Connect with us

Published

on

On 5 July 1948, the UK’s Health Secretary Aneurin Bevan officially started the NHS, back then a unique experiment to provide universal healthcare free at the point of use.

Seventy-five years on that ambition largely remains, enshrined in the 2011 NHS Constitution of guiding principles and pledges to the public.

But the reality is different, with data revealing access to healthcare is getting worse, inequalities are growing, and stark differences across the country are leaving large sections of the population behind.

Your address, your ethnicity, your gender, and above all else your socio-economic status are strongly tied to how long and healthy your life will be.

Average life expectancies in the UK have been increasing over time. They fell in 2020 following COVID, however progress had already started to slow before the pandemic.

Life expectancy is closely linked to poverty – more socially deprived people have lower life expectancies than those better off than them. This is called the social gradient.

This gap has widened has widened since 2013: by 0.7 years for men and 1.1 years for women.

Different areas of the country have large differences in life expectancy.

Red
areas have low life expectancies, while blue
areas have above average life expectancies.

Men in Knightsbridge, a very wealthy part of London, have an average life expectancy of 94.1 years – the highest in the country – living nearly 15 years longer than the average male.

Nearby in Westbourne, the average male life expectancy is nearly ten years less at 75.9 years.

Deaths from circulatory diseases and stroke are high in this area.

At just 66.6 years South Promenade in Blackpool has the lowest life expectancy for men in England.

Deaths from respiratory disease are high, at more than twice the rate in the average population.

Explore your area in the map below:

Postcode lottery – a north-south divide?

One of the places this gap between rich and poor is most pronounced is on The Wirral, which is home to both Birkenhead, an extremely deprived area with one of the lowest life expectancies, and Gayton, an affluent area with above average health.

Dr Laxman Ariaraj, a GP at Fender Way Health Centre who has been working in the Birkenhead area for 20 years, has witnessed health inequalities widen there over time.

He said: “Certainly access has become more difficult over that time, which would probably widen those wider determinants of health.

“The sheer volume of the people that we need to see is going to impact the amount of time we can spend doing things proactively.

“On a positive note, I think we’ve become more aware of it and that gives us an opportunity to try and do something about it.”

The government has committed to cutting NHS waiting lists, however across the country little progress has been made. The North West, where Birkenhead is located, is the worst affected region with the longest waits.

The NHS operational target is that 92% of people should be treated within 18 weeks following referral by a consultant. However, two fifths of the current 7.4 million waitlist for treatments have been waiting for longer.

The North West has experienced the biggest increase in waits in England, from 13% on the list more than four months in April 2019 (around average compared to other areas), up to 46.1% in the latest data for April 2023.

Overall, the waiting list has increased by more than three million from 4,315,000 in April 2019. At that time 87% of would-be patients had been waiting less than 18 weeks.

The situation in the north generally and the North West in particular is of even more concern given the health inequalities that already exist here.

There are some extremely disadvantaged neighbourhoods with higher levels of deprivation than in any areas of the country, such as Blackpool, and this plays a big part in poor health outcomes.

However, this doesn’t fully explain the health gap with other areas. At any cross section, London tends to have higher life expectancies, even though the areas are of similar socio-economic status:

There is no settled explanation for the phenomenon, but Dr Bola Owolabi, a GP in the Midlands and director of Health Inequalities at NHS England told Sky News that this may partly be explained by communities who are harder to track in official metrics.

Dr Owolabi said: “We recognise that there are other drivers beyond simply using the Index of Multiple Deprivation.

“For example, people experiencing homelessness or rough sleeping, and migrant communities may not show up in the data.”

Deprived areas have less access to resources

The current NHS crisis and treatment backlog affects everyone, but it may not be affecting everyone equally.

Analysis by The Health Foundation has shown a decrease in the proportion of people admitted to hospital after presenting at A&E due to bed rationing.

The most significant drop in emergency admissions was seen among people living in the most deprived areas, by 80,000 between 2019 and 2022. This was more than twice as much as the 35,000 decrease for those living in the least deprived areas.

Although the total number of days patients spent in hospital increased in most areas, it decreased for patients in the most deprived areas.

Patients in the most deprived areas in the country had 107,000 fewer days in hospital beds in 2022 compared to 2019. The net increase in bed days for emergency admissions was 329,000.

The challenge of training and retaining enough doctors and other healthcare staff to plug vacancies has also been a major challenge for the NHS in recent years to meet the needs of a growing and ageing population.

But more deprived areas have additional challenges with recruitment.

Sky News analysis has found that the local GP for someone living in one of England’s most deprived areas has, on average, a 61% higher patient workload than the average local GP for residents of the country’s wealthiest areas.

This gap has increased slightly since 2015, when it stood at 59%. That’s despite the government’s efforts to incentivise trainees to take up posts in under-served areas.

“The pressure on the NHS is potentially damaging the health of poorer people.”

The Marmot Review on health inequalities, first published in 2010 with a ten year follow up in 2020, concluded that inequalities in health and life expectancy result from social issues including employment, housing and deprivation.

Professor Sir Michael Marmot, director of The UCL Institute of Health Equity, told Sky News: “I’ve been saying for a long time that given the equity of access in the NHS, it’s highly unlikely that difficulties of access to treatment are playing a big role in the inequalities in health. I may need to modify that conclusion in the light of recent history.

“You’ve got it both ways: that the pressure on the NHS is potentially damaging the health of poorer people. And that the poor health of poorer people – because of social and economic inequalities in society – is potentially putting unbearable burden on the NHS.”

Ethnicity based inequalities

People from ethnic minority backgrounds tend to be disproportionately affected by deprivation.

Data from Ministry of Housing, Communities & Local Government suggests that ethnic minorities are far more likely to live in the most deprived 10% of neighbourhoods. 

They are also more likely to live in overcrowded conditions and low-income households – defined as living on less than 60% of the average net disposable household income. 

According to data from the latest census, more than a fifth of people from Asian backgrounds live in overcrowded conditions (having less than the required number of bedrooms).

People from black backgrounds are 6 times more likely to be living in overcrowded households than white people. 

Access to primary care health services is generally equitable for ethnic minority groups.  

However, people from ethnic minority groups are more likely to report being in poorer health and have higher mortality rates.

Research from the Health Foundation’s REAL Centre suggests that individuals from South Asian backgrounds, particularly Bangladeshi and Pakistani, have higher incidences of diagnosed chronic pain, diabetes, and cardiovascular disease.  

The prevalence of diagnosed chronic pain is around three fifths higher among Bangladeshi and Pakistani individuals compared to white individuals.

People from black African ethnicities also have a higher prevalence of chronic pain. 

Chronic pain among other conditions is also prevalent in deprived neighbourhoods. The prevalence of diagnosed chronic pain is more than double in the most deprived neighbourhoods compared to the least deprived neighbourhoods. 

However, cancer is more prevalent for people from white backgrounds and almost double than for people from South Asian backgrounds.

Hope for addressing health inequalities

The National Healthcare Inequalities Improvement Programme was set up in 2021 to tackle healthcare inequalities and ensure equitable access to healthcare and it does provide some hope for tackling health inequalities.

The programme works to deliver projects and services targeted at people living in the most deprived areas in England and others who are disadvantaged.

This includes improving access to digital services and helping people gain employment.

Dr Owolabi said: “The NHS, as a commissioner, and provider of services, is able to materially influence health inequalities.”

Many cities have decided to focus extensively on implementing the policy changes envisaged by Marmot in his review.

These cities have been named ‘Marmot cities’ and have seen significant improvement in health inequalities.

There may be some early signs of success with the programme. Coventry was one of the first of these cities to adopt Marmot principles, and in the time since, Professor Marmot says: “The percentage of children aged five with a good level of development went up…

“The percentage of 18 to 24 year olds not in employment, education or training went up. And the proportion of people earning a real living wage went up.”

Sky News has contacted the Department of Health and Social Care for a response to our findings.


The Data and Forensics team is a multi-skilled unit dedicated to providing transparent journalism from Sky News. We gather, analyse and visualise data to tell data-driven stories. We combine traditional reporting skills with advanced analysis of satellite images, social media and other open source information. Through multimedia storytelling we aim to better explain the world while also showing how our journalism is done.

Continue Reading

UK

Prince Harry visits war victims in Ukraine

Published

on

By

Prince Harry visits war victims in Ukraine

Prince Harry has visited war victims in Ukraine as part of his work with wounded veterans, a spokesperson has said.

The Duke of Sussex was in central London this week for a Court of Appeal hearing over his security arrangements in the UK.

The visit on Thursday to Lviv in western Ukraine, which has frequently been targeted with Russian missiles, was not announced until after he was out of the country.

Prince Harry visits Superhumans Center in Lviv. Pic: Superhumans Center
Image:
Prince Harry visits Superhumans Center in Lviv. Pic: Superhumans Center

Harry, who served 10 years in the British Army, visited the Superhumans Center, an orthopaedic clinic in Lviv that treats and rehabilitates wounded military personnel and civilians.

The prince, 40, was accompanied by a contingent from his Invictus Games Foundation, including four veterans who have been through similar rehabilitation experiences.

Prince Harry visits Superhumans Center in Lviv, Pic: Superhumans Center
Image:
Harry at the rehabilitation centre in Lviv on Thursday. Pic: Superhumans Center

A spokesperson for the Duke of Sussex said Harry had been invited by the centre’s CEO, Olga Rudneva, a year ago, and at the Invictus Games Vancouver Whistler 2025, which took place in February.

Harry travelled to the centre, which offers prosthetics, reconstructive surgery and psychological help free of charge, to see first-hand the support they provide at an active time of war.

More on Prince Harry

Prince Harry visits Superhumans Center in Lviv, Pic: Superhumans Center
Image:
Prince Harry made an unannounced visit to Ukraine. Pic: Superhumans Center

The duke, who served two tours in Afghanistan, met patients and medical professionals while touring the centre, the spokesperson said.

During his trip to Ukraine, he also met members of the Ukrainian Invictus community, as well as Ukraine’s minister of veterans affairs, Natalia Kalmykova.

Read more from Sky News:
Helicopter crashes into Hudson River near Manhattan
‘Capitulation Day’? How Trump changed his mind on tariffs

The Duke of Sussex arrives at the Royal Courts of Justice.
Pic: PA
Image:
The Duke of Sussex was in London earlier this week.
Pic: PA

Helping wounded soldiers has been one of Harry’s most prominent causes, as he founded the Invictus Games in 2014 to offer wounded veterans the challenge of competing in sports events similar to the Paralympics.

Harry is the second member of the royal family to visit Ukraine since Russia launched a full-scale invasion of its smaller neighbour in February 2022.

His aunt, Sophie, the Duchess of Edinburgh, made an unannounced visit to Ukraine’s capital of Kyiv last year.

Continue Reading

UK

Starmer says government will fund further local grooming gangs inquiries if ‘needed’

Published

on

By

Starmer says government will fund further local grooming gangs inquiries if 'needed'

The government will fund any further local inquiries into the grooming gangs scandal that are deemed necessary, Sir Keir Starmer has said.

However, the prime minister said it is his “strong belief” that the focus must be on implementing recommendations from the Alexis Jay national review before more investigations go ahead.

Politics latest: ‘Our position hasn’t changed’ on tariffs, says minister

It follows a row over whether Labour is still committed to the five local inquiries it promised in January, after safeguarding minister Jess Phillips failed to provide an update on them in a statement to parliament hours before it closed for recess on Tuesday.

Pic: PA
Image:
Sir Keir Starmer joins police officers on patrol in Cambridgeshire. Pic: PA

Instead, Ms Phillips told MPs that local authorities will be able to access a £5m fund to support locally-led work on grooming gangs.

On Thursday morning, Home Secretary Yvette Cooper insisted the “victim-centred, locally-led inquiries” will still go ahead, while a Home Office source told Sky News more could take place in addition to the five.

Speaking to Sky News’ Rob Powell later on Thursday, Sir Keir confirmed that there could be more inquiries than those five but said the government must also “get on and implement the recommendations we’ve already got”.

More on Yvette Cooper

The prime minister said: “Of course, if there’s further local inquiries that are needed then we will put some funding behind that, and they should happen.

“But I don’t think that simply saying we need more inquiries when we haven’t even acted on the ones that we’ve had is necessarily the only way forward.”

Please use Chrome browser for a more accessible video player

Yvette Cooper speaks to Sky News

Ms Phillips’s earlier comments led to accusations that the government was diluting the importance of the local inquiries by giving councils choice over how to use the funds.

Sky News understands she was due to host a briefing with MPs this afternoon at 5pm – the second she had held in 24 hours – in an attempt to calm concern amongst her colleagues.

Review recommendations ‘sat on a shelf’

Sir Keir insisted he is not watering down his commitment for the five local enquiries, but said the Jay recommendations were “sitting on a shelf under the last government” and he is “equally committed” to them.

He added: “At the most important level, if there is evidence of grooming that is coming to light now, we need a criminal investigation. I want the police investigation because I want perpetrators in the dock and I want justice delivered.”

In October 2022, Professor Alexis Jay finished a seven-year national inquiry into the many ways children in England and Wales had been sexually abused, including grooming gangs.

Girls as young as 11 were groomed and raped across a number of towns and cities in England over a decade ago.

Prof Jay made 20 recommendations which haven’t been implemented yet, with Sir Keir saying on Thursday he will bring 17 of them forward.

However, the Tories and Reform UK want the government to fund a new national inquiry specifically into grooming gangs, demands for which first started last year after interventions by tech billionaire Elon Musk on his social media platform X.

Tesla CEO Elon Musk wears a 'Trump Was Right About Everything!' hat while attending a cabinet meeting at the White House, in Washington, D.C., U.S., March 24, 2025. REUTERS/Carlos Barria
Image:
Elon Musk has been critical of Labour’s response to grooming gangs and has called for a national inquiry. Pic: Reuters

‘Fuelling confusion’

Reform leader Nigel Farage said the statement made by Ms Phillips “was one of the most cowardly things I have ever seen” as he repeated calls for a fresh inquiry.

Robert Jenrick, the shadow justice secretary, also told Sky News that ministers were “fuelling confusion” and that the “mess.. could have been avoided if the government backed a full national inquiry – not this piecemeal alternative”.

Tory leader Kemi Badenoch said the government needed to look at “state failings” and she would try and force a fresh vote on holding another national inquiry, which MPs voted down in January.

‘Political mess’

As well as facing criticism from the Opposition, there are signs of a backlash within Labour over how the issue has been handled.

Labour MPs angry with government decision grooming gangs


Photo of Mhari Aurora

Mhari Aurora

Political correspondent

@MhariAurora

With about an hour until the House of Commons rose for Easter recess, the government announced it was taking a more “flexible” approach to the local grooming gang inquiries.

Safeguarding minister Jess Philips argued this was based on experience from certain affected areas, and that the government is funding new police investigations to re-open historic cases.

Speaking on Times Radio, former chair of the Equality and Human Rights Commission Sir Trevor Phillips called the move “utterly shameful” and claimed it was a political decision.

One Labour MP told Sky News: “Some people are very angry. I despair. I don’t disagree with many of our decisions but we just play to Reform – someone somewhere needs sacking.”

The government has insisted party political misinformation was fanning the flames of frustration in Labour.

The government also said it was not watering down the inquiries and was actually increasing the action being taken.

But while many Labour MPs have one eye on Reform in the rearview mirror, any accusations of being soft on grooming gangs only provides political ammunition to their adversaries.

One Labour MP told Sky News the issue had turned into a “political mess” and that they were being called “grooming sympathisers”.

On the update from Ms Phillips on Tuesday, they said it might have been the “right thing to do” but that it was “horrible politically”.

“We are all getting so much abuse. It’s just political naivety in the extreme.”

Read more:
Grooming gangs: What we know from the data
Fewer criminals set to be jailed amid overcrowding

‘We will leave no stone unturned’

Ms Phillips later defended her decision, saying there was “far too much party political misinformation about the action that is being taken when everyone should be trying to support victims and survivors”.

“We are funding new police investigations to re-open historical cases, providing national support for locally led inquiries and action, and Louise Casey… is currently reviewing the nature, scale and ethnicity of grooming gangs offending across the country,” she said.

“We will not hesitate to go further, unlike the previous government, who showed no interest in this issue over 14 years and did nothing to progress the recommendations from the seven-year national inquiry when they had the chance.

“We will leave no stone unturned in pursuit of justice for victims and will be unrelenting in our crackdown on sick predators and perpetrators who prey on vulnerable children.”

Continue Reading

UK

Government should be ‘ashamed’ over grooming gangs inquiries confusion, says victim’s father

Published

on

By

Government should be 'ashamed' over grooming gangs inquiries confusion, says victim's father

The father of a grooming gang victim has told Sky News the government should be “ashamed” of itself over the confusion surrounding inquiries – accusing it of “messing around with survivors’ lives”.

Safeguarding minister Jess Phillips this week sparked fresh uncertainty over whether regional inquiries into grooming gangs – promised by the government in January – would go ahead.

Following two days of confusion, the home secretary, Yvette Cooper, insisted on Thursday that five local inquiries will take place – and hinted more could follow.

But her comments have done little to reassure Marlon West, whose daughter Scarlett was a victim of sexual exploitation in Manchester.

Please use Chrome browser for a more accessible video player

PM challenged on grooming gang inquiry timeline

Ms Phillips’s statement in parliament on Tuesday – which sparked criticism after it failed to mention the reviews – left survivors “so disappointed”, he said.

The uncertainty “makes you dizzy because you get hope and think ‘I’m getting somewhere now’ then they do a U-turn as they’ve done twice this week”, Mr West continued.

“I think they should be ashamed of themselves,” he said. “The government now are messing around with survivors’ lives and campaigners like me.”

Please use Chrome browser for a more accessible video player

Govt denies ‘watering down’ grooming gang inquiries

Throughout her ordeal, Scarlett has “been let down by the local authority, by social workers, by the police force,” he said. “With the government, she’s just been let down again. That’s what’s cruel.”

Mr West added he is “really disappointed” in the government’s decision to push forward with the five regional inquiries instead of a statutory, national one.

Marlon West
Image:
Mr West’s daughter Scarlett was a victim of sexual exploitation

He pointed out that police officers and professionals can refuse to give evidence at regional inquiries, whereas national ones can compel them to do so.

“With a statutory inquiry, it’d be more like a [legal] setting,” Mr West said. “Professionals will not be allowed to refuse interviews. They have to attend.

“It needs to [be in a] legal arena where they are compelled to give evidence.”

A family photo of Scarlett
Image:
Scarlett West

His comments came as the prime minister said the government is focussing on implementing the “hundreds” of recommendations from previous inquiries into grooming gangs.

Sir Keir Starmer said: “My strong belief is we’ve got to implement those recommendations.

“At the moment, and under the last government, they just stacked up and sat on a shelf. So they need to be implemented.”

Please use Chrome browser for a more accessible video player

Grooming gangs: What happened?

Read more:
A timeline of the scandal
What we know from grooming gangs data

Both the prime minister and the home secretary have rejected claims the government’s pledge to hold “victim-centred, locally-led inquiries” is being “watered down”.

Asked by Sky News presenter Anna Jones if that was the case, Ms Cooper replied: “No, completely the opposite.

“What we’re doing is increasing the action we’re taking on this vile crime.”

Sir Keir separately said: “We put the money behind it. We’re not watering it down. We’re committed to that.

“But, I’m equally committed to implementing the recommendations that we’ve got.”

Continue Reading

Trending