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<p>Population health trends in North Central London (NCL), including historic birth
rates and the future projected population size, have informed proposals to improve
maternity and neonatal services included in the NCL Integrated Care System’s (ICS)
Start Well programme.</p><p>Modelling to inform the proposals included in the NCL
Start Well programme has considered changing population demographics. This has included
looking at changes to the size and birth rate of the populations living in NCL, as
well as the complexity of births, which has included looking at factors such as caesarean
rates.</p><p>The Department, along with NHS England, recognises that the foundations
of lifelong health are built during pregnancy, at birth, and in childhood. This is
why the NCL ICS’s Start Well programme has taken a population health approach, looking
at data relating to ethnicity and deprivation, and impact on maternity outcomes across
all units in NCL, including the Royal Free Hospital.</p>
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