{
  "hospitalRateRatio": {
    "inputs": [
      504.3,
      250.5
    ],
    "formula": "504.3 / 250.5",
    "result": 2.013173652694611,
    "qualification": "Published rates already rounded to one decimal place",
    "sourceURL": "https://assets.publishing.service.gov.uk/media/6989f6274cff1c70a3b6e53b/Hospital_tooth_extractions__0-19Y_2024-2025_v1.1.ods"
  },
  "hospitalRateDifference": {
    "result": 253.8,
    "unit": "FCEs per 100,000 aged 0–19"
  },
  "councilsAboveEnglandHospitalRate": {
    "result": 10,
    "denominator": 15
  },
  "surveyBradfordLeedsGap": {
    "inputs": [
      37.1,
      21.9
    ],
    "result": 15.200000000000003,
    "unit": "percentage points",
    "sourceURL": "https://assets.publishing.service.gov.uk/media/67bde293729cf14d438d76c1/NDEP_for_England_OH_Survey_5yr_2024_Results_v2.0.ods"
  },
  "surveyRegionEnglandGap": {
    "inputs": [
      27.5,
      22.4
    ],
    "result": 5.100000000000001,
    "unit": "percentage points",
    "coverage": "9 of 15 regional councils"
  },
  "patientFindings": [
    {
      "id": "latest_icb_adult_spread",
      "period_end": "2026-06-30",
      "metric": "adult_percent",
      "high_area": "NHS South Yorkshire Integrated Care Board",
      "high_value": 52.77518543683075,
      "low_area": "NHS Humber and North Yorkshire Integrated Care Board",
      "low_value": 39.877201303764195,
      "percentage_point_difference": 12.897984133066558,
      "formula": "Highest exact rate minus lowest exact rate; round only after subtraction.",
      "interpretation": "At 30 June 2026, adult patients seen over 24 months were 52.8% in South Yorkshire, 45.4% in West Yorkshire and 39.9% in Humber and North Yorkshire. The highest-minus-lowest spread is 12.90 percentage points."
    },
    {
      "id": "latest_icb_child_spread",
      "period_end": "2026-06-30",
      "metric": "child_percent",
      "high_area": "NHS West Yorkshire Integrated Care Board",
      "high_value": 64.82130292413397,
      "low_area": "NHS Humber and North Yorkshire Integrated Care Board",
      "low_value": 62.589613778080974,
      "percentage_point_difference": 2.231689146053,
      "formula": "Highest exact rate minus lowest exact rate; round only after subtraction.",
      "interpretation": "Child patients seen over 12 months ranged from 62.6% to 64.8% among the same three ICBs, a spread of 2.23 percentage points. Adult and child lookback periods differ."
    },
    {
      "id": "annual_la_adult_spread",
      "period_end": "2026-03-31",
      "metric": "adult_percent_published",
      "high_area": "Rotherham",
      "high_value": 56.5591260868181,
      "low_area": "York",
      "low_value": 31.5160597375514,
      "percentage_point_difference": 25.043066349266695,
      "formula": "Highest exact rate minus lowest exact rate; round only after subtraction.",
      "interpretation": "At 31 March 2026, the adult proportion ranged from 31.5% in York to 56.6% in Rotherham across the 15 Yorkshire and The Humber local authorities: a 25.04 percentage point spread."
    },
    {
      "id": "annual_la_child_spread",
      "period_end": "2026-03-31",
      "metric": "child_percent_published",
      "high_area": "Kirklees",
      "high_value": 70.2639893996535,
      "low_area": "North Lincolnshire",
      "low_value": 60.8222241841029,
      "percentage_point_difference": 9.441765215550596,
      "formula": "Highest exact rate minus lowest exact rate; round only after subtraction.",
      "interpretation": "The child proportion ranged from 60.8% in North Lincolnshire to 70.3% in Kirklees: a 9.44 percentage point spread."
    }
  ]
}