3

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

Ageing Well: Older people in Tonbridge & Malling Mortality from all causes for people aged 65 and over: by district Age standardised rate per 100,000 people aged 65 and over, classified by underlying cause of death (ICD-10:A00-Y99), 2015-2017

District Kent Labels

14,000

12,000

10,000

8,000

6,000

4,000

2,000 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

Ageing Well: Older people in Tonbridge & Malling Mortality from all causes for people aged 65 and over: trend Age standardised rate per 100,000 people aged 65 and over, classified by underlying cause of death (ICD-10: A00-Y99), 2010 to 2017

Tonbridge & Malling Kent labels

14,000

12,000

10,000

8,000

6,000

4,000

2,000

0 Age standardised rate100,000 perrelevant 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

Ageing Well: Older people in Tonbridge & Malling Mortality from all causes for people aged 65 and over: by deprivation Age standardised rate per 100,000 people aged 65 and over, classified by underlyingcause of death (ICD-10: A00-Y99), 2010 - 2012 to 2015 - 2017

Kent least deprived Kent most deprived

14,000

12,000

10,000

8,000

6,000 4,850.6 4,879.3 4,791.7 4,840.4 4,893.3 4,953.0

4,000

3,732.2 3,654.4 3,654.6 3,694.6 3,660.7 3,642.5 2,000

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

Least deprived trend - stable Most deprived trend - stable

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

Ageing Well: Older people in Tonbridge & Malling Causes of mortality Underlying cause of death for persons aged 65 years and over, 2017

8% 4% 4% 2% 2% 12% Cancer Other 27% 15% 32% 5%

4% Cancer Circulatory 6% Lung Ischaemic heart disease 4% Respiratory Colorectal 16% Heart disease (other) Breast 4% Prostate Cerebrovascular diseases Circulatory 6% Other 25% Other 5% Other 3% Respiratory Injuries 6% 10% Pneumonia Gastrointestinal diseases Bronchitis, emphysema & other COPD Neurological conditions Other Mental illness & behavioural disorders Other

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

Ageing Well: Older people in Tonbridge & Malling Mortality from cancers for people aged 65 and over: by electoral ward

Age standardised rate per 100,000 people aged 65 and over, classified by underlying cause of death (ICD-10: C00-C97), 2015- 2017 Ward Tonbridge & Malling Kent Labels 4,000

3,000

2,000

1,000

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

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

Ageing Well: Older people in Tonbridge & Malling Mortality from cancers for people aged 65 and over: by electoral ward Age standardised rate per 100,000 people aged 65 and over, classified by underlying cause of death (ICD-10: C00-C97), 2015-2017

Blue Bell Hill & Walderslade

Snodland East

Age standardised rate per 100,000 people aged 65 and over

1 Greater than 1321.1 1 1178.9 to 1321.1 1 1059.4 to 1178.9 Vauxhall 1 905.5 to 1059.4 1 Less than 905.5

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

Ageing Well: Older people in Tonbridge & Malling Mortality from cancers for people aged 65 and over: by district Age standardised rate per 100,000 people aged 65 and over, classified by underlying cause of death (ICD-10: C00-C97), 2015- 2017 District Kent Labels

4,000

3,000

2,000

1,000 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

Ageing Well: Older people in Tonbridge & Malling Mortality from cancers for people aged 65 and over: trend Age standardised rate per 100,000 people aged 65 and over, classified by underlying cause of death (ICD-10: C00-C97), 2011 to 2017

Tonbridge & Malling Kent labels

4,000

3,000

2,000

1,000

0 Age standardised rate100,000 per relevant resident population 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

Ageing Well: Older people in Tonbridge & Malling Mortality from cancers for people aged 65 and over: by deprivation Age standardised rate per 100,000 people aged 65 and over, classified by underlying cause of death (ICD-10: C00-C97), 2011 - 2013 to 2015 - 2017

Kent least deprived Kent most deprived

4,000

3,000

2,000

1,294.4 1,276.8 1,304.9 1,317.4 1,348.3

1,000 997.0 981.3 969.4 972.1 974.2

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

Least deprived trend - stable Most deprived trend - stable

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

Ageing Well: Older people in Tonbridge & Malling Mortality from cardiovascular disease for people aged 65 and over: by electoral ward

Age standardised rate per 100,000 people aged 65 and over, classified by underlying cause of death (ICD-10: I00-I99), 2013-2017

Ward Tonbridge & Malling Kent Labels 4,000

3,500

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

Ageing Well: Older people in Tonbridge & Malling Mortality from cardiovascular disease for people aged 65 and over: by electoral ward Age standardised rate per 100,000 people aged 65 and over, classified by underlying cause of death (ICD-10: I00-I99), 2013-2017

Burham, Eccles & Wouldham

Wrotham

Age standardised rate per 100,000 people aged 65 and over

1 Greater than 1327.1 1 1124.5 to 1327.1 1006.7 to 1124.5 1 Judd 1 843.7 to 1006.7 1 Less than 843.7

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

Ageing Well: Older people in Tonbridge & Malling Mortality from cardiovascular disease for people aged 65 and over: by district Age standardised rate per 100,000 people aged 65 and over, classified by underlying cause of death (ICD-10: I00-I99), 2013- 2017 District Kent Labels

4,000

3,500

3,000

2,500

2,000

1,500

1,000

500 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

Ageing Well: Older people in Tonbridge & Malling Mortality from cardiovascular disease for people aged 65 and over: trend Age standardised rate per 100,000 people aged 65 and over, classified by underlying cause of death (ICD-10: I00-I99), 2010 to 2017

Tonbridge & Malling Kent labels

4,000

3,500

3,000

2,500

2,000

1,500

1,000

500

0 Age standardised rate100,000 perrelevant 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

Ageing Well: Older people in Tonbridge & Malling MortalityMortality fromfrom cardiovascular respiratory disease disease for for people people aged aged 65 65 and and over: over: by by electoral deprivation ward Age standardised rate per 100,000 people aged 65 and over, classified by underlying cause of death (ICD-10: I00-I99), 2010 - 2012 to 2015 - Age standardised rate per 100,000 people aged 65 and over,2017 classified by underlying cause of death (ICD-10: J00-J99) , 2013- 2017 Ward Tonbridge & Malling Kent Labels

Kent least deprived Kent most deprived 2,600

2,400 4,000 2,200

3,5002,000 1,800 3,000 1,600

2,5001,400 1,200

2,0001,000 1,432.0 1,545.7 1,492.1 800 1,401.0 1,372.7 1,500 1,316.1 600

1,000400 1,210.1 1,091.8 1,056.4 1,030.5 200 982.5 936.5 500 0

0 Age standardised rate100,000 per relevant resident population Age standardised rate per 100,000 population resident relevant 100,000 per rate standardised Age 2010 - 2012 2011 - 2013 2012 - 2014 2013 - 2015 2014 - 2016 2015 - 2017

Least deprived trend - decreasing Most deprived trend - decreasing

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

Ageing Well: Older people in Tonbridge & Malling Mortality from respiratory disease for people aged 65 and over: by electoral ward Age standardised rate per 100,000 people aged 65 and over, classified by underlying cause of death (ICD-10: J00-J99) , 2013-2017

Snodland East

Aylesford

East Malling

Age standardised rate per 100,000 people aged 65 and over

1 Greater than 840.8 1 681.7 to 840.8 1 580.4 to 681.7 1 489.1 to 580.4 1 Less than 489.1

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

Ageing Well: Older people in Tonbridge & Malling Mortality from respiratory disease for people aged 65 and over: by district Age standardised rate per 100,000 people aged 65 and over, classified by underlying cause of death (ICD-10: J00-J99) , 2013- 2017 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 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

Ageing Well: Older people in Tonbridge & Malling Mortality from respiratory disease for people aged 65 and over: trend Age standardised rate per 100,000 people aged 65 and over, classified by underlying cause of death (ICD-10: J00-J99) , 2010 to 2017

Tonbridge & Malling 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 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

Ageing Well: Older people in Tonbridge & Malling Mortality from respiratory disease for people aged 65 and over: by deprivation Age standardised rate per 100,000 people aged 65 and over, classified by underlying cause of death (ICD-10: J00-J99) , 2010 - 2014 to 2013 - 2017

Kent least deprived Kent most deprived

2,200

2,000

1,800

1,600

1,400

1,200

1,000 854.7 858.1 848.3 827.8 800

600

550.1 555.4 400 541.7 526.3

200 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

Ageing Well: Older people in Tonbridge & Malling Healthcare usage

A&E attendances: Age 65+ Elective hospital admissions: Age 65+ Emergency hospital admissions: Age 65+ Hospital admissions for falls: Age 65+ Hospital admissions caused by hip fracture: Age 65+ Hospital admissions caused by flu: Age 65+ Hospital admissions involving dementia: Age 65+

Ageing Well: Older people in Tonbridge & Malling Accident & Emergency attendances in people aged 65 and over: by electoral ward

Age standardised rate per 100,000 people aged 65 and over, 2016/17-2018/19

Ward Tonbridge & Malling Kent Labels

100,000

80,000

60,000

40,000

20,000

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

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

Ageing Well: Older people in Tonbridge & Malling Accident & Emergency attendances in people aged 65 and over: by electoral ward Age standardised rate per 100,000 people aged 65 and over, 2016/17-2018/19

Age standardised rate per 100,000 people aged 65 and over

1 Greater than 56,038.8 1 47,196.9 to 56,038.8 1 41,336.5 to 47,196.9 1 37,268.7 to 41,336.5 1 Less than 37,268.7

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

Ageing Well: Older people in Tonbridge & Malling Accident & Emergency attendances in people aged 65 and over: by district Age standardised rate per 100,000 people aged 65 and over, 2016/17-2018/19

District Kent Labels

100,000

80,000

60,000

40,000

20,000

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

Ageing Well: Older people in Tonbridge & Malling Accident & Emergency attendances in people aged 65 and over: trend Age standardised rate per 100,000 people aged 65 and over, 2011/12 - 2013/14 to 2016/17 - 2018/19

Tonbridge & Malling Kent labels

120,000

100,000

80,000

60,000

40,000

20,000 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 2014/15 - 2016/17 2015/16 - 2017/18 2016/17 - 2018/19

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

Ageing Well: Older people in Tonbridge & Malling Elective hospital admissions in people aged 65 and over: by deprivation Age standardised rate of per 100,000 people aged 65 and over, 2011/12 - 2013/14 to 2016/17 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 100,000

80,000

58,295.9 55,857.6 60,000 54,027.8 49,943.0 46,645.6 43,466.8

40,000 39,830.8 37,325.3 38,419.5 35,027.3 31,882.6 33,279.6

20,000 Age standardised rate100,000 per relevant resident population 0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 2014/15 - 2016/17 2015/16 - 2017/18 2016/17 - 2018/19

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

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

Ageing Well: Older people in Tonbridge & Malling Elective hospital admissions in people aged 65 and over: by electoral ward

Age standardised rate of per 100,000 people aged 65 and over, 2016/17-2018/19

Ward Tonbridge & Malling 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

Ageing Well: Older people in Tonbridge & Malling Elective hospital admissions in people aged 65 and over: by electoral ward Age standardised rate of per 100,000 people aged 65 and over, 2016/17-2018/19

Age standardised rate of per 100,000 people aged 65 and over

1 Greater than 34,780.2 1 31,719.9 to 34,780.2 1 29,552.9 to 31,719.9 1 26,990.7 to 29,552.9 1 Less than 26,990.7

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

Ageing Well: Older people in Tonbridge & Malling Elective hospital admissions in people aged 65 and over: by district Age standardised rate of per 100,000 people aged 65 and over, 2016/17-2018/19

District Kent Labels

70,000

60,000

50,000

40,000

30,000

20,000

10,000

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

Ageing Well: Older people in Tonbridge & Malling Elective hospital admissions in people aged 65 and over: trend Age standardised rate of per 100,000 people aged 65 and over, 2011/12 - 2013/14 to 2016/17 - 2018/19

Tonbridge & Malling Kent labels

70,000

60,000

50,000

40,000

30,000

20,000

10,000 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 2014/15 - 2016/17 2015/16 - 2017/18 2016/17 - 2018/19

Increasing compared with a stable trend for Kent Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Dec-19

England least deprived Kent least deprived

England most deprived Kent most deprived 70,000

60,000

50,000

32,276.2 34,040.3 40,000 33,290.2 34,063.8 32,889.7 31,564.4

30,000 30,426.2 30,628.8 30,174.0 29,617.7 28,456.8 29,398.6

20,000

10,000 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 2014/15 - 2016/17 2015/16 - 2017/18 2016/17 - 2018/19

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 (MP), Dec-19

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions in people aged 65 and over: by electoral ward

Age standardised rate per 100,000 people aged 65 and over, 2016/17-2018/19

Ward Tonbridge & Malling Kent Labels

60,000

50,000

40,000

30,000

20,000

10,000

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

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

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions in people aged 65 and over: by electoral ward Age standardised rate per 100,000 people aged 65 and over, 2014/15-2018/19

Burham, Eccles & Wouldham

Snodland West Snodland East

Aylesford

East Peckham & Golden Green

Age standardised rate per 100,000 people aged 65 and over

1 Greater than 27,218.6 1 24,430.1 to 27,218.6 1 22,101.7 to 24,430.1 1 20,123.2 to 22,101.7 1 Less than 20,123.2

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

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions in people aged 65 and over: by district Age standardised rate per 100,000 people aged 65 and over, 2016/17-2018/19

District Kent Labels

60,000

50,000

40,000

30,000

20,000

10,000

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

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions in people aged 65 and over: trend Age standardised rate per 100,000 people aged 65 and over, 2011/12 - 2013/14 to 2016/17 - 2018/19

Tonbridge & Malling Kent labels

60,000

50,000

40,000

30,000

20,000

10,000 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 2014/15 - 2016/17 2015/16 - 2017/18 2016/17 - 2018/19

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

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions in people aged 65 and over: by deprivation Age standardised rate of per 100,000 people aged 65 and over, 2011/12 - 2013/14 to 2016/17 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 60,000

50,000

40,000

28,354.2 28,503.5 28,796.0 29,028.9 30,000 27,968.2 28,034.5

20,000 20,338.7 20,481.4 20,322.2 20,277.4 20,271.4 20,746.7

10,000 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 2014/15 - 2016/17 2015/16 - 2017/18 2016/17 - 2018/19

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 (MP), Jan -20

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions due to falls in people aged 65 and over: by electoral ward

Age standardised rate per 100,000 people aged 65 and over, ICD 10: S00-T98 (primary diagnosis) and external cause code W00-W19, 2016/17-2018/19 Ward Tonbridge & Malling Kent Labels

6,000

5,000

4,000

3,000

2,000

1,000

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

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

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions due to falls in people aged 65 and over: by electoral ward Age standardised rate per 100,000 people aged 65 and over, ICD 10: S00-T98 (primary diagnosis) and external cause code W00-W19, 2016/17-2018/19

Burham, Eccles & Wouldham

Snodland West Snodland East

Aylesford

West Malling & Leybourne

Trench East Peckham & Golden Green

Age standardised rate per 100,000 Higham people aged 65 and over Medway Cage Green 1 Greater than 2,635.9 1 2,201.8 to 2,635.9 1 1,852.6 to 2,201.8 Vauxhall Judd 1 1,637.0 to 1,852.6 1 Less than 1,637.0

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

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions due to falls in people aged 65 and over: by district Age standardised rate per 100,000 people aged 65 and over, ICD 10: S00-T98 (primary diagnosis) and external cause code W00-W19, 2016/17-2018/19 District Kent Labels

6,000

5,000

4,000

3,000

2,000

1,000

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

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions due to falls in people aged 65 and over: trend Age standardised rate per 100,000 people aged 65 and over, ICD 10: S00-T98 (primary diagnosis) and external cause code W00-W19, 2010/11 to 2018/19

Tonbridge & Malling Kent labels

6,000

5,500

5,000

4,500

4,000

3,500

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

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

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions due to falls in people aged 65 and over: by deprivation Age standardised rate per 100,000 people aged 65 and over, ICD 10: S00-T98 (primary diagnosis) and external cause code W00-W19, 2011/12 - 2013/14 to 2016/17 - 2018/19 England least deprived Kent least deprived

England most deprived Kent most deprived 6,000

5,500

5,000

4,500

4,000

3,500

3,000 2,375.9 2,315.6 2,283.0 2,275.7

2,500

2,000

1,500 2,264.0 2,226.7 2,204.0 2,176.2

1,000

500 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 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 (SR), Dec-19

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions caused by hip fracture in people aged 65 and over: by electoral ward

Age standardised rate per 100,000 people aged 65 and over, ICD 10: S72.0, S72.1, S72.2 in primary, 2014/15 -2018/19

Ward Tonbridge & Malling 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), Nov-19

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions caused by hip fracture in people aged 65 and over: by electoral ward Age standardised rate per 100,000 people aged 65 and over, ICD 10: S72.0, S72.1, S72.2 in primary, 2014/15 -2018/19

Burham, Eccles & Wouldham

Snodland East Larkfield North

Age standardised rate per 100,000 people aged 65 and over Medway

1 Greater than 699.2 1 619.9 to 699.2 1 535.0 to 619.9 Vauxhall 1 464.5 to 535.0 1 Less than 464.5

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

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions caused by hip fracture in people aged 65 and over: by district

Age standardised rate per 100,000 people aged 65 and over, ICD 10: S72.0, S72.1, S72.2 in primary, 2014/15 -2018/19

District Kent Labels

1,800

1,600

1,400

1,200

1,000

800

600

400

200

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

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions caused by hip fracture in people aged 65 and over: trend

Age standardised rate per 100,000 people aged 65 and over, ICD 10: S72.0, S72.1, S72.2 in primary, 2011/12- 2015/16 to 2014/15 - 2018/19

Tonbridge & Malling 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), Nov-19

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions caused by hip fracture in people aged 65 and over: by deprivation Age standardised rate per 100,000 people aged 65 and over, ICD 10: S72.0, S72.1, S72.2 in primary, 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

800 689.1 676.2 676.5 674.5

600

576.7 583.2 576.8 563.5 400

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

Least deprived trend - stable compared with a decreasing trend for 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

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions caused by influenza and pneumonia in people aged 65 and over: by electoral ward

Age standardised rate per 100,000 people aged 65 and over, ICD 10: J09, J18 in primary, 2016/17-2018/19

Ward Tonbridge & Malling Kent Labels

12,000

10,000

8,000

6,000

4,000

2,000

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

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

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions caused by influenza and pneumonia in people aged 65 and over: by electoral ward Age standardised rate per 100,000 people aged 65 and over, ICD 10: J09, J18 in primary, 2016/17-2018/19

Burham, Eccles & Wouldham

Snodland East

Age standardised rate per 100,000 people aged 65 and over

1 Greater than 3,410.8 1 2,943.2 to 3,410.8 1 2,543.5 to 2,943.2 1 2,204.9 to 2,543.5 1 Less than 2,204.9

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

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions caused by influenza and pneumonia in people aged 65 and over: by district

Age standardised rate per 100,000 people aged 65 and over, ICD 10: J09, J18 in primary, 2016/17-2018/19

District Kent Labels

12,000

10,000

8,000

6,000

4,000

2,000

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

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions caused by influenza and pneumonia in people aged 65 and over: trend

Age standardised rate per 100,000 people aged 65 and over, ICD 10: J09, J18 in primary, 2011/12 - 2013/14 to 2016/17 - 2018/19

Tonbridge & Malling Kent labels

12,000

10,000

8,000

6,000

4,000

2,000 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 2014/15 - 2016/17 2015/16 - 2017/18 2016/17 - 2018/19

Increasing with a similar pace of change to Kent Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Feb-20

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions caused by influenza and pneumonia in people aged 65 and over: by deprivation Age standardised rate per 100,000 people aged 65 and over, ICD 10: J09, J18 in primary, 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 12,000

10,000

8,000

6,000

3,485.6 3,029.5 3,295.2 4,000 2,691.0

2,000 1,931.1 2,054.3

1,590.0 1,754.9 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 (ZC), Feb-20

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions involving individuals with dementia amongst people aged 65 and over: by electoral ward

Age standardised rate per 100,000 people aged 65 and over, ICD 10: F00-F04, G30 & G31, 2014/15-2018/19

Ward Tonbridge & Malling Kent Labels

14,000

12,000

10,000

8,000

6,000

4,000

2,000

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

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

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions involving individuals with dementia amongst people aged 65 and over: by electoral ward Age standardised rate per 100,000 people aged 65 and over, ICD 10: F00-F04, G30 & G31, 2014/15-2018/19

Burham, Eccles & Wouldham

Snodland West

East Peckham & Golden Green

Age standardised rate per 100,000 people aged 65 and over Medway

1 Greater than 3,944.1 1 2,737.6 to 3,944.1 1 2,142.1 to 2,737.6 1 1,744.4 to 2,142.1 1 Less than 1,744.4

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

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions involving individuals with dementia amongst people aged 65 and over: by district

Age standardised rate per 100,000 people aged 65 and over, ICD 10: F00-F04, G30 & G31, 2014/15-2018/19

District Kent Labels

14,000

12,000

10,000

8,000

6,000

4,000

2,000

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

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions involving individuals with dementia amongst people aged 65 and over: trend

Age standardised rate per 100,000 people aged 65 and over, ICD 10: F00-F04, G30 & G31, 2011/12 - 2013/14 to 2016/17 - 2018/19

Tonbridge & Malling Kent labels

14,000

12,000

10,000

8,000

6,000

4,000

2,000 Age standardised rate 100,000per relevant resident population 0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 2014/15 - 2016/17 2015/16 - 2017/18 2016/17 - 2018/19

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

Ageing Well: Older people in Tonbridge & Malling Emergency hospital admissions involving individuals with dementia amongst people aged 65 and over: by deprivation Age standardised rate per 100,000 people aged 65 and over, ICD 10: F00-F04, G30 & G31, 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 8,000

7,000

6,000

5,000

4,000 3,672.1 3,477.6 3,319.8 3,179.4

3,000

2,868.9 2,000 2,765.2 2,624.0 2,696.3

1,000 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 (ZC), Dec-19

Ageing Well: Older people in Tonbridge & Malling