Total Registered population: 50,109

Number of GP practices within the PCN: 4


Demographics


Demographics of the population

This page presents information on the demographics of the 50,109 patients registered to Tower Hamlets Network 1 PCN, as at 31 December 2024.


Population distribution ↓

Age structure ↓

Ethnicity ↓

Demographic changes ↓


Distribution of Tower Hamlets Network 1 PCN’s core population

The GP practice members of this PCN as at Dec 24 are:

  • Bethnal Green Health Ctr. (F84083)
  • Strouts Place Medical Centre (F84051)
  • Suttons Wharf Health Centre (F84123)
  • The Mission Practice (F84016)


Map Distribution of the core registered population around the Tower Hamlets area, by LSOA (2021 version)*

Only those LSOAs with a registered population count of 50 or more people are shown, representing approximately 89.3% of the PCN population.

  *A lower super output area (LSOA) typically has a population between 1,000 and 3,000 people at Census time (~ 400 to 1,200 households), but this can vary significantly in the following decade.



Top neighbourhoods where patients live (MSOA based*)

‘Neighbourhood’ areas where Tower Hamlets Network 1 PCN has more than 1,000 patients and over 20% of all registered with a NEL GP practice.


These neighborhood MSOAs can be shown on the map above - use the layer control.

  *A Middle Layer Super Output Area (MSOA) typically has between 5,000 and 15,000 people. MSOAs are made up of groups of LSOAs and fit within the boundaries of local authorities.

  Source of MSOA based neighbourhood names + MSOA map


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Age structure





General age group / gender metrics compared to NEL

The circle = PCN value; diamond = Place value, red line = NEL value. See the ‘Health metrics’ tab for full chart legend.



General age group / gender metric summary (downloadable)


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Ethnicity

The following stacked bar chart presents the ethnic composition of the population across three grouping levels: NEL, Tower Hamlets Place and Tower Hamlets Network 1 PCN.

Each bar shows the percentage breakdown by major ethnic groups allowing for comparison between populations. Remember that patients registered with a GP or PCN can live anywhere so, as for all sections of this report, all three levels here are closely aligned but not identical to a specific geographical area.




This chart below shows the detailed ethnic group distribution within the Tower Hamlets Network 1 PCN population, each bar representing the percentage of the population belonging to a specific ethnic group, providing a more granular view of local diversity.



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Demographic changes

This data reflects population changes over time only for the registered patients of current set of GP practice members of the PCN. If there are any former member practices that have moved to another PCN in recent years, then population changes will be reflected in that other PCN’s data.


Total list size growth




Growth by selected age group



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Deprivation


Index of Multiple Deprivation (IMD) 2019

The index of multiple deprivation (IMD) score measures deprivation levels by area, with higher scores indicating greater deprivation. Scores are calculated using factors including income, employment, education, health, crime, housing barriers, and living environment. Greater deprivation is strongly linked to poorer health outcomes.

Each Lower Super Output Area (LSOA) in England receives an IMD score and is ranked from most to least deprived. LSOAs are commonly grouped into deciles or quintiles to provide clearer deprivation comparisons across areas.

An LSOA is a small geographical area with typically 1,000-3,000 people, designed as a consistent population unit for statistical comparison.


Distribution of the population by deprivation ↓

Summary score for the PCN ↓

Extent of deprivation ↓

Extent of deprivation by ethnicity ↓


Distribution of Tower Hamlets Network 1 PCN’s population by IMD decile

Each decile represents a tenth of all LSOAs, with the first decile being in the most deprived 10% and the tenth decile being in the least deprived 10% in England.

Decile 1 and 2 together equate to the ‘Core 20’ population, which is a focus for health inequalities work across the NHS.



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Summary IMD score weighted by the distribution of all the PCN’s registered patients

Here we derive a single deprivation score* for the PCN population using the distribution of registered patients with recorded home addresses. This allows us to compare and rank PCN patient populations by relative deprivation.


Tower Hamlets Network 1 PCN has a population-weighted IMD 2019 score that places it at position 4 out of 7 PCNs in Tower Hamlets, where most deprived would equal 1.

Across NEL ICB the PCN is at position 15 out of 48 PCNs. On a national basis, the score equates to IMD decile 3 in England.

The ‘National IMD decile equivalent’ indicates the relative position within England, with 1 being the most deprived 10% and 10 being the least deprived 10% of areas.

  *These PCN population weighted deprivation scores follow the method described on pages 69 and 70 of Appendix A in the English Indices of Deprivation 2019: research report.


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Extent of deprivation in the Tower Hamlets Network 1 PCN population

This extent of deprivation measure calculates the proportion of a local population living in the most deprived areas nationally. It improves upon the basic “most deprived 10%” measure by eliminating sharp cut-offs where areas just outside the top 10% receive no weight.

Instead, it uses graduated weighting covering the most deprived 30% of areas nationally. PCN patients in the most deprived 10% each receive full weight (1.0), while those in the 11th-30th percentile receive sliding weights from 0.95 down to 0.05. Areas outside the most deprived 30% receive zero. This provides a more nuanced view of deprivation, capturing the range of deprivation levels within disadvantaged areas.


Across NEL ICB, PCN values for the extent of the most deprived range from 0.5% to 58.8%, with a median of 27.1%.




Extent of deprivation by ethnicity

Extent of deprivation in Tower Hamlets Network 1 PCN GP registered population by ethnicity: which ethnic groups have a larger proportion living in areas of higher deprivation.

See section above for more information on this metric.


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Health metrics


Health metric comparison across NEL

The ‘spine’ charts below show metrics about health status, condition prevalence, and outcome measures for the registered population, compared to NEL overall. Metric values are flagged as ‘high’ or ‘low’ only where the PCN value is statistically different with 95% confidence, i.e., if confidence intervals don’t overlap. If not statistically different, the value is flagged as ‘similar’.

Note:

  • Currently almost all of the rate and proportion (%) metrics are crude calculations, so consider the PCN’s underlying age structure when interpreting results, especially where the PCN has a younger or older age structure than NEL.

  • Only these metrics are standardised by 5-year age bands:

       Unplanned hospitalisation for chronic ambulatory care sensitive conditions

       Emergency admissions for acute conditions that should not usually require hospital admission

     More metrics will be age standardised in future releases.

  • Lower PCN values may be the result of any or all of a variety of factors, for example, generally lower condition prevalence, better outcomes, or under-reporting due to factors like service access and patient behaviours.

Notes specific to Prevalence of condition metrics:

  • These metrics represent observed prevalence of conditions - that is, they are based on the proportion of a population identified as having the condition, while true prevalence is the proportion of the population that actually has the condition. Observed prevalence can be higher or lower than the true prevalence.

  • Across most conditions, patients are identified as having a condition through presence of condition specific diagnosis code on either a primary care record or from hospital secondary uses service data (SUS). Counts of people with conditions may therefore differ from published primary care only QOF registers.

See ‘Supporting information’ tab for metric definitions.


General health status ↓

Prevalence of conditions ↓

Outcome measures ↓

Social based measures ↓


Spine Chart Legend
To enlarge right click below and open image in new tab.

spine chart legend


General health status at Tower Hamlets Network 1 PCN


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Prevalence of conditions at Tower Hamlets Network 1 PCN


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Outcome measures at Tower Hamlets Network 1 PCN

    *Age standardised rate (asr) calculated using the 2013 European Standard Population in 5 year age bands.


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Social based measures at Tower Hamlets Network 1 PCN


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Health metrics summary


Summary of higher and lower health metrics (downloadable)

The tables below present those metrics from the previous tab where the value for Tower Hamlets Network 1 PCN values are flagged as ‘higher’ or ‘lower’ compared to NEL. Metric values are only flagged as higher or lower where the value is statistically different with 95% confidence, i.e., if confidence intervals don’t overlap. If not statistically different, the value is flagged as ‘similar’.

Note:

  • Most rate and proportion (%) metrics are crude calculations, so consider the PCN’s underlying age structure when interpreting results, especially where the PCN has a younger or older age structure than NEL.

  • Lower PCN values may indicate lower observed prevalence, better outcomes, or under-reporting due to factors like service access and patient behaviours.

See ‘Health Metrics’ tab for further detail from the full spine chart on any of the metrics of interest.


Statistically higher metrics than NEL ↓

Statistically lower metrics than NEL ↓


Statistically higher metric values than for the whole population in NEL

    Metrics names with * are directly standardised by 5 year age bands to the 2013 European Standard Population.


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Statistically lower metric values than for the whole population in NEL

    Metrics names with * are directly standardised by 5 year age bands to the 2013 European Standard Population.


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Primary care


Activity in primary care

This page presents information about the rate at which the registered population of Tower Hamlets Network 1 PCN are using primary care services. The overview presents that rate for the full PCN population and how this compares to utilisation across the other PCN’s of Tower Hamlets. The Detail section presents the use of primary care by sub-population.


Comparison of GP encounters to NEL ICB ↓

GP encounters summary ↓

Detail: GP encounters per capita by sub-population ↓


Annual rate of GP encounters

Number of attended clinical encounters, via face to face, telephone, home visit or video. All activity based data is for the 12 months to 31 December 2024 for the Tower Hamlets Network 1 PCN registered population at that date.


Comparison of GP encounters to NEL ICB

The circle = PCN value; diamond = Place value, red line = NEL value. See the ‘Health metrics’ tab for full chart legend.



GP encounters summary across Tower Hamlets (downloadable)



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Detail


GP encounters per capita by major sub-population

See ‘Segmentation’ tab for more information on the NEL ICB segmentation model.



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Secondary care


Secondary care activity

This page presents information about the rate at which the registered population of Tower Hamlets Network 1 PCN are using secondary care services across the core points of delivery. These are urgent and emergency care, unplanned admissions, elective admissions, outpatient activity and mental health service contacts.

The overview presents annual activity and cost (£) per capita for the full PCN population at each of the points of delivery and how this compares to utilisation across the other PCN’s of Tower Hamlets. The Detail section presents the use of primary care by sub-population.


Overview: selected annual activity & cost comparison ↓

Annual activity per capita summary ↓

Annual cost per capita summary ↓

Detail: Urgent & Emergency attendances by sub-population ↓

Detail: Emergency Inpatient admissions by sub-population ↓

Detail: Elective Inpatient admissions by sub-population ↓

Detail: Outpatient attendances by sub-population ↓

Detail: Mental Health encounters by sub-population ↓


Overview


Selected annual activity and cost (£) per capita

All activity based data is for the 12 months to 31 December 2024 for the Tower Hamlets Network 1 PCN registered population at that date.


Comparison to NEL ICB values

The circle = PCN value; diamond = Place value, red line = NEL value. See the ‘Health metrics’ tab for full chart legend.




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Annual activity per capita downloadable summary



Annual cost per capita (£) downloadable summary


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Detail by setting


Annual A&E attendances per capita by major sub-population

See segmentation tab for more detail on ‘Segment’ sub-populations.



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Annual Emergency inpatient admissions per capita by major sub-population



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Annual Elective inpatient admissions per capita by major sub-population



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Annual Outpatient attendances per capita by major sub-population



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Mental health service contacts per capita by major sub-population



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Segmentation


The NEL whole-population segmentation model

The NHS North East London ICB segmentation model is designed to group the north east London population into distinct health segments based on their health status and needs. This model will play an important role in our ability to effectively monitor system-wide healthcare needs and service use over time, helping us understand need, plan or target interventions, identify risk and allocate resources.


segmentation diagram


Broadly following the life course from left to right, the model is based on individuals and applied to a whole population. All 2.4m+ people registered with a North East London GP practice are assigned to a single segment, based on what the model terms as their likely ‘pre-dominant’ health condition. Once a condition has been flagged for an individual (say diabetes), it remains flagged in our data, even if their health status and the segment changes, say from ‘Long Term Conditions’ to a segment towards the right side of the model. This hierarchy ensures that segments are distinct and unambiguous, allowing consistent evaluation of changes to typical service use by the population in each segment.


High level segmentation ↓

Segments compared to NEL ↓

Segment age structure ↓

Segments by ethnicity ↓

Segments by deprivation ↓


High level segmentation for Tower Hamlets Network 1 PCN

Note that the analysis of the segmentation model is still a work in progress, so the output below is currently restricted to high level views.

Future output will examine changes over time and the impact of segments on service use and outcomes.


The registered population of Tower Hamlets Network 1 PCN segmented

The distribution of all people GP registered in Tower Hamlets Network 1 PCN across the segmentation model. The largest segments include Healthy and Healthy with Risk Factors, accounting for a substantial majority of the population. In contrast, segments representing patients with more complex health needs, such as Frailty and Dementia, Organ Failure, and End of Life, constitute a smaller proportion.


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The PCN population across the segments compared to Tower Hamlets and the NEL population



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Demographics


Age structure


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Ethnicity


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Deprivation

Note: Not all PCNs have registered patients in all IMD quintiles, so some segment values may not be present in the chart.


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Supporting information


About this report ↓

Metric definitions ↓


About

If you have any questions, suggestions or comments, please send them to the Insights team at:

nelondonicb.insights@nhs.net

This report provides a high-level overview of each Primary Care Network (PCN) across the NHS North East London Integrated Care Board (NEL ICB). It includes key metrics and visualisations showing the distribution of registered populations across various demographics, health conditions, and use of services.

This ‘beta’ version gets the profile up and running, but with room for development. The next version (Summer 2025) will include data updated to end of March 2025, and additional metrics and potential breakdown by more sub-populations. Please send suggestions for metrics or views you would like added to the email above. We are particularly interested in expanding outcome measures.


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Metric definitions

The table below defines the majority of the metrics in this report, mainly those on the ‘Health metrics’ tabs. Others included will have a definition in the report itself, or are self-explanatory.



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