Health inequalities performance and what it means for our communities
To ensure compliance with the legislative requirements, we will adhere to the NHS health inequalities Statement and publish the health inequalities data alongside our annual report. Additionally, we will produce a separate workforce diversity report that presents the workforce data segmented into various protected characteristic groups.
South West London Integrated Care System health inequalities data
As an active strategic partner and system leader, we collaborate with the Integrated Care Board (ICB) and Integrated Care System (ICS) partners to address health inequalities across South West London. The data depicted in the graphs encompasses all six boroughs in the SWL ICS footprint, with SWLSTG covering five of them (excluding Croydon)
Tackling health inequalities is a priority for the Integrated Care Board and we will work together across organisations, boroughs, provider collaboratives, neighbourhoods, and across the system to tackle health inequalities and the wider determinants of health, with the aim of ensuring that equity is a golden thread through all we do.
We are proud of the existing work that has taken place across our boroughs to tackle health inequalities. We want to build on this and spread the work that has been delivered at system, place and neighbourhood levels to continue to reduce health inequalities, this is especially important at a time when people are impacted by the current cost of living crisis and increasing fuel and food poverty. To better understand health inequalities in South West London, we assessed our health inequalities using the Core20PLUS5 approach. Core20PLUS5 is a national NHS England approach to support the reduction of health inequalities. The approach defines a target population cohort and identifies ‘5’ focus clinical areas requiring accelerated improvement.
The three elements of Core20PLUS5 are described below:
· Core20: looks at the 20% most deprived population in South West London as the core population most impacted by health inequalities.
· PLUS: other marginalised population groups that are most impacted by health inequalities, for example, ethnic minority communities, people with learning disability, and other inclusion health groups.
· 5: five clinical areas of focus for adults and children and young people
For adults, our analysis identified that:
· 339,000 people in South West London make up our ‘Core20’ population
· 50% of our ‘Core20’ population lives in Croydon
· 40% of Croydon residents are in our ‘Core20’ population
· People in our ‘Core20’ population have a six year difference in their healthy life expectancy, and a two year difference in their life expectancy
· Our ‘Core20’ population are disproportionately represented by those from Black, Asian and minority ethnic backgrounds
· 29.5% of our ‘Core20’ population have a diagnosed long-term condition
For children and young people our analysis identified that:
· There are approximately 450,000 children and young people aged 0-25 years in South West London, of which 101,000 live in our ‘Core20’ population
· 52% of children and young people who are in our ‘Core20’ population are living in Croydon
· 44% of Croydon’s children and young people are in our ‘Core20’ population
· Our ‘Core20’ population are disproportionately represented by those from Black, Asian and other ethnic backgrounds