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About the borough of Hammersmith

Hammersmith and Fulham is a small, but densely populated and vibrant borough with a large proportion of young working age residents and a low proportion of residents aged 65 and over and the fifth lowest number of children of any London Borough. It has high levels of migration in and out the borough, and ethnic and cultural diversity. Rich and poor live side by side, creating inequalities within small geographical areas.

The annual Joint Strategic Needs Assessment (JSNA) is carried out by the local Public Health Department in partnership working between the local authority, the London Borough of Hammersmith and Fulham, the NHS, and community representatives. It is founded on a strong evidence base of need.

It provides a comprehensive local picture of health and wellbeing needs and how they may develop in the future, focused on the needs of the population as a whole, not individuals.

The JSNA has identified the main aspects of chronic disease that have major impacts on population health and wellbeing in Hammersmith and Fulham. These challenges include:

  • Whilst life expectancy for men in Hammersmith and Fulham is lower than London and England it is consistently higher for women.
  • Those living in areas of high density social housing in areas such as College Park and Old Oak, Hammersmith Broadway, Wormholt and White City are around twice as likely to report bad/very bad health compared to those in areas with low density, across all ages.
  • Causes of early death are cancer, followed by cardiovascular disease.  
  • A significant number of people die from lung disease.
  • Accidents and injuries are most common among younger residents and comprise a large proportion of total avoidable deaths.

The JSNA also highlights a number of other areas of concern in Hammersmith and Fulham:

  • A third of children under 16 (29%) live in poverty according to official definitions, which is higher than London.
  • Prevalence of obesity remains high for children in the borough, with nearly a third of children of school age either overweight or obese, around 6,000 to 7,000 children.
  • Twenty eight percent of local 5 year old school children suffer from decayed, missing or filled teeth.
  • Hammersmith and Fulham had the 8th highest population with severe and enduring mental illness known to GPs in the country in 2012/13 (2,452 people).

Hammersmith and Fulham CCG works closely with the Public Health team at the local authority to address these issues. You can find out more in the ‘What we do’ section of this site.

Find out more about recently published JSNAs on young adults and childhood obesity