1. 1
Version 1.1
Created by Medway Council Public Health Intelligence Team and Kent Public Health Observatory

2. Summary part 1: Ashford Stour2
Summary part 1: Ashford Stour
Indicator
Compared to England
Job Seekers Allowance rate (16-64 years)
Similar
Fuel poverty
Not compared
Life expectancy (Female)
Life expectancy (Male)
Smoking prevalence
Hospital admissions for alcohol-related harm (narrow definition)
Better
Total number of prescribed antibiotic items per STAR-PU by quarter
Higher
Bowel screening coverage
Breast screening coverage
Cervical screening coverage
A&E attendances (<18 years)
Reception: Prevalence of overweight (including obesity)
Worse
Admissions for diabetes (under 19 years)
Hospital admissions for asthma (under 19 years)
Hospital admissions as a result of self-harm (10-24 years)
CHD prevalence
Lower
Stroke prevalence
PAD prevalence

3. Summary part 2: Ashford Stour
Indicator
Compared to England
Heart failure prevalence
Lower
AF prevalence
Higher
Hypertension prevalence
Cancer prevalence
Similar
Diabetes prevalence
COPD prevalence
Serious mental illness prevalence
Depression prevalence
Dementia prevalence
Premature mortality from all causes
Better
Cancer mortality U75
CVD mortality U75
Osteoporosis prevalence 50+
Hip fracture adm 65+

4. Contact details http://kentandmedway.nhs.uk/health-profiles2
Contact details
This profile and links to further resources are available from the website address below:

5. 4
Introduction

6. 5
Purpose and rationale
Limited data is available in the public domain at small area level so some indicators have been presented at a Kent and Medway level on the final slide.

7. 6
Location of the PCN

8. 7
Practices in the PCN
Source: NHS Digital. GP and GP practice related data. GP Practices (epraccur).

9. 8
Small areas
School level data was assigned to PCNs based on the ward the school was located in. Only primary and nursery school data was used as this more likely reflects the child profile of the local area due to the larger catchment areas of secondary schools.

10. PCN value and RAG rating9
PCN value and RAG rating
Where it is inappropriate to label high or low values as 'better' or 'worse', for example osteoporosis prevalence, the terms 'higher' and 'lower' have been used with neutral colouring such as shades of blue, from light to dark. Such labelling does not imply that high values of these indicators, for example, are 'worse'.

11. 10
Peer groups
This methodology is being developed and additional characteristics may be added in the future, which may alter the peer groups.

12. Indicator slides explained11
Indicator slides explained

13. 12
Demographics

14. 13
Population

15. General fertility rate14
General fertility rate
Small area type: LSOA

16. Ethnicity and main language15
Ethnicity and main language
Census 2011 (Office for National Statistics), 2011 ethnicity and main language

17. Ethnicity and main language16
Ethnicity and main language
Census 2011 (Office for National Statistics), 2011 ethnicity and main language

18. School ethnicity - 12.8% of pupils in Kent and Medway. 17
School Census source: GOV.UK. Department for Education. (2019). Schools, pupils and their characteristics: January 2019.

19. 18
Deprivation
Source: GOV.UK. Ministry of Housing, Communities & Local Government. English Indices of Deprivation 2019.

20. Domains of deprivation19
Domains of deprivation
Source: GOV.UK. Ministry of Housing, Communities & Local Government. English Indices of Deprivation 2019.
There are seven domains of deprivation, which combine to create the Index of Multiple Deprivation (IMD2019). Each of these domains describe different aspects of deprivation. The graphic shows the proportion of the PCN population ranked in one of 10 groups across all lower super output areas in England for each of these domains. The darker colours indicate the most deprived groups or 'deciles'.

21. Job Seekers Allowance rate (16-64 years)20
Job Seekers Allowance rate (16-64 years)
Small area type: LSOA

22. Fuel poverty 21 This is a modelled estimate so cannot be compared.
Small area type: Ward

23. Prevention and Health Inequalities22
Prevention and Health Inequalities

24. 23
Life expectancy
Small area type: Ward

25. 24
Smoking prevalence
Trend data unavailable. The source is GP patient survey and all results are based on weighted data. In 2018, substantial changes have been made to the questionnaire and the age of people receiving the questionnaire has been lowered from 18+ to 16+. Therefore year on year results should not be compared.
Small area type: Practice

26. Hospital admissions for alcohol-related harm (narrow definition)25
Hospital admissions for alcohol-related harm (narrow definition)
Trend data unavailable
Small area type: Ward

27. Total number of prescribed antibiotic items per STAR-PU by quarter26
Total number of prescribed antibiotic items per STAR-PU by quarter
Trend data unavailable
Small area type: Practice

28. Bowel screening coverage27
Bowel screening coverage
Trend data unavailable
Small area type: Practice

29. Breast screening coverage28
Breast screening coverage
Trend data unavailable
Small area type: Practice

30. Cervical screening coverage29
Cervical screening coverage
Trend data unavailable
Small area type: Practice

31. 30
Best start in life

32. A&E attendances (<18 years)31
A&E attendances (<18 years)
Small area type: Ward

33. Reception: Prevalence of overweight (including obesity)32
Reception: Prevalence of overweight (including obesity)
Small area type: Ward

34. Smoking at time of booking33
Smoking at time of booking
Small area type: Maternity team

35. Admissions for diabetes (under 19 years)34
Admissions for diabetes (under 19 years)
Small area type: LSOA

36. Hospital admissions for asthma (under 19 years)35
Hospital admissions for asthma (under 19 years)
Small area type: PCN

37. Hospital admissions as a result of self-harm (10-24 years)36
Hospital admissions as a result of self-harm (10-24 years)
Small area type: PCN

38. Major health conditions37
Major health conditions

39. QOF: Cardiovascular disease38
QOF: Cardiovascular disease
Public Health England. Fingertips. Indicator IDs: 273; 212; 92590; 262; 280; 219;
In addition to measuring current recorded prevalence, from a public health perspective it is also important to understand the effectiveness of efforts to detect new cases of health conditions. It is also important to gauge if and how detection efforts vary across subgroups of our population - for example, by level of deprivation. As a result, both Medway Public Health Intelligence team and Kent Public Health Observatory plan to develop robust modelled estimates of undiagnosed prevalence in future versions of this PCN profile.

40. QOF: Cancer, diabetes and COPD39
QOF: Cancer, diabetes and COPD
Public Health England. Fingertips. Indicator IDs: 276; 241; 253.
In addition to measuring current recorded prevalence, from a public health perspective it is also important to understand the effectiveness of efforts to detect new cases of health conditions. It is also important to gauge if and how detection efforts vary across subgroups of our population - for example, by level of deprivation. As a result, both Medway Public Health Intelligence team and Kent Public Health Observatory plan to develop robust modelled estimates of undiagnosed prevalence in future versions of this PCN profile.

41. 40
QOF: Mental health
Public Health England. Fingertips. Indicator IDs: 90581; 848; 247.
In addition to measuring current recorded prevalence, from a public health perspective it is also important to understand the effectiveness of efforts to detect new cases of health conditions. It is also important to gauge if and how detection efforts vary across subgroups of our population - for example, by level of deprivation. As a result, both Medway Public Health Intelligence team and Kent Public Health Observatory plan to develop robust modelled estimates of undiagnosed prevalence in future versions of this PCN profile.

42. Premature mortality from all causes41
Premature mortality from all causes
Trend data not available
Small area type: Ward

43. Premature mortality from all cancers and cardiovascular disease42
Premature mortality from all cancers and cardiovascular disease
Small area type: Ward
Small area type: Ward

44. 43
Ageing Well

45. Osteoporosis prevalence and hip fracture hospital admissions44
Osteoporosis prevalence and hip fracture hospital admissions
Small area type: Practice
Small area type: Ward

46. 46
Other indicators

47. Indicators at County & UA level47
Indicators at County & UA level
Work is underway with other Intelligence teams to produce analysis on these indicators at a more granular level.

48. Indicators at District & UA level48
Indicators at District & UA level
Source: Public Health England. Fingertips.