Barking and Dagenham (B&D) is a rapidly growing Outer London borough with a population of approximately 229,000, projected to increase by 18.5% by 2035. As one of England's most deprived areas, it faces significant health inequalities including poor Healthy Life Expectancy and poor health literacy. Barking and Dagenham has the second highest rate of long-term conditions when compared to its peer boroughs, in those aged 20 – 64. 

B&D was chosen as a NNHIP pilot site, due to its many good examples of innovative, community-led approaches, strong partnerships and alignment with tackling inequalities building on 5+ years of local work, of wellbeing initiatives towards prevention and community-based support.   

B&D is taking a whole system approach to neighbourhood health, placing residents and communities at the centre. This will enable the development of a holistic, relational model of care with residents that includes a focus on the social determinants of health.  

Working across four neighbourhoods, INTs are taking a population management approach to mobilising teams around adults (18-64) with two to four long term conditions and rising need. This is being supported by the development of an outcomes framework for the prevention and management of long-term conditions.