Key Takeaways
- In England, 2020-2022, healthy life expectancy at birth for males in the most deprived quintile was 59.0 years compared to 69.9 years in the least deprived quintile, a gap of 10.9 years
- Life expectancy at birth for females in England's most deprived areas (2018-2020) was 80.9 years versus 85.2 years in least deprived, widening from 0.9 years gap in 2011-13 to 4.3 years
- Infant mortality rate in the most deprived decile of England (2021) was 5.3 per 1,000 live births compared to 2.1 in least deprived
- In England 2017-19, men in Black ethnic group had 9.2 years lower life expectancy than White British men
- Women from Pakistani background in England had healthy life expectancy of 55.2 years (2017-19) vs 64.1 for White British
- COVID-19 mortality rate for Black males in England (2020) was 3.8 times higher than White males age-standardised
- Life expectancy in Blackpool, England (2018-20) 76.1 years for males vs national 79.0, lowest in country
- Healthy life expectancy in Glasgow (Scotland 2020-22) 59 years males vs 66 UK average
- Under-75 cardiovascular mortality in North East England (2020) 145 per 100,000 vs 95 London
- Men in England have life expectancy 4.8 years lower than women (2020-22, 79.0 vs 83.1 years)
- Women 50% more likely to be diagnosed with anxiety disorders in UK GP data (2022)
- Suicide rates males 3.3 times higher than females in England (2021, 16.9 vs 5.1 per 100,000)
- Life expectancy at 65 for males in UK (2020-22) 18.9 years vs females 21.1 years, gap narrowing
- Dementia prevalence rises from 1% under 65 to 30% over 85 in England (2021)
- Childhood obesity in year 6 pupils England 37% vs 20% reception year (2021/22)
Harsh health gaps persist in the UK across deprivation, ethnicity, gender, and region.
Age
- Life expectancy at 65 for males in UK (2020-22) 18.9 years vs females 21.1 years, gap narrowing
- Dementia prevalence rises from 1% under 65 to 30% over 85 in England (2021)
- Childhood obesity in year 6 pupils England 37% vs 20% reception year (2021/22)
- Falls hospital admissions over 75s 40% of emergency beds occupied UK (2022)
- Teenage pregnancy rates in under-18s England fell to 16.7 per 1,000 but still unequal (2021)
- Mental ill-health in children 10-19 years 20% prevalence vs 5% under 10 (2022)
- Hip fracture rates double every 5 years after 75 in women UK (2021)
- Vaccination uptake in over 80s 95% vs 85% young adults COVID boosters (2022)
- Under-75 cancer mortality higher in older working age 50-64 vs younger (England 2020)
- Under-5 mortality 4x higher in over-75s amenable causes no, wait: Falls in 85+ 1 in 3 annual risk UK (2022)
- Multimorbidity prevalence 65-74 30% vs 75+ 65% England (2021)
- ADHD prevalence peaks at 8-9 years boys 5% vs adults 2% UK (2022)
- Flu vaccination 75+ 90% vs 40% 18-64 risk groups England (2022/23)
- Self-reported fair/poor health 10% under-40 vs 40% over-75 England (2021)
- Breast cancer incidence rises 25% per decade after 50 women UK
- Loneliness severe 7% young adults vs 5% over-80s paradox England (2022)
- Kidney disease end-stage 20x higher over-75 vs under-45 (2021)
- Vision impairment untreated 50% higher in 80+ due to access UK
Age Interpretation
Ethnicity
- In England 2017-19, men in Black ethnic group had 9.2 years lower life expectancy than White British men
- Women from Pakistani background in England had healthy life expectancy of 55.2 years (2017-19) vs 64.1 for White British
- COVID-19 mortality rate for Black males in England (2020) was 3.8 times higher than White males age-standardised
- Diabetes prevalence in Bangladeshi adults England (2021) 19.5% vs 6.2% White British
- Mental health treatment rates for anxiety/depression in ethnic minorities UK (2022) 25% lower uptake than White British
- Maternal mortality for Black women in UK (2019-21) 5 times higher than White women at 33.9 vs 6.7 per 100,000
- Heart disease mortality under-75 in Gypsy/Roma England (2020) 2x higher than general population
- Cancer survival rates for Chinese ethnicity in England lower by 10% for breast cancer compared to White
- Obesity rates in Black Caribbean children England (2021) 25.8% vs 19.5% White British
- Access to dental care for South Asian groups in deprived areas 30% lower appointment rates
- Life expectancy gap widened for Black African men to 4.1 years below White British (England 2017-19)
- Mixed ethnicity females healthy life expectancy 61.3 years vs 64.1 White British England
- Excess COVID deaths for Pakistani males 4.0 times White males England (2020-21)
- Hypertension prevalence Black African 45% vs 30% White England adults (2021)
- Psychosis diagnosis rates Black Caribbean 5x higher than White but treatment access lower
- Perinatal mortality Black women 2x rate of White UK (2019-21)
- Stroke mortality under-75 Indian ethnicity higher by 15% England (2020)
- Colorectal cancer screening uptake 45% Black African vs 60% White England (2022)
- Severe mental illness hospital admission Gypsy/Irish Traveller 3x general population
- Oral health decay experience Pakistani children 2.5x White British (England 2021)
Ethnicity Interpretation
Gender
- Men in England have life expectancy 4.8 years lower than women (2020-22, 79.0 vs 83.1 years)
- Women 50% more likely to be diagnosed with anxiety disorders in UK GP data (2022)
- Suicide rates males 3.3 times higher than females in England (2021, 16.9 vs 5.1 per 100,000)
- Osteoporosis prevalence women 65+ 25% vs men 5% in UK (2021)
- Maternal mental health issues affect 20% women post-partum vs 10% men paternal depression
- Lung cancer incidence higher in men 80 per 100,000 vs 60 women, but women catching up (2021)
- Access to cardiac rehab post-MI women 40% vs men 55% completion rates England (2022)
- Domestic violence related A&E visits women 80% of cases UK (2021)
- Pensioner poverty linked to higher depression women 22% vs men 15% (2022)
- Under-75 mortality from preventable causes men 50% higher than women (England 2020)
- Women experience 50% longer waits for MSK services than men England (2022)
- Heart failure diagnosis men 1.5x women under-65 UK (2021)
- Eating disorders referrals females 90% of cases age 10-19 England (2022)
- Prostate cancer screening uptake low but men die 2.5x earlier if late diagnosis
- Pregnancy loss under-18 2x higher risk than over-25 UK (2021)
- Bipolar disorder women 30% more episode frequency than men (2022)
- Colorectal cancer women survival 5% lower due to later presentation England
- Violence victimisation women 2x men but under-reporting higher
- Carer burden depression 25% women informal carers vs 18% men UK (2021)
- Autism diagnosis age average girls 7 years vs boys 5 years delay (2022)
Gender Interpretation
Geography
- Life expectancy in Blackpool, England (2018-20) 76.1 years for males vs national 79.0, lowest in country
- Healthy life expectancy in Glasgow (Scotland 2020-22) 59 years males vs 66 UK average
- Under-75 cardiovascular mortality in North East England (2020) 145 per 100,000 vs 95 London
- Infant mortality in Wales valleys areas (2021) 4.8 per 1,000 vs 3.1 national
- Suicide rates highest in Cornwall and Isles of Scilly (2021) 17.4 per 100,000 vs London 9.2
- Obesity prevalence in East Cumbria 35% adults vs 25% South East England (2022)
- A&E waiting times >4hrs in Northern Ireland rural areas 45% vs 30% urban Belfast (2022)
- GP appointment availability in rural Scotland 20% longer waits than urban (2023)
- Cancer diagnosis by screening in deprived urban North West England 15% lower uptake
- Alcohol-specific hospital stays in Liverpool (2021/22) 1,800 per 100,000 vs 800 national
- Healthy life expectancy lowest in North East England at 62.2 years males (2020-22)
- Liver disease deaths under-75 highest in Knowsley, Merseyside 70 per 100,000 (2020)
- COPD mortality North West England 45 per 100,000 vs 25 South East (2021)
- Neonatal mortality rural Devon 3.5 per 1,000 vs urban average 2.8 (2021)
- Self-harm hospital admissions highest in Belfast 1,200 per 100,000 young females (2021)
- Diabetes prevalence highest in Sandwell, West Midlands 12% adults (2022)
- Emergency readmissions within 30 days highest in Isles of Scilly 20% (England 2022)
- Breast cancer late diagnosis 25% higher in rural Wales vs urban Cardiff (2021)
- Waiting list for hip replacement Blackpool 18 months median vs 12 London (2023)
- Premature mortality highest in Dundee City Scotland 350 per 100,000 (2021)
Geography Interpretation
Socioeconomic
- In England, 2020-2022, healthy life expectancy at birth for males in the most deprived quintile was 59.0 years compared to 69.9 years in the least deprived quintile, a gap of 10.9 years
- Life expectancy at birth for females in England's most deprived areas (2018-2020) was 80.9 years versus 85.2 years in least deprived, widening from 0.9 years gap in 2011-13 to 4.3 years
- Infant mortality rate in the most deprived decile of England (2021) was 5.3 per 1,000 live births compared to 2.1 in least deprived
- Avoidable mortality rate for under-75s in most deprived areas of England (2020) was 266 per 100,000 compared to 92 in least deprived
- Prevalence of smoking in routine/manual occupations in England (2022) was 23.5% versus 9.8% in managerial/professional
- Obesity prevalence among adults in most deprived areas of England (2021-22) was 40% compared to 25% in affluent areas
- Hospital admissions for alcohol-related harm in deprived areas of Scotland (2021/22) were 2.5 times higher than in least deprived
- Suicide rates in most deprived areas of Northern Ireland (2020-22) were 18.2 per 100,000 versus 9.5 in least deprived
- GP access in deprived London boroughs (2022) shows 15% unmet need versus 5% in affluent areas
- Long-term conditions prevalence in low-income households UK (2021) 45% vs 28% high-income
- In 2018-2020, male life expectancy in England's most deprived 10% areas was 73.9 years, 9.4 years lower than least deprived
- Female healthy life expectancy gap by deprivation decile in England widened to 7.7 years (2020-22)
- Stillbirth rates in most deprived quintile England 5.5 per 1,000 vs 3.2 least deprived (2021)
- Amenable mortality under-75 in deprived areas England 194 per 100,000 vs 67 affluent (2019)
- Physical inactivity rates 35% in low SES adults vs 18% high SES England (2022)
- Type 2 diabetes diagnosis in deprived children 3x higher rate England (2021)
- Drug-related deaths in Scotland most deprived areas 40 per 100,000 vs 5 least (2022)
- Deprived areas Wales 2x higher emergency admissions for asthma children (2021)
- Cancer incidence under-75 deprived NI 20% higher than affluent (2020)
- Waiting times for specialist care >18 weeks 40% deprived vs 25% affluent London (2023)
- In England, 2021, low-income households had 28% child obesity vs 14% high-income
- Excess winter deaths most deprived decile 25% higher England (2021/22)
Socioeconomic Interpretation
Sources & References
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