As a consequence there are also variations in health, with the worst health often experienced by residents living in the most deprived parts of the borough.  To highlight geographical variations in health determinants and outcomes, much of the information in this report is presented at ward or locality level. 

There are 5 locality areas (clusters of wards) within the borough - Harlesden, Kilburn, Kingsbury, Wembley and Willesden - each with its own distinct socio-demographic characteristics and health profile. An examination of health at locality and ward level unmasks that while, on average, Brent has better health outcomes than England & Wales for diseases such as coronary heart disease and some cancers, there are areas within Brent where the health of residents is  worse than the rest of the country.  Knowing this information enables us to plan health services that are more responsive to local needs. This is a key aim of the PCT.

However, good health for all cannot be achieved solely through treating people once they have become ill. Therefore, the PCT also works closely with voluntary organisations and the Local Authority to ensure that appropriate services are available and accessible to individuals and communities, including services that tackle the determinants of health. 

I hope that this report will be of equal value to our partners and further strengthen our efforts to improve health for everybody in Brent.

Dr Judith Stanton
Director of Public Health