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 perrelevant 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 perrelevant 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
Living Well in Dover Elective hospital admissions: 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 35,000
30,000
25,000
20,000
15,901.7 15,299.2 15,656.4 15,815.3 15,676.9 15,379.8 15,000
12,904.1 13,188.2 13,141.7 13,067.8 12,384.2 10,000 11,881.4
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
Least deprived trend - increasing 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 (MP), Nov-19
Living Well in Dover Emergency hospital admissions: by electoral ward
Age standardised rate per 100,000 resident population, 2016/17-2018/19
Ward Dover Kent Labels
22,000
20,000
18,000
16,000
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 (JS), Nov-19
Living Well in Dover Emergency hospital admissions: by electoral ward Age standardised rate per 100,000 resident population, 2016/17-2018/19
Buckland
Age standardised rate per 100,000 Castle resident population Tower Hamlets 1 Greater than 11,976.8 1 10,754.1 to 11,976.8 1 9,908.2 to 10,754.1 1 8,901.0 to 9,908.2 St Radigunds Town & Pier 1 Less than 8,901.0
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (JS), Nov-19
Living Well in Dover Emergency hospital admissions: by district Age standardised rate per 100,000 resident population, 2016/17-2018/19
District Kent Labels
22,000
20,000
18,000
16,000
14,000
12,000
10,000
8,000
6,000
4,000
2,000
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 (JS), Nov-19
Living Well in Dover Emergency hospital admissions: trend Age standardised rate per 100,000 resident population, 2011/12 - 2013/14 to 2016/17 - 2018/19
Dover Kent labels
22,000
20,000
18,000
16,000
14,000
12,000
10,000
8,000
6,000
4,000
2,000 Age standardised rate100,000 perrelevant 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), Nov-19
Living Well in Dover Emergency hospital admissions: 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 22,000
20,000
18,000
16,000
14,000 13,066.3 13,204.9 13,205.3 13,246.1 12,533.3 12,771.9
12,000
10,000
8,000 8,404.6 7,846.2 7,905.5 7,934.5 8,017.1 8,102.4 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
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 (JS), Nov-19
Living Well in Dover Clinical effectiveness
Mortality from causes considered avoidable Mortality from causes considered amenable Mortality from causes considered preventable Avoidable admissions for chronic conditions Avoidable admissions for acute conditions
Living Well in Dover Avoidable mortality: by electoral ward
Age standardised rate per 100,000 resident population, for potentially avoidable deaths identified by using underlying cause and age group, 2013-2017 Ward Dover Kent Labels 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: PCMD, prepared by KPHO (RK), Nov-18
Living Well in Dover Avoidable mortality: by electoral ward Age standardised rate per 100,000 resident population, for potentially avoidable deaths identified by using underlying cause and age group, 2013-2017
Middle Deal & Sholden
Aylesham
Buckland
Age standardised rate per 100,000 Castle resident population Tower Hamlets 1 Greater than 251.8 Maxton, Elms Vale & Priory 1 209.8 to 251.8 1 180.0 to 209.8 1 140.7 to 180.0 St Radigunds Town & Pier 1 Less than 140.7
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in Dover Avoidable mortality: by district Age standardised rate per 100,000 resident population, for potentially avoidable deaths identified by using underlying cause and age group, 2013-2017 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 Avoidable mortality: trend Age standardised rate per 100,000 resident population, for potentially avoidable deaths identified by using underlying cause and age group, 2010 - 2012 to 2015 - 2017
Dover Kent labels
800
600
400
200
Age standardised rate100,000 per 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 Dover Avoidable mortality: by deprivation Age standardised rate per 100,000 resident population, for potentially avoidable deaths identified by using underlying cause and age group, 2010 - 2012 to 2015 - 2017
Kent least deprived Kent most deprived
800
600
400 331.5 328.4 323.0 324.7 330.9 328.4
200
146.8 139.6 140.0 139.4 136.0 138.4
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 compared with a increasing trend for England Most deprived trend - stable compared with a decreasing trend for England
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in Dover Amenable mortality: by electoral ward
Age standardised rate per 100,000 resident population, for deaths amenable to healthcare identified by using underlying cause and age group, 2013-2017 Ward Dover 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 Dover Amenable mortality: by electoral ward Age standardised rate per 100,000 resident population, for deaths amenable to healthcare identified by using underlying cause and age group, 2013-2017
Aylesham
Lydden & Temple Ewell
Buckland
Age standardised rate per 100,000 Castle resident population Tower Hamlets 1 Greater than 146.2 Maxton, Elms Vale & Priory 1 114.8 to 146.2 1 94.4 to 114.8 1 75.8 to 94.4 St Radigunds Town & Pier 1 Less than 75.8
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in Dover Amenable mortality: by district Age standardised rate per 100,000 resident population, for deaths amenable to healthcare identified by using underlying cause and age group, 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 Dover Amenable mortality: trend Age standardised rate per 100,000 resident population, for deaths amenable to healthcare identified by using underlying cause and age group, 2010 - 2012 to 2015 - 2017
Dover Kent labels
800
600
400
200
Age standardised rate100,000 per relevant resident population 0 2010 - 2012 2011 - 2013 2012 - 2014 2013 - 2015 2014 - 2016 2015 - 2017
No significant change compared with a decreasing trend for Kent Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in Dover Amenable mortality: by deprivation Age standardised rate per 100,000 resident population, for deaths amenable to healthcare identified by using underlying cause and age group, 2010 - 2012 to 2015 - 2017
Kent least deprived Kent most deprived
1,000
900
800
700
600
500
400
300 189.9 186.3 181.2 180.9 179.0 175.0 200
100
81.9 76.1 79.7 78.2
0 73.6 73.9 Age standardised rate 100,000per relevant resident population 2010 - 2012 2011 - 2013 2012 - 2014 2013 - 2015 2014 - 2016 2015 - 2017
Least deprived trend - stable compared with a increasing trend for England Most deprived trend - decreasing compared with a decreasing trend for England
Source: PCMD, prepared by KPHO (RK), Nov-18 Preventable mortality: by electoral ward
Age standardised rate per 100,000 resident population, for deaths that could be prevented by health intervention identified by using underlying cause and age group, 2013-2017 Ward Dover Kent Labels 800
700
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 Dover Preventable mortality: by electoral ward Age standardised rate per 100,000 resident population, for deaths that could be prevented by health intervention identified by using underlying cause and age group, 2013-2017
Aylesham
Buckland
Age standardised rate per 100,000 Castle resident population Tower Hamlets 1 Greater than 210.9 Maxton, Elms Vale & Priory 1 174.3 to 210.9 1 144.7 to 174.3 1 118.4 to 144.7 St Radigunds 1 Less than 118.4
Source: PCMD, prepared by KPHO (RK), Nov-18
Living Well in Dover Preventable mortality: by district Age standardised rate per 100,000 resident population, for deaths that could be prevented by health intervention identified by using underlying cause and age group, 2013-2017 District Kent Labels
800
700
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 Dover Preventable mortality: trend Age standardised rate per 100,000 resident population, for deaths that could be prevented by health intervention identified by using underlying cause and age group, 2010 - 2012 to 2015 - 2017
Dover Kent labels
800
700
600
500
400
300
200
100
Age standardised rate100,000 per 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 Dover Preventable mortality: by deprivation Age standardised rate per 100,000 resident population, for deaths that could be prevented by health intervention identified by using underlying cause and age group, 2010 - 2012 to 2015 - 2017
Kent least deprived Kent most deprived
800
700
600
500
400
275.1 277.0 274.3 277.4 280.3 276.6 300
200
100 126.0 120.6 117.7 115.7 114.1 116.3
0 Age standardised rate 100,000per relevant resident population 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 Dover Avoidable emergency hospital admissions for chronic ambulatory care sensitive conditions: by district
Age standardised rate per 100,000 resident population, persons, 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 (ZC), Jan-20
Living Well in Dover Avoidable emergency hospital admissions for chronic ambulatory care sensitive conditions: trend
Age standardised rate per 100,000 resident population, persons, 2011/12 - 2013/14 to 2016/17 - 2018/19
Dover Kent labels
3,000
2,500
2,000
1,500
1,000
500 Age standardised rate100,000 perrelevant 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 (ZC), Jan-20
Living Well in Dover Avoidable emergency hospital admissions for chronic ambulatory care sensitive conditions: by deprivation Age standardised rate per 100,000 resident population, persons, 2010/11 - 2014/15 to 2014/15 - 2018/19
England least deprived Kent least deprived
England most deprived Kent most deprived 3,000
2,500
2,000
1,500 1,208.5 1,194.8 1,179.3 1,176.0 1,188.8
1,000
500
577.8 559.3 549.9 548.3 548.5 Age standardised rate 100,000per relevant resident population 0 2010/11 - 2014/15 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 compared with a increasing trend for England
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan -20
Living Well in Dover Avoidable emergency hospital admissions for acute conditions: by electoral ward
Age standardised rate per 100,000 resident population, persons, 2016/17-2018/19
Ward Dover 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 (ZC), Jan -20
Living Well in Dover Avoidable emergency hospital admissions for acute conditions: by electoral ward Age standardised rate per 100,000 resident population, persons, 2016/17-2018/19
Aylesham
River Buckland
Age standardised rate per 100,000 resident population Tower Hamlets 1 Greater than 1,550.1 1 1,365.4 to 1,550.1 1 1,209.7 to 1,365.4 1 1,049.2 to 1,209.7 St Radigunds 1 Less than 1,049.2
Source: Hospital Episode Statistics (HES), NHS Digital, ONS, prepared by KPHO (ZC), Jan-20
Living Well in Dover Avoidable emergency hospital admissions for acute conditions: by district Age standardised rate per 100,000 resident population, persons, 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 (ZC), Jan-20
Living Well in Dover Avoidable emergency hospital admissions for acute conditions: trend Age standardised rate per 100,000 resident population, persons, 2011/12 - 2013/14 to 2016/17 - 2018/19
Dover Kent labels
3,000
2,500
2,000
1,500
1,000
500 Age standardised rate100,000 perrelevant 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), Jan-20
Living Well in Dover Avoidable emergency hospital admissions for acute conditions: by deprivation Age standardised rate per 100,000 resident population, persons, 2011/12 - 2013/14 to 2016/17 - 2018/19
England least deprived Kent least deprived
England most deprived Kent most deprived 3,000
2,500
2,000 1,692.3 1,685.9 1,688.4 1,573.5 1,463.0 1,500 1,368.0
1,000 991.4 940.1 943.4 860.9 877.4 896.8
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 - increasing with a slower pace of change than England Most deprived trend - increasing with a similar pace of change to England
Source:
Living Well in Dover Lifestyle
Excess weight Physical activity Smoking Fruit and vegetable consumption
Living Well in Dover Adults classified as overweight or obese: by district Percentage of adults (aged 18+) classified as overweight or obese, 2017/18
District Kent Labels
100
Percentage 80
60
40
20
0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Shepway Swale Thanet Tonbridge & Tunbridge Malling Wells
Source: Public Health England (based on Active Lives survey, Sport England), prepared by KPHO (LLY), May-19
Living Well in Dover Physical inactivity in adults: by district Percentage of adults (aged 19+) that are physically inactive (<30 moderate intensity equivalent minutes per week), 2017/18
District Kent Labels
40 Percentage 30
20
10
0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Shepway Swale Thanet Tonbridge & Tunbridge Malling Wells
Source: Public Health England (based on Active Lives, Sport England), prepared by KPHO (SR), Jun-19 Smoking prevalence in adults: by district Percentage of adults (aged 18+) who are self-reported smokers, 2018
District Kent Labels
40
35 Percentage 30
25
20
15
10
5
0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Folkestone & Swale Thanet Tonbridge & Tunbridge Hythe Malling Wells
Source: Annual Population Survey (APS), prepared by KPHO (MP), Nov-19
Living Well in Dover Smoking prevalence in adults: trend Percentage of adults (aged 18+) who are self-reported smokers, 2011 to 2018
Dover Kent labels
40
35 Percentage
30
25
20
15
10
5
0 2011 2012 2013 2014 2015 2016 2017 2018
Decreasing with a similar pace of change to Kent
Source: Annual Population Survey (APS), prepared by KPHO (MP), Nov-19
Living Well in Dover Fruit and vegetable consumption in adults: by district Percentage of adults (aged 16+) meeting the recommended '5-a-day' on a 'usual day', 2017/18
District Kent Labels
100
Percentage 80
60
40
20
0 Ashford Canterbury Dartford Dover Gravesham Maidstone Sevenoaks Shepway Swale Thanet Tonbridge & Tunbridge Malling Wells
Source: Public Health England (based on Active Lives, Sport England), prepared by KPHO (SR), Jun-19
Living Well in Dover Multimorbidity
Multimorbidity prevalence Prevalence of long term condition combinations
Living Well in Dover Multimorbidity (developmental statistics): by CCG Patients (aged 25 years and over) recorded by their GP as having 2 or more long-term conditions, analysis is restricted to GP practices flowing data into the KID at time of the analysis, 2019 CCG Kent Labels
45,000
40,000
35,000
30,000
25,000
20,000
15,000
10,000
5,000 Age standardised rate per 100,000 population relevant 100,000 per rate standardised Age
0 Ashford CCG Canterbury and Coastal Dartford, Gravesham South Kent Coast CCG Swale CCG Thanet CCG West Kent CCG CCG and Swanley CCG
Source: Kent Integrated Dataset (KID), prepared by KPHO (LLY), Aug-19
Living Well in Dover Multimorbidity (developmental statistics): Prevalence of long term condition combinations
Patients recorded by their GP as having specific combinations of long term conditions, Kent, March 2018
AF Asthma Cancer CHD CKD COPD Dementia Depression Diabetes Epilepsy HF Hypertension LD MH Obesity Osteoporosis PAD RA Stroke
AF
Asthma 1.8% 2.2%
Cancer 0.0%
CHD 0.0%
CKD 2.1%
COPD
Dementia
Depression 2.3% 3.5%
Diabetes 2.8% 2.4%
Epilepsy
HF
Hypertension 5.1%
LD
MH
Obesity
Osteoporosis
PAD
Source: Kent Integrated Dataset (KID), prepared by KPHO (TG), March 2018 RA * Figures relate to persons resident in Kent and registered at a GP participating in the KID in March 2018 Stroke
Living Well in Dover