The growth of cit ies increases urban surface areas and anthropogenic heat generation, causing an Urban Heat Island (UHI) effect. In the UK , UHI effects may cause positive (winter) and negative (summer) health , comfort and energy consumption consequences . With the increasing focus on climate change - related heat exposure and consequent increased mortality risk, there is a need to better investigate the UHI during hot seasons. This paper reviews the current literature regarding UHI characterisation using monitoring, modelling, and remote sensing approaches, their limitations, and applications in building simulation and population heat exposure models . Ongoing and future research is briefly introduced in which downscaling techniques are proposed that provide higher temporal and spatial information to assess and locate heat - associated health risk in London