FEP Scoring Engine — Assistiv Systems

NHS Kent & Medway ICB — QKS · Real Published Data OHID Public Health Outcomes Framework · Published 6 May 2026

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Falls Admissions 65+

1,917

per 100,000 · 2024/25

▼ vs England 1,958

Falls Admissions 80+

4,694

per 100,000 · 2024/25

▼ vs England 4,866

HLE at 65 · Male

10.7 yrs

healthy life expectancy

▲ vs England 10.1

HLE at 65 · Female

12.3 yrs

healthy life expectancy

▲ vs England 11.1

Loneliness

6.2%

often/always · 16+ · 21-23

▼ vs England 6.8%

Fuel Poverty

11.0%

low income · low energy · 2023

▼ vs England 11.4%

Self-Harm Admissions

155.2

per 100,000 · 2022/23

▲ vs England 126.2

Zone Scores

ICB baselines confirmed. Zone FEP uses calibrated data. Sub-ICB linkage: Phase 2.

Signal Weights

Over-75s Living Alone13%

Demographic proxy. ONS Census 2021. Synthetic.

Falls Admissions 65+12%

Kent 1,917 vs England 1,870 ▲. NHS Fingertips 22401. Real.

Hip Fracture Rate 65+9%

Kent 543 vs England 491 ▲. NHS Fingertips 41401. Real.

Deprivation (IMD)8%

Access and vulnerability amplifier. MHCLG IMD 2019. Synthetic.

Winter Mortality Index8%

Kent 9.8 vs England 8.7 ▲. NHS Fingertips 90360. Real.

Care Home Gap7%

High need, low provision. CQC register. Synthetic.

Loneliness Rate6%

Kent 6.2% vs England 6.8% ▼. NHS Fingertips 94175. Real.

Dementia Diagnosis Rate6%

Kent 62.3% vs England 66.3% ▼ (under-diagnosis = worse). Fingertips 92949. Real.

Hip Fractures 80+5%

Kent 1,415 vs England 1,325 ▲. NHS Fingertips 41403. Real.

Social Isolation Rate5%

Kent 49.1% vs England 46.9% ▲. NHS Fingertips 90280. Real.

Hypnotics Prescribing5%

Kent 12.2 vs England 10.2 /1k ▲. NHSBSA EPD Mar 2026. Real.

Antidepressant Rate5%

Kent 129.4 vs England 110.0 /1k ▲. NHSBSA EPD Mar 2026. Real.

Bisphosphonate Rate4%

Kent 8.3 vs England 6.8 /1k ▲. NHSBSA EPD Mar 2026. Real.

Diuretics Rate1%

Kent 2.9 vs England 2.5 /1k ▲. NHSBSA EPD Mar 2026. Real.

ACE/ARB Prescribing1%

Kent 118.6 vs England 95.0 /1k ▲. NHSBSA EPD Mar 2026. Real.

Anxiolytics Prescribing3%

Benzodiazepines — anticholinergic burden, falls risk. NHSBSA EPD Mar 2026. Real.

Bladder Antimuscarinic Rate2%

Oxybutynin/solifenacin — anticholinergic burden, cognitive decline risk. EPD Mar 2026. Real.

Oral Nutritional Supplements ✦5%

Ensure/Fortisip/Nutriben — prescribed only when someone is genuinely failing to maintain weight. Highly specific frailty marker. NHSBSA EPD Mar 2026. Real.

Anti-Dementia Drug Rate ✦4%

Donepezil/memantine/rivastigmine/galantamine — actual dementia treatment prevalence proxy. Complements Fingertips dementia diagnosis rate. NHSBSA EPD Mar 2026. Real.

Denosumab Prescribing ✦2%

Injectable bone protection — severe osteoporosis or post-fracture. Higher frailty severity than oral bisphosphonates. NHSBSA EPD Mar 2026. Real.

Parkinson's Drug Rate ✦3%

Levodopa/co-careldopa/ropinirole — Parkinson's disease prevalence. Directly accelerates physical frailty and falls risk. NHSBSA EPD Mar 2026. Real.

Total Weight 100%

Data Sources

ICB baseline: OHID PHOF May 2026 · Zone scores: calibrated synthetic
Sub-ICB linkage via NHS Fingertips: Phase 2

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Scoring Engine Ready

Configure signal weights, select data sources,
then run the engine to generate FEP scores
across Kent PCN zones.