Determinant-to-Outcome Pathway

Viewing pathway for · London

▾

Mapping structural and environmental health determinants to downstream acute healthcare utilisation in .

Select Pathway Model:

Illustrative example — the four-stage pathway below uses fixed example figures to show how a determinant chain reads end to end. It does not yet recompute for the selected area. The correlation panels above are live data.

Stage 1: Root Determinant

Poor Housing & Air Quality

Overcrowded Housing

25.3%+14.1 vs Lon

PM2.5 Exposure

13.1µg/m³

Stage 2: Elevated Risk

Respiratory Vulnerability

Air Quality Rank

3rd Highest (Lon)

High particulate exposure combined with indoor mould and crowding significantly elevates pulmonary triggers, especially in pediatrics.

Stage 3: Health Outcome

Childhood Asthma Prevalence

QOF Diagnosis Rate (0-15y)

12.4%

London Avg: 8.9%

⚠ Statistically significant variance

Stage 4: System Impact

Acute A&E Admissions

Asthma-related A&E (Under 19)

312/ 100k

Lon

+40% System Loading

Cost of Intervention Context

This pathway view provides ICS Strategists the statistical narrative required to fund upstream preventative measures over downstream acute care. In the borough of , reducing Overcrowded Housing and PM2.5 Exposure by 10% models an estimated £4.2M reduction in Stage 4 acute asthma admission costs over a 5-year longitudinal period.