Starting Well: Children in (Districts) ContentsContents

Overview Demographics Demographics Birth statistics Birth statistics Wellbeing Wellbeing Healthcare usage Healthcare usage

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Starting Well: Children in Kent (Districts) Starting Well: Children in Kent Heath and Social Care Maps BIRTHS CHILDHOOD OBESITY WELLBEING 17,062 Infographic 23% births in 2018 of Year R pupils overweight receive two doses of the MMR vaccine by Low birth weight or obese 88% age 5 33% 5.3% of Year 6 pupils Source: ONS, NHS Digital, 2012-2016 overweight or obese Infant mortality Source: NCMP, 2014/15-2018/19 Source: NHS , 2014/15-2018/19 3.4 Ward-level excess weight (Year 6) In 2018/19 amongst 0-24 year olds: per 1,000 44% Source: PCMD, ONS, NHS Digital, 2014-2016 Highest North Teenage conceptions Hospital admissions 4,763 for unintentional injuries 33% Kent 33% Kent down 16.1 A&E 53% per 1,000 195,331 Town attendances Lowest 15% 2009 2017 & St John's Source: ONS Source: NCMP, 2014/15-2018/19 combined Source: HES Images from Noun Project Health and Social Care Maps: 0 Demographics

Population projections: Ages 0 to 4 Population projections: Ages 0 to 19

Starting Well: Children in Kent (Districts) Children aged 0-4 years: population projections Office for National Statistics 2016-based projections, KCC housing-led forecast (September 2019)

Kent KCC housing-led projection Kent ONS projection

140,000

120,000 Population

100,000

80,000

60,000

40,000

20,000

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

Starting Well: Children in Kent (Districts) Children & young people aged 0-19 years: population projections Office for National Statistics 2016-based projections, KCC housing-led forecast (October 2018)

Kent KCC housing-led projection Kent ONS projection

550,000

500,000 Population

450,000

400,000

350,000

300,000

250,000

200,000

150,000

100,000

50,000

0 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 3034 2035 2036 2037 2038 2039 2040 2041

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

Starting Well: Children in Kent (Districts) Birth statistics

General fertility rate Low birth weight Infant mortality Teenage conceptions

Starting Well: Children in Kent (Districts) General fertility rate: by district The crude rate of total live births per 1,000 women aged 15 to 44, 2016-2018

District Kent Labels

120

100

80

60

40

Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 20

0 Ashford Dartford Sevenoaks & Swale Thanet & Tunbridge Hythe Malling Wells

Source: ONS, NHS Digital, NOMIS, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Kent (Districts) General Fertility Rate: trend The crude rate of total live births per 1,000 women aged 15-44 years, 2010/11 to 2018/19

England Kent Kent Labels

140

120

100

80

60

40 Crudeper rate 1,000 relevant residentpopulation

20

0 2011 2012 2013 2014 2015 2016 2017 2018

Source: ONS, NHS Digital, NOMIS, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Kent (Districts) General Fertility Rate: by deprivation The crude rate of total live births per 1,000 women aged 15 - 44 years, 2010-2012 to 2016-2018

Kent least deprived Kent most deprived

140

120

100

77.1 76.3 74.3 74.2 80 73.2 72.0

60

52.4 52.4 51.5 51.2 51.1 50.2

40 Crudeper rate 1,000 relevant registeredpopulation

20

0 2011-2013 2012-2014 2013-2015 2014-2016 2015-2017 2016-2018

Least deprived trend - decreasing Most deprived trend - decreasing

Source: ONS, NHS Digital, NOMIS, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Kent (Districts) Low birth weight: by district The percentage of live births with low birth weight, 2500 grams or less, 2013-2015

District Kent Labels

30

Percentage 25

20

15

10

5

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

Source: ONS, NHS Digital, prepared by KPHO (RK), Nov-17

Starting Well: Children in Kent (Districts) Low birth weight: trend The percentage of live births with low birth weight, 2500 grams or less, 2006 to 2015

Kent Kent Labels

20

18

Percentage 16

14

12

10

8

6

4

2

0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

Source: ONS, NHS Digital, prepared by KPHO (RK), Nov-17

Starting Well: Children in Kent (Districts) Low birth weight: by deprivation The percentage of live births with low birth weight, 2500 grams or less, 2006 - 2008 to 2013 - 2015

Kent least deprived Kent most deprived

20

18

Percentage 16

14

12

10 7.5 7.4 7.1 8 7.0 6.8 6.7 6.6 6.8

6

5.5 5.6 5.4 5.5 4 5.3 5.0 5.0 5.2

2

0 2006 - 2008 2007 - 2009 2008 - 2010 2009 - 2011 2010 - 2012 2011 - 2013 2012 - 2014 2013 - 2015

Least deprived trend - stable Most deprived trend - decreasing

Source: ONS, NHS Digital, prepared by KPHO (RK), Nov-17

Starting Well: Children in Kent (Districts) Infant mortality rate: trend Crude rate of deaths that occur in infants under the age of 1 year per 1,000 live births, 2006 - 2008 to 2014 - 2016

Kent Kent Labels

10

8

6 Crudeper rate 1,000 births live

4

2

0 2006 - 2008 2007 - 2009 2008 - 2010 2009 - 2011 2010 - 2012 2011 - 2013 2012 - 2014 2013 - 2015 2014 - 2016

Source: PCMD, ONS, NHS Digital, prepared by KPHO (RK), Nov-17

Starting Well: Children in Kent (Districts) Infant mortality rate: by district Crude rate of deaths that occur in infants under the age of 1 year per 1,000 live births, 2012-2016

District Kent Labels

10

8

6 Crude rate per 1,000 births live1,000 rate per Crude

4

2

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

Source: PCMD, ONS, NHS Digital, prepared by KPHO (RK), Nov-17

Starting Well: Children in Kent (Districts) Infant mortality rate: by deprivation Crude rate of deaths that occur in infants under the age of 1 year per 1,000 live births, 2006 - 2010 to 2012 - 2016

Kent least deprived Kent most deprived

12

10

8

Crudeper rate 1,000 birthslive 5.5 6 5.2 4.7 4.3 4.3 3.9 3.8 4

2 2.3 2.0 2.1 2.0 2.2 1.7 1.6

0 2006 - 2010 2007 - 2011 2008 - 2012 2009 - 2013 2010 - 2014 2011 - 2015 2012 - 2016

Least deprived trend - stable Most deprived trend - decreasing

Source: PCMD, ONS, NHS Digital, prepared by KPHO (RK), Nov-17

Starting Well: Children in Kent (Districts) Under 18 teenage conceptions: trend Conception rate per 1,000 15-17 year olds, residence based, 2001 to 2017

England Kent Kent Labels

90

80

70

60

50

40

30 Crudeper rate 1,000 relevant residentpopulation 20

10

0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Decreasing with a similar pace of change to England Source: ONS, prepared by KPHO (ZC), Feb-20

Starting Well: Children in Kent (Districts) Under 18 teenage conceptions: by district Conception rate per 1,000 15-17 year olds, residence based, 2017

District Kent Labels

90

80

70

60

50

40

30

20 Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 10

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

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

Starting Well: Children in Kent (Districts) Wellbeing

Life expectancy at birth Smoking at time of delivery Breastfeeding: New born visit Breastfeeding: 6-8 weeks Immunisations: Dtap /IPV / Hib (1 year) Immunisations: MMR for two doses (5 years) Obesity & excess weight: Year R Obesity & excess weight: Year 6 Good level of development Tooth decay: Age 5

Starting Well: Children in Kent (Districts) Life expectancy at birth, 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

120

100

80 Life expectancy in years in expectancy Life

60

40

20

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

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

Starting Well: Children in Kent (Districts) Life expectancy at birth, 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

Kent Kent Labels

120

100

80 Life expectancy in years

60

40

20

0 2010 2011 2012 2013 2014 2015 2016 2017

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

Starting Well: Children in Kent (Districts) Life expectancy at birth, 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

120

100

82.5 82.6 82.6 82.6

80 Life expectancy in years

76.2 76.1 76.1 76.1

60

40

20

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

Least deprived trend - stable Most deprived trend - decreasing

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

Starting Well: Children in Kent (Districts) Life expectancy at birth, 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

120

100

80 Life expectancy in years in expectancy Life

60

40

20

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

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

Starting Well: Children in Kent (Districts) Life expectancy at birth, 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

Kent Kent Labels

120

100

80 Life expectancy in years

60

40

20

0 2010 2011 2012 2013 2014 2015 2016 2017

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

Starting Well: Children in Kent (Districts) Life expectancy at birth, 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

120

100

85.3 85.4 85.2 85.3

80 Life expectancy in years 81.1 81.0 80.9 81.1

60

40

20

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

Least deprived trend - stable Most deprived trend - stable

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

Starting Well: Children in Kent (Districts) New born visit breastfeeding: by district Percentage of babies recorded as being breastfed, as a percentage of all those due a new born visit, January 2018-June 2019

District Kent Labels

100

Percentage 80

60

40

20

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

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

Starting Well: Children in Kent (Districts) Smoking status at time of delivery: by district Percentage of mothers known to be smokers at the time of delivery as a percentage of all maternities, 2017/18

District Kent Labels

35

30 Percentage

25

20

15

10

5

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

Source: PHE, NHS Digital, prepared by KPHO (RK), Feb-19

Starting Well: Children in Kent (Districts) Breastfeeding at 6-8 weeks: by district Percentage of babies recorded as breastfed at 6-8 week health visitor check, January 2018 - June 2019

District Kent Labels

100

Percentage 80

60

40

20

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

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

Starting Well: Children in Kent (Districts) Population vaccination coverage - Dtap/IPV/Hib (1 year old): by CCG Percentage of eligible children having immunisation, 2018/19

CCG Kent Labels

160

140 Percentage 120

100

80

60

40

20

0 Ashford CCG Canterbury and Coastal Dartford, Gravesham South Kent Coast CCG Swale CCG Thanet CCG West Kent CCG CCG and CCG

Source: NHS England, prepared by KPHO (MP), Dec-19

Starting Well: Children in Kent (Districts) Population vaccination coverage - MMR for two doses (5 years old): by CCG Percentage of eligible children having immunisation, 2018/19

CCG Kent Labels

140

120 Percentage

100

80

60

40

20

0 Ashford CCG Canterbury and Coastal Dartford, Gravesham South Kent Coast CCG Swale CCG Thanet CCG West Kent CCG CCG and Swanley CCG

Source: NHS England, prepared by KPHO (MP), Dec-19

Starting Well: Children in Kent (Districts) Obesity in reception year children aged 4-5 years: by district Percentage of reception year pupils measured as obese, Body Mass Index greater than or equal to the 95th centile of the UK90 growth reference according to age and sex, 2014/15-2018/19 District Kent Labels

50

Percentage 40

30

20

10

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

Source: NCMP, NHS Digital, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Kent (Districts) Obesity in reception year children aged 4-5 years: trend Percentage of reception year pupils measured as obese, Body Mass Index greater than or equal to the 95th centile of the UK90 growth reference according to age and sex, 2011/12 to 2018/19

Kent England Kent Labels

50 Percentage 40

30

20

10

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

Source: NCMP, NHS Digital, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Kent (Districts) Obesity in reception year children aged 4-5 years: by deprivation Percentage of reception year pupils measured as obese, Body Mass Index greater than or equal to the 95th centile of the UK90 growth reference according to age and sex, 2011/12 to 2018/19

Kent least deprived Kent most deprived

50 Percentage 40

30

20

12.1 11.1 11.5 11.6

10

6.6 6.8 6.4 6.6

0 201112 - 201516 201213 - 201617 201314 - 201718 201415 - 201819

Least deprived trend - stable Most deprived trend - increasing

Source: NCMP, NHS Digital, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Kent (Districts) Excess weight in reception year children aged 4-5 years: by district Percentage of reception year pupils measured as overweight or obese, Body Mass Index greater than or equal to the 85th centile of the UK90 growth reference according to age and sex, 2014/15-2018/19 District Kent Labels

50

Percentage 40

30

20

10

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

Source: NCMP, NHS Digital, prepared by KPHO (SR), Jan-20

Starting Well: Children in Kent (Districts) Excess weight in reception year children aged 4-5 years: trend Percentage of reception year pupils measured as overweight or obese, Body Mass Index greater than or equal to the 85th centile of the UK90 growth reference according to age and sex, 2011/12 to 2018/19

England Kent Kent Labels

50 Percentage 40

30

20

10

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

Source: NCMP, NHS Digital, prepared by KPHO (SR), Jan-20

Starting Well: Children in Kent (Districts) Excess weight in reception year children aged 4-5 years: by deprivation Percentage of reception year pupils measured as overweight or obese, Body Mass Index greater than or equal to the 85th centile of the UK90 growth reference according to age and sex, 2011/12 to 2018/19

Kent least deprived Kent most deprived

50

45 Percentage 40

35

30 27.4 26.6 26.3 25.0 25.4 24.1 25

20 19.8 18.9 18.4 18.4 18.9 19.0 15

10

5

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 Most deprived trend - increasing

Source: NCMP, NHS Digital, prepared by KPHO (SR), Jan-20

Starting Well: Children in Kent (Districts) Obesity in year six children aged 10-11 years: by district Percentage of year six pupils measured as obese, Body Mass Index greater than or equal to the 95th centile of the UK90 growth reference according to age and sex, 2014/15-2018/19 District Kent Labels

50

Percentage 40

30

20

10

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

Source: NCMP, NHS Digital, prepared by KPHO (SR), Jan-20

Starting Well: Children in Kent (Districts) Obesity in year six children aged 10-11 years: trend Percentage of year six pupils measured as obese, Body Mass Index greater than or equal to the 95th centile of the UK90 growth reference according to age and sex, 2011/12 to 2018/19

England Kent Kent Labels

60

Percentage 50

40

30

20

10

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

Source: NCMP, NHS Digital, prepared by KPHO (SR), Jan-20

Starting Well: Children in Kent (Districts) Obesity in year six children aged 10-11 years: by deprivation Percentage of year six pupils measured as obese, Body Mass Index greater than or equal to the 95th centile of the UK90 growth reference according to age and sex, 2011/12 - 2013/14 to 2016/17 - 2018/19

Kent least deprived Kent most deprived

60

Percentage 50

40

30 23.6 23.9 22.0 22.2 22.4 22.7

20

10 13.3 12.7 12.6 12.7 13.0 12.7

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 Most deprived trend - increasing

Source: NCMP, NHS Digital, prepared by KPHO (SR), Feb-20

Starting Well: Children in Kent (Districts) Excess weight in year six children aged 10-11 years: by district Percentage of year six pupils measured as overweight or obese, Body Mass Index greater than or equal to the 85th centile of the UK90 growth reference according to age and sex, 2014/15 to 2018/19 District Kent Labels

60

50 Percentage

40

30

20

10

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

Source: NCMP, NHS Digital, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Kent (Districts) Excess weight in year six children aged 10-11 years: trend Percentage of year six pupils measured as overweight or obese, Body Mass Index greater than or equal to the 85th centile of t he UK90 growth reference according to age and sex, 2011/12 to 2018/19 Kent England Kent Labels

60

Percentage 50

40

30

20

10

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

Source: NCMP, NHS Digital, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Kent (Districts) Excess weight in year six children aged 10-11 years: by deprivation Percentage of year six pupils measured as overweight or obese, Body Mass Index greater than or equal to the 85th centile of t he UK90 growth reference according to age and sex, 2011/12 to 2018/19

Kent least deprived Kent most deprived

60

Percentage 50

37.8 38.1 40 36.7 37.3

30

26.7 26.6 26.6 26.3 20

10

0 201112 - 201516 201213 - 201617 201314 - 201718 201415 - 201819

Least deprived trend - stable Most deprived trend - increasing

Source: NCMP, NHS Digital, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Kent (Districts) Children achieving a good level of development at the end of reception year: by district Achieving a good level of development at the end of the Early Years Foundation Stage (EYFS) as a percentage of all eligible children, 2017-2019 District Kent Labels

100

Percentage 80

60

40

20

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

Source: KCC, Management Information Unit, prepared by KPHO (MP), Jan-20

Starting Well: Children in Kent (Districts) Children achieving a good level of development at the end of reception year: trend Achieving a good level of development at the end of the Early Years Foundation Stage (EYFS) as a percentage of all eligible children, 2013 to 2019

England Kent Kent Labels

100 Percentage 80

60

40

20

0 2013 2014 2015 2016 2017 2018 2019

Source: KCC, Management Information Unit, prepared by KPHO (MP), Jan-20

Starting Well: Children in Kent (Districts) Tooth decay in children aged five: by district The percentage of children at age 5 years, within the survey sample, who experienced decayed, missing or extracted teeth, 2017 District Kent Labels

45

40 Percentage

35

30

25

20

15

10

5

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

Source: Dental Public Health Epidemiology Programme for England: Oral health survey of five-year-old children, prepared by KPHO (TG), May-18

Starting Well: Children in Kent (Districts) Tooth decay in children aged five: trend The percentage of children at age 5 years (within the survey sample) who experienced decayed, missing or extracted teeth, 2015 to 2017

England Kent Kent Labels

40

35 Percentage

30

25

20

15

10

5

0 2015 2017

Source: Dental Public Health Epidemiology Programme for England: Oral health survey of five-year-old children, prepared by KPHO (RK), Jun-18

Starting Well: Children in Kent (Districts) Healthcare usage

A&E attendances Elective hospital admissions Emergency hospital admissions Hospital admissions for asthma Hospital admissions for unintentional or deliberate injury Hospital admissions for self harm Hospital admissions for respiratory tract infections Hospital admissions for gastroenteritis Hospital admissions of babies under 14 days

Starting Well: Children in Kent (Districts) Accident & Emergency attendances in children aged 0-4 years: by district Crude rate per 1,000 children aged 0-4 years, 2016/17-2018/19

District Kent Labels

1,200

1,000

800

600

400

Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 200

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

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

Starting Well: Children in Kent (Districts) Accident & Emergency attendances in children aged 0-4 years: trend Crude rate per 1,000 children aged 0-4 years, 2011/12 to 2018/19

England Kent Kent Labels

1,200

1,000

800

600

400 Crudeper rate 1,000 relevant residentpopulation

200

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

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

Starting Well: Children in Kent (Districts) Accident & Emergency attendances in children aged 0-4 years: by deprivation Crude rate per 1,000 children aged 0-4 years, 2011/12 - 2013/14 to 2016/17 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 1,000

800

600.6 600 551.4 565.9 511.7 483.0 459.6

470.0 400 431.6 406.4 375.4 352.4

330.1 Crudeper rate 1,000 relevant residentpopulation 200

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 (JS), Dec-19

Starting Well: Children in Kent (Districts) Accident & Emergency attendances in children & young people aged 0-19 years: by district Crude rate per 1,000 children and young people aged 0-19 years, 2016/17-2018/19

District Kent Labels

1,000

800

600

400

200 Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude

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

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

Starting Well: Children in Kent (Districts) Accident & Emergency attendances in children & young people aged 0-19 years: trend Crude rate per 1,000 children and young people aged 0-19 years, 2012/13-2018/19

England Kent Kent Labels

1,000

800

600

400 Crudeper rate 1,000 relevant residentpopulation 200

0 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

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

Starting Well: Children in Kent (Districts) Accident & Emergency attendances in children & young people aged 0-19 years: by deprivation Crude rate per 1,000 children and young people aged 0-19 years, 2012/13 -2014/5 to 2016/17 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 1,000

800

600

454.4 449.7 458.2 417.4 385.4 400

320.2 Crudeper rate 1,000 relevant residentpopulation 301.3 308.3 275.9 200 255.5

0 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 (SR), Jan -20

Starting Well: Children in Kent (Districts) Elective hospital admissions in children aged 0-4 years: by district Crude rate per 1,000 children aged 0-4 years, 2014/15-2018/19

District Kent Labels

300

250

200

150

100

Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 50

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

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

Starting Well: Children in Kent (Districts) Elective hospital admissions in children aged 0-4 years: trend Crude rate per 1,000 children aged 0-4 years, 2011/12 to 2018/19

England Kent Kent Labels

300

250

200

150

100 Crudeper rate 1,000 relevant residentpopulation

50

0 2011/12 2012/23 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

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

Starting Well: Children in Kent (Districts) Elective hospital admissions in children aged 0-4 years: by deprivation Crude rate per 1,000 children aged 0-4 years, 2011/12-2015/16 to 2014/15-2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 300

250

200

150

100

53.3 54.3 56.4 56.8 Crudeper rate 1,000 relevant residentpopulation

50

42.7 44.2 44.2 45.8

0 2011/12 - 2015/16 2012/23 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

Least deprived trend - stable with a similar pace of change to England Most deprived trend - increasing compared with a decreasing trend for England

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

Starting Well: Children in Kent (Districts) Elective hospital admissions in children and young people aged 0-19 years: by district Crude rate per 1,000 children and young people aged 0-19 years, 2016/17-2018/19

District Kent Labels

160

140

120

100

80

60

40 Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 20

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

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

Starting Well: Children in Kent (Districts) Elective hospital admissions in children and young people aged 0-19 years: trend Crude rate per 1,000 children and young people aged 0-19 years, 2011/12 to 2018/19

England Kent Kent Labels

160

140

120

100

80

60

Crudeper rate 1,000 relevant residentpopulation 40

20

0 2011/12 2012/23 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

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

Starting Well: Children in Kent (Districts) Elective hospital admissions in children and young people aged 0-19 years: by deprivation Crude rate per 1,000 children and young people aged 0-19 years, 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 160

140

120

100

80

45.4 46.2 47.6 47.9 60

Crudeper rate 1,000 relevant residentpopulation 40

36.6 37.2 37.8 38.4 20

0 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

Least deprived trend - increasing compared with a stable trend for England Most deprived trend - increasing compared with a stable trend for England

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

Starting Well: Children in Kent (Districts) Emergency hospital admissions in children aged 0-4 years: by district Crude rate per 1,000 children aged 0-4 years, 2016/17-2018/19

District Kent Labels

400

350

300

250

200

150

100 Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 50

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

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

Starting Well: Children in Kent (Districts) Emergency hospital admissions in children aged 0-4 years: trend Crude rate per 1,000 children aged 0-4 years, 2011/12 to 2018/19

England Kent Kent Labels

400

350

300

250

200

150

Crudeper rate 1,000 relevant residentpopulation 100

50

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

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

Starting Well: Children in Kent (Districts) Emergency hospital admissions in children aged 0-4 years: by deprivation Crude rate per 1,000 children aged 0-4 years, 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 400

350

300

250

163.5 171.1 180.9 200

152.2 150

Crudeper rate 1,000 relevant residentpopulation 100 109.3 98.2 100.9 103.2

50

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 compared with a stable trend for England

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

Starting Well: Children in Kent (Districts) Emergency hospital admissions in children and young people aged 0-19 years: by district

Crude rate per 1,000 children and young people aged 0-19 years, 2016/17-2018/19

District Kent Labels

180

160

140

120

100

80

60

40 Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 20

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

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

Starting Well: Children in Kent (Districts) Emergency hospital admissions in children and young people aged 0-19 years: trend Crude rate per 1,000 children and young people aged 0-19 years, 2011/12 to 2018/19

England Kent Kent Labels

180

160

140

120

100

80

60 Crudeper rate 1,000 relevant residentpopulation 40

20

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

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

Starting Well: Children in Kent (Districts) Emergency hospital admissions in children and young people aged 0-19 years: by deprivation Crude rate per 1,000 children and young people aged 0-19 years, 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 180

160

140

120

80.9 100 83.1 85.5

77.4 80

60 Crudeper rate 1,000 relevant residentpopulation 40

20 27.6 27.9 28.3 29.4

0 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 - increasing compared with a stable trend for England

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

Starting Well: Children in Kent (Districts) Emergency hospital admissions for asthma in children and young people aged 0-19 years: by district

Crude rate per 100,000 children and young people aged 0-19, ICD 10: J45-J46 (primary diagnosis), 2014/15-2018/19

District Kent Labels

1,000

800

600

400

200 Crude rate per 100,000 population resident relevant 100,000 rate per Crude

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

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

Starting Well: Children in Kent (Districts) Emergency hospital admissions for asthma in children and young people aged 0-19 years: trend Crude rate per 100,000 children and young people aged 0-19, ICD 10: J45-J46 (primary diagnosis), 2011/12 - 2013/14 to 2016/17 - 2018/19

England Kent Kent Labels

1,000

800

600

400

Crude rateper 100,000relevant resident population 200

0 2011/12 - 2013/14 2012/23 - 2014/15 2013/14 - 2015/16 2014/15 - 2016/17 2015/16 - 2017/18 2016/17 - 2018/19

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

Starting Well: Children in Kent (Districts) Emergency hospital admissions for asthma in children and young people aged 0-19 years: by deprivation Crude rate per 100,000 children and young people aged 0-19, ICD 10: J45-J46 (primary diagnosis), 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 1,000

800

600

400

215.3 216.4 207.8 213.6 Crude rateper 100,000relevant resident population 200

95.0 97.7 93.2 95.8 0 2011/12 - 2015/16 2012/23 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

Least deprived trend - stable 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), Jan -20

Starting Well: Children in Kent (Districts) Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 0-4 years: by district

Crude rate per 10,000 children and young people aged 0-4, ICD 10: S00-T79, V01-Y36, 2014/15-2018/19

District Kent Labels

500

400

300

200

100 Crude rate per 10,000 population resident relevant 10,000 rate per Crude

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

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

Starting Well: Children in Kent (Districts) Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 0-4 years: trend

Crude rate per 10,000 children and young people aged 0-4, ICD 10: S00-T79, V01-Y36, 2011/12 to 2018/19

England Kent Kent Labels

500

400

300

200 Crudeper rate 10,000 relevant resident population 100

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

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

Starting Well: Children in Kent (Districts) Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 0-4 years: by deprivation Crude rate per 10,000 children and young people aged 0-4, ICD 10: S00-T79, V01-Y36, 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 500

400

300

153.4 200 149.5

145.3 140.2 Crudeper rate 10,000 relevant resident population 100 119.4 115.8 108.8 106.2

0 2011/12 - 2015/16 2012/23 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

Least deprived trend - decreasing with a similar pace of change to England Most deprived trend - decreasing with a similar pace of change to England

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

Starting Well: Children in Kent (Districts) Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 0-14 years: by district

Crude rate per 10,000 children and young people aged 0-14, ICD 10: S00-T79, V01-Y36, 2014/15-2018/19

District Kent Labels

450

400

350

300

250

200

150

100 Crude rate per 10,000 population resident relevant 10,000 rate per Crude 50

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

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

Starting Well: Children in Kent (Districts) Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 0-14 years: trend

Crude rate per 10,000 children and young people aged 0-14, ICD 10: S00-T79, V01-Y36, 2011/12 to 2018/19

England Kent Kent Labels

450

400

350

300

250

200

150

Crudeper rate 10,000 relevant resident population 100

50

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

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

Starting Well: Children in Kent (Districts) Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 0-14 years: by deprivation Crude rate per 10,000 children and young people aged 0-14, ICD 10: S00-T79, V01-Y36, 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 450

400

350

300

250

200

116.3 112.2 150 110.2 105.7

Crudeper rate 10,000 relevant resident population 100

89.1 85.5 83.3 80.8 50

0 2011/12 - 2015/16 2012/23 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

Least deprived trend - decreasing with a similar pace of change to England Most deprived trend - decreasing with a similar pace of change to England

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

Starting Well: Children in Kent (Districts) Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 15-24 years: by district

Crude rate per 10,000 children and young people aged 15-24, ICD 10: S00-T79, V01-Y36, 2014/15-2018/19

District Kent Labels

600

500

400

300

200

100 Crude rate per 10,000 population resident relevant 10,000 rate per Crude

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

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

Starting Well: Children in Kent (Districts) Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 15-24 years: trend

Crude rate per 10,000 children and young people aged 15-24, ICD 10: S00-T79, V01-Y36, 2011/12 to 2018/19

England Kent Kent Labels

600

500

400

300

200 Crudeper rate 10,000 relevant resident population

100

0 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19

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

Starting Well: Children in Kent (Districts) Emergency hospital admissions caused by unintentional and deliberate injuries in children aged 15-24 years: by deprivation Crude rate per 10,000 children and young people aged 15-24, ICD 10: S00-T79, V01-Y36, 2011/12 - 2015/16 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 600

500

400

300

181.2 173.6

200 168.1 163.6 Crude rateper 10,000relevant resident population

100 105.4 105.0 108.0 107.5

0 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

Least deprived trend - stable with a similar pace of change to England Most deprived trend - decreasing compared with a stable trend for England

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

Starting Well: Children in Kent (Districts) Hospital admissions for self-harm in children and young people aged 10-24 years: by district Age standardised rate per 100,000 children and young people aged 10-24 years, ICD 10: X60-X84 (main recorded cause), 2013/14 to 2018/19 District Kent Labels

1,400

1,200

1,000

800

600

400

200

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, NHS Digital, ONS, prepared by KPHO (LLY), Jan-20

Starting Well: Children in Kent (Districts) Hospital admissions for self-harm in children and young people aged 10-24 years: trend Age standardised rate per 100,000 children and young people aged 10-24 years, ICD 10: X60-X84 (main recorded cause), 2011/12 to 2018/19

England Kent Kent Labels

1,400

1,200

1,000

800

600

400

200 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

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

Starting Well: Children in Kent (Districts) Hospital admissions for self-harm in young people aged 10-24 years: by deprivation Age standardised rate per 100,000 children and young people aged 10-24 years, 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

600 559.3 543.0 515.9 503.8

400

200 255.8 262.3 266.2 258.7 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 increasing trend for England Most deprived trend - decreasing compared with a stable trend for England

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

Starting Well: Children in Kent (Districts) Hospital admissions for respiratory tract infections in infants under 1: by district Crude rate per 10,000 resident population, ICD 10: J10, J110-1, J12-6, J180-1, J189, J21 (primary diagnosis), 2014/15-2018/19

District Kent Labels

1,200

1,000

800

600

400

200 Crude rate per 100,000 population resident relevant 100,000 rate per Crude

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

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

Starting Well: Children in Kent (Districts) Hospital admissions for respiratory tract infections in infants under 1: trend Crude rate per 10,000 resident population, ICD 10: J10, J110-1, J12-6, J180-1, J189, J21 (primary diagnosis), 2011/12 - 2013/14 to 2016/17 - 2018/19

England Kent Kent Labels

1,200

1,000

800

600

400 Crudeper rate 10,000 relevant resident population

200

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

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

Starting Well: Children in Kent (Districts) Hospital admissions for respiratory tract infections in infants under 1: by deprivation Crude rate per 10,000 resident population, ICD 10: J10, J110-1, J12-6, J180-1, J189, J21 (primary diagnosis), 2010/11 - 2014/15 to 2014/15 - 2018/19

England least deprived Kent least deprived

England most deprived Kent most deprived 1,200

1,000

755.9 800 674.3

606.6 600 506.3 447.3

400

375.7

Crudeper rate 10,000 relevant resident population 339.7 307.5 200 268.5 272.8

0 2010/11 - 2014/15 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 faster pace of change than England

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

Starting Well: Children in Kent (Districts) Hospital admissions for gastroenteritis in infants under 1: by district Crude rate per 10,000 resident population, ICD 10: A020, A04-5, A072, A080-1, A083-5, A09, K520-2, K528-9 (primary diagnosis), 2014/15-2018/19 District Kent Labels

600

550

500

450

400

350

300

250

200

150

100 Crude rate per 10,000 population resident relevant 10,000 rate per Crude

50

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

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

Starting Well: Children in Kent (Districts) Hospital admissions for gastroenteritis in infants under 1: trend Crude rate per 10,000 resident population, ICD 10: A020, A04-5, A072, A080-1, A083-5, A09, K520-2, K528-9 (primary diagnosis), 2011/12 - 2013/14 to 2016/17 - 2018/19

England Kent Kent Labels

600

550

500

450

400

350

300

250

200

150 Crudeper rate 10,000 relevant resident population

100

50

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

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

Starting Well: Children in Kent (Districts) Hospital admissions for gastroenteritis in infants under 1: by deprivation Crude rate per 10,000 resident population, ICD 10: A020, A04-5, A072, A080-1, A083-5, A09, K520-2, K528-9 (primary diagnosis), 2011/12 - 2015/16 to 2014/15 - 2018/19 England least deprived Kent least deprived

England most deprived Kent most deprived 600

550

500

450

400

350 235.7 300 242.2 238.0 235.7 250

200

150 Crudeper rate 10,000 relevant resident population

100 126.6 132.8 116.9 114.2 50

0 2011/12 - 2015/16 2012/13 - 2016/17 2013/14 - 2017/18 2014/15 - 2018/19

Least deprived trend - decreasing with a similar pace of change to England Most deprived trend - stable compared with a decreasing trend for England

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

Starting Well: Children in Kent (Districts) Emergency admissions of babies to hospital within 14 days of birth: by district Crude rate per 1,000 relevant resident population, 2016/17-2018/19

District Kent Labels

180

160

140

120

100

80

60

40 Crude rate per 1,000 relevant resident population resident relevant 1,000 rate per Crude 20

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

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

Starting Well: Children in Kent (Districts) Emergency admissions of babies to hospital within 14 days of birth: trend Crude rate per 1,000 live births, 2011/12 - 2013/14 to 2016/17 - 2018/19

England Kent Kent Labels

180

160

140

120

100

80

60 Crudeper rate 1,000 relevant residentpopulation 40

20

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

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

Starting Well: Children in Kent (Districts)