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Swale Clinical Commissioning Group Health Profile 2014 to 2016

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Swale Clinical Commissioning Group Health Profile 2014 to 2016 Swale Clinical Commissioning Group Health Profile 2014 to 2016 Dr Faiza Khan Jack Baxter Colin Thompson Natasha Roberts Penelope Searle Kent & Medway Public Health Observatory January 2014 Page 2 of 136 Contents January 2014Conte ..................................................................................................................... 2 Links to other plans ................................................................................................................... 5 Demography and Geography .................................................................................................... 6 Geography ................................................................................................................................ 6 Demography ............................................................................................................................. 9 Predicted trends in population change .................................................................................... 17 Inequalities in Health ................................................................................................................ 19 Health inequalities through measurement of the social determinants of health in the Swale CCG area ................................................................................................................................ 21 Children ..................................................................................................................................... 27 General Fertility Rate .............................................................................................................. 29 Low Birth Weight ..................................................................................................................... 30 Breast feeding ......................................................................................................................... 31 Early years, child health, health visitors, children’s centres .................................................... 32 Immunisation and Vaccination ................................................................................................ 33 Child wellbeing – health overview ........................................................................................... 35 Child wellbeing overview – material wellbeing ........................................................................ 36 Child and Adolescent Mental Health Services ........................................................................ 38 Teenage Pregnancy................................................................................................................ 39 Older People ............................................................................................................................. 40 Chronic Diseases ..................................................................................................................... 41 Risk Factors for Chronic Disease ........................................................................................... 41 Smoking Prevalence ....................................................................................................................... 41 Adult Obesity Prevalence ................................................................................................................ 43 Alcohol Misuse ................................................................................................................................ 44 Kent Pharmacies with needle exchange services ................................................................... 53 Chronic Disease Patterns ....................................................................................................... 53 Multi-Morbidity ........................................................................................................................ 53 Cancer Registrations ...................................................................................................................... 55 Diabetes ......................................................................................................................................... 57 Coronary Heart Disease (CHD)....................................................................................................... 62 Stroke ............................................................................................................................................. 66 Chronic Obstructive Pulmonary Disease (COPD) ........................................................................... 70 Mental Health .................................................................................................................................. 75 Mental Illness in Children and Young People ......................................................................... 75 Prevalence of more severe mental illness in adults ................................................................ 76 Common mental illness described by reference to practice prescribing patterns ................... 78 Long term conditions and mental health: Co-morbidities ................................................................ 79 Dementia ........................................................................................................................................ 79 Sexual Health ............................................................................................................................ 84 Teenage Conceptions ............................................................................................................. 84 HIV .......................................................................................................................................... 86 Syphillis, Gonorrhoea and acute sexually transmitted infections ............................................ 88 Chlamydia ............................................................................................................................... 91 Hospital Activity – A&E Attendances & Admissions ............................................................. 93 Swale A&E Admissions ........................................................................................................... 93 Swale Emergency Admissions .............................................................................................. 107 Older People ......................................................................................................................... 121 Falls ...................................................................................................................................... 129 All age all-cause mortality ..................................................................................................... 136 Page 3 of 136 Summary of Findings 1. Higher proportions of under 4 year olds are to be found in Sheerness East, Sheppey Central & Kemsley wards. 2. Minster Cliffs and Sheppey Central are the wards with the highest number of residents aged 65+. 3. Minster Cliffs & Woodstock have the highest proportion of people aged over 85+ 4. Grove, Milton Regis, Sheppey Central, Sheerness East, Leysdown and Warden & Sheerness West have the lowest life expectancy from birth than Swale at 75.5 years. The difference in life expectancy from birth between highest and lowest wards is 8.3 years. 5. The largest predicted rises in population are in the 65+ and 85+ populations which are set to increase by 55% and 126% of the 2013 population figures 6. The majority of deprived areas in Swale are found on the Isle of Sheppey. However on the main land one part of Murston is also amongst the 20% most deprived. 7. The Swale CCG area has the second highest infant mortality rate in comparison to the other CCG’s in Kent. Although it’s higher than the rate for Kent it’s still below the England rate. 8. Generally the prevalence & coverage rates for breast feeding in Swale are lower than the Kent average. 9. The Swale CCG practices demonstrate mixed immunisation rates which highlights the need to keep focused on effective immunisation to achieve optimal rates. 10. A greater proportion of children with poor health and disability are found in Sheerness West, Sheerness East, Queenborough and Halfway, Murston and Milton Regis 11. The teenage conception rates are highest in Leysdown, Warden, Chalkwell and Roman ward 12. Smoking rates are highest around central Sittingbourne and Sheerness. 20% of mothers within the Swale Borough Council area continue to smoke during pregnancy. 13. Wards on the Isle of Sheppey have relatively higher estimated rates of obesity than those on the main land 14. Overall the cancer registrations for Swale CCG are marginally lower than the rate for Kent. 15. The prevalence of diabetes for the CCG is 6.8% which is second to Thanet CCG 16. The expected prevalence of CHD in Swale is estimated to be 5,430 which means there are potentially 2,146 people who are unaware they have the condition. 17. The expected and observed prevalence for stroke in Swale are broadly similar, with less variation between practices. 18. The prevalence of COPD within Swale CCG ranges from 0.8% to 2.9%., there maybe up to 842 patients in Swale CCG with undiagnosed COPD. 19. Swale CCG practices overall have lower rates of patients with mental illness as compared to the national and Kent & Medway average. 20. The highest age standardised admission rates for Swale residents aged 65+ are found in Sheppey Central, Sheerness East & West and
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