Health Inequalities in East
Health Equity in Primary Care Conference
Dr Somen Banerjee, Associate Director Public Health
NHS Tower Hamlets
Over the past decade health has improved across East London but health
Inner North East London Boroughs remain the most deprived in London…
..and this remains the most important cause of health inequalities….
There are also significant health inequalities within boroughs….
of a boy
Millwall is 8
one born in
Health inequalities between different ethnic groups…..
Health inequalities between men and women….
And variations in the extent of gender health inequalities within boroughs….
Older people in East London rate their health poorer than elsewhere…
..and have poorer health outcomes ……
A framework for action New White Paper:
(Fair Society, Healthy Lives – The Marmot Review)… Health and
oversight body to
The NHS role in tackling inequalities in life expectancy..
Cholesterol and blood pressure control in Inner North East London
practices is generally comparable or better than London….
Blood Pressure and Cholesterol Control in Inner East London (2008/9)
Percentage Controlled (exceptions exlcluded from denominator)
CHD6 % Last BP 150/90 or less CHD8 % Total Cholesterol < DM12 % Last BP < 145/85 DM17 % Cholesterol < 5
No. of quitters
Below 90% of plan RED
90-100% of plan AMBER
Over 100% of plan GREEN
Sutton & Merton
Richmond & Twickenham
Barking & Dagenham
Kensington & Chelsea
Hammersmith & Fulham
YTD Q4 09/10 Smoking Quitters % Difference from Plan
City & Hackney
Smoking cessation services in Inner North East London boroughs are
performing well and have significantly exceeded their smoking targets..
% difference to plan
But we need to ensure that that the benefits are equitable..
works in targeting
groups and geographies
Rich insight into
based on shared Monitoring
commitment to against equity
reducing heatlh dimensions
equity impact Insights from
of pathways groups with
Which is why the Health Equity Project is so important…..
1. The NHS should be for everyone
whatever their age, sex, race,
disability, sexual orientation,
religion or belief.
NHS Constitution (Easy Read Version)