- This review looks at the problems faced by the 3,000 - 5,000 young people leaving care in London each year. Physical health is poor, with high levels of substance abuse, mental health problems are widespread, and the rate of teenage pregnancy is much higher than in the general population. Unhealthy lifestyles are common, and care leavers who came to this country as unaccompanied asylum seekers face additional health problems. Views of the young people in question are considered, as well as the policy and practical responses to the health needs of this group. The review recommends that the Fund and the Oak Foundation consider developing a programme in London to address an aspect of the health needs of care leavers; that a partnership should be sought with one or more statutory or voluntary agency to deliver this programme; that a panel of young people who have been in care should be commissioned to assist with project design and development; and that the review itself should be discussed with an invited group of voluntary and statutory agencies from London and beyond.