Introduction
Welcome to the Hackney and the City of London Health and Wellbeing Profiles website. This website brings together data and evidence that help to develop local priorities for policy, strategy and commissioning with an aim of improving residents’ health and reducing inequalities.
Most of the evidence here is gathered through the Joint Strategic Needs Assessment (JSNA) process. The JSNA is an ongoing process which helps to identify the health and wellbeing needs of the local population. It is a statutory requirement to conduct the JSNA and local authorities, the NHS, other core Hackney Health and Wellbeing Board and the City of London Health and Wellbeing Board members together contribute to the JSNA with their knowledge and expertise.
Recent Publications
News and Updates
Annual Director of Public Health report 2025/26
Published July 2026
Access to healthy, nutritious food is vital for our wellbeing, protecting us from illness and helping us lead longer, more energetic lives. Yet, healthy food is now more than twice as expensive per calorie as less healthy options, placing a balanced diet out of reach for many. As living costs rise, some groups face a much higher risk of food insecurity, including low-income families, global majority communities, and children living in our most deprived neighborhoods.
Our recently published Director of Public Health Annual Report 2025-26 explains how we intend to address these challenges and build a fairer local food system. Nourished Neighbourhoods, the report sets out how we aim to work with schools, businesses, and grassroots networks. It highlights initiatives like community kitchens and Hackney’s ‘Right to Grow’ motion, to protect and support everyone in the City of London and Hackney.
Adult Mental Health Joint Strategic Needs Assessment 2025
Published January 2026
The City and Hackney Adult Mental Health JSNA presents evidence on local needs relating to mental health and wellbeing for adults in the CIty and Hackney, as well as how well local services are meeting these needs. It considers prevalence of mental health conditions, inequalities within this prevalence, performance of local mental health services, equity of provision, residents’ experiences of support available and how well the mental health system functions as a whole locally. The report identifies a number of challenges and makes recommendations on how to address them.
The challenges identified broadly fit into four themes, listed below. These should be considered against the backdrop of a City and Hackney population, which overall has high levels of mental health need and complexity.
- Difficulties experienced by residents in accessing and navigating local mental health services,
- Inequalities in mental health need and how inclusive services are,
- Gaps in the quality of insight, driven by fragmented data and inconsistent approaches, limiting effective decision-making,
- The underlying accountability and governance structures for mental health.
Pandemic Preparedness, Response and Recovery Plan – 2025
Published December 2025
Pandemics occur when a new disease spreads rapidly across many people, and often around the world. Because the disease is new, many people do not have protection (existing immunity) against it. As a result, pandemics can be devastating, and can cause serious illness and death. They also put great pressure on health and care services, and disrupt daily lives including education, businesses and the wider economy.
As seen during COVID-19, some groups are more likely to be harmed than others in a future pandemic, including people with no recourse to public funds, some ethnic communities, non-English speakers, people experiencing homelessness, and those working in jobs with a higher risk of infection.
Our recently published Pandemic Preparedness, Response and Recovery Plan explains how we intend to prepare for, respond to and recover from a potential pandemic. It sets out how we aim to act fairly and effectively to protect everyone in the City of London and Hackney.
