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Health Equity in England: The Marmot Review 10 Years On.

Updated: Mar 16, 2020

" Last year we pointed out that life expectancy had stopped increasing." - Sir Michael Marmot.

Ten years since the publication of The Marmot Review - 'Fair Society, Healthy Lives, for the first time in more than 100 years life expectancy has failed to increase across the country, and for the poorest 10% of women it has actually declined. Over the last decade health inequalities have widened overall, and the amount of time people spend in poor health has increased since 2010.

#Marmot2020 confirms an increase in the north/south health gap, where the largest decreases were seen in the most deprived 10% of neighbourhoods in the North East, and the largest increases in the least deprived 10% of neighbourhoods in London.

  • The more deprived the area, the shorter the life expectancy. This social gradient has become steeper over the last decade, and it is women in the most deprived 10% of areas for whom life expectancy fell from 2010-12 and 2016-18.

  • There are marked regional differences in life expectancy, particularly among people living in more deprived areas.

  • Mortality rates are increasing for men and women aged 45-49 – perhaps related to so-called ‘deaths of despair’ (suicide, drugs and alcohol abuse) as seen in the USA.

  • Child poverty has increased (22% compared to Europe’s lowest of 10% in Norway, Iceland and The Netherlands); children’s and youth centres have closed; funding for education is down.

  • There is a housing crisis and a rise in homelessness; people have insufficient money to lead a healthy life; and there are more ignored communities with poor conditions and little reason for hope.

Click the links below for further information.

Health Equity In England: The Marmot Review 10 Years On.

Coventry Marmot City Evaluation 2020

Greater Manchester Evaluation 2020

Fair Society Healthy Lives - The Marmot Review 2010

The 'Marmot Review 10 Years On' was commissioned by the Health Foundation.

Information sourced from


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