City and Hackney

We are responsible for commissioning health and care services for the people living in the City of London and Hackney, and making sure these services meet the needs of local people.

It’s our job to make sure that you receive high quality healthcare services whenever you need them – whether this is advice from a pharmacist or GP, a procedure in hospital, help at home through local community services, or if you need support with your mental health.

City and Hackney borough map

With six other local authority areas – Barking and Dagenham, Havering, Newham, Redbridge, Tower Hamlets, and Waltham Forest – we make up NHS North East London Clinical Commissioning Group (NEL CCG).

We cover an area of north east London made up of the City of London and the London Borough of Hackney. Our total population is 283,600. Hackney has 275,900 residents, the City has 7,700. Our area is one of the most diverse in the country, with nearly 90 different languages spoken as a main language.

City and Hackney faces significant health and wellbeing challenges. Despite economic growth and regeneration in recent years, Hackney still has some deeply deprived areas and high levels of child poverty, which varies widely between wards.

People living in Hackney are more likely to die from preventable diseases. The factors behind these include smoking, obesity, poor diet, inactivity and high levels of deprivation. Deaths from cardiovascular disease are higher than elsewhere in the country, there are more smokers than in most parts of London and many adults and children are obese.

Our residents are more likely to be living with a long-term condition, such as diabetes, lung conditions, heart problems or diabetes and more likely to find it difficult to manage these. We also have a high number of local people with mental health conditions including severe mental illness. With our growing local population there will continue to be increasing demand for healthcare and we rely on an ageing estate in the health and care sector and a number of challenges around the recruitment and retention of staff. We also know that we cannot address the health needs of a population by looking at health and care provision alone.

Integrated Care System (ICS)

NHS North East London CCG is part of North East London Health and Care Partnership. This is our integrated care system (ICS), which brings together NHS organisations, local authorities, community organisations and local people to ensure our residents can live healthier, happier lives.

Integrated Care Partnership (ICP)

Within this ICS are three local Integrated Care Partnerships (ICPs). ICPs are local groups of health and care organisations, including local authorities, community organisations, working across smaller geographic boundaries. Each ICP is developing its own priorities, reflecting the different needs of each local population.

In City and Hackney our ICP brings together a variety of partners to commission and deliver health, care and wellbeing services to our patients and residents. Our ICP partners include:

Our key priorities as an ICP are:

  • Deliver a shift in resource and focus on prevention to improve the long-term health and wellbeing of local people and address health inequalities
  • Deliver proactive community-based care closer to home and outside of institutional settings where appropriate
  • Ensure we maintain financial balance as a system and achieve our financial plans
  • Deliver integrated care which meets the physical, mental health and social needs of our diverse communities
  • Empower patients and residents

Our key work programmes are:

  • Children, young people, families and maternity – giving every child the best start in life
  • Neighbourhoods and communities – living well
  • Rehabilitation and independence – ageing well
  • Mental health
  • Primary care

We want to make sure that local people across City and Hackney have access to the care and support they need. We actively seek opportunities to find out what our local communities in our area think and feel about their local NHS and care services through a range of activities including surveys, focus groups and workshops, as well as through partner organisations and patient forums.

You can get involved in a variety of ways:

  • We regularly share updates with our patients and stakeholders. If you would like to be added to our mailing list to receive this update by email, please contact
  • You can also follow us on Twitter @NHS_CityHackney
  • Please email with any other CCG queries including any specific to City and Hackney
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