Community network profile Sandwich and Ash November 2015 Produced by Faiza Khan: Public Health Consultant ([email protected]) Wendy Jeffries: Public Health Specialist ([email protected]) Del Herridge, Zara Cuccu, Emily Silcock: Kent Public Health Observatory ([email protected]) Last Updated: 9th June 2016 | Contents 1. Executive Summary ................................................................ 5 1.1 Introduction................................................................................................................. 5 1.2 Key Findings ................................................................................................................. 5 2. Introduction & Objectives....................................................... 9 2.1 Community Network Area .......................................................................................... 9 2.1.1 Community Network ....................................................................................................... 9 3. Maternity ............................................................................. 10 3.1 Life expectancy at birth ............................................................................................. 10 3.1.1 Community network life expectancy trend .................................................................. 10 3.1.2 Ward level life expectancy ............................................................................................ 11 3.2 General fertility rate .................................................................................................. 12 3.3 Low birth weight ....................................................................................................... 13 3.4 Infant feeding ............................................................................................................ 15 3.5 Immunisations ........................................................................................................... 16 3.6 Infant mortality ......................................................................................................... 17 4. Demographic overview ......................................................... 18 4.1 Practice population ................................................................................................... 18 4.1.1 Registered population ................................................................................................... 18 4.2 Ethnicity ..................................................................................................................... 19 5. Socio-economic profile ......................................................... 21 5.1 Deprivation ................................................................................................................ 21 5.1.1 Index of Multiple Deprivation 2015 .............................................................................. 21 5.1.2 Income Deprivation Affecting Children Index 2015 ...................................................... 21 5.1.3 Income Deprivation Affecting Older People Index 2015 .............................................. 22 1 Canterbury and Coastal CCG community network profile, November 2015 6. Lifestyle ............................................................................... 24 6.1 Alcohol ....................................................................................................................... 24 6.1.1 Modelled Binge Drinking Estimates .............................................................................. 24 6.2 Obesity ...................................................................................................................... 25 6.2.1 Modelled Adult Obesity Estimates................................................................................ 25 6.3 Smoking ..................................................................................................................... 26 6.3.1 Modelled Adult Obesity Estimates................................................................................ 26 7. Mental Health ...................................................................... 27 7.1 Contact with services ................................................................................................ 27 7.1.1 Mental health contacts: age 15 to 64 ........................................................................... 27 7.1.1 Mental health contacts: age 65 and above ................................................................... 28 8. Quality outcomes framework ............................................... 29 8.1 Recorded prevalence ................................................................................................ 29 8.1.1 Sandwich and Ash community network ....................................................................... 30 8.1.2 G82138 Ash Surgery ...................................................................................................... 31 8.1.3 G82148 The Butchery.................................................................................................... 32 8.1.4 G82063 The market place surgery ................................................................................ 33 8.2 Recorded prevalence: trend analysis ........................................................................ 34 8.2.1 Sandwich and Ash community network ....................................................................... 34 8.2.2 G82138 Ash Surgery ...................................................................................................... 34 8.2.3 G82148 The Butchery.................................................................................................... 35 8.2.4 G82063 The Market place surgery ................................................................................ 36 8.3 Recorded and expected prevalence .......................................................................... 36 8.3.1 Atrial fibrillation ............................................................................................................ 37 8.3.2 Coronary heart disease ................................................................................................. 38 8.3.3 Hypertension ................................................................................................................. 39 8.3.4 Stroke ............................................................................................................................ 40 8.3.5 COPD ............................................................................................................................. 41 8.3.6 Dementia ....................................................................................................................... 42 2 Canterbury and Coastal CCG community network profile, November 2015 8.4 Clinical achievement ................................................................................................. 42 8.4.1 Sandwich and Ash community network ....................................................................... 42 8.4.2 G82138 Ash surgery ...................................................................................................... 43 8.4.3 G82148 The Butchery.................................................................................................... 43 8.4.4 G82063 The market place surgery ................................................................................ 44 9. Hospital activity ................................................................... 45 9.1 Emergency Hospital Admissions ............................................................................... 45 9.1.1 Emergency Hospital Admissions ................................................................................... 45 9.1.2 Asthma .......................................................................................................................... 46 9.1.3 Coronary Heart Disease ................................................................................................ 48 9.1.4 Chronic Obstructive Pulmonary Disease ....................................................................... 49 9.1.5 Diabetes Complications ................................................................................................ 51 9.1.5 Falls ............................................................................................................................... 52 9.1.6 Stroke ............................................................................................................................ 54 9.1.7 Mental Health ............................................................................................................... 55 9.1 Alcohol Specific Hospital Admissions ........................................................................ 58 9.2.1 Alcohol Specific Hospital Admissions ............................................................................ 58 9.2 A&E and MIU Attendances ........................................................................................ 61 10. Social care ............................................................................ 64 11. Mortality .............................................................................. 75 11.1 All age, all cause mortality ..................................................................................... 75 11.1.1 All age, all cause mortality ............................................................................................ 75 11.1.2 All cause