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Living Well: Overview Living Well in Dover Contentscontents Living Well: Overview Living well in Dover ContentsContents Overview Demographics Demographics Premature mortality Premature mortality Healthcare usage Healthcare usage Clinical effectiveness Clinical effectiveness Lifestyle Lifestyle User guide Multimorbidity Multimorbidity Living Well in Dover Living Well: Dover Heath and Social Care Maps PREMATURE DEATHS LIFE EXPECTANCY LONG TERM CONDITIONS (under 75 years) at birth Kent recorded Cause of death Infographic Diabetes prevalence 6.8% Hypertension 8% 8% Ages 17+ 3% 4% 82.4 14.7% 6% 3% years All ages 2% Other Asthma 6% 31% Cancer 38% 79.4 COPD years 5.6% 7% 21% All ages 2.1% 3% Circulatory Source: QOF, 2018/19 All ages 3% 17% Respiratory 15% 3% 2% MENTAL HEALTH Other 9% 10% 3% Ward-level life expectancy (men) Depression Highest 87.0 Capel-le-Ferne 11.2% Of adults recorded by their GP as having depression Inequalities by deprivation 518.0 Premature mortality Emergency hospital admissions per 100,000 79.9 Kent rates (ASR) for serious mental health conditions 245.5 79.4 Dover per 100,000 213 in 2018/19 Most Least Lowest 75.0 St Radigunds deprived deprived Health and Social CareSource: Maps: PCMD, 2017, 2013-2017 Source: NCMP, 2014/15Source:- 2015/16PCMD, 2013 combined-2017 Source: QOF, 2018/19;0 HES, Demographics Index of Multiple Deprivation (IMD) Living Well in Dover Index of Multiple Deprivation (IMD): by electoral ward Overall IMD score, population weighted quintile, 2019 Aylesham Buckland Overall IMD score Castle Tower Hamlets 1 Greater than 28.1 Maxton, Elms Vale & Priory 1 19.1 to 28.1 1 14.7 to 19.1 1 10.9 to 14.7 St Radigunds Town & Pier 1 Less than 10.9 Source: DCLG, prepared by KPHO (MP), Oct-19 Living Well in Dover Premature mortality Premature mortalty from all causes Causes of premature death Living Well in Dover Premature mortality from all causes: by electoral ward Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: A00-Y99), 2015-2017 Ward Dover Kent Labels 1200 1000 800 600 400 200 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 Dover Premature mortality from all causes: by electoral ward Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: A00-Y99), 2015- 2017 Aylesham Buckland Age standardised rate per 100,000 Castle people aged under 75 years Tower Hamlets 1 Greater than 391.6 Maxton, Elms Vale & Priory 1 324.9 to 391.6 1 286.9 to 324.9 1 225.8 to 286.9 St Radigunds Town & Pier 1 Less than 225.8 Source: PCMD, prepared by KPHO (RK), Nov-18 Living Well in Dover Premature mortality from all causes: by district Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: A00-Y99), 2015-2017 District Kent Labels 1,200 1,000 800 600 400 200 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 Dover Premature mortality from all causes: trend Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10:A00-Y99), 2010 to 2017 Dover Kent labels 1,200 1,000 800 600 400 200 Age standardised rate100,000 per 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 Dover Premature mortality from all causes: by deprivation Age standardised rate per 100,000 people aged under 75 years, classified by underlying cause of death (ICD-10: A00-Y99), 2010 to 2017 Kent least deprived Kent most deprived 1,200 1,000 800 600 505.9 498.9 486.4 482.3 483.8 474.4 481.8 475.7 400 200 252.2 214.6 230.2 233.8 224.5 225.0 216.2 219.8 0 Age standardised rate 100,000per relevant resident population 2010 2011 2012 2013 2014 2015 2016 2017 Least deprived trend - stable Most deprived trend - stable Source: PCMD, prepared by KPHO (RK), Nov-18 Living Well in Dover Causes of premature mortality Underlying cause of death for persons aged under 75 years, 2017 8% 8% 3% 4% 6% 3% 2% Other 31% 6% Cancer 38% Circulatory 7% 21% Cancer Ischaemic heart disease Lung Heart disease (other) Colorectal 3% Cerebrovascular diseases Circulatory Breast 3% Other 17% Respiratory Prostate 3% 15% Other Other 2% Injuries Respiratory Gastrointestinal diseases 9% 10% 3% Pneumonia Neurological conditions Bronchitis, emphysema & other COPD Infant & congenital conditions Other Other Source: PCMD, prepared by KPHO (RK), Jul -18 Living Well in Dover Healthcare usage A&E attendances Elective hospital admissions Emergency hospital admissions Living Well in Dover Accident & Emergency attendances: by electoral ward Age standardised rate per 100,000 resident population, , 2016/17-2018/19 Ward Dover 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 (SR), Dec-19 Living Well in Dover Accident & Emergency attendances: by electoral ward Age standardised rate per 100,000 resident population, 2016/17-2018/19 Eastry Middle Deal & Sholden North Deal Mill Hill Walmer Ringwould Buckland Hospital Episode Statistics (HES), Castle NHS Digital, ONS Tower Hamlets 1 Greater than 45,312.4 Maxton, Elms Vale & Priory 1 37,571.8 to 45,312.4 1 33,267.1 to 37,571.8 Capel-le-Ferne 1 29,290.9 to 33,267.1 St Radigunds Town & Pier 1 Less than 29,290.9 Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (SR), Dec-19 Living Well in Dover Accident & Emergency attendances: by district Age standardised rate per 100,000 resident population, , 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 (SR), Dec-19 Living Well in Dover Accident & Emergency attendances: trend Age standardised rate per 100,000 resident population, 2010/11 - 2012/13 to 2016/17 - 2018/19 Dover Kent labels 100,000 80,000 60,000 40,000 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 Increasing with a similar pace of change to Kent Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (SR), Dec-19 Living Well in Dover Accident & Emergency attendances: by deprivation Age standardised rate per 100,000 resident population, 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 60,000 46,404.8 46,524.4 47,442.6 42,802.9 39,403.3 40,000 36,074.5 29,283.3 27,778.0 28,414.8 20,000 25,843.3 22,934.6 24,248.9 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 - increasing with a faster pace of change than England Most deprived trend - increasing with a similar pace of change to England Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (SR), Dec-19 Living Well in Dover Elective hospital admissions: by electoral ward Age standardised rate per 100,000 resident population, 2016/17-2018/19 Ward Dover Kent Labels 35,000 30,000 25,000 20,000 15,000 10,000 5,000 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), Nov-19 Living Well in Dover Elective hospital admissions: by electoral ward Age standardised rate per 100,000 resident population, 2016/17-2018/19 Eastry Aylesham Mill Hill Age standardised rate per 100,000 resident population 1 Greater than 15,908.4 1 14,612.7 to 15,908.4 1 13,873.4 to 14,612.7 1 12,968.7 to 13,873.4 Town & Pier 1 Less than 12,968.7 Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Nov-19 Living Well in Dover Elective hospital admissions: by district Age standardised rate per 100,000 resident population, 2016/17-2018/19 District Kent Labels 35,000 30,000 25,000 20,000 15,000 10,000 5,000 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), Nov-19 Living Well in Dover Elective hospital admissions: trend Age standardised rate per 100,000 resident population, 2011/12 - 2013/14 to 2016/17 - 2018/19 Dover Kent labels 35,000 30,000 25,000 20,000 15,000 10,000 5,000 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 No significant change compared with a stable trend for Kent Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (MP), Nov-19
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