health and social care mapping - tonbridge and malling · gross median weekly wage for full time...

InequalitiesHealth and Social Care Map – Tonbridge & Malling

Inequalities – Tonbridge & Malling

Health and Social Care Mapping


Contents

• Socio economic• Mortality and life expectancy• Lifestyles


Socio economic

• Average income• Index of multiple deprivation maps• Unemployment


Gross median weekly wage for full time workers in west Kent districts, 2010Source: NOMISweb

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100

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800

England South East Kent Dartford Gravesham Maidstone Sevenoaks Tonbridgeand Malling

TunbridgeWells

Resident area

Gro

ss m

edia

n w

eekl

y w

age

Persons

Males

Females


The Indices of Multiple Deprivation are constructed using 36 variables across seven domains. These domains are income, barriers to housing, health and disability, crime, education, living environment and employment. Scores are present at lower super output areas (LSOAs). LSOAs areas are constructed using populations from communities or naturally bounded areas. The number of people in an LSOA is between 1,000 and 1,500 and they are aggregated together to form electoral wards. The number of LSOAs in an electoral ward can vary from one to five depending upon the original size of the electoral ward


Income Deprivation Domain

This domain measures the proportion of the population in an area experiencing deprivation related to low income. A combined count of income deprived individuals per LSOA is calculated by summing the following five indicators:

•Adults and children in Income Support families

•Adults and children in Income-Based Jobseeker’s Allowance families

•Adults and children in Pension Credit (Guarantee) families

•Adults and children in Child Tax Credit families (who are not in receipt of Income Support, Income-Based Jobseeker’s Allowance or Pension Credit) whose equivalised income (excluding housing benefits) is below 60 per cent of the median before housing costs2

•Asylum seekers in England in receipt of subsistence support, accommodation support, or both


Employment Deprivation Domain

This domain measures employment deprivation in an area conceptualised as involuntary exclusion of the working age population from the labour market. A combined count of employment deprived individuals per LSOA is calculated by summing the following seven indicators:

•Claimants of Jobseeker’s Allowance (both Contributory and Income-Based) women aged 18-59 and men aged 18-64, averaged over 4 quarters

•Claimants of Incapacity Benefit women aged 18-59 and men aged 18-64, averaged over 4 quarters

•Claimants of Severe Disablement Allowance women aged 18-59 and men aged 18-64, averaged over 4 quarters

•Claimants of Employment Support Allowance women aged 18-59 and men aged 18- 644

•Participants in New Deal for the 18-24s who are not in receipt of Jobseeker’s Allowance, averaged over 4 quarters

•Participants in New Deal for 25+ who are not in receipt of Jobseeker’s Allowance, averaged over 4 quarters

•Participants in New Deal for Lone Parents (after initial interview) aged over 18, averaged over 4 quarters


Unemployment rate February 2011

2.8

2.4

3.2

3.6

4.0

2.4

4.0

1.8

4.2

3.8

5.6

2.01.7

0.0

1.0

2.0

3.0

4.0

5.0

6.0

Ashford Canterbury Dartford Dover Gravesham Maidstone Medway Sevenoaks Shepway Swale Thanet Tonbridgeand Malling

TunbridgeWells

ward

rate

per

resi

dent

pop

ulat

ion

16-6

4


Unemployement rate: Tonbridge and Malling wards February 2011

2.6

1.4 1.4

1.9 1.8 1.72.0

1.4

3.0

1.7

2.1

1.61.3

0.5

2.01.7

1.91.7

2.4

4.2

2.6

3.6

1.9

1.21.4

1.8

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

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rate

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16-6

4

Tonbridge and MallingKentKent and MedwayEngland


Health Deprivation and Disability Domain

This domain measures premature death and the impairment of quality of life by poor health. It considers both physical and mental health. The domain measures morbidity, disability and premature mortality but not aspects of behaviour or environment that may be predictive of future health deprivation. Four indicators are used to calculate this domain:

Years of Potential Life Lost – an age and sex standardised measure of premature death

Comparative Illness and Disability Ratio – an age and sex standardised measure of morbidity and disability

Measures of acute morbidity – an age and sex standardised rate of emergency admissions to hospital

Proportion of adults under 60 suffering from mood or anxiety disorders – a modelled indicator for the proportion of adults suffering from mood and anxiety disorders.


Barriers to Housing and Services Domain

This domain measures the physical and financial accessibility of housing and key local services. The indicators fall into two sub-domains: ‘geographical barriers’, which relate to the physical proximity of local services, and ‘wider barriers’ which includes issues relating to access to housing such as affordability. Seven indicators are combined to calculate this domain: Sub-domain: Wider barriers

Household overcrowding – the proportion of households within an LSOA which are judged to have insufficient space to meet the household’s needs

Homelessness – the rate of acceptances for housing assistance under the homelessness provisions of the 1996 Housing Act (at local authority district level)

Difficulty of access to owner-occupation (local authority district level) – proportion of households aged under 35 whose income means they are unable to afford to enter owner occupation.

Sub-domain: Geographical barriers

Road distance to a GP surgery

Road distance to a supermarket or convenience store

Road distance to a primary school

Road distance to a Post Office.


Mortality and life expectancy

• Gaps in mortality rates (best/worst quintile)• Life expectancy


Inequalities Trends in All Age All Cause Mortality in west Kent 1995 - 2009

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1995-1997 1996-1998 1997-1999 1998-2000 1999-2001 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009

Age

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ndar

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d ra

te

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Most Deprived 20%Least Deprived 20%Gap in ASR

Source: K&MPHO via Annual District Death


Inequalities Trends in Under 75 Cancer Mortality in west Kent 1995 - 2009

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160

1995-1997 1996-1998 1997-1999 1998-2000 1999-2001 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009

Age

Sta

ndar

dise

d ra

te

0

5

10

15

20

25

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35

40


Source: K&MPHO via Annual District Death Extracts


Inequalities Trends in Under 75 Circulatory Disease Mortality in west Kent 1995 - 2009

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20

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60

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140

160

180

1995-1997 1996-1998 1997-1999 1998-2000 1999-2001 2000-2002 2001-2003 2002-2004 2003-2005 2004-2006 2005-2007 2006-2008 2007-2009

Age

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d ra

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Source: K&MPHO via Annual District Death Extracts


Life expectancy at birth - 2005-2009, Tonbridge & Malling Borough Council

70.0

75.0

80.0

85.0

90.0

95.0

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Electoral ward

Life

exp

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(yea

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Wards Tonbridge & Malling NHS West KentSource: PHMF, SEPHO and ONS CAS estimates


Life expectancy at birth for electoral wards in Tonbridge and Malling, 2005-2009 (pooled)

Wardcode Ward name Male Female Total29UPHJ Aylesford 75.7 81.6 78.629UPHK Blue Bell Hill and Walderslade 83.0 92.8 86.729UPHL Borough Green and Long Mill 80.3 82.3 81.129UPHM Burham, Eccles and Wouldham 73.8 76.8 75.329UPHN Cage Green 82.2 85.5 83.829UPHP Castle 80.4 83.8 82.529UPHQ Ditton 77.5 89.1 82.129UPHR Downs 81.3 90.2 85.529UPHS East Malling 81.3 84.7 83.329UPHT East Peckham and Golden Green 79.2 83.5 81.529UPHU Hadlow, Mereworth and West Peckham 82.1 82.8 82.629UPHW Higham 83.8 85.8 84.829UPHX Hildenborough 81.4 87.7 84.629UPHY Ightham 85.0 86.3 86.029UPHZ Judd 79.5 84.4 82.229UPJA Kings Hill 90.4 91.9 91.729UPJB Larkfield North 80.8 86.7 84.229UPJC Larkfield South 82.4 84.2 83.229UPJD Medway 80.8 84.9 82.929UPJE Snodland East 74.7 80.6 77.729UPJF Snodland West 79.0 81.8 80.629UPJG Trench 78.0 84.6 81.629UPJH Vauxhall 79.1 85.1 82.429UPJJ Wateringbury 80.9 80.7 80.829UPJK West Malling and Leybourne 78.0 83.4 81.029UPJL Wrotham 77.5 79.7 78.6

Tonbridge and Malling 79.9 83.7 81.8NHS West Kent 79.3 82.8 81.1Source: Public Health Mortality File, 2005-09; ONS CAS estimates; SEPHO

Life expectancy at birth for local authorities in NHS West Kent, 2005-2009 (pooled)

Area code LA/UA Male Female Total29UD Dartford 78.5 81.3 79.929UG Gravesham 78.5 82.2 80.429UH Maidstone 78.5 82.4 80.529UK Sevenoaks 80.8 83.9 82.529UP Tonbridge and Malling 79.9 83.7 81.829UQ Tunbridge Wells 79.7 83.1 81.5Source: Public Health Mortality File, 2005-09; ONS CAS estimates; SEPHO

Numbers of years between highest and lowest lifeexpectancy at birth by electoral ward:-

Male = 16.6Female = 16.0Persons = 16.4


Lifestyles

• Smoking• Obesity• Fruit and vegetable consumption• Alcohol


0%

20%

40%

60%

80%

100%

120%

140%

Performance 97% 109% 131% 78% 103% 80% 104%

Dartford Gravesham Maidstone Sevenoaks Tonbridge and Malling

Tunbridge Wells West Kent

Performance for 4 week quitters in 2010/11 for NHS West Kent local authoritiesSource: NHS West Kent Stop Smoking Team


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500

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2003/04 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11

Num

ber o

f peo

ple

TargetActual

82%

139%

106%

65%

103%

85%

NHS West Kent - 4 week quitters performance against target 2003 to 2010Source: West Kent Stop Smoking Team

108% 104%


Prevalence of smoking in Tonbridge & Malling LA by deprivation quintileSource: ONS synthetic estimates, Index of multiple deprivation 2010

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1 2 3 4 5

<Most deprived------------------------------------------------------------------------------------------------------------Least deprived>

prev

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Prevalence of Smoking Indicators by Practice, 2009/10Practices Located within Tonbridge & Malling Local AuthoritySource: QOF

Practice Code Practice Name Number of Registered

Patients

Number of Patients on Register for

Smoking Indicators

Prevalence of Smoking Indicators

(%)

G82132 DR DAWSON M J & PARTNER 4,318 1,220 28.3%G82754 DR LLOYD-DAVIES S H & PARTNER 3,286 841 25.6%G82234 DR PILE N R & PARTNER 4,224 1,073 25.4%G82085 SNODLAND MEDICAL PRACTICE 11,379 2,653 23.3%G82083 DR CHESOVER D F & PARTNERS 13,991 3,260 23.3%G82042 DUNORLAN MEDICAL GROUP 10,822 2,441 22.6%G82200 DR FORSYTHE D T & PARTNER 5,913 1,283 21.7%G82118 DR WHILLIER D E & PARTNERS 11,853 2,570 21.7%G82058 DR TOWNER H D & PARTNERS 6,789 1,465 21.6%G82120 DR DIBBLE A M & PARTNERS 13,288 2,851 21.5%G82037 DR GOOZEE P R & PARTNERS 15,842 3,193 20.2%G82135 DR MUSGRAVE R J & PARTNERS 18,063 3,049 16.9%

Important note: The register figure does not represent all patients who smoke, but represents a count of patients noted as smoking within the last 15 months, who also have any, or any combination of, the following conditions: coronary heart disease, stroke/TIA, hypertension, diabetes, COPD, asthma. (A patient with more than one of these conditions is counted only once.)


Estimated Prevalence of Obesity in Registered Population Aged 16+, 2009/10Practices Located Within Tonbridge & Malling Local AuthoritySource: QOF

Practice Code Practice Name Number of Registered

Patients Aged 16+

Number of Patients 16+ on Obesity

Register

Obesity Prevalence in 16+ Registered

Population

G82234 DR PILE N R & PARTNER 4,224 444 10.5%G82058 DR TOWNER H D & PARTNERS 6,789 668 9.8%G82200 DR FORSYTHE D T & PARTNER 5,913 510 8.6%G82042 DUNORLAN MEDICAL GROUP 10,822 834 7.7%G82754 DR LLOYD-DAVIES S H & PARTNER 3,286 240 7.3%G82132 DR DAWSON M J & PARTNER 4,318 297 6.9%G82135 DR MUSGRAVE R J & PARTNERS 18,063 1,227 6.8%G82118 DR WHILLIER D E & PARTNERS 11,853 699 5.9%G82083 DR CHESOVER D F & PARTNERS 13,991 808 5.8%G82085 SNODLAND MEDICAL PRACTICE 11,379 651 5.7%G82037 DR GOOZEE P R & PARTNERS 15,842 729 4.6%G82120 DR DIBBLE A M & PARTNERS 13,288 592 4.5%


Alcohol Related Age Standardised Admission Rate - Projected Target Setting for LAA2 - Tonbridge & Malling

500

600

700

800

900

1000

1100

1200

1300

1400

Year

Age

Sta

ndar

dise

d R

ate

per 1

00,0

00

Actual Trend 696 726 590 939 1026

Predicted Trend 1026 1047 1132 1218 1303

Target (3% reduction) 1098 1145 1186

Actual 1026 1007 1175 1228 1184

2002/03 2003/04 2004/05 2005/06 2006/07 2007/08 2008/09 2009/10 2010/11

Source: North West Public Health Observatory- - - - - 2010/11 proxy rate based on Q3&4 09/10 and Q1&2 10/11


Hospital Admissions for Mental & Behavioural Disorders due to Psychoactive Substances including alcohol (ICD10 F10-F19). Crude rates per 10,000

resident population in west Kent - by quarter April05 - Sept10

0.00

1.00

2.00

3.00

4.00

5.00

6.00

7.00

8.00

9.00

10.00

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2

2005/06 2006/07 2007/08 2008/09 2009/10 2010/11

Cru

de R

ate

per 1

0,00

0 po

pula

tion

Tonbridge and Malling Kent & Medway


Quarter January 10 to March 10 and Year April 2009 to March 2010Numbers by Electoral Ward & LAOccurences of 3 or less have been suppressed due to NHS disclosure and confidentiality guidance

Admit Quarter Q4 January to March 2010 Admit yearLA Name Eward code Eward Name 09/10Tonbridge and Malling 29UPHJ Aylesford suppressed

29UPHK Blue Bell Hill and Walderslade suppressed29UPHL Borough Green and Long Mill suppressed29UPHN Cage Green suppressed29UPHP Castle suppressed29UPHQ Ditton suppressed29UPHS East Malling suppressed29UPHU Hadlow, Mereworth and West Peckhsuppressed29UPHW Higham suppressed29UPHX Hildenborough suppressed29UPHZ Judd suppressed29UPJA Kings Hill suppressed29UPJB Larkfield North suppressed29UPJD Medway 529UPJE Snodland East suppressed29UPJF Snodland West 429UPJG Trench 529UPJH Vauxhall 629UPJJ Wateringbury 429UPJK West Malling and Leybourne suppressed29UPJL Wrotham suppressed

Tonbridge and Malling Total 50

Hospital Admissions - Mental & Behavioural Disorders due to Psychoactive Substance Use (ICD-10 F10-F19)

health and social care mapping - tonbridge and malling · gross median weekly wage for full time...

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