Life as a league table bottom dweller: teenage pregnancy in Lambeth.

In mid-2004, the lead for tackling teenage pregnancy in Lambeth moved from the Council to Public Health in the coterminous Primary Care Trust. Lambeth is a deprived inner-city London borough with a culturally rich and diverse population. The under-18 teenage conception rate had risen by 19% over the 5-year period (1998-2003) following the launch of the National Teenage Pregnancy Strategy. There was considerable pressure from local and national agencies to reduce this high rate (then standing at twice the English average). This article describes how we attempted to do this.