THE CHALLENGE

Nationally, NHS and local authority social care services are facing significant challenges, both financially and in terms of meeting the needs of a changing population.
Whilst we should celebrate the fact that people are living longer, it also means that more people are living with one or multiple long term health conditions which require more support and care from health and social care services. In addition, locally here in Tower Hamlets, our communities face some unique health challenges with significant levels of poverty and high premature death rates amongst adults from circulatory disease, cancer and respiratory disease. Our population is also growing fast which will lead to even greater challenges if we fail to act now.

THE CHALLENGE

Nationally, NHS and local authority social care services are facing significant challenges, both financially and in terms of meeting the needs of a changing population.
Whilst we should celebrate the fact that people are living longer, it also means that more people are living with one or multiple long term health conditions which require more support and care from health and social care services. In addition, locally here in Tower Hamlets, our communities face some unique health challenges with significant levels of poverty and high premature death rates amongst adults from circulatory disease, cancer and respiratory disease. Our population is also growing fast which will lead to even greater challenges if we fail to act now.

Resource pressures also mean that we need to find more efficient ways of providing services. That is why we are exploring new and innovative ways to provide care and why partnership sits at the heart of how we work – recognising that no single organisation can do all that needs to be done in isolation.
Our population stands at around 280,000 people, attracting residents from all over the UK and wider international communities. The population is mobile, relatively young and is expected to increase by around 20% over the next six years.
A rapid increase in residents aged 35-64 will bring new challenges for local health and social care services as these are the ages in which long term conditions first develop (and at an earlier age in Tower Hamlets’ population than most other places) which in turn will increase demand for health and care services.

Resource pressures also mean that we need to find more efficient ways of providing services. That is why we are exploring new and innovative ways to provide care and why partnership sits at the heart of how we work – recognising that no single organisation can do all that needs to be done in isolation.
Our population stands at around 280,000 people, attracting residents from all over the UK and wider international communities. The population is mobile, relatively young and is expected to increase by around 20% over the next six years.
A rapid increase in residents aged 35-64 will bring new challenges for local health and social care services as these are the ages in which long term conditions first develop (and at an earlier age in Tower Hamlets’ population than most other places) which in turn will increase demand for health and care services.

Below are some of the main health challenges we face

Maternity and early years

Children in poverty

39% of children live in poverty – the highest rate of poverty in the UK

Low birth weight

9% of the 4,500 babies born each year have a low birth weight

Pregnancies with diabetes

Around 10% of pregnancies are complicated by diabetes

Mental health

20% of mothers are estimated to have a common mental health disorder

Children and young people

10 to 11 year olds are obese

12% of 4 to 5 year olds and 25% of 10 to 11 year olds are obese

Tooth decay

High rates of tooth decay amongst children aged 5 years, with the need for tooth extraction being the largest single cause of hospital admissions for children

Mental illness

Approximately 10% of children are estimated to have a mental illness

High rates of sexually transmitted infections

Tower Hamlets has high rates of sexually transmitted infections, particularly among people under the age of 24

Adults

Premature death rate

Tower Hamlets has the second highest premature death rate from circulatory disease, cancer and respiratory disease of all the London boroughs

Life expectancy

Men in Tower Hamlets have the lowest healthy life expectancy in the country, at 53.6 years compared with 63.3 years nationally

Years of good health

Women in Tower Hamlets are expected to have 57.1 years of good health, compared with the national average of 63.9 years

Diabetes

There are high rates of diabetes, particularly amongst the Bangladeshi community

Serious mental health disorders

Tower Hamlets has the fourth highest incidence of serious mental illness in London and 10% of people registered with a GP are observed as suffering depression

Cancer

Although improving, one-year survival from cancer is in the lowest 10% in the country and is particularly poor for breast, colorectal and prostate cancer

Adults

Premature death rate

Tower Hamlets has the second highest premature death rate from circulatory disease, cancer and respiratory disease of all the London boroughs

Life expectancy

Men in Tower Hamlets have the lowest healthy life expectancy in the country, at 53.6 years compared with 63.3 years nationally

Years of good health

Women in Tower Hamlets are expected to have 57.1 years of good health, compared with the national average of 63.9 years

Diabetes

There are high rates of diabetes, particularly amongst the Bangladeshi community

Serious mental health disorders

Tower Hamlets has the fourth highest incidence of serious mental illness in London and 10% of people registered with a GP are observed as suffering depression

Cancer

Although improving, one-year survival from cancer is in the lowest 10% in the country and is particularly poor for breast, colorectal and prostate cancer