The draft London Health Inequalities Strategy This document outlines the main issues that lead to inequalities in the health of different groups of Londoners, and a set of aims for reducing them. It outlines the Mayor’s role, but also how other organisations working in health in London can work together to ensure that all Londoners can benefit from a healthy lifestyle. The draft strategy was published on the London.gov.uk website on 23 August 2017 for a 14-week public consultation (closing 30 November 2017). The Report to the Mayor provides a high-level summary and analysis of the issues raised during the consultation of the draft strategy, from both technical stakeholders and members of the public. This allowed the Mayor to have proper regard to the consultation responses when deciding whether to approve the final version of the strategy. The public responded to the consultation via Talk London online discussion threads and surveys; and via representative polling. The Talk London datasets and emailed responses were analysed by policy area, and compared against insights from the representative polling. This allowed the team to identify any similarities or differences between the views of the general population and the views of the Talk London community. All datasets on a policy area were brought together in a single thematic summary report, which aimed to show where the balance of opinion lay, as well as highlight areas of disagreement or debate. These reports are provided below, alongside the more detailed qualitative and quantitative research findings and data tables.

While London tends to have better health outcomes than the rest of the UK, stark ethnic and socioeconomic inequalities remain. The Snapshot of Health Inequalities in London provides a high-level overview of major inequalities issues affecting Londoners with thematic packs on climate, children and young people, and the cost of living. This is a resource intended to inform health and non-health specialists. It will inform action on health inequalities across all strategies, policies and programmes, supporting a health in all policies approach. Webinar ‘Exploring the London Snapshot of Health Inequalities’ webinar presents the key findings followed by a panel discussion, covering five priority areas: Child health equity Cardiovascular health Mental health Poverty and economy Climate and environment Watch the webinar here. Development of the resource Greater London Authority (GLA) Health, GLA City Intelligence Unit, Office for Health Improvement and Disparities London (OHID), Association of Directors of Public Health London (ADPH), NHSE and Institute of Health Equity (IHE) have collaboratively produced this report. The snapshot brings together published data. The topics and themes have been identified with partners through iterative discussion. Originally published in 2022, this updated and expanded version was published in July 2024.

FOCUSONLONDON2010:HEALTH:CHILDRENANDYOUNGPEOPLE The health and wellbeing of London’s children and young people is fundamental to the health of the city. The recent Marmot Review of health inequalities noted that “What a child experiences during the early years lays down the foundation for the whole of their life.” The Mayor’s Health Inequality Strategy for London responds to this by challenging all partners in London to create “conditions that lead to better early years experiences”. This chapter, authored by colleagues at the London Health Observatory, provides recent evidence on the health experience of children and young people in London. The report includes data about the Local Index of Child Wellbeing, infant mortality, breastfeeding, immunisation, injury, childhood obesity, physical activity, diet, smoking, alcohol consumption, drug use, teenage conceptions and sexual health. It reveals many areas of inequality within the city, but also highlights the ways in which London’s children are doing well. REPORT: Access the full report in PDF format PRESENTATION: This interactive presentation about children’s health in London looks into some of the factors that may have an effect on the high childhood obesity figures in London. Access the presentation at Prezi.com CHART: This interactive scatterplot allows users to observe the relationship between some of the health indicators in the report with a selection of other socio-economic data for each of London’s 32 boroughs. Scatterplot RANKINGS: An informative regional rankings scorecard has been created showing where London sits in relation to the other English regions on a number of indicators contained within the report. Rankings DATA: All the data contained within the health report and used to create the scatterplot and rankings scorecard can be accessed in this spreadsheet. FACTS: Some interesting facts from the report… ● Five boroughs with highest teenage conception rates in 2008: Lambeth – 71.5 Lewisham – 68.7 Southwark – 68.0 Greenwich – 66.7 Hackney and City of London – 61.5 -31. Richmond upon Thames – 23.6 -32. Harrow – 23.1 ● The percentage of London women who smoke during pregnancy was lower than all other English regions, and around half the England average - one in 13 women in London and one in 7 nationally in 2008/09. Other interesting facts from the Datastore… ● Five boroughs with the highest rates for children in Year 6 at risk of obesity 2008/09: Southwark – 26.7% Tower Hamlets – 25.7% Lambeth – 25.3% Newham – 24.6% Barking and Dagenham – 24.2% -31. Bromley – 16.0% -32. Richmond-upon-Thames – 11.7% ● London has always had the lowest levels of children immunised by their second birthday against Measles, Mumps and Rubella (MMR) compared with other regions (since regional data was first available in 1988/89). Highest – 87 per cent (1995/96) Lowest – 70 per cent (2003/04) Now – 76 per cent (2008/09) ● Five boroughs with the highest rates of hospital admissions due to injury of children (0-17) 2008/09: Hackney – 126.2 Tower Hamlets – 123.1 Hammersmith and Fulham – 117.7 Islington – 115.0 Waltham Forest – 112.5 -31. Richmond upon Thames – 63.4 -32. Kingston upon Thames – 40.2