Rank,ICB,Region,All %<=18w,Children %<=18w,Adults %<=18w,Episodes,YoY change (pp) 1,"Leicester, Leicestershire and Rutland",Midlands,98.5,98.0,98.7,4596,-1.1 2,Somerset,South West,96.5,93.8,97.0,2146,-2.6 3,West Yorkshire,North East and Yorkshire,93.8,88.0,95.0,9983,1.1 4,Black Country,Midlands,93.8,92.2,94.2,4044,1.5 5,Cambridgeshire and Peterborough,East of England,93.3,90.3,93.8,2463,6.1 6,Gloucestershire,South West,93.0,94.8,92.6,1426,5.6 7,North Central London,London,92.3,86.3,93.1,6588,-0.2 8,Suffolk and North East Essex,East of England,92.3,89.1,92.8,4899,1.4 9,Greater Manchester,North West,91.2,90.9,91.3,8314,1.0 10,South Yorkshire,North East and Yorkshire,91.0,90.8,91.0,6670,0.1 11,Mid and South Essex,East of England,90.5,85.3,91.7,2769,1.9 12,North West London,London,90.3,87.5,90.6,5027,-3.3 13,Coventry and Warwickshire,Midlands,89.7,93.9,89.0,3454,10.9 14,Hertfordshire and West Essex,East of England,89.5,86.4,90.0,5837,15.0 15,Cheshire and Merseyside,North West,89.1,90.9,88.7,10274,-3.4 16,South East London,London,84.3,68.5,86.7,5136,1.9 17,"Buckinghamshire, Oxfordshire and Berkshire West",South East,82.9,76.1,83.9,3035,-5.4 18,"Shropshire, Telford and Wrekin",Midlands,81.6,72.5,83.4,1433,-2.8 19,Herefordshire and Worcestershire,Midlands,81.4,87.3,79.9,2363,7.7 20,Nottingham and Nottinghamshire,Midlands,81.4,78.1,82.4,3572,-0.9 21,Frimley,South East,81.2,77.9,81.9,1490,2.2 22,North East London,London,81.0,83.9,80.4,4294,-4.8 23,"Bath and North East Somerset, Swindon and Wiltshire",South West,79.6,79.1,79.7,2230,10.7 24,Humber and North Yorkshire,North East and Yorkshire,78.4,73.9,79.4,8266,-4.0 25,Hampshire and Isle of Wight,South East,78.0,67.0,80.5,4593,3.0 26,Sussex,South East,77.7,81.1,76.8,7921,-2.2 27,Derby and Derbyshire,Midlands,76.4,79.1,75.7,2908,-19.9 28,North East and North Cumbria,North East and Yorkshire,75.9,68.7,77.0,17695,-1.3 29,Dorset,South West,75.6,68.6,76.5,3805,-4.2 30,South West London,London,73.9,61.3,76.3,3165,-4.3 31,Staffordshire and Stoke-on-Trent,Midlands,73.4,74.6,73.1,3826,10.2 32,Kent and Medway,South East,72.6,60.8,75.5,3986,1.6 33,Devon,South West,72.3,66.5,73.3,3620,-6.1 34,"Bristol, North Somerset and South Gloucestershire",South West,70.4,76.3,68.6,2808,-2.1 35,Birmingham and Solihull,Midlands,63.9,45.5,69.4,3950,3.3 36,Cornwall and the Isles of Scilly,South West,63.1,69.8,61.8,1209,0.2 37,Surrey Heartlands,South East,62.3,55.7,63.6,1986,3.6 38,"Bedfordshire, Luton and Milton Keynes",East of England,59.2,68.0,56.1,1610,-7.9 39,Lincolnshire,Midlands,56.4,29.9,59.5,2249,19.3 40,Lancashire and South Cumbria,North West,55.5,44.6,57.0,4581,-8.5 41,Norfolk and Waveney,East of England,53.4,32.1,57.2,1080,-9.9