Health and Social Care profileLordswood and Capstone ward

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Contents

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• Introduction

• Key messages

• Our people and place

• Our health and wellbeing

Introduction

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• This presentation aims to provide an overview of the variation in health and social care outcomes within Medway across a wide range of indicators.

• For more in-depth understanding of these issues and the actions being taken or considered to address them, please visit the Medway JSNA website (www.medwayjsna.info).

• It is data-driven drawn from the best available sources. Ideally, this should be complemented by local knowledge and experience before generating any firm conclusions.

Key messages

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• Bullet point list of main findings

Lower super output areas explained

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• Lower Super Output Areas (LSOAs) are small geographical areas containing around 1,600 people.

• There are 163 in Medway with an average population of around 1,600 people. They are much smaller than Electoral Wards.

• If based on GP practice hubs LSOAs have been assigned to an area of interest on the basis of whether a majority of the residents are registered with a general practice in the area of interest.

• There are six LSOAs in Lordswood and Capstone ward.

Information guide [1/2]

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• Throughout these slides, bright pink has been used to identify LSOAs in the area. Grey has been used for the rest of Medway.

• The maps have been shaded in a consistent way to show the 20% of LSOAs with the worst outcomes in the darkest colour graded to the lightest colour for the areas with the best outcomes.

• The box and whisker plots show the spread of values within the LSOAs assigned to the area compared with other areas. The boxes represent the 25th and 75th percentiles, the whiskers are the minimum and maximum and the dots are outliers. The areas have been placed in descending order of the median to give a sense of rank.

Information guide [2/2]

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• Some of the information in this presentation is based on data from GP practices and therefore relates to the registered population.

• Other information comes from sources that relate to the resident population. The resident population is the population of people who live in the Medway area.

• The Registered population consists of people registered with GP practices in Medway, who may or may not live in Medway.

• Most people who live in Medway (residents) are registered with a Medway GP practice, but some are registered with practices outside of Medway.

• The difference between the registered and the resident population needs to be kept in mind when examining these data.

OUR PEOPLE AND PLACE

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Area

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Population

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100200400

Females

0-4

5-9

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89

90+

0-4

5-9

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89

90+

1

Ages

0 200 400

Males

Total population is 9,200

Mid-year population estimates (Office for National Statistics), 2017

Fertility

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Public Health Births File (ONS) & ONS mid-year population estimates, PHBF: 2013 to 2017 & ONS: 2013 to 2017

65live births per

1000women of

reproductive age

in Lordswood and

Capstone ward

Fertility

12

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Public Health Births File (ONS) & ONS mid-year population estimates, PHBF: 2013 to 2017 & ONS: 2013 to 2017

Ethnicity and main language

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Census 2011 (Office for National Statistics), 2011. Please note that this data was collected at the time of the last Census in 2011 so may now be inaccurate.

Ethnicity and main language

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Census 2011 (Office for National Statistics), 2011. Please note that this data was collected at the time of the last Census in 2011 so may now be inaccurate.

NOTE: Excludes White British/Irish; excludes English.

Deprivation

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Indices of Deprivation 2015 (Department of Communities and Local Government), 2015

Unemployment - Job Seeker's Allowance (JSA)

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Jobseeker's Allowance claimants (NOMIS, Office for National Statistics), Aug 2017

6in every

1000people in

Lordswood and

Capstone ward are

unemployed

Job Seekers Allowance

17

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Jobseeker's Allowance claimants (NOMIS, Office for National Statistics), Aug 2017

Long-term health problem or disability

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Census 2011, Office for National Statistics, 2011

5in every

16people with a

LTHP/disability in

Lordswood and

Capstone ward

limited in day-to-

day activities

Long-term health problem or disability

19

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Census 2011, Office for National Statistics, 2011

Homelessness

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Medway Council, 2014-2016

Children receiving statutory social work services

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Medway Council, 1st April 2017 - 31st March 2018

This dataset is a count of children open to Children's Services during the time period. To be included a child must have met the threshold for statutory social work and have had a service delivered from Medway Children's Services.

Child social care assessment factors

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Medway Council, 1st April 2014 - 31st March 2017

Special Educational Needs in children

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Medway Council, 1st April 2015 - 31st March 2018

Adult social care

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Medway Council, 1st April 2014 - 30th September 2017

Social isolation

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Over 65 years old Under 65 years old

Social Isolation - Medway JSNA., 2015

Life expectancy

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Primary Care Mortality Database (HSCIC), PCMD: 2014 to 2018; ONS mid-year population estimates, ONS: 2013 to 2017

OUR HEALTH AND WELLBEING

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Alcohol-related admissions

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ONS & Secondary Uses Services (SUS); SUS: including contract years 2016/17 to 2018/19 & ONS: 2014 to 2016

Childhood excess weight

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Excess weight recorded in children in school year 6, 2015/16 to 2017/18

5in every

16children in

Lordswood and

Capstone ward have

excess weight

Childhood excess weight

30

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Excess weight recorded in children in school year 6, 2015/16 to 2017/18

Causes of mortality

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Primary Care Mortality Database (HSCIC), PCMD: 2014 to 2018

Causes of mortality

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Primary Care Mortality Database (HSCIC), PCMD: 2014 to 2018

Causes of mortality

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33010203040

Males

Accidents

Cancer

Circulatory disease

Dementia

Digestive diseases

Diseases of nervous system

Genitourinary diseases

Other

Respiratory disease

Suicide

Accidents

Cancer

Circulatory disease

Dementia

Digestive diseases

Diseases of nervous system

Genitourinary diseases

Other

Respiratory disease

Suicide

1

Cause

0 10 20 30 40

Females

Percentage of all deaths within gender (%)

Primary Care Mortality Database (HSCIC), PCMD: 2014 to 2018

Causes of mortality

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Primary Care Mortality Database (HSCIC), PCMD: 2014 to 2018

Emergency admissions

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350102030

Males

Cardiac

Childhood and Neonates

Digestive System

Infectious Diseases,

Immune System Disorders

Musculoskeletal System

Nervous System

Other

Respiratory System

Skin, Breast and Burns

Urinary Tract and

Male Reproductive System

Cardiac

Childhood and Neonates

Digestive System

Infectious Diseases,

Immune System Disorders

Musculoskeletal System

Nervous System

Other

Respiratory System

Skin, Breast and Burns

Urinary Tract and

Male Reproductive System

1

Cause

0 10 20 30

Females

Percentage of all emergency admissions within gender (%)

SUS PBR spells table via Kent & Medway Data warehouse [accessed 2019-03-29], 2015/16 to 2017/18

Emergency admissions

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SUS PBR spells table via Kent & Medway Data warehouse [accessed 2019-03-29], 2015/16 to 2017/18

Neonatal and childhood admissions

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Primary diagnosis Number of admissions

Respiratory disease 43

Infectious and parasitic diseases 24

Diseases of nervous system 14

Other conditions originating in the perinatal period 13

Abnormal clinical and laboratory findings 12

Injury, poisoning and external cause 12

Symptoms and signs involving the circulatory and respiratory systems 11

General symptoms and signs e.g. fever, syncope and convulsions 10

Genitourinary diseases 8

Symptoms and signs involving the digestive system and abdomen 7

Digestive diseases 6

Diseases of the eye and adnexa 6

Dieases of the musculoskeletal system and connective tissue 5

SUS PBR spells table via Kent & Medway Data warehouse [accessed 2019-03-29], 2015/16 to 2017/18

A&E attendances

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SUS CDS Accident & Emergency attendances table via Kent & Medway Data warehouse [accessed 2019-03-29], 20152016 to 20172018

A&E attendances

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390255075100

Males

Assault

Brought in dead

Deliberate self-harm

Firework injury

Other

Other accident

Road traffic accident

Sports injury

Assault

Brought in dead

Deliberate self-harm

Firework injury

Other

Other accident

Road traffic accident

Sports injury

1

Cause

0 25 50 75 100

Females

Percentage of all A&E attendances within gender (%)

SUS CDS Accident & Emergency attendances table via Kent & Medway Data warehouse [accessed 2019-03-29], 20152016 to 20172018

A&E attendances

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SUS CDS Accident & Emergency attendances table via Kent & Medway Data warehouse [accessed 2019-03-29], 20152016 to 20172018