Coronary revascularisation in England A geographical profile of hospital admissions

Transcription

1 Coronary revascularisation in England A geographical profile of hospital admissions Unit of Health Care Epidemiology, University of Oxford 2013

2 Coronary revascularisation in England A geographical profile of hospital admissions. Authors: Michael Goldacre, David Yeates, Leicester Gill, Nick Hall, Matt Davidson Published by: Unit of Health-Care Epidemiology, University of Oxford, 2013 This document provides a geographical profile of hospital admission for Coronary revascularisation in England. The geographical areas covered are the standard local authority areas of England. The period covered is 01/01/2009 to 31/12/2011. The data are from Hospital Episode Statistics (HES). HES includes data on all NHS hospital admissions (including admissions for day case care). The maps show: (a) The spell-based admission rates per resident population for each geographical area per year, expressed as an average annual rate. The spell is the hospital admission, representing the continuous time spent in a hospital Trust from admission to discharge. A person admitted several times for the condition is counted as many times as he/she has admissions. The data in the maps are shown as quintiles of geographical areas, with the onefifth of areas with the lowest rates shown in the lightest colour and the one-fifth of areas with the highest rates shown in the darkest colour. (b) The person-based admission rate per resident population for each geographical area per year, counting people once (and only once) per year in which they were admitted, expressed as an average annual rate. If the person has another admission for the condition in a different year, he/she is counted once again (and only once) for each different year of admission.

3 (c) The ratio of the number of spells with the condition (a, above) per person admitted for the condition (b, above), expressed as an annual average. The two error-bar charts provide a plot of the values of the average annual spell-based rate and the average annual person-based rate (counting people once, and only once, in each year) for each geographical area, each vertical line representing one geographical area. It shows the point estimate for the standardised rate for the area with its 95% confidence interval. At a glance, the error-bar charts show the spread of rates across England and the extent to which variation across the country is statistically significant. The first scatter-plot shows the number of spells per person plotted against the person-based rate. The second scatter-plot shows the average Index of Multiple Deprivation (IMD 2004) score for each geographical area plotted against the person-based rate (counting people once, and only once, in each year) for each area in England. The first table shows the individual values for each geographical area, with the areas ranked in alphabetical order. For each area, the information in the table provides data about spells showing the observed number of spells (Obs.); the expected number of spells (Exp.), obtained by applying national age-sex-specific rates to the age-sex distribution of the geographical population; the age-standardised rate, calculated by standardisation, expressed per population with the 95% lower and upper confidence limits for the rate; and the same measures for people admitted (counting people once, and only once, in each year) per population per year.

4 The second table shows the geographical areas ranked according to the standardised spell-based admission rate (ranked from highest to lowest rate). The third table shows the geographical areas ranked according to the standardised person-based admission rate, in which people are counted once per year (ranked from highest to lowest rate). Some technical notes: Dataset used: UHCE-built linked file for England,, cips file, analysis template 2 Diagnosis codes used: Specialty codes used: Operation codes used: K40.1-K50.9 Diagnosis position: Operation position: any Period covered: admissions from 01/01/2009 to 31/12/2011 Source of admission: any Exclusion of successive admissions: - Age/sex restriction: Ages: 0-119, Sexes: both Restrictions relating to presence of other diagnoses or operations: none Restrictions relating to length of stay: none Restrictions relating to type of hospital: those in England only, otherwise none Place of residence: that on HES record at the time of admission; in the analysis of person-based rates someone who moves home and has an admission from two different areas is counted twice once for each area.

5 We are very grateful for statistical advice from Valerie Seagroatt and for computing support from Daniel Meddings. David Yeates, Leicester Gill, Nick Hall, Matt Davidson and Valerie Seagroatt are funded by the NHS National Institute for Health Research. Ethical approval: REC references 04/Q2006/175 and 04/Q2006/176. Copyright UHCE Oxford University The maps are based on data provided through EDINA UKBORDERS with the support of the ESRC and JISC and use boundary material which is copyright of the Crown. Source: 2001 Census Output Area Boundaries. Crown copyright Crown copyright material is reproduced with the permission of the Controller of HMSO.

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9 Coronary revascularisation : Spell-based rate per population for each Local Authority, Both Sexes Spell-based rate per population with 95% confidence intervals Local Authority

10 Coronary revascularisation : Person-based rate per population for each Local Authority, Both Sexes Person-based rate per population with 95% confidence intervals Local Authority

11 1.1 Coronary revascularisation : number of spells plotted against the person-based rate for each Local Authority, Both Sexes 1.1 Number of hospital spells per person y = x R² = Spell-based rate per population

12 61.0 Coronary revascularisation : average IMD score plotted against the spell-based rate for each Local Authority, Both Sexes 51.0 y = x R² = Average IMD 2004 score Spell-based rate per population

13 61.0 Coronary revascularisation : average IMD score plotted against the person-based rate for each Local Authority, Both Sexes 51.0 y = 0.174x R² = Average IMD 2004 score Person-based rate per population

14 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Both Sexes People Label Local authority IMD 2004: Average Score StHA GOR Obs. Exp. rate per 95% Confidence interval Obs. Exp. rate per 95% Confidence interval Ratio of spells to people N/A ALL ENGLAND UB Adur 17.0 Q19 J UB Allerdale 22.9 Q13 B UB Alnwick 16.1 Q09 A UB Amber Valley 18.9 Q24 E UC Arun 15.6 Q19 J UB Ashfield 27.8 Q24 E UB Ashford 13.4 Q18 J UB Aylesbury Vale 8.3 Q16 J UB Babergh 11.3 Q01 G AB Barking and Dagenham 31.3 Q06 H AC Barnet 16.1 Q05 H CC Barnsley 33.0 Q23 D UC Barrow-In-Furness 33.0 Q13 B UB Basildon 20.7 Q03 G UB Basingstoke and Deane 8.8 Q17 J UC Bassetlaw 25.7 Q24 E HA Bath and North East Somerset UA 12.2 Q20 K UD Bedford 17.5 Q02 G UC Berwick-upon-Tweed 21.2 Q09 A AD Bexley 15.0 Q07 H CN Birmingham 37.6 Q27 F UB Blaby 8.7 Q25 E EX Blackburn with Darwen UA 32.3 Q13 B EY Blackpool UA 33.9 Q13 B UD Blyth Valley 26.1 Q09 A UC Bolsover 30.5 Q24 E BL Bolton 29.4 Q14 B UB Boston 21.9 Q24 E HN Bournemouth UA 23.7 Q22 K MA Bracknell Forest UA 8.6 Q16 J CX Bradford 32.9 Q12 D UC Braintree 13.2 Q03 G

15 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Both Sexes People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND UB Breckland 14.5 Q01 G AE Brent 26.0 Q04 H UD Brentwood 8.9 Q03 G UB Bridgnorth 12.3 Q26 F ML Brighton and Hove UA 25.7 Q19 J HB Bristol, City of UA 27.7 Q20 K UC Broadland 9.6 Q01 G AF Bromley 13.2 Q07 H UB Bromsgrove 10.1 Q28 F UB Broxbourne 14.7 Q02 G UD Broxtowe 16.0 Q24 E UD Burnley 31.8 Q13 B BM Bury 23.5 Q14 B CY Calderdale 25.4 Q12 D UB Cambridge 14.6 Q01 G AG Camden 34.7 Q05 H UB Cannock Chase 20.3 Q26 F UC Canterbury 16.2 Q18 J UB Caradon 18.4 Q21 K UD Carlisle 22.2 Q13 B UC Carrick 19.2 Q21 K UE Castle Morpeth 15.8 Q09 A UE Castle Point 12.7 Q03 G UC Charnwood 12.1 Q25 E UF Chelmsford 8.6 Q03 G UB Cheltenham 14.4 Q20 K UB Cherwell 11.2 Q16 J UB Chester 17.0 Q15 B UD Chesterfield 27.1 Q24 E UB Chester-Le-Street 21.4 Q10 A UD Chichester 10.7 Q19 J UC Chiltern 6.2 Q16 J

16 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Both Sexes People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND UE Chorley 17.2 Q13 B UC Christchurch 12.6 Q22 K UG Colchester 14.6 Q03 G UC Congleton 9.5 Q15 B UE Copeland 25.7 Q13 B UB Corby 27.1 Q25 E UC Cotswold 8.8 Q20 K CQ Coventry 28.2 Q28 F UB Craven 11.9 Q11 D UE Crawley 14.8 Q19 J UD Crewe and Nantwich 17.1 Q15 B AH Croydon 19.9 Q08 H UC Dacorum 9.5 Q02 G EH Darlington UA 24.6 Q10 A UD Dartford 17.2 Q18 J UC Daventry 10.2 Q25 E FK Derby UA 27.7 Q24 E UF Derbyshire Dales 12.5 Q24 E UD Derwentside 28.2 Q10 A CE Doncaster 31.5 Q23 D UE Dover 18.7 Q18 J CR Dudley 22.1 Q27 F UE Durham 18.5 Q10 A AJ Ealing 23.4 Q04 H UF Easington 41.8 Q10 A UC East Cambridgeshire 10.6 Q01 G UB East Devon 12.7 Q21 K UD East Dorset 8.2 Q22 K UC East Hampshire 8.1 Q17 J UD East Hertfordshire 6.3 Q02 G UC East Lindsey 24.6 Q24 E UD East Northamptonshire 11.8 Q25 E

17 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Both Sexes People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND FB East Riding of Yorkshire UA 15.3 Q11 D UC East Staffordshire 18.5 Q26 F UC Eastbourne 21.5 Q19 J UD Eastleigh 8.9 Q17 J UF Eden 15.7 Q13 B UE Ellesmere Port and Neston 19.8 Q15 B UB Elmbridge 7.0 Q19 J AK Enfield 23.1 Q05 H UH Epping Forest 13.3 Q03 G UC Epsom and Ewell 6.9 Q19 J UG Erewash 19.3 Q24 E UC Exeter 21.6 Q21 K UE Fareham 7.8 Q17 J UD Fenland 19.8 Q01 G UC Forest Heath 11.1 Q01 G UD Forest of Dean 15.9 Q20 K UF Fylde 13.1 Q13 B CH Gateshead 33.2 Q09 A UE Gedling 16.4 Q24 E UE Gloucester 19.9 Q20 K UF Gosport 16.3 Q17 J UG Gravesham 18.1 Q18 J UD Great Yarmouth 27.7 Q01 G AL Greenwich 31.5 Q07 H UD Guildford 8.3 Q19 J AM Hackney 45.1 Q06 H ET Halton UA 34.3 Q15 B UC Hambleton 10.4 Q11 D AN Hammersmith and Fulham 27.8 Q04 H UD Harborough 7.2 Q25 E AP Haringey 37.7 Q05 H UJ Harlow 21.4 Q03 G

18 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Both Sexes People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND UD Harrogate 11.1 Q11 D AQ Harrow 13.5 Q04 H UG Hart 4.2 Q17 J EB Hartlepool UA 37.7 Q10 A UD Hastings 31.7 Q19 J UH Havant 20.1 Q17 J AR Havering 14.8 Q06 H GA Herefordshire, County of UA 15.7 Q28 F UE Hertsmere 12.0 Q02 G UH High Peak 15.1 Q24 E AS Hillingdon 17.7 Q04 H UE Hinckley and Bosworth 11.1 Q25 E UF Horsham 6.7 Q19 J AT Hounslow 23.3 Q04 H UE Huntingdonshire 10.2 Q01 G UG Hyndburn 28.5 Q13 B UD Ipswich 23.4 Q01 G MW Isle of Wight UA 21.1 Q17 J AU Islington 42.7 Q05 H UB Kennet 10.1 Q20 K AW Kensington and Chelsea 21.5 Q04 H UD Kerrier 25.2 Q21 K UE Kettering 15.3 Q25 E UE Kings Lynn and West Norfolk 19.1 Q01 G FA Kingston upon Hull, City of UA 41.1 Q11 D AX Kingston upon Thames 11.6 Q08 H CZ Kirklees 26.2 Q12 D BX Knowsley 46.6 Q15 B AY Lambeth 34.2 Q07 H UH Lancaster 22.3 Q13 B DA Leeds 27.7 Q12 D FN Leicester UA 32.8 Q25 E

19 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Both Sexes People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND UF Lewes 12.9 Q19 J AZ Lewisham 28.6 Q07 H UD Lichfield 12.0 Q26 F UD Lincoln 27.2 Q24 E BY Liverpool 49.8 Q15 B KA Luton UA 23.3 Q02 G UG Macclesfield 11.1 Q15 B UH Maidstone 11.5 Q18 J UK Maldon 10.7 Q03 G UC Malvern Hills 13.1 Q28 F BN Manchester 48.9 Q14 B UF Mansfield 32.5 Q24 E LC Medway UA 18.0 Q18 J UG Melton 10.1 Q25 E UB Mendip 14.5 Q22 K BA Merton 14.5 Q08 H UC Mid Bedfordshire 7.7 Q02 G UD Mid Devon 17.1 Q21 K UE Mid Suffolk 9.8 Q01 G UG Mid Sussex 6.4 Q19 J EC Middlesborough UA 40.7 Q10 A MG Milton Keynes UA 15.6 Q16 J UE Mole Valley 6.2 Q19 J UJ New Forest 10.4 Q17 J UG Newark and Sherwood 19.8 Q24 E CJ Newcastle upon Tyne 34.5 Q09 A UE Newcastle-under-Lyme 19.9 Q26 F BB Newham 40.4 Q06 H UE North Cornwall 22.8 Q21 K UE North Devon 20.6 Q21 K UE North Dorset 11.4 Q22 K UJ North East Derbyshire 18.9 Q24 E

20 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Both Sexes People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND FC North East Lincolnshire UA 29.4 Q11 D UF North Hertfordshire 10.1 Q02 G UE North Kesteven 11.5 Q24 E FD North Lincolnshire UA 21.2 Q11 D UF North Norfolk 16.9 Q01 G UC North Shropshire 16.6 Q26 F HC North Somerset UA 14.1 Q20 K CK North Tyneside 26.0 Q09 A UB North Warwickshire 16.4 Q28 F UH North West Leicestershire 15.9 Q25 E UC North Wiltshire 8.4 Q20 K UF Northampton 20.2 Q25 E UG Norwich 28.3 Q01 G FY Nottingham UA 41.8 Q24 E UC Nuneaton and Bedworth 21.2 Q28 F UJ Oadby and Wigston 9.7 Q25 E BP Oldham 30.7 Q14 B UD Oswestry 17.1 Q26 F UC Oxford 19.7 Q16 J UJ Pendle 27.6 Q13 B UF Penwith 29.0 Q21 K JA Peterborough UA 23.4 Q01 G HG Plymouth UA 26.2 Q21 K HP Poole UA 14.3 Q22 K MR Portsmouth UA 24.9 Q17 J UK Preston 28.5 Q13 B UG Purbeck 12.6 Q22 K MC Reading UA 18.8 Q16 J BC Redbridge 17.8 Q06 H EE Redcar and Cleveland UA 30.6 Q10 A UD Redditch 19.4 Q28 F UF Reigate and Banstead 9.0 Q19 J

21 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Both Sexes People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND UG Restormel 23.9 Q21 K UL Ribble Valley 10.3 Q13 B BD Richmond upon Thames 9.7 Q08 H UE Richmondshire 12.5 Q11 D BQ Rochdale 33.7 Q14 B UL Rochford 8.7 Q03 G UM Rossendale 24.1 Q13 B UG Rother 16.2 Q19 J CF Rotherham 28.2 Q23 D UD Rugby 13.6 Q28 F UG Runnymede 7.8 Q19 J UJ Rushcliffe 9.0 Q24 E UL Rushmoor 10.4 Q17 J FP Rutland UA 6.6 Q25 E UF Ryedale 12.9 Q11 D BR Salford 38.2 Q14 B UD Salisbury 11.8 Q20 K CS Sandwell 35.4 Q27 F UG Scarborough 24.1 Q11 D UG Sedgefield 29.1 Q10 A UC Sedgemoor 17.4 Q22 K CA Sefton 26.1 Q15 B UH Selby 13.1 Q11 D UK Sevenoaks 9.6 Q18 J CG Sheffield 28.4 Q23 D UL Shepway 20.8 Q18 J UE Shrewsbury and Atcham 15.7 Q26 F MD Slough UA 20.9 Q16 J CT Solihull 16.4 Q27 F UE South Bedfordshire 12.3 Q02 G UE South Bucks 8.1 Q16 J UG South Cambridgeshire 6.4 Q01 G

22 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Both Sexes People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND UK South Derbyshire 14.8 Q24 E HD South Gloucestershire UA 9.8 Q20 K UG South Hams 14.2 Q21 K UF South Holland 15.3 Q24 E UG South Kesteven 12.2 Q24 E UG South Lakeland 12.0 Q13 B UH South Norfolk 10.7 Q01 G UG South Northamptonshire 6.6 Q25 E UD South Oxfordshire 7.7 Q16 J UN South Ribble 14.0 Q13 B UF South Shropshire 15.5 Q26 F UD South Somerset 13.7 Q22 K UF South Staffordshire 11.7 Q26 F CL South Tyneside 33.1 Q09 A MS Southampton UA 23.7 Q17 J KF Southend-On-Sea UA 21.7 Q03 G BE Southwark 35.4 Q07 H UH Spelthorne 10.4 Q19 J UG St. Albans 7.7 Q02 G UF St. Edmundsbury 11.5 Q01 G BZ St. Helens 32.0 Q15 B UG Stafford 12.9 Q26 F UH Staffordshire Moorlands 16.5 Q26 F UH Stevenage 15.6 Q02 G BS Stockport 18.1 Q14 B EF Stockton-On-Tees UA 26.3 Q10 A GL Stoke-On-Trent UA 35.3 Q26 F UE Stratford-On-Avon 8.8 Q28 F UF Stroud 10.2 Q20 K UG Suffolk Coastal 11.5 Q01 G CM Sunderland 34.2 Q09 A UJ Surrey Heath 4.9 Q19 J

23 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Both Sexes People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND BF Sutton 13.3 Q08 H UM Swale 20.9 Q18 J HX Swindon UA 17.2 Q20 K BT Tameside 29.8 Q14 B UK Tamworth 19.7 Q26 F UK Tandridge 8.3 Q19 J UE Taunton Deane 16.3 Q22 K UH Teesdale 16.4 Q10 A UH Teignbridge 17.0 Q21 K GF Telford and Wrekin UA 21.8 Q26 F UN Tendring 23.1 Q03 G UN Test Valley 8.7 Q17 J UG Tewkesbury 10.1 Q20 K UN Thanet 25.6 Q18 J UJ Three Rivers 9.4 Q02 G KG Thurrock UA 21.2 Q03 G UP Tonbridge and Malling 9.6 Q18 J HH Torbay UA 23.7 Q21 K UK Torridge 21.4 Q21 K BG Tower Hamlets 45.9 Q06 H BU Trafford 20.2 Q14 B UQ Tunbridge Wells 10.5 Q18 J UF Tynedale 15.5 Q09 A UQ Uttlesford 6.7 Q03 G UE Vale of White Horse 6.9 Q16 J UH Vale Royal 17.1 Q15 B DB Wakefield 29.1 Q12 D CU Walsall 29.4 Q27 F BH Waltham Forest 30.2 Q06 H BJ Wandsworth 20.9 Q08 H UG Wansbeck 30.5 Q09 A EU Warrington UA 19.4 Q15 B

24 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Both Sexes People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND UF Warwick 12.6 Q28 F UK Watford 14.5 Q02 G UH Waveney 21.8 Q01 G UL Waverley 6.2 Q19 J UH Wealden 9.4 Q19 J UJ Wear Valley 32.6 Q10 A UH Wellingborough 17.5 Q25 E UL Welwyn Hatfield 12.6 Q02 G MB West Berkshire UA 7.9 Q16 J UL West Devon 16.3 Q21 K UH West Dorset 13.3 Q22 K UP West Lancashire 21.1 Q13 B UH West Lindsey 17.7 Q24 E UF West Oxfordshire 6.3 Q16 J UF West Somerset 22.1 Q22 K UF West Wiltshire 12.0 Q20 K BK Westminster 31.7 Q04 H UJ Weymouth and Portland 21.2 Q22 K BW Wigan 29.3 Q14 B UP Winchester 7.0 Q17 J ME Windsor and Maidenhead UA 8.2 Q16 J CB Wirral 30.1 Q15 B UM Woking 7.3 Q19 J MF Wokingham UA 5.1 Q16 J CW Wolverhampton 32.2 Q27 F UE Worcester 17.7 Q28 F UH Worthing 15.7 Q19 J UF Wychavon 11.3 Q28 F UF Wycombe 9.7 Q16 J UQ Wyre 17.8 Q13 B UG Wyre Forest 17.8 Q28 F FF York UA 14.5 Q11 D

25 Coronary revascularisation : Spell-based rate per population for each Local Authority sorted from highest to lowest, Both Sexes Local authority 95% Confidence interval rate per Leicester UA Corby Newham Charnwood North West Leicestershire Slough UA Blackpool UA Oadby and Wigston Hounslow Knowsley East Staffordshire Manchester Kettering Ealing Sedgefield Plymouth UA Tower Hamlets Wellingborough East Northamptonshire South Ribble Tameside Lichfield Waltham Forest Melton Stockton-On-Tees UA Hinckley and Bosworth Greenwich Harborough Sunderland Salford Walsall Blaby West Devon Fylde Blackburn with Darwen UA South Derbyshire Liverpool Redbridge Caradon Rutland UA Redcar and Cleveland UA Selby Brent Easington Bournemouth UA Kingston upon Hull, City of UA Wigan Copeland Rushmoor Barking and Dagenham South Bucks Rochdale Bedford Bristol, City of UA North Devon Bromley Oldham Sandwell Solihull St. Helens

26 Coronary revascularisation : Spell-based rate per population for each Local Authority sorted from highest to lowest, Both Sexes Local authority 95% Confidence interval rate per Peterborough UA Bury Preston York UA South Holland Middlesborough UA Trafford Broxbourne Exeter Wyre Kings Lynn and West Norfolk East Devon Huntingdonshire Birmingham Watford Barrow-In-Furness Ipswich Boston Cannock Chase Gloucester Wear Valley Durham Thanet Wolverhampton Sedgemoor South Staffordshire South Kesteven Sefton St. Edmundsbury Enfield Bolton Basildon North Lincolnshire UA Windsor and Maidenhead UA Halton UA Dudley Hartlepool UA Christchurch Lewisham Stevenage Stockport Shepway Ellesmere Port and Neston Burnley Lancaster Wirral Havering Tamworth North Somerset UA Suffolk Coastal High Peak Bradford Wakefield Hyndburn Welwyn Hatfield Chorley Mid Devon North Cornwall Restormel Bexley

27 Coronary revascularisation : Spell-based rate per population for each Local Authority sorted from highest to lowest, Both Sexes Local authority 95% Confidence interval rate per Canterbury Lambeth Mid Bedfordshire Harrow Spelthorne Bracknell Forest UA Pendle Darlington UA New Forest Hart Mansfield West Wiltshire West Lancashire Luton UA North Wiltshire South Gloucestershire UA South Bedfordshire Babergh Hertsmere Three Rivers Croydon Tewkesbury East Riding of Yorkshire UA Salisbury Doncaster Swindon UA Rossendale Telford and Wrekin UA Barnsley Ashford North Norfolk Thurrock UA Warrington UA Scarborough Fenland South Tyneside North Kesteven Penwith Arun Kerrier Bath and North East Somerset Carrick Mid Suffolk Stoke-On-Trent UA Bridgnorth Hackney Forest of Dean Crawley Hambleton Portsmouth UA Daventry Tandridge Islington Chester Dover Stroud South Lakeland Surrey Heath Torridge Ryedale

28 Coronary revascularisation : Spell-based rate per population for each Local Authority sorted from highest to lowest, Both Sexes Local authority 95% Confidence interval rate per East Dorset Poole UA North Hertfordshire Brentwood Derwentside Tendring Adur Chester-Le-Street Southwark Reading UA Taunton Deane Southampton UA Newark and Sherwood Stafford Harlow East Lindsey Great Yarmouth Allerdale Ashfield South Hams Richmondshire East Hampshire Kirklees Eastleigh Leeds Hammersmith and Fulham Northampton Sutton Carlisle Derby UA Gosport Lewes Chelmsford Barnet Epping Forest Amber Valley St. Albans Braintree Vale Royal Brighton and Hove UA Wandsworth Colchester Hastings East Cambridgeshire Rotherham Hillingdon Sheffield Teesdale Waveney Fareham Basingstoke and Deane Sevenoaks Rother Chichester Cheltenham Crewe and Nantwich Merton North Shropshire Bolsover Staffordshire Moorlands

29 Coronary revascularisation : Spell-based rate per population for each Local Authority sorted from highest to lowest, Both Sexes Local authority 95% Confidence interval rate per Wycombe Lincoln Macclesfield Calderdale Runnymede West Somerset Eden Tunbridge Wells Eastbourne Haringey Wansbeck Herefordshire, County of UA Kingston upon Thames Blyth Valley North Tyneside Dacorum North East Lincolnshire UA Milton Keynes UA Mid Sussex North Dorset Breckland Gravesham Worthing Castle Morpeth East Hertfordshire South Norfolk Havant Newcastle upon Tyne Congleton Southend-On-Sea UA Swale Forest Heath Woking Ribble Valley Erewash Mendip Guildford Bassetlaw Waverley Wealden Norwich Cotswold Reigate and Banstead West Lindsey South Somerset Craven Cherwell Dartford Medway UA Tonbridge and Malling Weymouth and Portland Teignbridge Kennet Shrewsbury and Atcham Gateshead Broadland Chiltern Rugby Coventry Redditch

30 Coronary revascularisation : Spell-based rate per population for each Local Authority sorted from highest to lowest, Both Sexes Local authority 95% Confidence interval rate per South Northamptonshire Horsham Westminster Wokingham UA North East Derbyshire Test Valley Newcastle-under-Lyme Elmbridge Oswestry South Cambridgeshire Castle Point Richmond upon Thames Epsom and Ewell Wyre Forest West Berkshire UA Torbay UA Winchester Rochford Camden West Dorset Warwick South Shropshire Chesterfield Maldon Stratford-On-Avon Oxford Nottingham UA Derbyshire Dales Maidstone Wychavon Uttlesford Harrogate Mole Valley Vale of White Horse Rushcliffe West Oxfordshire Worcester Purbeck Bromsgrove Malvern Hills Tynedale Broxtowe Isle of Wight UA Gedling South Oxfordshire Kensington and Chelsea Cambridge North Warwickshire Alnwick Nuneaton and Bedworth Berwick-upon-Tweed Aylesbury Vale

31 Coronary revascularisation : Person-based rate per population for each Local Authority sorted from highest to lowest, Both Sexes Local authority 95% Confidence interval rate per Leicester UA Corby Newham Charnwood Slough UA North West Leicestershire Blackpool UA Oadby and Wigston Hounslow Knowsley Manchester Ealing East Staffordshire Sedgefield Plymouth UA Tower Hamlets Kettering South Ribble Tameside Stockton-On-Tees UA Waltham Forest Melton Sunderland Walsall Wellingborough Blaby Salford Blackburn with Darwen UA Fylde Greenwich Harborough Liverpool Lichfield Caradon Redbridge West Devon Hinckley and Bosworth Redcar and Cleveland UA South Derbyshire Copeland South Bucks Selby East Northamptonshire Brent Easington Wigan Rutland UA Barking and Dagenham Bedford Kingston upon Hull, City of UA Bournemouth UA Rushmoor Bristol, City of UA North Devon Rochdale Preston Peterborough UA St. Helens Bury Sandwell

32 Coronary revascularisation : Person-based rate per population for each Local Authority sorted from highest to lowest, Both Sexes Local authority 95% Confidence interval rate per Oldham Middlesborough UA Bromley Broxbourne Solihull Trafford York UA Wyre Exeter South Holland Birmingham Kings Lynn and West Norfolk Watford Ipswich Barrow-In-Furness Boston East Devon Cannock Chase Thanet Wear Valley Durham South Staffordshire Wolverhampton Huntingdonshire St. Edmundsbury Sefton Gloucester South Kesteven Basildon Windsor and Maidenhead UA Halton UA Dudley Bolton Sedgemoor Ellesmere Port and Neston Lewisham Burnley Lancaster Enfield Stevenage Hartlepool UA Shepway Tamworth Wirral Stockport North Somerset UA Welwyn Hatfield Chorley North Cornwall Suffolk Coastal Christchurch Havering High Peak Bradford Wakefield Mid Bedfordshire Restormel Pendle Darlington UA Bexley

33 Coronary revascularisation : Person-based rate per population for each Local Authority sorted from highest to lowest, Both Sexes Local authority 95% Confidence interval rate per North Lincolnshire UA Harrow Canterbury Hyndburn Spelthorne Mid Devon Luton UA West Lancashire Lambeth Bracknell Forest UA New Forest South Bedfordshire Hertsmere West Wiltshire Mansfield Three Rivers Babergh Doncaster South Gloucestershire UA Croydon Tewkesbury Rossendale Thurrock UA Salisbury North Wiltshire Hart Barnsley Warrington UA Swindon UA Telford and Wrekin UA Penwith North Kesteven Carrick Mid Suffolk Ashford Bridgnorth Arun Hambleton South Tyneside Kerrier North Norfolk Hackney East Riding of Yorkshire UA Fenland Tandridge Portsmouth UA Stoke-On-Trent UA South Lakeland Forest of Dean Scarborough Crawley Chester Dover Surrey Heath Ryedale Torridge North Hertfordshire Tendring East Dorset Daventry

34 Coronary revascularisation : Person-based rate per population for each Local Authority sorted from highest to lowest, Both Sexes Local authority 95% Confidence interval rate per Islington Chester-Le-Street Brentwood Stroud Derwentside Southampton UA Stafford Poole UA Bath and North East Somerset Richmondshire East Hampshire Eastleigh Allerdale Southwark South Hams Hammersmith and Fulham Harlow Taunton Deane East Lindsey Reading UA Leeds Newark and Sherwood Sutton Kirklees Chelmsford Great Yarmouth Gosport Braintree Vale Royal Derby UA Ashfield Northampton Carlisle St. Albans Barnet Epping Forest Colchester Adur Hillingdon Hastings Teesdale Rotherham Sheffield Wandsworth Amber Valley Sevenoaks Lewes Cheltenham East Cambridgeshire Brighton and Hove UA Waveney Crewe and Nantwich Basingstoke and Deane Merton North Shropshire Chichester Fareham Staffordshire Moorlands Macclesfield Runnymede

35 Coronary revascularisation : Person-based rate per population for each Local Authority sorted from highest to lowest, Both Sexes Local authority 95% Confidence interval rate per Rother Calderdale Lincoln Wycombe Bolsover West Somerset Dacorum Tunbridge Wells Herefordshire, County of UA Kingston upon Thames Worthing Congleton Haringey Eden Gravesham Blyth Valley Mid Sussex Eastbourne Milton Keynes UA Southend-On-Sea UA Breckland East Hertfordshire Forest Heath Woking Havant Bassetlaw Wansbeck North Dorset Castle Morpeth Swale Norwich South Norfolk Cotswold Erewash West Lindsey North East Lincolnshire UA Wealden Guildford Reigate and Banstead Tonbridge and Malling North Tyneside Medway UA Newcastle upon Tyne South Somerset Mendip Waverley Ribble Valley Teignbridge Cherwell Shrewsbury and Atcham Dartford Weymouth and Portland Broadland Redditch Kennet Craven Chiltern Coventry Test Valley Horsham

36 Coronary revascularisation : Person-based rate per population for each Local Authority sorted from highest to lowest, Both Sexes Local authority 95% Confidence interval rate per Gateshead South Northamptonshire Westminster Rugby Elmbridge Oswestry Newcastle-under-Lyme Wokingham UA North East Derbyshire Richmond upon Thames Castle Point Torbay UA Rochford Winchester South Cambridgeshire Camden Wyre Forest West Berkshire UA Warwick South Shropshire Epsom and Ewell Chesterfield Derbyshire Dales West Dorset Stratford-On-Avon Maldon Nottingham UA Maidstone Wychavon Harrogate Uttlesford Mole Valley Oxford Vale of White Horse West Oxfordshire Bromsgrove Rushcliffe Worcester Malvern Hills Broxtowe Tynedale Purbeck South Oxfordshire Isle of Wight UA Gedling Cambridge Kensington and Chelsea North Warwickshire Alnwick Nuneaton and Bedworth Berwick-upon-Tweed Aylesbury Vale

37

38

39

40 Coronary revascularisation : Spell-based rate per population for each Local Authority, Males Spell-based rate per population with 95% confidence intervals Local Authority

41 Coronary revascularisation : Person-based rate per population for each Local Authority, Males Local Authority 0 Person-based rate per population with 95% confidence intervals

42 1.1 Coronary revascularisation : number of spells plotted against the person-based rate for each Local Authority, Males Number of hospital spells per person y = 1E-04x R² = Spell-based rate per population

43 61.0 Coronary revascularisation : average IMD score plotted against the spell-based rate for each Local Authority, Males 51.0 y = x R² = Average IMD 2004 score Spell-based rate per population

44 61.0 Coronary revascularisation : average IMD score plotted against the person-based rate for each Local Authority, Males 51.0 y = x R² = Average IMD 2004 score Person-based rate per population

45 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Males People Label Local authority IMD 2004: Average Score StHA GOR Obs. Exp. rate per 95% Confidence interval Obs. Exp. rate per 95% Confidence interval Ratio of spells to people N/A ALL ENGLAND UB Adur 17.0 Q19 J UB Allerdale 22.9 Q13 B UB Alnwick 16.1 Q09 A UB Amber Valley 18.9 Q24 E UC Arun 15.6 Q19 J UB Ashfield 27.8 Q24 E UB Ashford 13.4 Q18 J UB Aylesbury Vale 8.3 Q16 J UB Babergh 11.3 Q01 G AB Barking and Dagenham 31.3 Q06 H AC Barnet 16.1 Q05 H CC Barnsley 33.0 Q23 D UC Barrow-In-Furness 33.0 Q13 B UB Basildon 20.7 Q03 G UB Basingstoke and Deane 8.8 Q17 J UC Bassetlaw 25.7 Q24 E HA Bath and North East Somerset UA 12.2 Q20 K UD Bedford 17.5 Q02 G UC Berwick-upon-Tweed 21.2 Q09 A AD Bexley 15.0 Q07 H CN Birmingham 37.6 Q27 F UB Blaby 8.7 Q25 E EX Blackburn with Darwen UA 32.3 Q13 B EY Blackpool UA 33.9 Q13 B UD Blyth Valley 26.1 Q09 A UC Bolsover 30.5 Q24 E BL Bolton 29.4 Q14 B UB Boston 21.9 Q24 E HN Bournemouth UA 23.7 Q22 K MA Bracknell Forest UA 8.6 Q16 J CX Bradford 32.9 Q12 D UC Braintree 13.2 Q03 G

46 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Males People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND UB Breckland 14.5 Q01 G AE Brent 26.0 Q04 H UD Brentwood 8.9 Q03 G UB Bridgnorth 12.3 Q26 F ML Brighton and Hove UA 25.7 Q19 J HB Bristol, City of UA 27.7 Q20 K UC Broadland 9.6 Q01 G AF Bromley 13.2 Q07 H UB Bromsgrove 10.1 Q28 F UB Broxbourne 14.7 Q02 G UD Broxtowe 16.0 Q24 E UD Burnley 31.8 Q13 B BM Bury 23.5 Q14 B CY Calderdale 25.4 Q12 D UB Cambridge 14.6 Q01 G AG Camden 34.7 Q05 H UB Cannock Chase 20.3 Q26 F UC Canterbury 16.2 Q18 J UB Caradon 18.4 Q21 K UD Carlisle 22.2 Q13 B UC Carrick 19.2 Q21 K UE Castle Morpeth 15.8 Q09 A UE Castle Point 12.7 Q03 G UC Charnwood 12.1 Q25 E UF Chelmsford 8.6 Q03 G UB Cheltenham 14.4 Q20 K UB Cherwell 11.2 Q16 J UB Chester 17.0 Q15 B UD Chesterfield 27.1 Q24 E UB Chester-Le-Street 21.4 Q10 A UD Chichester 10.7 Q19 J UC Chiltern 6.2 Q16 J

47 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Males People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND UE Chorley 17.2 Q13 B UC Christchurch 12.6 Q22 K UG Colchester 14.6 Q03 G UC Congleton 9.5 Q15 B UE Copeland 25.7 Q13 B UB Corby 27.1 Q25 E UC Cotswold 8.8 Q20 K CQ Coventry 28.2 Q28 F UB Craven 11.9 Q11 D UE Crawley 14.8 Q19 J UD Crewe and Nantwich 17.1 Q15 B AH Croydon 19.9 Q08 H UC Dacorum 9.5 Q02 G EH Darlington UA 24.6 Q10 A UD Dartford 17.2 Q18 J UC Daventry 10.2 Q25 E FK Derby UA 27.7 Q24 E UF Derbyshire Dales 12.5 Q24 E UD Derwentside 28.2 Q10 A CE Doncaster 31.5 Q23 D UE Dover 18.7 Q18 J CR Dudley 22.1 Q27 F UE Durham 18.5 Q10 A AJ Ealing 23.4 Q04 H UF Easington 41.8 Q10 A UC East Cambridgeshire 10.6 Q01 G UB East Devon 12.7 Q21 K UD East Dorset 8.2 Q22 K UC East Hampshire 8.1 Q17 J UD East Hertfordshire 6.3 Q02 G UC East Lindsey 24.6 Q24 E UD East Northamptonshire 11.8 Q25 E

48 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Males People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND FB East Riding of Yorkshire UA 15.3 Q11 D UC East Staffordshire 18.5 Q26 F UC Eastbourne 21.5 Q19 J UD Eastleigh 8.9 Q17 J UF Eden 15.7 Q13 B UE Ellesmere Port and Neston 19.8 Q15 B UB Elmbridge 7.0 Q19 J AK Enfield 23.1 Q05 H UH Epping Forest 13.3 Q03 G UC Epsom and Ewell 6.9 Q19 J UG Erewash 19.3 Q24 E UC Exeter 21.6 Q21 K UE Fareham 7.8 Q17 J UD Fenland 19.8 Q01 G UC Forest Heath 11.1 Q01 G UD Forest of Dean 15.9 Q20 K UF Fylde 13.1 Q13 B CH Gateshead 33.2 Q09 A UE Gedling 16.4 Q24 E UE Gloucester 19.9 Q20 K UF Gosport 16.3 Q17 J UG Gravesham 18.1 Q18 J UD Great Yarmouth 27.7 Q01 G AL Greenwich 31.5 Q07 H UD Guildford 8.3 Q19 J AM Hackney 45.1 Q06 H ET Halton UA 34.3 Q15 B UC Hambleton 10.4 Q11 D AN Hammersmith and Fulham 27.8 Q04 H UD Harborough 7.2 Q25 E AP Haringey 37.7 Q05 H UJ Harlow 21.4 Q03 G

49 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Males People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND UD Harrogate 11.1 Q11 D AQ Harrow 13.5 Q04 H UG Hart 4.2 Q17 J EB Hartlepool UA 37.7 Q10 A UD Hastings 31.7 Q19 J UH Havant 20.1 Q17 J AR Havering 14.8 Q06 H GA Herefordshire, County of UA 15.7 Q28 F UE Hertsmere 12.0 Q02 G UH High Peak 15.1 Q24 E AS Hillingdon 17.7 Q04 H UE Hinckley and Bosworth 11.1 Q25 E UF Horsham 6.7 Q19 J AT Hounslow 23.3 Q04 H UE Huntingdonshire 10.2 Q01 G UG Hyndburn 28.5 Q13 B UD Ipswich 23.4 Q01 G MW Isle of Wight UA 21.1 Q17 J AU Islington 42.7 Q05 H UB Kennet 10.1 Q20 K AW Kensington and Chelsea 21.5 Q04 H UD Kerrier 25.2 Q21 K UE Kettering 15.3 Q25 E UE Kings Lynn and West Norfolk 19.1 Q01 G FA Kingston upon Hull, City of UA 41.1 Q11 D AX Kingston upon Thames 11.6 Q08 H CZ Kirklees 26.2 Q12 D BX Knowsley 46.6 Q15 B AY Lambeth 34.2 Q07 H UH Lancaster 22.3 Q13 B DA Leeds 27.7 Q12 D FN Leicester UA 32.8 Q25 E

50 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Males People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND UF Lewes 12.9 Q19 J AZ Lewisham 28.6 Q07 H UD Lichfield 12.0 Q26 F UD Lincoln 27.2 Q24 E BY Liverpool 49.8 Q15 B KA Luton UA 23.3 Q02 G UG Macclesfield 11.1 Q15 B UH Maidstone 11.5 Q18 J UK Maldon 10.7 Q03 G UC Malvern Hills 13.1 Q28 F BN Manchester 48.9 Q14 B UF Mansfield 32.5 Q24 E LC Medway UA 18.0 Q18 J UG Melton 10.1 Q25 E UB Mendip 14.5 Q22 K BA Merton 14.5 Q08 H UC Mid Bedfordshire 7.7 Q02 G UD Mid Devon 17.1 Q21 K UE Mid Suffolk 9.8 Q01 G UG Mid Sussex 6.4 Q19 J EC Middlesborough UA 40.7 Q10 A MG Milton Keynes UA 15.6 Q16 J UE Mole Valley 6.2 Q19 J UJ New Forest 10.4 Q17 J UG Newark and Sherwood 19.8 Q24 E CJ Newcastle upon Tyne 34.5 Q09 A UE Newcastle-under-Lyme 19.9 Q26 F BB Newham 40.4 Q06 H UE North Cornwall 22.8 Q21 K UE North Devon 20.6 Q21 K UE North Dorset 11.4 Q22 K UJ North East Derbyshire 18.9 Q24 E

51 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Males People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND FC North East Lincolnshire UA 29.4 Q11 D UF North Hertfordshire 10.1 Q02 G UE North Kesteven 11.5 Q24 E FD North Lincolnshire UA 21.2 Q11 D UF North Norfolk 16.9 Q01 G UC North Shropshire 16.6 Q26 F HC North Somerset UA 14.1 Q20 K CK North Tyneside 26.0 Q09 A UB North Warwickshire 16.4 Q28 F UH North West Leicestershire 15.9 Q25 E UC North Wiltshire 8.4 Q20 K UF Northampton 20.2 Q25 E UG Norwich 28.3 Q01 G FY Nottingham UA 41.8 Q24 E UC Nuneaton and Bedworth 21.2 Q28 F UJ Oadby and Wigston 9.7 Q25 E BP Oldham 30.7 Q14 B UD Oswestry 17.1 Q26 F UC Oxford 19.7 Q16 J UJ Pendle 27.6 Q13 B UF Penwith 29.0 Q21 K JA Peterborough UA 23.4 Q01 G HG Plymouth UA 26.2 Q21 K HP Poole UA 14.3 Q22 K MR Portsmouth UA 24.9 Q17 J UK Preston 28.5 Q13 B UG Purbeck 12.6 Q22 K MC Reading UA 18.8 Q16 J BC Redbridge 17.8 Q06 H EE Redcar and Cleveland UA 30.6 Q10 A UD Redditch 19.4 Q28 F UF Reigate and Banstead 9.0 Q19 J

52 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Males People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND UG Restormel 23.9 Q21 K UL Ribble Valley 10.3 Q13 B BD Richmond upon Thames 9.7 Q08 H UE Richmondshire 12.5 Q11 D BQ Rochdale 33.7 Q14 B UL Rochford 8.7 Q03 G UM Rossendale 24.1 Q13 B UG Rother 16.2 Q19 J CF Rotherham 28.2 Q23 D UD Rugby 13.6 Q28 F UG Runnymede 7.8 Q19 J UJ Rushcliffe 9.0 Q24 E UL Rushmoor 10.4 Q17 J FP Rutland UA 6.6 Q25 E UF Ryedale 12.9 Q11 D BR Salford 38.2 Q14 B UD Salisbury 11.8 Q20 K CS Sandwell 35.4 Q27 F UG Scarborough 24.1 Q11 D UG Sedgefield 29.1 Q10 A UC Sedgemoor 17.4 Q22 K CA Sefton 26.1 Q15 B UH Selby 13.1 Q11 D UK Sevenoaks 9.6 Q18 J CG Sheffield 28.4 Q23 D UL Shepway 20.8 Q18 J UE Shrewsbury and Atcham 15.7 Q26 F MD Slough UA 20.9 Q16 J CT Solihull 16.4 Q27 F UE South Bedfordshire 12.3 Q02 G UE South Bucks 8.1 Q16 J UG South Cambridgeshire 6.4 Q01 G

53 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Males People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND UK South Derbyshire 14.8 Q24 E HD South Gloucestershire UA 9.8 Q20 K UG South Hams 14.2 Q21 K UF South Holland 15.3 Q24 E UG South Kesteven 12.2 Q24 E UG South Lakeland 12.0 Q13 B UH South Norfolk 10.7 Q01 G UG South Northamptonshire 6.6 Q25 E UD South Oxfordshire 7.7 Q16 J UN South Ribble 14.0 Q13 B UF South Shropshire 15.5 Q26 F UD South Somerset 13.7 Q22 K UF South Staffordshire 11.7 Q26 F CL South Tyneside 33.1 Q09 A MS Southampton UA 23.7 Q17 J KF Southend-On-Sea UA 21.7 Q03 G BE Southwark 35.4 Q07 H UH Spelthorne 10.4 Q19 J UG St. Albans 7.7 Q02 G UF St. Edmundsbury 11.5 Q01 G BZ St. Helens 32.0 Q15 B UG Stafford 12.9 Q26 F UH Staffordshire Moorlands 16.5 Q26 F UH Stevenage 15.6 Q02 G BS Stockport 18.1 Q14 B EF Stockton-On-Tees UA 26.3 Q10 A GL Stoke-On-Trent UA 35.3 Q26 F UE Stratford-On-Avon 8.8 Q28 F UF Stroud 10.2 Q20 K UG Suffolk Coastal 11.5 Q01 G CM Sunderland 34.2 Q09 A UJ Surrey Heath 4.9 Q19 J

54 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Males People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND BF Sutton 13.3 Q08 H UM Swale 20.9 Q18 J HX Swindon UA 17.2 Q20 K BT Tameside 29.8 Q14 B UK Tamworth 19.7 Q26 F UK Tandridge 8.3 Q19 J UE Taunton Deane 16.3 Q22 K UH Teesdale 16.4 Q10 A UH Teignbridge 17.0 Q21 K GF Telford and Wrekin UA 21.8 Q26 F UN Tendring 23.1 Q03 G UN Test Valley 8.7 Q17 J UG Tewkesbury 10.1 Q20 K UN Thanet 25.6 Q18 J UJ Three Rivers 9.4 Q02 G KG Thurrock UA 21.2 Q03 G UP Tonbridge and Malling 9.6 Q18 J HH Torbay UA 23.7 Q21 K UK Torridge 21.4 Q21 K BG Tower Hamlets 45.9 Q06 H BU Trafford 20.2 Q14 B UQ Tunbridge Wells 10.5 Q18 J UF Tynedale 15.5 Q09 A UQ Uttlesford 6.7 Q03 G UE Vale of White Horse 6.9 Q16 J UH Vale Royal 17.1 Q15 B DB Wakefield 29.1 Q12 D CU Walsall 29.4 Q27 F BH Waltham Forest 30.2 Q06 H BJ Wandsworth 20.9 Q08 H UG Wansbeck 30.5 Q09 A EU Warrington UA 19.4 Q15 B

55 HES data : CIPS file v1eng CIPS Coronary revascularisationall ages, Males People Label Local authority IMD 2004: 95% Confidence 95% Confidence Ratio of Average StHA GOR Obs. Exp. rate per Obs. Exp. rate per interval interval spells to Score people N/A ALL ENGLAND UF Warwick 12.6 Q28 F UK Watford 14.5 Q02 G UH Waveney 21.8 Q01 G UL Waverley 6.2 Q19 J UH Wealden 9.4 Q19 J UJ Wear Valley 32.6 Q10 A UH Wellingborough 17.5 Q25 E UL Welwyn Hatfield 12.6 Q02 G MB West Berkshire UA 7.9 Q16 J UL West Devon 16.3 Q21 K UH West Dorset 13.3 Q22 K UP West Lancashire 21.1 Q13 B UH West Lindsey 17.7 Q24 E UF West Oxfordshire 6.3 Q16 J UF West Somerset 22.1 Q22 K UF West Wiltshire 12.0 Q20 K BK Westminster 31.7 Q04 H UJ Weymouth and Portland 21.2 Q22 K BW Wigan 29.3 Q14 B UP Winchester 7.0 Q17 J ME Windsor and Maidenhead UA 8.2 Q16 J CB Wirral 30.1 Q15 B UM Woking 7.3 Q19 J MF Wokingham UA 5.1 Q16 J CW Wolverhampton 32.2 Q27 F UE Worcester 17.7 Q28 F UH Worthing 15.7 Q19 J UF Wychavon 11.3 Q28 F UF Wycombe 9.7 Q16 J UQ Wyre 17.8 Q13 B UG Wyre Forest 17.8 Q28 F FF York UA 14.5 Q11 D

56 Coronary revascularisation : Spell-based rate per population for each Local Authority sorted from highest to lowest, Males Local authority 95% Confidence interval rate per Leicester UA Corby Newham Charnwood North West Leicestershire Blackpool UA Oadby and Wigston Slough UA Hounslow Knowsley Plymouth UA Kettering East Staffordshire Lichfield Sedgefield South Ribble East Northamptonshire Manchester Ealing Tameside Blackburn with Darwen UA Walsall Greenwich Rushmoor Wellingborough Tower Hamlets Waltham Forest Redbridge Stockton-On-Tees UA Rutland UA Hinckley and Bosworth Melton Sunderland South Bucks Blaby West Devon Barking and Dagenham Selby North Devon Exeter Wigan Caradon Rochdale Brent Bournemouth UA Sandwell Liverpool Harborough Copeland Salford Trafford Bury Bromley Fylde Bristol, City of UA Broxbourne Solihull Preston St. Helens Wyre

57 Coronary revascularisation : Spell-based rate per population for each Local Authority sorted from highest to lowest, Males Local authority 95% Confidence interval rate per Easington Bedford Ellesmere Port and Neston South Derbyshire Redcar and Cleveland UA Kingston upon Hull, City of UA Peterborough UA Sefton Kings Lynn and West Norfolk Enfield Birmingham Gloucester Cannock Chase Bolton North Somerset UA Christchurch Dudley Oldham York UA Spelthorne Thanet Wolverhampton East Devon Middlesborough UA Wear Valley Huntingdonshire Restormel Ipswich South Kesteven Canterbury Windsor and Maidenhead UA Bradford Suffolk Coastal Hart Lancaster Stockport Barrow-In-Furness South Holland Boston Shepway Sedgemoor Basildon Wirral Havering Wakefield South Staffordshire Welwyn Hatfield Durham North Lincolnshire UA St. Edmundsbury Salisbury Watford Chorley Lewisham West Wiltshire Harrow South Gloucestershire UA Ashford North Wiltshire Mid Devon

58 Coronary revascularisation : Spell-based rate per population for each Local Authority sorted from highest to lowest, Males Local authority 95% Confidence interval rate per West Lancashire Daventry Babergh Pendle Mid Suffolk Hyndburn Three Rivers North Cornwall Swindon UA Thurrock UA South Bedfordshire Bexley Burnley Carrick High Peak Kerrier Hammersmith and Fulham Hartlepool UA Mansfield Darlington UA North Kesteven Bracknell Forest UA Halton UA Luton UA Hertsmere New Forest Islington Chester Penwith Doncaster Stevenage Stoke-On-Trent UA Warrington UA Brentwood Bath and North East Somerset Barnsley Telford and Wrekin UA East Riding of Yorkshire UA Adur Croydon Poole UA Bridgnorth Lambeth North Norfolk Tamworth Tandridge South Tyneside Stroud Scarborough Rossendale Crawley Forest of Dean South Lakeland South Hams East Hampshire West Somerset Hambleton Derwentside Chester-Le-Street Harlow

59 Coronary revascularisation : Spell-based rate per population for each Local Authority sorted from highest to lowest, Males Local authority 95% Confidence interval rate per Epping Forest Tewkesbury Arun Stafford Mid Bedfordshire Portsmouth UA Torridge Rother North Hertfordshire Dover Ryedale Eastleigh Taunton Deane Fenland Sevenoaks Lewes Hillingdon Kirklees Northampton Barnet Colchester Tendring Ribble Valley Eden Vale Royal Newark and Sherwood Macclesfield Hackney Carlisle Surrey Heath Ashfield Wandsworth Hastings Rotherham Brighton and Hove UA Dacorum Blyth Valley Basingstoke and Deane Southwark St. Albans East Dorset Crewe and Nantwich North East Lincolnshire UA Sutton Chelmsford East Lindsey Cheltenham Waveney Southampton UA Great Yarmouth Southend-On-Sea UA Amber Valley Guildford Leeds Richmondshire Chichester Gosport Tunbridge Wells Allerdale Haringey

60 Coronary revascularisation : Spell-based rate per population for each Local Authority sorted from highest to lowest, Males Local authority 95% Confidence interval rate per Braintree East Hertfordshire Herefordshire, County of UA Bassetlaw Eastbourne South Somerset North Tyneside Derby UA Worthing Staffordshire Moorlands Fareham Merton Calderdale Bolsover Forest Heath Sheffield Wycombe Reading UA Woking Erewash Teesdale North Shropshire Teignbridge Wealden Lincoln Swale Mid Sussex Broadland Medway UA Congleton Kingston upon Thames Waverley Breckland Chiltern Cherwell Newcastle upon Tyne Redditch South Norfolk West Lindsey Milton Keynes UA East Cambridgeshire Runnymede Castle Point Kennet Cotswold North Dorset Shrewsbury and Atcham Tonbridge and Malling Elmbridge Castle Morpeth Reigate and Banstead Test Valley Gateshead Richmond upon Thames Torbay UA Mendip Horsham Craven Coventry Gravesham

61 Coronary revascularisation : Spell-based rate per population for each Local Authority sorted from highest to lowest, Males Local authority 95% Confidence interval rate per Havant South Shropshire Weymouth and Portland South Cambridgeshire Newcastle-under-Lyme South Northamptonshire North East Derbyshire Wokingham UA Oswestry Camden Dartford Uttlesford Epsom and Ewell Chesterfield Norwich Westminster Winchester Warwick West Berkshire UA West Dorset Nottingham UA Vale of White Horse Wansbeck Maldon Rushcliffe Rugby Malvern Hills Bromsgrove Stratford-On-Avon Harrogate Oxford Rochford Wychavon Derbyshire Dales Mole Valley Maidstone Wyre Forest Gedling Alnwick Broxtowe Isle of Wight UA West Oxfordshire South Oxfordshire Kensington and Chelsea North Warwickshire Purbeck Tynedale Cambridge Worcester Aylesbury Vale Nuneaton and Bedworth Berwick-upon-Tweed

62 Coronary revascularisation : Person-based rate per population for each Local Authority sorted from highest to lowest, Males Local authority 95% Confidence interval rate per Leicester UA Corby Newham Charnwood North West Leicestershire Slough UA Blackpool UA Hounslow Oadby and Wigston Knowsley Plymouth UA Sedgefield Ealing South Ribble Manchester Blackburn with Darwen UA East Staffordshire Tameside Walsall Lichfield Kettering Stockton-On-Tees UA South Bucks Greenwich Redbridge Rushmoor Tower Hamlets Sunderland Waltham Forest Blaby Barking and Dagenham North Devon East Northamptonshire Melton Rutland UA Wellingborough Caradon Selby Exeter Wigan West Devon Copeland Liverpool Hinckley and Bosworth Brent Sandwell Rochdale Trafford Bury Salford Fylde Bournemouth UA Preston Broxbourne Harborough Bromley Bristol, City of UA Ellesmere Port and Neston St. Helens Bedford

63 Coronary revascularisation : Person-based rate per population for each Local Authority sorted from highest to lowest, Males Local authority 95% Confidence interval rate per Wyre Easington Solihull Peterborough UA Redcar and Cleveland UA Sefton South Derbyshire Birmingham Enfield Cannock Chase Kingston upon Hull, City of UA Kings Lynn and West Norfolk North Somerset UA Bolton Dudley Spelthorne Gloucester Thanet Oldham Middlesborough UA Wear Valley Wolverhampton Windsor and Maidenhead UA Ipswich York UA Restormel South Kesteven Lancaster Canterbury Barrow-In-Furness East Devon Basildon Boston Christchurch Suffolk Coastal Huntingdonshire Sedgemoor Stockport Durham South Staffordshire Shepway Bradford Wirral Welwyn Hatfield St. Edmundsbury South Holland Wakefield Chorley Havering Lewisham Harrow Pendle Watford West Lancashire Salisbury North Cornwall Babergh Thurrock UA Hart Mid Suffolk

64 Coronary revascularisation : Person-based rate per population for each Local Authority sorted from highest to lowest, Males Local authority 95% Confidence interval rate per West Wiltshire Burnley Three Rivers Carrick South Bedfordshire Darlington UA Halton UA South Gloucestershire UA Ashford Hammersmith and Fulham Swindon UA North Kesteven Luton UA Bexley Hertsmere Penwith Bracknell Forest UA Doncaster Daventry Mid Devon Kerrier Hyndburn Hartlepool UA Chester New Forest North Wiltshire High Peak Mansfield Warrington UA North Lincolnshire UA Stoke-On-Trent UA Stevenage Barnsley Islington Brentwood Telford and Wrekin UA Tandridge Tamworth Bridgnorth South Lakeland East Hampshire Rossendale Lambeth Hambleton Chester-Le-Street Croydon Forest of Dean South Hams South Tyneside North Norfolk Stafford Mid Bedfordshire Bath and North East Somerset Poole UA West Somerset Crawley Stroud Derwentside Eastleigh Arun

65 Coronary revascularisation : Person-based rate per population for each Local Authority sorted from highest to lowest, Males Local authority 95% Confidence interval rate per East Riding of Yorkshire UA Portsmouth UA Epping Forest Scarborough Ryedale North Hertfordshire Dover Harlow Sevenoaks Hillingdon Torridge Tewkesbury Rother Tendring Colchester Adur Taunton Deane Kirklees Vale Royal Macclesfield Barnet Surrey Heath Northampton Hastings Rotherham Fenland Carlisle Wandsworth Lewes Hackney Dacorum Eden Chelmsford Brighton and Hove UA Newark and Sherwood Cheltenham East Dorset Basingstoke and Deane Crewe and Nantwich Southampton UA St. Albans Ribble Valley Southwark Richmondshire Sutton Waveney Allerdale Blyth Valley East Lindsey Southend-On-Sea UA Braintree Leeds Ashfield Gosport Bassetlaw Chichester Great Yarmouth East Hertfordshire Amber Valley Guildford

66 Coronary revascularisation : Person-based rate per population for each Local Authority sorted from highest to lowest, Males Local authority 95% Confidence interval rate per Tunbridge Wells Haringey Herefordshire, County of UA Eastbourne Staffordshire Moorlands Worthing Calderdale South Somerset Sheffield Derby UA Merton Woking Teesdale North East Lincolnshire UA Fareham Forest Heath Erewash Wycombe Teignbridge Reading UA North Shropshire Congleton Wealden Lincoln Bolsover Medway UA Chiltern Broadland Redditch Mid Sussex Kingston upon Thames Swale West Lindsey Cherwell Breckland North Tyneside Runnymede Waverley Milton Keynes UA East Cambridgeshire Cotswold Castle Point Tonbridge and Malling Shrewsbury and Atcham Test Valley Elmbridge South Norfolk Richmond upon Thames North Dorset Torbay UA Newcastle upon Tyne Kennet Reigate and Banstead South Shropshire Coventry Horsham Oswestry Gravesham Havant Craven

67 Coronary revascularisation : Person-based rate per population for each Local Authority sorted from highest to lowest, Males Local authority 95% Confidence interval rate per Castle Morpeth Mendip Gateshead Weymouth and Portland Camden Newcastle-under-Lyme Chesterfield Wokingham UA South Cambridgeshire South Northamptonshire Uttlesford North East Derbyshire Dartford Norwich Warwick Winchester Westminster Epsom and Ewell West Berkshire UA Nottingham UA West Dorset Vale of White Horse Wansbeck Maldon Bromsgrove Malvern Hills Rushcliffe Harrogate Rochford Rugby Derbyshire Dales Mole Valley Wychavon Stratford-On-Avon Wyre Forest Maidstone Oxford Gedling Broxtowe West Oxfordshire Alnwick South Oxfordshire Isle of Wight UA North Warwickshire Kensington and Chelsea Cambridge Tynedale Purbeck Worcester Aylesbury Vale Nuneaton and Bedworth Berwick-upon-Tweed

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