# Hounslow in the Childhood Lottery

Analysis of the Children's Commissioner's Childhood Lottery (October 2026) for the London Borough of Hounslow, with ward and GP practice data.

Prepared for Joffrey Bogemans, 19 October 2026. All figures can be traced to the sources listed at the end.

## Key findings

- Hounslow scored 460 out of 960, ranked 148 of 149 scored councils in England and last in London. The London average is 609.
- Of the 149-point gap to the London average, 117 points come from 25 yes/no questions the council answered itself about which services it runs, and only 32 from measured data.
- Hounslow answered "No" to 17 of the 25 questions, more than any other council in England (next highest: 16). Some contradict the council's own website, for example its Educational Psychology Service and young carers support.
- On measured data alone Hounslow ranks 93 of 149 in England and 24 of 32 in London: below average, but far from second worst.
- If all 17 "No" answers were "Yes", Hounslow would score 630 and rank about 40th in England and 12th in London. If its answers matched the London average it would score about 577 and rank about 86.
- Real measured weaknesses: child mortality (highest rate in England in 2024, one year of small numbers), children saying they lack good healthcare, feel unsafe online or lack somewhere to call home, two-year health visitor reviews, school breakfast clubs and wraparound childcare.
- Vaccination is low but typical for London: Hounslow's MMR coverage ranks joint 15th of 32 boroughs (level with Lewisham). Across London, low coverage goes with signs of population movement (born abroad, recent arrival, private renting, converted flats), not with the share of Asian, Sikh or Hindu residents.
- Inside Hounslow, GP practices in the Brentworth and Feltham and Bedfont networks have the lowest MMR second-dose rates. Coverage does not follow the wards with the most overcrowding and HMOs (rank correlation +0.01), which points to how practices invite and record children.

## 1. The score and where the gap comes from

Each of 95 scored metrics is worth 0 to 10 points. 70 are measured data and 25 are yes/no answers from the council (Yes = 10, No = 0).

| Part of score | Hounslow | London average | Points behind London |
| --- | ---: | ---: | ---: |
| Measured data (70 metrics) | 380 | 411.5 | 31.5 |
| Council yes/no answers (25 questions) | 80 | 197.2 | 117.2 |
| Total | 460 | 608.7 | 148.7 |

### Points behind the London average by theme

Summed over scored metrics: average London borough score minus Hounslow score. Negative means Hounslow does better.

| Theme | Council yes/no answers | Measured data | Total |
| --- | ---: | ---: | ---: |
| Care | 36.5 | 1.4 | 37.9 |
| Family | 18.4 | 16.1 | 34.5 |
| Health | 20.4 | 11.2 | 31.6 |
| Better world | 25.5 | -4.2 | 21.3 |
| Education | 14.4 | 4.8 | 19.2 |
| Community | 5.1 | 6 | 11.1 |

### London boroughs

| Borough | Total score | Measured data score | Yes/no answers score | "No" answers | Rank in England | Rank on measured data |
| --- | ---: | ---: | ---: | ---: | ---: | ---: |
| Merton | 714 | 514 | 200 | 5 | 2 | 1 |
| Richmond upon Thames | 707 | 497 | 210 | 4 | 4 | 4 |
| Haringey | 689 | 469 | 220 | 3 | 7 | 9 |
| Kingston upon Thames | 667 | 457 | 210 | 4 | 17 | 18 |
| Hammersmith and Fulham | 666 | 446 | 220 | 3 | 18 | 29 |
| Sutton | 664 | 474 | 190 | 4 | 19 | 8 |
| Havering | 655 | 435 | 220 | 3 | 23 | 41 |
| Harrow | 654 | 434 | 220 | 3 | 24 | 43 |
| Wandsworth | 649 | 439 | 210 | 4 | 28 | 34 |
| Barnet | 646 | 416 | 230 | 0 | 29 | 54 |
| Bromley | 646 | 466 | 180 | 5 | 29 | 12 |
| Lambeth | 626 | 416 | 210 | 4 | 41 | 54 |
| Greenwich | 625 | 385 | 240 | 1 | 43 | 84 |
| Southwark | 623 | 433 | 190 | 6 | 46 | 45 |
| Redbridge | 618 | 368 | 250 | 0 | 50 | 105 |
| Westminster | 616 | 416 | 200 | 5 | 51 | 54 |
| Camden | 609 | 419 | 190 | 6 | 55 | 49 |
| Hillingdon | 601 | 371 | 230 | 2 | 62 | 103 |
| Kensington and Chelsea | 599 | 399 | 200 | 5 | 64 | 73 |
| Croydon | 595 | 385 | 210 | 2 | 69 | 84 |
| Bexley | 592 | 432 | 160 | 9 | 71 | 46 |
| Ealing | 591 | 411 | 180 | 7 | 72 | 63 |
| Enfield | 575 | 395 | 180 | 7 | 89 | 78 |
| Hackney | 570 | 360 | 210 | 4 | 94 | 110 |
| Waltham Forest | 561 | 381 | 180 | 7 | 99 | 90 |
| Islington | 555 | 395 | 160 | 9 | 108 | 78 |
| Newham | 555 | 345 | 210 | 4 | 108 | 119 |
| Brent | 544 | 364 | 180 | 7 | 121 | 108 |
| Lewisham | 542 | 372 | 170 | 8 | 122 | 101 |
| Barking and Dagenham | 538 | 368 | 170 | 0 | 128 | 105 |
| Tower Hamlets | 526 | 326 | 200 | 5 | 132 | 133 |
| Hounslow | 460 | 380 | 80 | 17 | 148 | 93 |

## 2. What if the "No" answers were "Yes"?

| If these "No" answers were "Yes" | Answers changed | Score | Rank in England (of 149) | Rank in London (of 32) |
| --- | ---: | ---: | --- | --- |
| As reported | 0 | 460 | 148 | 32 |
| The 2 the council's own website contradicts | 2 | 480 | 144 | 32 |
| The 5 that over 90% of councils have | 5 | 510 | 138 | 32 |
| The 8 that three-quarters of councils have | 8 | 540 | joint 126 | 30 |
| All 17 | 17 | 630 | 40 | 12 |

## 3. The council's yes/no answers

"Councils saying yes" is the share of councils in England reporting the service, as published in the dataset.

| Service asked about | Theme | Hounslow's answer | Councils saying yes (%) | Who acts |
| --- | --- | --- | ---: | --- |
| Access to a local authority Educational Psychology Team | Education | No | 94 | Council (its return to the Commissioner) |
| Access to a specialist or targeted support group for young carers | Family | No | 93 | Council (its return to the Commissioner) |
| Access to targeted support or youth group: children with SEND or health needs | Health | No | 92 | Council (its return to the Commissioner) |
| Access to specialist and targeted support for looked after children | Care | No | 91 | Council (its return to the Commissioner) |
| Access to specialist and targeted support for care leavers | Care | No | 91 | Council (its return to the Commissioner) |
| Access to Children in Care Council | Care | No | 82 | Council (its return to the Commissioner) |
| Access to youth clubs or centres | Better world | No | 77 | Council (its return to the Commissioner) |
| Specialist and targeted support for UASC | Care | No | 75 | Council (its return to the Commissioner) |
| Access to targeted support or youth group: children from low income families | Family | No | 68 | Council (its return to the Commissioner) |
| Access to targeted support or youth group for LGBTQ+ | Better world | No | 58 | Council (its return to the Commissioner) |
| Access to youth hubs | Better world | No | 53 | Council (its return to the Commissioner) |
| Targeted support or youth group for home educated children | Education | No | 53 | Council (its return to the Commissioner) |
| Access to bereavement service | Health | No | 51 | Council (its return to the Commissioner) |
| Access to Child Independent Domestic Violence Advisors (CIDVA) | Community | No | 48 | Council (its return to the Commissioner) |
| Access to targeted support or youth group for Gypsy, Roma and Traveller (GRT) | Better world | No | 44 | Council (its return to the Commissioner) |
| Access to Early Support Hubs (Mental Health Drop in) | Health | No | 42 | Council (its return to the Commissioner) |
| Access to Child Independent Sexual Violence Advisors (CISVA) | Community | No | 32 | Council (its return to the Commissioner) |
| Access to independent advocacy services for looked after children | Care | Yes | 99 | Council (its return to the Commissioner) |
| Access to family hubs and/or children's centres | Family | Yes | 97 | Council (its return to the Commissioner) |
| Access to substance misuse services | Health | Yes | 96 | Council (its return to the Commissioner) |
| Access to independent advocacy services for care leavers | Care | Yes | 93 | Council (its return to the Commissioner) |
| Access to Return Home Interview Services | Community | Yes | 93 | Council (its return to the Commissioner) |
| Access to a Youth Council | Better world | Yes | 89 | Council (its return to the Commissioner) |
| Access to targeted or youth group for children at risk of criminal exploitation | Community | Yes | 86 | Council (its return to the Commissioner) |
| Access to targeted support or youth group for children at risk of sexual exploitation | Community | Yes | 84 | Council (its return to the Commissioner) |

## 4. Measured metrics (scored), largest gap to London first

Police figures are reported at Metropolitan Police level and are identical for every London borough.

| Metric | Theme | Hounslow | England average | London median | Rank (1 = best) | Councils ranked | Hounslow score (0-10) | London average score | Points behind London | Who acts | Source | Year |
| --- | --- | --- | ---: | ---: | ---: | ---: | ---: | ---: | ---: | --- | --- | --- |
| Child mortality (deaths of 0 to 19s) | Health | 6.069 | 3.3 | 3.035 | 149 | 149 | 1 | 5.94 | 4.9 | NW London Child Death Overview Panel, maternity services, council public health | ONS | 2024 |
| Children who don't feel they have access to good healthcare | Health | 10.34 | 5 | 4.365 | 146 | 149 | 1 | 5.94 | 4.9 | NHS North West London and GP practices | Children's Commissioner | 2024 |
| Children who feel unsafe online | Community | 14.6 | 8.8 | 9.45 | 145 | 149 | 1 | 5.19 | 4.2 | Schools and Hounslow Safeguarding Children Partnership | Children's Commissioner | 2024 |
| Breakfast provision by schools | Family | 80.9 | 94 | 86.8 | 128 | 149 | 2 | 6.09 | 4.1 | Schools, with council support | Children's Commissioner | 2024 |
| Wrap around childcare provided in school | Family | 51.5 | 63 | 63.6 | 131 | 149 | 2 | 5.69 | 3.7 | Council childcare team and schools | Children's Commissioner | 2024 |
| Children who feel they don't have somewhere to call home | Family | 5.541 | 2 | 2.387 | 146 | 149 | 1 | 4.66 | 3.7 | Council housing and children's services | Children's Commissioner | 2024 |
| Children achieving a good level of development (EYFS) | Family | 67.6 | 68.3 | 70.8 | 93 | 149 | 4 | 7.53 | 3.5 | Council early years team and nurseries | DfE | 2024-25 |
| Children who don't live with people who make them feel loved and cared for | Family | 2.676 | 2 | 1.921 | 133 | 149 | 2 | 5.41 | 3.4 | Council early help and family hubs | Children's Commissioner | 2024 |
| Exclusion rate in mainstream schools | Education | 11 | 12.5 | 4 | 72 | 147 | 5 | 8.12 | 3.1 | Schools and council inclusion team | DfE | 2024/25 |
| School placement instability | Care | 10.3 | 8 | 8.15 | 121 | 145 | 2 | 5.03 | 3 | Council children's services (virtual school) | DfE | 2025 |
| Levels of youth services spending | Better world | 65.9 | 92 | 131.7 | 97 | 147 | 4 | 6.87 | 2.9 | Council | DfE | 2024-25 |
| Children who do not feel they have the same opportunities as other children | Education | 17 | 14 | 14.45 | 134 | 149 | 2 | 4.84 | 2.8 | Council and schools | Children's Commissioner | 2024 |
| Access to childcare (age 0 to 7) | Family | 23 |  | 28 | 82 | 149 | 4 | 6.75 | 2.8 | Council childcare sufficiency team | NA |  |
| Unauthorised absence rate in state funded alternative provisions | Education | 24.81 | 19.1 | 20.07 | 116 | 140 | 2 | 4.58 | 2.6 | Alternative provision providers and council | DfE | 2024/25 |
| Adolescent vaccination coverage (HPV) | Health | 51.4 | 69.6 | 59.1 | 140 | 149 | 1 | 3.38 | 2.4 | NHS commissioners and school-age immunisation service | UKHSA | 2024-25 |
| Children who were overweight or obese in year 6 | Health | 39.3 | 36.1 | 37.4 | 114 | 149 | 3 | 5.31 | 2.3 | Council public health | OHID | 2024/25 |
| A level average scores | Education | 34.1 |  | 36.15 | 78 | 149 | 5 | 7 | 2 | Schools and colleges | NA |  |
| Adolescent vaccination coverage (Td/IPV) | Health | 61 | 71.7 | 64.95 | 129 | 149 | 2 | 3.97 | 2 | NHS commissioners and school-age immunisation service | UKHSA | 2024-25 |
| Children don't have fun activities near where they live | Better world | 14.552 | 15 | 12.44 | 73 | 149 | 6 | 7.94 | 1.9 | Council youth and leisure services | Children's Commissioner | 2024 |
| Children who do not know about money or life skills | Education | 13.2 | 12 | 10.7 | 98 | 149 | 4 | 5.94 | 1.9 | Schools | Children's Commissioner | 2024 |
| Access to child development reviews at 2 to 2 and a half years | Family | 65.4 | 80.8 | 73.8 | 131 | 140 | 1 | 2.8 | 1.8 | Council-commissioned health visiting service | DfE | 2024-25 |
| Children who do not feel they know about good jobs for when they are older | Education | 6 | 6 | 4.85 | 80 | 149 | 5 | 6.66 | 1.7 | Schools and careers services | Children's Commissioner | 2024 |
| Percent of care leavers not in education, employment or training | Care | 38.5 | 40 | 35.6 | 82 | 147 | 5 | 6.74 | 1.7 | Council leaving care service | DfE | 2025 |
| Relative child poverty (0 to 15) | Family | 32.3 | 27 | 29.45 | 117 | 149 | 3 | 4.72 | 1.7 | Council, DWP and employers | DWP | 2024-25 |
| Children who feel unsafe in their local area | Community | 15.3 | 12.3 | 15.3 | 105 | 149 | 3 | 4.19 | 1.2 | Metropolitan Police and community safety partnership | Children's Commissioner | 2024 |
| Children who feel they don't have a healthy diet | Health | 10.19 | 11 | 9.285 | 70 | 149 | 6 | 7.09 | 1.1 | Council public health and schools | Children's Commissioner | 2024 |
| Access to libraries | Better world | 1.63 | 2.2 | 1.645 | 105 | 149 | 3 | 4.03 | 1 | Council | Arts Council | 2023 |
| Use of unregulated alternative provision | Education | 17.6 | 29 | 12.9 | 51 | 149 | 7 | 7.88 | 0.9 | Schools and council | DfE | 2024/25 |
| Schools with a dedicated staff member supporting young carers | Family | 22.4 | 27 | 22.4 | 90 | 149 | 4 | 4.78 | 0.8 | Schools | Children's Commissioner | 2024 |
| Children who don't feel they have someone supportive to talk to | Health | 8.22 | 8.3 | 8.305 | 76 | 149 | 5 | 5.66 | 0.7 | Schools and mental health support teams | Children's Commissioner | 2024 |
| Timeliness of Education, Health and Care Plans issued | Education | 58.4 | 46.4 | 70.5 | 70 | 146 | 6 | 6.69 | 0.7 | Council SEND service | DfE | 2025 |
| Children who were underweight in year 6 | Health | 2.4 | 1.6 | 2 | 134 | 148 | 5 | 5.72 | 0.7 | Council public health | OHID | 2024/25 |
| Police Community Support Officer (PCSO) or Safer Schools Police Officer (SSO) in schools | Community | 5.8 | 3 | 5.75 | 25 | 149 | 3 | 3.62 | 0.6 | Council and police | Children's Commissioner |  |
| Care placement instability | Care | 10.6 | 10 | 10.1 | 77 | 148 | 5 | 5.56 | 0.6 | Council children's services | DfE | 2025 |
| Percent of care leavers in suitable accommodation | Care | 90.3 | 89 | 90.1 | 80 | 133 | 4 | 4.41 | 0.4 | Council leaving care service | DfE | 2025 |
| Unauthorised absence rate in mainstream schools | Education | 2.2 | 2.3 | 2.07 | 70 | 149 | 6 | 6.31 | 0.3 | Schools and council | DfE | 2024/25 |
| Percent of care leavers in touch with local authority | Care | 91 | 93 | 93.5 | 121 | 147 | 9 | 9.22 | 0.2 | Council leaving care service | DfE | 2025 |
| Access to play areas | Better world | 18.1 | 25 | 16.65 | 91 | 149 | 4 | 4.16 | 0.2 | Council | ONS | 2024 |
| Use of out of area placements | Care | 65.4 | 49.2 | 66 | 129 | 147 | 2 | 2.12 | 0.1 | Council children's services | DfE | 2025 |
| Number of children who went missing | Community | 40 | 55 | 40 | 26 | 149 | 9 | 9 | 0 | Metropolitan Police (London-wide figure) | National Crime Agency | 2024-25 |
| Number of children stopped and searched | Community | 114 | 81 | 114 | 100 | 149 | 7 | 7 | 0 | Metropolitan Police (London-wide figure) | Home Office | 2024-25 |
| Vulnerability of children recorded in custody | Community | 10 | 7.7 | 10 | 1 | 148 | 10 | 10 | 0 | Metropolitan Police (London-wide figure) | Children's Commissioner | 2025 |
| Recording of vulnerability of children who are stopped and searched | Community | 10 | 3.2 | 10 | 1 | 148 | 10 | 10 | 0 | Metropolitan Police (London-wide figure) | Children's Commissioner | 2024-25 |
| Use of force by police against children | Community | 66 | 69 | 66 | 65 | 149 | 7 | 7 | 0 | Metropolitan Police (London-wide figure) | Home Office |  |
| Victims of exploitation referred to the National Referral Mechanism | Community | 7 | 4.5 | 7 | 113 | 149 | 6 | 6 | 0 | Metropolitan Police (London-wide figure) | Home Office | 2024 |
| Number of arrests of children | Community | 45 | 47 | 45 | 56 | 149 | 6 | 6 | 0 | Metropolitan Police (London-wide figure) | Home Office | 2024-25 |
| Average Attainment 8 Score | Education | 50.6 | 46 | 50.4 | 22 | 149 | 9 | 8.84 | -0.2 | Schools and council | DfE | 2024/25 |
| Childhood vaccination coverage (MMR) | Health | 70.8 | 83 | 70.55 | 133 | 148 | 2 | 1.66 | -0.3 | NHS commissioners, GP practices, council public health | UKHSA | 2024-25 |
| Percentage getting a good grade in English and Maths (Pass 5) | Education | 52.6 | 45.4 | 52.35 | 26 | 149 | 9 | 8.59 | -0.4 | Schools and council | DfE | 2024/25 |
| Households left homeless after prevention duties ended | Family | 35.6 | 34.5 | 36.2 | 83 | 140 | 5 | 4.54 | -0.5 | Council housing | MHCLG |  |
| Unauthorised absence rate in special schools | Education | 2.87 | 3.4 | 2.955 | 65 | 148 | 6 | 5.34 | -0.7 | Schools and council | DfE | 2024/25 |
| Children missing from Education (CME) | Education | 0.77 | 1.6 | 0.695 | 48 | 148 | 7 | 6.28 | -0.7 | Schools and council | DfE | 2024/25 |
| Access to public sport and leisure facilities | Better world | 44.3 | 59 | 40.85 | 104 | 149 | 4 | 3.19 | -0.8 | Council | Sport England | 2023 |
| Inpatient hospitalisations for mental health | Health | 3 | 8 | 7 | 4 | 148 | 10 | 9.22 | -0.8 | NHS and council public health | OHID |  |
| Young people not in education, employment or training (NEET) | Education | 1.4 | 3 | 2.05 | 17 | 148 | 9 | 8.22 | -0.8 | Schools and council | DfE | 2026 |
| Free foods provided in schools | Family | 47.1 | 41 | 43.4 | 54 | 149 | 7 | 5.66 | -1.3 | Schools | Children's Commissioner | 2024 |
| Hospital admissions for accidents and injuries (age 0 to 14) | Health | 53.6 | 68.5 | 54.6 | 29 | 149 | 9 | 7.56 | -1.4 | NHS and council public health | OHID | 2024-25 |
| Social worker instability | Care | 18.3 | 24 | 18.3 | 40 | 149 | 8 | 6.38 | -1.6 | Council children's services | DfE | 2024-25 |
| Children who don't feel that their family has everything they need to support them | Family | 4.242 | 5 | 4.696 | 55 | 149 | 7 | 5.31 | -1.7 | Council early help | Children's Commissioner | 2024 |
| Access to Mental Health Support Teams | Health | 0.64 | 52 | 0.56 | 36 | 149 | 8 | 5.75 | -2.2 | NHS and council public health | DfE | 2024-25 |
| Children who do not enjoy school | Education | 12.4 | 25 | 18.3 | 3 | 149 | 10 | 7.78 | -2.2 | Schools and council | Children's Commissioner | 2024 |
| Children don't feel they are treated fairly | Better world | 13.084 | 14 | 14.06 | 43 | 149 | 8 | 5.72 | -2.3 | Council | Children's Commissioner | 2024 |
| Children living in temporary accommodation (incl. B&Bs) | Family | 118 | 147 | 434.5 | 101 | 144 | 4 | 1.7 | -2.3 | Council housing | MHCLG | 2025 |
| Availability of post 16 provision | Education | 2 | 1.2 | 1.4 | 2 | 148 | 10 | 7.42 | -2.6 | Schools and council | DfE | 2026 |
| Access to independent advocacy services for wider groups | Care | 10 | 47 | 7 | 1 | 149 | 10 | 6.97 | -3 | Council children's services | Children's Commissioner | 2025 |
| Attendance at NHS Dental Visits | Health | 61.1 | 57 | 52.3 | 48 | 149 | 7 | 3.88 | -3.1 | NHS dental commissioners | NHS Business Services Authority | 2024-25 |
| Children don't feel people who run the country listen to their views | Better world | 45.5 | 52 | 51.605 | 18 | 149 | 9 | 5.78 | -3.2 | Council | Children's Commissioner | 2024 |
| Households left homeless after relief duties ended | Family | 53 | 57.3 | 75.1 | 47 | 140 | 7 | 3.38 | -3.6 | Council housing | MHCLG |  |
| Children who do not feel they have supportive teachers | Education | 5 | 10 | 8.65 | 6 | 149 | 10 | 6.44 | -3.6 | Schools and council | Children's Commissioner | 2024 |
| Children don't feel like that can make a difference on things that matter to them | Better world | 15.818 | 22 | 21.539 | 10 | 149 | 10 | 6.09 | -3.9 | Council | Children's Commissioner | 2024 |

## 5. Vaccination across London

Hounslow MMR coverage: 70.8% (England 83%, London median 70.55%).

| Rank | Borough | MMR (%) | HPV (%) | Td/IPV (%) |
| ---: | --- | ---: | ---: | ---: |
| 1 | Sutton | 79.8 | 79 | 86.9 |
| 2 | Kingston upon Thames | 79 | 85 | 88.9 |
| 3 | Bromley | 77.7 | 75.9 | 85 |
| 4 | Havering | 77.4 | 78.2 | 84.4 |
| 5 | Hillingdon | 74.3 | 40.8 | 50.3 |
| 6 | Wandsworth | 73.8 | 69.9 | 74.1 |
| 7 | Tower Hamlets | 73.6 | 50 | 55.6 |
| 8 | Bexley | 73.5 | 76.5 | 83.1 |
| 9 | Waltham Forest | 72.3 | 56.3 | 65.3 |
| 10 | Southwark | 72.1 | 56.9 | 57.1 |
| 11 | Lambeth | 72 | 57.4 | 59.8 |
| 12 | Ealing | 71.9 | 41.8 | 47.4 |
| 13 | Merton | 71.8 | 72.6 | 80.9 |
| 14 | Barnet | 71.5 | 55.8 | 64.6 |
| 15 | Lewisham | 70.8 | 65.2 | 67.5 |
| 15 | Hounslow | 70.8 | 51.4 | 61 |
| 17 | Croydon | 70.3 | 60.8 | 64.3 |
| 18 | Redbridge | 69.2 | 66.3 | 72.6 |
| 19 | Barking and Dagenham | 69.1 | 67 | 70 |
| 20 | Richmond upon Thames | 68.8 | 81.1 | 88.3 |
| 21 | Newham | 67.2 | 63.4 | 73.8 |
| 22 | Harrow | 67.1 | 48.8 | 53.1 |
| 23 | Greenwich | 66.2 | 72.2 | 77.9 |
| 24 | Haringey | 65 | 68.2 | 74 |
| 25 | Brent | 64.6 | 36.7 | 36.8 |
| 25 | Camden | 64.6 | 44.8 | 46.1 |
| 27 | Enfield | 64.3 | 54.1 | 60 |
| 27 | Islington | 64.3 | 61.8 | 68.5 |
| 29 | Westminster | 59.9 | 39.3 | 39.2 |
| 30 | Hammersmith and Fulham | 59.2 | 54.3 | 41.8 |
| 31 | Hackney | 58.3 | 53.5 | 61.8 |
| 32 | Kensington and Chelsea | 56.3 | 38.4 | 39.6 |

### What lines up with low MMR across London boroughs

Spearman rank correlation across 32 boroughs (30 for temporary accommodation). Negative means boroughs with more of this have lower coverage.

| Census or Lottery measure | Rank correlation with MMR | p value | Boroughs |
| --- | ---: | ---: | ---: |
| White Other ethnic group | -0.64 | 0 | 32 |
| Born outside the UK | -0.58 | 0 | 32 |
| Homes in converted or shared houses | -0.55 | 0.001 | 32 |
| Private renting | -0.52 | 0.002 | 32 |
| Arrived in the UK in last 2 years | -0.52 | 0.003 | 32 |
| Social renting | -0.44 | 0.013 | 32 |
| Children in temporary accommodation | -0.43 | 0.018 | 30 |
| Households deprived in 2+ ways | -0.42 | 0.018 | 32 |
| Muslim | -0.38 | 0.033 | 32 |
| Black ethnic group | -0.32 | 0.078 | 32 |
| Child poverty | -0.31 | 0.082 | 32 |
| Limited English | -0.29 | 0.106 | 32 |
| Overcrowded homes | -0.27 | 0.14 | 32 |
| Asian ethnic group | 0.05 | 0.793 | 32 |
| Sikh | 0.14 | 0.452 | 32 |
| Hindu | 0.24 | 0.181 | 32 |
| White British | 0.45 | 0.009 | 32 |

## 6. Inside Hounslow: wards

Scores are averages of standardised ward measures (z-scores across the 22 wards). Housing pressure: overcrowding, licensed HMOs per 1,000 homes, private renting, multi-family households with children. Deprivation: households deprived in 2+ ways, minus households not deprived. Newcomer: arrived in the UK under 5 years ago, limited English. Vaccination is for GP practices located in the ward.

| Ward | Housing pressure score | Deprivation score | Newcomer score | Overcrowded (%) | Licensed HMOs | HMOs per 1,000 homes | Converted or shared house (%) | Private rented (%) | Social rented (%) | Deprived in 2+ ways (%) | Arrived under 5 years (%) | Limited English (%) | GP practices located here | Children due at 5 | MMR2 at 5 (%) |
| --- | ---: | ---: | ---: | ---: | ---: | ---: | ---: | ---: | ---: | ---: | ---: | ---: | --- | --- | ---: |
| Hounslow Central | 1.9 | 0.42 | 2.15 | 27.54 | 110 | 30.3 | 12.37 | 56.55 | 12.49 | 21.75 | 30.89 | 6.92 | 3 | 62 | 74.2 |
| Hounslow West | 1.67 | 1.2 | 1.38 | 24.21 | 155 | 31.8 | 7.69 | 42.32 | 18.34 | 26.52 | 21.13 | 7.44 | 6 | 167 | 66.4 |
| Hounslow Heath | 1.1 | 0.98 | 0.91 | 22.37 | 117 | 22.7 | 8.13 | 41.62 | 18.34 | 25.75 | 15.98 | 7.45 |  |  |  |
| Cranford | 0.94 | 1.33 | 0.81 | 22.41 | 98 | 19.6 | 4.31 | 34.46 | 27.83 | 27.74 | 15.92 | 7.05 | 2 | 39 | 82.1 |
| Heston Central | 0.78 | 0.69 | 0.95 | 19.79 | 91 | 21 | 3.74 | 30.79 | 18.02 | 23.73 | 16.02 | 7.63 |  |  |  |
| Hounslow East | 0.61 | 0.37 | 0.91 | 18.11 | 69 | 22.7 | 4.08 | 35.39 | 23.88 | 22.62 | 17 | 7.07 |  |  |  |
| Heston East | 0.43 | 0.29 | 0.92 | 16.85 | 51 | 14.4 | 4.05 | 34.74 | 15.38 | 21.5 | 14.78 | 7.94 | 1 | 13 | 76.9 |
| Heston West | 0.41 | 1.15 | 0.61 | 19.99 | 54 | 11.5 | 1.61 | 27.19 | 23.49 | 27.32 | 10.59 | 8.27 | 3 | 67 | 68.7 |
| Feltham North | 0.04 | 0.83 | -0.06 | 16.12 | 73 | 17.3 | 3.91 | 22.36 | 23.62 | 25.04 | 10.62 | 5.47 | 2 | 44 | 40.9 |
| Bedfont | -0.19 | 0.62 | -0.36 | 15.22 | 76 | 14.3 | 2.84 | 23.27 | 26.99 | 23.53 | 9.18 | 4.76 | 4 | 62 | 77.4 |
| Osterley & Spring Grove | -0.23 | -1.19 | -0.5 | 9.88 | 59 | 11.2 | 6.37 | 35.1 | 6.68 | 13.94 | 10.31 | 3.76 | 2 | 26 | 88.5 |
| Feltham West | -0.39 | 0.23 | -0.39 | 15.55 | 49 | 8.6 | 0.91 | 25.67 | 25.81 | 21.89 | 10.29 | 4.23 | 3 | 67 | 64.2 |
| Chiswick Gunnersbury | -0.43 | -1.54 | -0.45 | 5.67 | 96 | 16.8 | 17.79 | 38.5 | 14.4 | 13.37 | 14.14 | 2.54 | 4 | 40 | 82.5 |
| Hanworth Park | -0.43 | 0.06 | -0.62 | 12.66 | 51 | 13.2 | 2.82 | 23.9 | 20.41 | 20.59 | 8.15 | 4.1 | 1 | 5 | 100 |
| Hounslow South | -0.52 | -0.68 | -0.58 | 9.39 | 57 | 11.9 | 5.47 | 24.79 | 10.22 | 16.94 | 7.5 | 4.52 | 3 | 43 | 72.1 |
| Brentford East | -0.65 | 0.34 | -0.42 | 16.45 | 13 | 3.6 | 1.23 | 27.89 | 42.91 | 23.46 | 10.95 | 3.86 |  |  |  |
| Hanworth Village | -0.66 | 0.79 | -0.69 | 14.79 | 33 | 5.8 | 3.11 | 17.97 | 32.57 | 25.32 | 6.06 | 4.61 | 2 | 38 | 63.1 |
| Brentford West | -0.75 | -1 | -0.96 | 7.81 | 35 | 10.4 | 12.54 | 29.27 | 18.34 | 15.6 | 8.07 | 2.73 |  |  |  |
| Syon & Brentford Lock | -0.8 | -0.47 | -0.72 | 11.07 | 18 | 3.4 | 2.7 | 29.39 | 24.97 | 19.55 | 9.94 | 3 | 3 | 63 | 50.8 |
| Chiswick Homefields | -0.92 | -2.13 | -0.94 | 5.09 | 48 | 8.3 | 16.57 | 30.27 | 15.17 | 10.16 | 10.59 | 1.82 | 1 | 43 | 88.4 |
| Isleworth | -0.92 | -0.44 | -0.97 | 11.16 | 19 | 3.5 | 2.79 | 24.02 | 26.79 | 19.41 | 7.35 | 2.95 | 1 | 21 | 81 |
| Chiswick Riverside | -0.98 | -1.81 | -0.97 | 5.14 | 28 | 6.3 | 12.94 | 31.4 | 15.86 | 12.24 | 10.13 | 1.89 | 1 | 10 | 80 |

### Ward population (Census 2021)

| Ward | Residents | Households | Born outside UK (%) | Asian (%) | Indian (%) | Pakistani (%) | Other Asian (%) | Black (%) | White British (%) | White Other (%) | Muslim (%) | Sikh (%) | Hindu (%) | Christian (%) | No religion (%) |
| --- | ---: | ---: | ---: | ---: | ---: | ---: | ---: | ---: | ---: | ---: | ---: | ---: | ---: | ---: | ---: |
| Hounslow Central | 10659 | 3636 | 72.35 | 59.85 | 42.5 | 6.59 | 7.81 | 5.39 | 9.04 | 14.9 | 18.64 | 5.36 | 21.78 | 37.61 | 7.87 |
| Hounslow West | 15915 | 4879 | 65.59 | 62.39 | 43.44 | 7.88 | 9.75 | 5 | 9.83 | 11.1 | 17.79 | 12.54 | 15.11 | 39 | 7.19 |
| Hounslow Heath | 16075 | 5154 | 60.71 | 55.83 | 31.75 | 12.35 | 9.28 | 6.12 | 13.04 | 13.62 | 25.3 | 8.37 | 15.1 | 34.49 | 9.17 |
| Cranford | 16028 | 4991 | 60.26 | 57.17 | 37.65 | 9.23 | 9.01 | 7.91 | 12.69 | 9.6 | 20.39 | 18.16 | 9.82 | 37.73 | 7.73 |
| Heston Central | 14534 | 4329 | 58.84 | 62.19 | 39.87 | 10.4 | 10.1 | 5.08 | 9.67 | 8.99 | 22.29 | 20.21 | 14.38 | 28.33 | 7.11 |
| Hounslow East | 8672 | 3040 | 61.25 | 48.71 | 29.79 | 6.68 | 9.64 | 7.62 | 15.06 | 14.56 | 22.29 | 7.24 | 15.05 | 35.01 | 11.19 |
| Heston East | 11158 | 3549 | 59.67 | 58.33 | 36.49 | 9.63 | 10.66 | 6.33 | 9.81 | 10.5 | 21.03 | 24.72 | 14.81 | 25.52 | 7.12 |
| Heston West | 15729 | 4708 | 55.58 | 58.77 | 35.16 | 11.01 | 11.42 | 9.37 | 9.46 | 6.08 | 25.02 | 31.76 | 11.04 | 20.87 | 6.01 |
| Feltham North | 12906 | 4221 | 47.06 | 37.28 | 16.07 | 5.56 | 13.98 | 7.3 | 32.76 | 11.33 | 14.47 | 5.8 | 10.42 | 42.77 | 16.07 |
| Bedfont | 15149 | 5316 | 42.22 | 31.14 | 15.29 | 5.57 | 9.12 | 8.68 | 37.13 | 12.76 | 15.9 | 5.93 | 9.26 | 39.53 | 20.89 |
| Osterley & Spring Grove | 14660 | 5273 | 49.3 | 39 | 25.22 | 6.71 | 5.29 | 5.16 | 23.87 | 16.33 | 15.88 | 10.49 | 12.02 | 36.53 | 16.45 |
| Feltham West | 16224 | 5692 | 41.97 | 27.84 | 14.42 | 3.88 | 7.52 | 9.01 | 38.97 | 12.62 | 12.54 | 2.79 | 10.18 | 41.94 | 24.09 |
| Chiswick Gunnersbury | 12697 | 5730 | 45.78 | 13.07 | 4.36 | 1.53 | 4.48 | 4.1 | 42.51 | 22.03 | 9.93 | 0.67 | 2.35 | 41.71 | 34.72 |
| Hanworth Park | 10403 | 3871 | 40.39 | 25.73 | 12.03 | 4.6 | 7.57 | 6.55 | 42.07 | 13.57 | 11.1 | 3.3 | 7.33 | 44.31 | 24.67 |
| Hounslow South | 13748 | 4805 | 43.49 | 32.55 | 19.28 | 5.85 | 5.59 | 4.66 | 34.18 | 15.66 | 13.27 | 7.56 | 10.84 | 42.71 | 17.43 |
| Brentford East | 8692 | 3647 | 45.32 | 16.91 | 6.05 | 2.51 | 5.91 | 15.23 | 31.4 | 15.81 | 20.39 | 1.76 | 3.85 | 39.75 | 25.85 |
| Hanworth Village | 16265 | 5659 | 38.17 | 24.57 | 9.02 | 5.54 | 7.63 | 9.18 | 41.36 | 12.84 | 18.12 | 2.86 | 5.48 | 42.19 | 23.52 |
| Brentford West | 7879 | 3365 | 39.13 | 12.3 | 4.49 | 2.45 | 4.16 | 8.54 | 43.89 | 19.15 | 12.2 | 1.41 | 2.26 | 45.03 | 30.02 |
| Syon & Brentford Lock | 12948 | 5366 | 42.74 | 20.06 | 8.76 | 3.69 | 5.58 | 7.98 | 37.84 | 17.01 | 16.2 | 1.66 | 5.56 | 40.35 | 27.34 |
| Chiswick Homefields | 13740 | 5815 | 38.78 | 9.37 | 3.43 | 1.01 | 2.85 | 5.48 | 50.63 | 20.15 | 6.08 | 0.71 | 1.48 | 46.86 | 33.87 |
| Isleworth | 13799 | 5453 | 38.28 | 18.07 | 7.37 | 3.2 | 5.61 | 11.18 | 42.62 | 14.74 | 15.72 | 2.15 | 4.31 | 42.76 | 26.23 |
| Chiswick Riverside | 10301 | 4459 | 38.04 | 9.66 | 4.02 | 1.14 | 3.06 | 4.52 | 50.29 | 19.69 | 7.38 | 0.88 | 2.08 | 41.74 | 37.67 |

## 7. GP networks and practices (January to March 2026)

All 42 practices located in Hounslow: MMR second dose at 5 = 69.7% of 810 children; MMR first dose at 2 = 79.9% of 854 children.

| GP network | Practices | Children due at 5 | Children due at 2 | MMR2 at 5 (%) | MMR1 at 2 (%) |
| --- | ---: | ---: | ---: | ---: | ---: |
| Feltham and Bedfont | 12 | 216 | 191 | 63.9 | 75.4 |
| Brentworth | 6 | 110 | 126 | 65.5 | 74.6 |
| Hounslow Health | 10 | 222 | 213 | 68 | 84.5 |
| Great West Road | 8 | 169 | 210 | 74 | 82.4 |
| Chiswick | 6 | 93 | 114 | 85 | 79.8 |

### Practice coverage against ward scores

| Ward score of the practice location | Rank correlation with MMR2 at 5 | p value | Practices |
| --- | ---: | ---: | ---: |
| Housing pressure | 0.01 | 0.93 | 42 |
| Household deprivation | -0.29 | 0.062 | 42 |
| Newcomers | -0.02 | 0.879 | 42 |
| Asian ethnic group | -0.13 | 0.429 | 42 |

### Practices, lowest MMR2 at 5 first

One quarter with small numbers per practice. A low figure can mean children are unvaccinated, or vaccinated but not recorded.

| Code | Practice | Network | Ward | Postcode | Due at 5 | MMR2 at 5 (%) | Pre-school booster at 5 (%) | Due at 2 | MMR1 at 2 (%) | Due at 1 | 6-in-1 at 1 (%) |
| --- | --- | --- | --- | --- | ---: | ---: | ---: | ---: | ---: | --- | ---: |
| E85708 | Gill Medical Practice | Feltham and Bedfont | Feltham North | TW14 0AB | 31 | 29 | 41.9 | 19 | 73.7 | 20 | 90 |
| E85004 | Albany Practice | Brentworth | Syon & Brentford Lock | TW8 8DS | 15 | 46.7 | 40 | 17 | 52.9 | 20 | 80 |
| E85735 | Brentford Family Practice | Brentworth | Syon & Brentford Lock | TW8 8DS | 27 | 48.1 | 48.1 | 21 | 57.1 | 21 | 61.9 |
| E85058 | Blue Wing Family Doctor Unit | Hounslow Health | Hounslow West | TW3 3LN | 19 | 52.6 | 47.4 | 10 | 70 | 18 | 83.3 |
| Y02671 | The Practice Heart Of Hounslow | Hounslow Health | Hounslow West | TW3 3LN | 42 | 57.1 | 71.4 | 50 | 80 | 47 | 87.2 |
| E85605 | Brentford Group Practice | Brentworth | Syon & Brentford Lock | TW8 8DS | 21 | 57.1 | 61.9 | 27 | 70.4 | 13 | 76.9 |
| E85600 | Willow Practice | Hounslow Health | Hounslow South | TW3 2DY | 15 | 60 | 66.7 | 14 | 78.6 | 26 | 84.6 |
| E85736 | Little Park Surgery | Feltham and Bedfont | Hanworth Village | TW13 5JG | 13 | 61.5 | 46.2 | 17 | 76.5 | 24 | 87.5 |
| E85734 | Queens Park Medical Practice | Feltham and Bedfont | Feltham West | TW13 4GU | 8 | 62.5 | 62.5 | 12 | 50 | 14 | 85.7 |
| E85015 | Hounslow Medical Centre | Hounslow Health | Hounslow West | TW3 3ET | 30 | 63.3 | 66.7 | 25 | 80 | 17 | 88.2 |
| E85035 | Mount Medical Centre | Feltham and Bedfont | Hanworth Village | TW13 6AJ | 25 | 64 | 72 | 19 | 78.9 | 17 | 94.1 |
| E85056 | St Davids Practice | Feltham and Bedfont | Feltham West | TW13 4GU | 14 | 64.3 | 64.3 | 11 | 100 | 12 | 91.7 |
| Y02672 | The Practice Feltham | Feltham and Bedfont | Feltham West | TW13 4GU | 45 | 64.4 | 71.1 | 33 | 75.8 | 39 | 84.6 |
| E85739 | HMC Health Heston Great West | Great West Road | Heston West | TW5 9ER | 39 | 66.7 | 56.4 | 33 | 66.7 | 20 | 65 |
| E85024 | Carlton Surgery | Feltham and Bedfont | Feltham North | TW14 0AX | 13 | 69.2 | 61.5 | 10 | 70 | 11 | 100 |
| E85716 | Bath Road Surgery | Hounslow Health | Hounslow West | TW3 3ET | 33 | 69.7 | 66.7 | 37 | 86.5 | 43 | 90.7 |
| E85681 | Jersey Practice | Great West Road | Heston West | TW5 9ER | 17 | 70.6 | 70.6 | 21 | 90.5 | 23 | 91.3 |
| E85699 | Grove Village Medical Centre | Feltham and Bedfont | Bedfont | TW14 8SN | 18 | 72.2 | 72.2 | 17 | 82.4 | 13 | 84.6 |
| E85697 | Greenbrook Bedfont | Feltham and Bedfont | Bedfont | TW14 8AG | 18 | 72.2 | 83.3 | 13 | 69.2 | 6 | 100 |
| E85707 | Skyways Medical Centre | Great West Road | Heston West | TW5 9BJ | 11 | 72.7 | 54.5 | 21 | 85.7 | 21 | 95.2 |
| E85062 | HIYOS | Great West Road | Hounslow Central | TW3 1NL | 44 | 72.7 | 72.7 | 46 | 87 | 40 | 95 |
| E85052 | Cranford Medical Centre | Great West Road | Cranford | TW5 9RG | 20 | 75 | 80 | 30 | 76.7 | 15 | 80 |
| E85713 | Hounslow Family Practice | Hounslow Health | Hounslow Central | TW3 4JX | 12 | 75 | 66.7 | 11 | 100 | 22 | 95.5 |
| E85113 | Redwood Practice | Hounslow Health | Hounslow South | TW3 2DY | 17 | 76.5 | 76.5 | 12 | 83.3 | 15 | 80 |
| E85114 | Crosslands Surgery | Great West Road | Heston East | UB2 5QY | 13 | 76.9 | 76.9 | 24 | 79.2 | 26 | 88.5 |
| E85040 | West4 GPs | Chiswick | Chiswick Gunnersbury | W4 1RX | 9 | 77.8 | 77.8 | 17 | 88.2 | 9 | 77.8 |
| E85746 | Grove Park Terrace Surgery | Chiswick | Chiswick Riverside | W4 3JL | 10 | 80 | 90 | 5 | 80 | 6 | 83.3 |
| E85750 | Spring Grove Medical Practice | Brentworth | Osterley & Spring Grove | TW7 4HG | 10 | 80 | 80 | 14 | 71.4 | 12 | 100 |
| E85744 | The Isleworth Practice | Brentworth | Isleworth | TW7 7DJ | 21 | 81 | 81 | 21 | 85.7 | 15 | 86.7 |
| E85115 | Pentelow Practice | Feltham and Bedfont | Bedfont | TW14 9EF | 16 | 81.2 | 81.2 | 18 | 72.2 | 9 | 100 |
| E85059 | Chestnut Practice | Hounslow Health | Hounslow West | TW3 3LN | 16 | 81.2 | 75 | 15 | 80 | 10 | 90 |
| E85126 | Green Practice | Hounslow Health | Hounslow West | TW3 3LN | 27 | 81.5 | 81.5 | 25 | 92 | 30 | 96.7 |
| E85030 | Chiswick Health Practice | Chiswick | Chiswick Gunnersbury | W4 1RX | 11 | 81.8 | 100 | 15 | 86.7 | 22 | 95.5 |
| E85060 | Kingfisher Practice | Hounslow Health | Hounslow South | TW3 2DY | 11 | 81.8 | 81.8 | 14 | 100 | 13 | 100 |
| E85658 | Holly Road Medical Centre | Chiswick | Chiswick Gunnersbury | W4 1NU | 12 | 83.3 | 91.7 | 7 | 71.4 | under 5 | 100 |
| E85096 | Medical Centre | Great West Road | Hounslow Central | TW3 1NU | 6 | 83.3 | 66.7 | 14 | 85.7 | 7 | 100 |
| E85683 | Glebe Street Surgery | Chiswick | Chiswick Gunnersbury | W4 2BD | 8 | 87.5 | 87.5 | 8 | 87.5 | under 5 | 100 |
| E85693 | Chiswick Medical Practice | Chiswick | Chiswick Homefields | W4 3ET | 43 | 88.4 | 88.4 | 62 | 75.8 | 49 | 85.7 |
| E85696 | Clifford Road Surgery | Great West Road | Cranford | TW4 7LR | 19 | 89.5 | 94.7 | 21 | 95.2 | 19 | 100 |
| E85718 | Hatton Medical Practice | Feltham and Bedfont | Bedfont | TW14 9PY | 10 | 90 | 80 | 15 | 73.3 | 13 | 92.3 |
| E85001 | Thornbury Road Centre For Health | Brentworth | Osterley & Spring Grove | TW7 4HQ | 16 | 93.8 | 75 | 26 | 100 | 22 | 95.5 |
| E85071 | Clifford House Medical Centre | Feltham and Bedfont | Hanworth Park | TW13 5AD | 5 | 100 | 60 | 7 | 85.7 | under 5 | 100 |

## 8. Who needs to act

### Hounslow Council (biggest lever)

- Explain each "No" given to the Children's Commissioner and correct any that are wrong.
- Plan services that are really missing: youth hubs and clubs, targeted youth groups (low-income families, LGBTQ+, SEND, young carers), bereavement support, child domestic and sexual violence advisers, a Children in Care Council.
- Raise youth services spending, about half the London median per young person.

### NHS North West London and GP practices

- Target call and recall at the practices with the lowest MMR and pre-school booster rates, mainly in the Brentworth and Feltham and Bedfont networks.
- Clean practice lists and record vaccines given abroad.
- Lift HPV and teenage booster uptake through the school-age immunisation service.
- Find out why so many children say they lack good healthcare.

### Council public health and health visiting

- Raise the share of children getting their 2 to 2 and a half year review.
- Use the review to check and catch up vaccinations.
- Work with maternity services on low birthweight.

### NW London Child Death Overview Panel

- Publish a multi-year picture of child deaths in Hounslow and its findings.

### Council housing and private sector housing

- Focus HMO licensing checks and overcrowding enforcement on Hounslow Central, Hounslow West, Hounslow Heath and Cranford.
- Act on children saying they lack somewhere to call home.

### Schools and the safeguarding partnership

- Online safety.
- Breakfast clubs and wraparound childcare.
- Build on strengths: GCSE results, low NEET, children enjoying school and trusting teachers.

## 9. Method and caveats

Scores, values and ranks come from the Children's Commissioner's full Childhood Lottery dataset. Totals exclude Isles of Scilly, City of London, Bury and Nottinghamshire, as the Commissioner does. London averages use 32 boroughs, excluding the City of London.

GP practice vaccination comes from UKHSA's supplementary COVER GP-level tables for January to March 2026, which UKHSA publishes as management information to be used with caution. Practices were placed in wards by their postcode (NHS ODS, postcodes.io). Patients often live in neighbouring wards.

Ward profiles use Census 2021 (ONS Nomis, 2022 wards) and Hounslow Council's register of licensed HMOs, matched to 2022 wards by postcode (1,400 of 1,403 records matched). The register shows only licensed HMOs.

Within Hounslow, housing pressure, newcomer share and ethnic mix move together very closely across wards, so ward data alone cannot separate them. All patterns are for areas, not individuals, and none says anything about any community's attitudes.

"Who acts" is Claude's assignment of responsibility, not part of the Commissioner's dataset.

## 10. Unscored context metrics

| Metric | Theme | Hounslow | Unit | England average | London median | Rank | Source | Year |
| --- | --- | --- | --- | ---: | ---: | ---: | --- | --- |
| Access to green spaces within 15 minutes | Better world | 56.8 | Percentage | 68 | 57.8 | 120 | Defra | 2025 |
| Access to parks and play areas | Better world | 23.4 | Rate per 10,000 children (0 to 17) | 37 | 22.1 | 109 | ONS | 2024 |
| Access to public transport | Better world | 4.25 | Indexed score | 24 | 4.25 | 21 | Children's Commissioner |  |
| Identification of young carers | Family | 0.59 | Percentage | 1.1 | 0.455 | 91 | DfE | 2025/26 |
| Level of family support services funding | Family | 10 | Percentage | 7.6 | 5.8 | 34 | DfE | 2024-25 |
| Access to family hubs | Family |  | Local authority response |  |  |  | Children's Commissioner | 2025 |
| Access to children's centres | Family | No | Local authority response |  |  |  | Children's Commissioner | 2025 |
| Low birthweight | Health | 8.6 | Percentage | 7 | 7.75 | 131 | ONS | 2025 |
| Children in substance misuse treatment (age 14 to 17) | Health | 4.6 | Rate per 1,000 children | 5.8 | 4.6 | 64 | OHID | 2024-25 |
| Children with disabilities and health needs: DLA statistics | Health | 574 | Rate per 10,000 children (0 to 17) | 721 | 580 | 129 | DWP | 2025 |
| Children with disabilities and health needs: LA spending | Health | 0.5 | Percentage | 2.6 | 2.5 | 145 | DfE | 2024-25 |
| Health Visitor (age 0 to 5) caseload | Health | 2.5 | Rate per 1,000 children | 3.1 | 2.3 | 96 | Children's Commissioner | 2025 |
| School Nurse (age 5 to 19) workforce | Health | 2 | Rate per 10,000 children | 3.2 | 3.7 | 112 | Children's Commissioner | 2025 |
| Children with disabilities and health needs: Children's Disability Register | Health | 1.38 | Percentage | 1.2 | 1.16 | 67 | Children's Commissioner | 2025 |
| Electively home education children (EHE) | Education | 2 | Percentage | 2 | 1.4 | 67 | DfE | 2024/25 |
| Level of SEN support in mainstream schools | Education | 14.7 | Percentage | 13.6 | 13.6 | 77 | DfE | 2025/26 |
| Percentage of Education, Health and Care Plans (EHCPs) in mainstream education | Education | 55.8 | Percentage | 58 | 61.95 | 92 | DfE | 2025/26 |
| Participation in Applied General courses | Education | 20.2 | Percentage | 22 | 20.4 | 95 | DfE | 2024/25 |
| Participation in Apprenticeships (under 19s) | Education | 8.8 | Percentage | 14.9 | 7.45 | 132 | DfE | 2025/26 |
| Children who do not feel they know about apprenticeships, university options and career paths | Education | 16.4 | Percentage | 13 | 13.35 |  | Children's Commissioner | 2024 |
| Participation in T level courses | Education | 3 | Percentage | 4.3 | 2.7 | 102 | DfE | 2024/25 |
| Children in Need | Care | 235 | Rate per 10,000 children (0 to 17) | 153 | 366 | 138 | DfE | 2025 |
| Children on Child Protection Plans | Care | 27 | Rate per 10,000 children (0 to 17) | 44 | 35.5 | 137 | DfE | 2025 |
| Looked After Children | Care | 39 | Rate per 10,000 children (0 to 17) | 73 | 47 | 136 | DfE | 2025 |
| Proportion of unknown or unreported distance in children social care placements | Care | 21.7 | Percentage | 8.9 | 12.15 | 144 | DfE | 2025 |
| Number of unaccompanied asylum seeking children | Care | 20.9 | Percentage | 8 | 12 | 6 | DfE | 2025 |
| Social worker caseload | Care | 13.9 | Average caseload per social worker | 15.2 | 13.9 | 115 | DfE | 2025 |
| Social worker turnover | Care | 23.6 | Turnover rate | 11.8 | 24.15 | 54 | DfE | 2025 |
| Looked after children's average Attainment 8 score | Care | 18.6 | Average score | 17.3 | 19.1 | 57 | DfE |  |
| Number of care leavers (17 to 21) | Care | 23 | Rate per 1,000 (17 to 21) | 17 | 17 | 15 | DfE | 2025 |
| Number of care leavers (22 to 25) | Care | 17 | Rate per 1,000 (22 to 25) | 16 | 16 | 54 | DfE | 2025 |
| Access to a child contact centre | Care | No | Local authority response |  |  |  | Children's Commissioner | 2025 |

## Sources

- [Children's Commissioner: The Childhood Lottery](https://www.childrenscommissioner.gov.uk/the-childhood-lottery/)
- [The Childhood Lottery full dataset (xlsx)](https://assets.childrenscommissioner.gov.uk/wpuploads/2026/10/The-Childhood-Lottery-full-dataset.xlsx)
- [The Childhood Lottery report (PDF)](https://assets.childrenscommissioner.gov.uk/wpuploads/2026/10/The-Childhood-Lottery-Report.pdf)
- [The Childhood Lottery evidence annex (PDF)](https://assets.childrenscommissioner.gov.uk/wpuploads/2026/10/The-Childhood-Lottery-evidence-annex.pdf)
- [UKHSA COVER programme 2025 to 2026 quarterly data (GP-level tables)](https://www.gov.uk/government/statistics/cover-of-vaccination-evaluated-rapidly-cover-programme-2025-to-2026-quarterly-data)
- [ONS Census 2021 via Nomis (TS003, TS004, TS011, TS016, TS021, TS029, TS030, TS044, TS052, TS054)](https://www.nomisweb.co.uk/)
- [Hounslow Council register of licensed HMOs](https://data.hounslow.gov.uk/london-borough-of-hounslow/register-of-licensed-hmos)
- [NHS Organisation Data Service (practice postcodes)](https://directory.spineservices.nhs.uk/)
- [postcodes.io (postcode to ward)](https://postcodes.io/)
- [Hounslow Educational Psychology Service](https://www.hounslow.gov.uk/info/20025/schools_and_colleges/1863/educational_psychology_service)
- [Hounslow local offer: young carers](https://fsd.hounslow.gov.uk/SynergyWeb/local_offer/young_carers.aspx)
- [NHS England London report on immunisations (Hackney scrutiny papers)](https://hackney.moderngov.co.uk/documents/s63012/Item%207%20NHSEL%20report%20on%20Immunisations.pdf)