Joint Strategic Needs Assessment
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Tower Hamlets Public Health
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Issue Date
2025
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Other
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JSNA
Abstract
It has been five years since the COVID-19 pandemic reshaped the lives of Tower Hamlets residents. The pandemic not only underscored the importance of our health and care system but also highlighted how underlying
social, economic, and environmental conditions in our borough drive health inequities among our residents.
Since then, a lot has changed: from the cost of living crisis that has had huge impacts on physical and mental health, to the changes in how the NHS is organised across North East London.
Our population continues to change rapidly. Tower Hamlets has experienced the fastest population growth in the country and the highest population turnover rate: one in five residents on census day did not live in the borough a year earlier. Our borough continues to become increasingly ethnically diverse. While the two largest ethnic groups from 20 years ago (Bangladeshi and White British) remain the largest today, they now live alongside a much broader range of ethnic communities. Tower Hamlets’ proud history as a “melting pot” persists as we welcome new residents from across London, the UK, and the world.
Amid these rapid changes, some constants remain. Despite the movement of some more affluent people into the borough, many residents continue to face extremely challenging conditions. Recent research using the census found that more than anywhere else, Tower Hamlets has extreme inequalities at the very local level. People in extreme deprivation here often live right alongside more affluent neighbours. As the population continues to change at pace, it is essential to prioritize the right of all residents to have the opportunity to be as healthy as possible, especially those in the most deprived areas.
In 2024 we have reassessed the health and wellbeing needs of our residents. The Tower Hamlets Joint Strategic Needs Assessment (JSNA) provides a comprehensive overview of our population and its health. Incorporating health data and new evidence, we provide a comprehensive assessment of how health outcomes have changed.
This JSNA serves as a critical tool to identify areas of greatest need, monitor trends, target interventions, and evaluate their impact. Its insights are invaluable for shaping strategies and priorities to improve health and address health inequalities across the Council; primary care and hospital services; voluntary, community and faith organizations; as well as educational institutions, workplaces, and businesses.
- Foward by Somen Banerjee, Director of Public Health
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Citation
Tower Hamlets Public Health. (2025) Joint Strategic Needs Assessment (JSNA). London Borough of Tower Hamlets.
Publisher
London Borough of Tower Hamlets