A west London borough has been named the second worst place to grow up in England.

Hounslow came just shy of last place in a new report released by the Children’s Commissioner on Monday.

The report- named the Childhood Lottery and commissioned by Dame Rachel De Souza - examined the “enormous disparities” between areas in England.

More than 160 metrics, from children trapped in hospitals to education and access to healthcare, were examined to paint a picture of the challenges faced by young people in every corner of the country.

Only Middlesborough scored lower than the west London borough. Bradford, Nottingham, Halton, Peterborough, Leicester, Liverpool, Sunderland and Medway made up the rest of the most challenging places to grow up.

Hounslow was one of the local authorities where young people had little to no access to youth clubs and hubs, and where only 71% of children had their vaccinations.

This is a wider trend across London where boroughs make up all ten of the local areas with the lowest vaccination rates.

Barking and Dagenham was also flagged in the report as being in the bottom 10 for access to good healthcare. The north London borough also has one of the lowest levels of school nurse staffing, with just 1.1 FTE school nurse for every 10,000 children, placing it 6th lowest in the country.

Meanwhile, Hackney was among 25 areas where fewer than half of children saw a dentist.

Child poverty also varied from around the capital. In Richmond upon Thames, just 10.6% of children are living in poverty, compared to 50.3% on the other side of London in Tower Hamlets.

Neighbouring boroughs too faced disparities. While 52% of schools in Tower Hamlets offer free food, just a stone’s throw away in Hackney - only 37% of schools offer the same service. In both boroughs, it is estimated that around half of all children live in poverty.

There was some good news for London as three boroughs made it into the top ten list.

Merton in south-west London came in second for the least challenging place to grow up, followed by Richmond upon Thames in fourth and Haringey in seventh.

Less than 1% of children in Merton felt they did not have access to good healthcare, compared to 19.6% in Hartlepool. More than 94% of children in the borough also had access to breakfast provisions.

Academically, 70% of children in Richmond upon Thames receive a good pass (5 or better) in their English and Maths GCSEs - compared to just 31% in Knowsley. The borough also has one of lowest poverty rates at just 10.6% of children in the borough.

Whilst the results are closely related to poverty, Haringey was one of the outliers. Despite being one of the poorest areas, it still ranked in the top ten.

Cheshire East took the top spot for the least challenging place to grow up, while Surrey, Hertfordshire, Cheshire West and Chester, Leicestershire, Central Bedfordshire, and Wokingham comprised the other best places to grow up in England.

The local authorities were ranked across varying metrics, which were then combined to generate a total overall score out of 960.

These included whether children had access to vaccinations, youth clubs, mental health services, career options, and targeted educational support.

The report also analysed interactions with crime, for example the likelihood of being stopped and searched, and access to support for children at risk of criminal exploitation.

It comes as Andy Burnham pledges to devolve power out of Westminster in a bid to bridge the North-South divide.

However, the report shows that the toughest places to grow up exist all over the country, ranging from Bradford to Somerset, to Birmingham, and Liverpool.

Dame De Souza does believe however that devolution will present an opportunity to solve the hardships of children who grow up in difficult places.

She said: “Devolution represents a chance to solve this. If it is truly a project to rewire the state, there may not be an opportunity so significant in a decade or more.

Giving power to local decision makers should lead to more responsive public services.

“This data shows that no two areas are the same. Local policy makers and those delivering services must be able to react to the challenges their children face to improve their lives. For that to work, mayors and local decision makers must be given the right tools to improve children’s lives including access to centrally held data, funding to accompany new responsibilities and clearly defined minimum standards.”