NHS at 75: The parts of England with the highest and lowest life expectancies as figures reveal health postcode lottery

Published

2 years ago

July 4, 2023

admin

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.

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.

UK

Starmer to meet European leaders for ‘coalition of the willing’ talks on Ukraine

Published

8 hours ago

August 17, 2025

admin

Starmer to meet European leaders for 'coalition of the willing' talks on Ukraine

European leaders who make up the ‘coalition of the willing’ are set to hold a conference call on Sunday – ahead of crunch talks between Donald Trump and Ukraine’s Volodymyr Zelenskyy next week.

The coalition – co-chaired by Sir Keir Starmer, France’s President Emmanuel Macron and Germany’s Chancellor Friedrich Merz – has the aim of bringing countries together to protect a peace deal in Ukraine.

Top of the agenda at Sunday’s meeting will be securing a concrete commitment from Mr Trump on a security guarantee that would act as a powerful backstop in any Russia-Ukraine peacekeeping arrangement.

Ukraine war latest: Putin comments on Trump talks

European leaders seemed buoyed by the US president’s most recent hints on the subject, in the knowledge that US military might is likely to deter Vladimir Putin from advancing in the future.

They will also discuss how to bring Mr Zelenskyy into talks after Mr Trump and Mr Putin’s Alaska meeting saw him left out in the cold.

In coordinated statements, European leaders said Mr Zelenskyy must play a greater role in future talks, and that peace cannot be achieved without him.

The hard bit will be to persuade the unpredictable US administration to change its approach, something that has proved almost impossible in the past.

When Mr Trump re-entered the White House and made it clear the US would no longer provide a blank cheque to protect peace in Europe, others decided they had to step up, and the ‘coalition of the willing’ was thrown together in March.

Since then, information about the allied peacekeeping effort has been patchy, but we know it includes over 30 countries, which have been asked to pledge whatever military support they can, including troops.

What has been forthcoming from the group though, has been consistent attempts to use their limited leverage to put pressure on the US.

That will continue ahead of crunch talks between Mr Trump and Mr Zelenskyy, which are set to take place in Washington on Monday.

UK

Why fresh sea legs are vital in the UK fishing industry

Published

11 hours ago

August 17, 2025

admin

Why fresh sea legs are vital in the UK fishing industry

In a small hut next to Newlyn Harbour at the bottom of Cornwall, the next generation of fishermen are quite literally learning the ropes.

Around a dozen students are on the eighth day of a two-week intensive course to become commercial fishers.

From knot and ropework to chart plotting, navigation to sea survival, by the end of the course they’ll be qualified to take a berth on a vessel.

While many are following in the footsteps of their fathers, others are here to try an entirely different career.

Elliot Fairbairn, 28, is originally from London and has been working as a groundworker.

“I’m not from a fishing family – I just like a challenge,” he says.

He’s put his current job on hold to see how fishing works out.

“It makes you feel good doing a hard job. I think that’s what’s getting lost these days, people want an easy job, easy money and they don’t understand what it takes to be successful. Sometimes you’ve got to put that in the work.”

Elliot already has a job lined up for next week on a ring-netter boat.

“I’m ecstatic – I’m very pumped!” he tells me.

Also on the course is 17-year-old Oscar Ashby. He’s doing his A-Levels at Truro College and training to be a healthcare worker at the main hospital in Cornwall.

“I’m part of the staff bank so can work whatever hours I want – which would fit quite well if I wanted to do a week’s fishing,” he says.

It’s his love of being outside that has drawn him to get qualified.

“It’s hands-on, it’s not a bad way to make money. It’s one of the last jobs that is like being a hunter-gatherer really – everything else is really industrialised, ” Oscar says.

The course was over-subscribed.

The charity that runs it – Seafood Cornwall Training – could only offer places to half those who applied.

‘A foot in the door’

“The range of knowledge they’re gathering is everything from how to tie a few knots all the way on how to register with HMRC to pay and manage their tax because they’d be self-employed fishermen,” manager Clare Leverton tells me.

“What we’re trying to do with this course is give them a foot in the door.

“By meeting our tutors, skippers on the quay, vessel managers, they start to understand who they’re going to have to talk to to get jobs.”

Getting fresh blood into the industry is vital.

Over the last 30 years, the number of fishermen in the UK has nearly halved – from around 20,000 to 10,000.

The average age of a fisherman in the UK is 55.

Aging workforce

“I think we’re seeing the effects of having an aging workforce,” says Mike Cohen, chief executive of the National Federation of Fishermen’s Organisations (NFFO).

“Fishing is a traditional occupation in most places around the country. A lot of family businesses, and as people are getting older, they’re starting to retire out of the industry.”

The decline comes at a time of frustration and anger in the industry too.

Many feel the prime minister’s post-Brexit deal with the EU back in May sold fishing out by guaranteeing another 12 years of access to EU boats to fish in UK waters, rather than allowing it to be negotiated annually.

“A large part of the effort the EU exerts in UK waters is within our territorial waters, so within 12 miles of the shore. And that’s the area that’s most pressured,” adds Mr Cohen.

“For new people getting into the industry it’s the area that they can reach in the sort of small boats that new starters tend to work in. They’re increasingly pressured in that space and by keeping all of those European boats having access to it for free, for nothing, that puts them under even more pressure.”

The government says it will always back “our great British fishing industry” and insists the EU deal protects Britain’s fishing access.

‘A brilliant career’

To further promote getting young people into commercial fishing, the Cornwall Fish Producers Organisation has helped set up the Young Fishermen Network.

Skipper Tom Lambourne, 29, helped set up the group.

“There’s not enough young people coming into it and getting involved in it,” he says.

“It’s actually a brilliant career. It’s a hard career – you do have to sacrifice a lot to get a lot out of fishing – your time is one of them. But the pros of that certainly outweigh it and it’s a really good job.”

Tom says the network supports new fishers by holding social events and helping them find jobs: “There’s never been a collective for young fishermen.

“For a youngster getting into the fishing industry to be sort of part of that – knowing there’s other youngsters coming in in the same position – they can chat to one another, it’s pretty cool really.”

In 2021, UK fishing contributed around 0.03% to GDP – with an economic output of £483m.

Economically, it is not a big player.

However, studies suggest that each fisherman creates 15 other jobs in the seafood trade on land.

It’s also a huge part of the fabric of the UK’s identity and landscape – and one that the next generation will have to fight to keep alive.

UK

Premier League opener halted after Antoine Semenyo reports racist abuse

Published

1 day ago

August 16, 2025

admin

Premier League opener halted after Antoine Semenyo reports racist abuse

A man was ejected from Anfield after reports of racial abuse directed at Bournemouth winger Antoine Semenyo during the season’s opening Premier League game against Liverpool.

Match referee Anthony Taylor paused play in the 29th minute after Semenyo accused a spectator of racist abuse.

An anti-discrimination message was read out to the Anfield crowd, and it is understood that police officers went into the referee’s room at half-time.

Merseyside Police said an investigation is under way after the 47-year-old man’s identity was confirmed and he was removed from the ground.

Chief Inspector Kev Chatterton, the match commander for the Liverpool v Bournemouth game, said: “Merseyside Police will not tolerate hate crime of any form.

“We take incidents like this very seriously, and in cases like this we will be proactively seeking football banning orders, with the club, against those responsible.”

He added: “There is no place for racism and it is vital that anyone who witnesses such an offence reports it to stewards, or the police immediately, so we can take the necessary action like we did this evening.

“As with all matches, we work very closely with both Liverpool and Everton FC to ensure the safety of the public, and the players.”

A spokesperson for Liverpool said the club was “aware of an allegation of racist abuse made during our Premier League game against Bournemouth”.

The Liverpool spokesperson said: “We condemn racism and discrimination in all forms, it has no place in society, or football.

“The club is unable to comment further as tonight’s alleged is incident is the subject of an ongoing police investigation, which we will support fully.”

After the incident, Semenyo scored twice in the second half to help bring Bournemouth back from two goals down at Anfield before Liverpool went on to eventually win the contest 4-2.

Bournemouth captain Adam Smith told Sky Sports News afterwards: “It shouldn’t be happening. I don’t know how Ant’s played on to be honest and come up with those goals. It’s totally unacceptable.

“Something needs to be done. Taking the knee isn’t having an effect. We’re supporting him and hopefully he’ll be OK.

“I wanted him to react because that’s what I would have done, but this shows what type of man he is…to come up with those goals showed the type of guy he is.

“To be fair the Liverpool players were very supportive as well towards Antoine and the rest of the team. It was handled in the right way but… so angry.

“I don’t know what else we can do. No one’s getting it. I don’t know what to say anymore. I just feel for Ant… shocking.”

The Premier League said in a statement that its “on-field anti-discrimination protocol” had been followed and the incident “will now be fully investigated”.

“We offer our full support to the player and both clubs,” it added. “Racism has no place in our game, or anywhere in society. We will continue to work with stakeholders and authorities to ensure our stadiums are an inclusive and welcoming environment for all.”

The Football Association said it was “concerned” about the allegation of racism towards Semenyo and that it would ensure “appropriate action” would be taken.

The incident comes two days after Tottenham Hotspur player Mathys Tel faced racist abuse online following a missed penalty in his team’s UEFA Super Cup victory over Paris Saint-Germain.