Health in England refers to the overall health of the population of

England England is a country that is part of the United Kingdom. It shares land borders with Wales to its west and Scotland to its north. The Irish Sea lies northwest and the Celtic Sea to the southwest. It is separated from continental Europe b ...

. Despite overall increases in life expectancy in England, the most deprived areas continue to see no change or a decrease in life expectancy. The Blair Government instituted a comprehensive programme to reduce health inequalities in England between 1997 and 2010 focused on reducing geographical inequalities in life expectancy. It was targeted at the Spearhead areas - the 20% of local authorities with the worst health and deprivation indicators. This led to more

NHS The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the " ...

resources being directed to the most deprived areas. The strategy was associated with a decline in geographical inequalities in

life expectancy Life expectancy is a statistical measure of the average time an organism is expected to live, based on the year of its birth, current age, and other demographic factors like sex. The most commonly used measure is life expectancy at birth ...

, reversing a trend which had increased over a long period. However, health inequalities still remain. In 2014 to 2016, the difference in life expectancy between the most and least deprived areas of England was 9.3 years for males and 7.3 years for females.

Life expectancy

A North-South divide in life expectancy continues to be apparent. In 2016 to 2018, this geographical divide can be seen across regions of England. The life expectancy at birth of males and females in the regions of

London London is the capital and largest city of England and the United Kingdom, with a population of just under 9 million. It stands on the River Thames in south-east England at the head of a estuary down to the North Sea, and has been a majo ...

, the

South East The points of the compass are a set of horizontal, radially arrayed compass directions (or azimuths) used in navigation and cartography. A compass rose is primarily composed of four cardinal directions—north, east, south, and west—each se ...

South West The points of the compass are a set of horizontal, radially arrayed compass directions (or azimuths) used in navigation and cartography. A compass rose is primarily composed of four cardinal directions—north, east, south, and west—each sepa ...

and

East of England The East of England is one of the nine official regions of England. This region was created in 1994 and was adopted for statistics purposes from 1999. It includes the ceremonial counties of Bedfordshire, Cambridgeshire, Essex, Hertfordshire ...

were all significantly higher than the national average. Whereas, life expectancy was lowest in the North East,

North West The points of the compass are a set of horizontal, radially arrayed compass directions (or azimuths) used in navigation and cartography. A compass rose is primarily composed of four cardinal directions—north, east, south, and west—each sepa ...

and

Yorkshire and the Humber Yorkshire and the Humber is one of nine official regions of England at the first level of ITL for statistical purposes. The population in 2011 was 5,284,000 with its largest settlements being Leeds, Sheffield, Bradford, Hull, and York. It is ...

On average, there have been reductions in the number of years lived in poorer states of health for both men and women at age 65 in England. As of 2018,

Richmond-upon-Thames The London Borough of Richmond upon Thames () in southwest London forms part of Outer London and is the only London borough on both sides of the River Thames. It was created in 1965 when three smaller council areas amalgamated under the London ...

had the highest male healthy life expectancy at birth in the UK of 71.9 years, 18.6 years longer than males in

Blackpool Blackpool is a seaside resort in Lancashire, England. Located on the North West England, northwest coast of England, it is the main settlement within the Borough of Blackpool, borough also called Blackpool. The town is by the Irish Sea, betw ...

where it was only 53.3 years. For females, the lowest healthy life expectancy at birth was found in

Nottingham Nottingham ( , East Midlands English, locally ) is a city status in the United Kingdom, city and Unitary authorities of England, unitary authority area in Nottinghamshire, East Midlands, England. It is located north-west of London, south-east ...

at 54.2 years, and the highest was in

Wokingham Wokingham is a market town in Berkshire, England, west of London, southeast of Reading, north of Camberley and west of Bracknell. History Wokingham means 'Wocca's people's home'. Wocca was apparently a Saxon chieftain who may als ...

at 72.2 years, a gap of 18 years. The ten leading causes of death for men in England are

heart disease Cardiovascular disease (CVD) is a class of diseases that involve the heart or blood vessels. CVD includes coronary artery diseases (CAD) such as angina and myocardial infarction (commonly known as a heart attack). Other CVDs include stroke, hea ...

dementia Dementia is a disorder which manifests as a set of related symptoms, which usually surfaces when the brain is damaged by injury or disease. The symptoms involve progressive impairments in memory, thinking, and behavior, which negatively affe ...

and

Alzheimer's disease Alzheimer's disease (AD) is a neurodegeneration, neurodegenerative disease that usually starts slowly and progressively worsens. It is the cause of 60–70% of cases of dementia. The most common early symptom is difficulty in short-term me ...

lung cancer Lung cancer, also known as lung carcinoma (since about 98–99% of all lung cancers are carcinomas), is a malignant lung tumor characterized by uncontrolled cell growth in tissue (biology), tissues of the lung. Lung carcinomas derive from tran ...

chronic lower respiratory diseases Lower respiratory tract infection (LRTI) is a term often used as a synonym for pneumonia but can also be applied to other types of infection including lung abscess and acute bronchitis. Symptoms include shortness of breath, weakness, fever, cough ...

stroke A stroke is a medical condition in which poor blood flow to the brain causes cell death. There are two main types of stroke: ischemic, due to lack of blood flow, and hemorrhagic, due to bleeding. Both cause parts of the brain to stop functionin ...

influenza Influenza, commonly known as "the flu", is an infectious disease caused by influenza viruses. Symptoms range from mild to severe and often include fever, runny nose, sore throat, muscle pain, headache, coughing, and fatigue. These symptoms ...

and

pneumonia Pneumonia is an inflammatory condition of the lung primarily affecting the small air sacs known as alveoli. Symptoms typically include some combination of productive or dry cough, chest pain, fever, and difficulty breathing. The severity ...

prostate cancer Prostate cancer is cancer of the prostate. Prostate cancer is the second most common cancerous tumor worldwide and is the fifth leading cause of cancer-related mortality among men. The prostate is a gland in the male reproductive system that sur ...

colorectal cancer Colorectal cancer (CRC), also known as bowel cancer, colon cancer, or rectal cancer, is the development of cancer from the colon or rectum (parts of the large intestine). Signs and symptoms may include blood in the stool, a change in bowel m ...

leukemia Leukemia ( also spelled leukaemia and pronounced ) is a group of blood cancers that usually begin in the bone marrow and result in high numbers of abnormal blood cells. These blood cells are not fully developed and are called ''blasts'' or ' ...

and diseases of the liver, respectively. In females, the leading cause of death is

and

followed by

and

breast cancer Breast cancer is cancer that develops from breast tissue. Signs of breast cancer may include a lump in the breast, a change in breast shape, dimpling of the skin, milk rejection, fluid coming from the nipple, a newly inverted nipple, or a re ...

and

kidney disease Kidney disease, or renal disease, technically referred to as nephropathy, is damage to or disease of a kidney. Nephritis is an inflammatory kidney disease and has several types according to the location of the inflammation. Inflammation can ...

. Higher mortality rates for

, and

in the most deprived areas contribute the most to the life expectancy gap.

Smoking Smoking is a practice in which a substance is burned and the resulting smoke is typically breathed in to be tasted and absorbed into the bloodstream. Most commonly, the substance used is the dried leaves of the tobacco plant, which have bee ...

and

obesity Obesity is a medical condition, sometimes considered a disease, in which excess body fat has accumulated to such an extent that it may negatively affect health. People are classified as obese when their body mass index (BMI)—a person's we ...

are the main risk factors for these diseases. People in the most deprived areas are more than twice as likely to die prematurely from

cancer Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible signs and symptoms include a lump, abnormal b ...

, and there has been no significant change in this level of inequality since 2010 to 2012. Similarly, people in the most deprived areas are almost four times as likely to die prematurely from

cardiovascular disease Cardiovascular disease (CVD) is a class of diseases that involve the heart or blood vessels. CVD includes coronary artery diseases (CAD) such as angina and myocardial infarction (commonly known as a heart attack). Other CVDs include stroke, h ...

compared with those in the least deprived areas, and this inequality has also significantly widened since 2010 to 2012.

Risk factors

The prevalence of many risk factors, including

smoking Smoking is a practice in which a substance is burned and the resulting smoke is typically breathed in to be tasted and absorbed into the bloodstream. Most commonly, the substance used is the dried leaves of the tobacco plant, which have bee ...

, drug use,

high blood pressure Hypertension (HTN or HT), also known as high blood pressure (HBP), is a long-term medical condition in which the blood pressure in the arteries is persistently elevated. High blood pressure usually does not cause symptoms. Long-term high bl ...

and

high cholesterol Hypercholesterolemia, also called high cholesterol, is the presence of high levels of cholesterol in the blood. It is a form of hyperlipidemia (high levels of lipids in the blood), hyperlipoproteinemia (high levels of lipoproteins in the blood), ...

have declined. The prevalence of smoking has declined from 19.9% to 14.9% in the last 7 years and if this trend continues, it will reduce to between 8.5% and 11.7% by 2023. However, there has been an increase in the prevalence of

. In England, in 2016, 26.2% of adults were obese and it is forecast that levels of obesity will increase by 2023. A study by

Public Health England Public Health England (PHE) was an executive agency of the Department of Health and Social Care in England which began operating on 1 April 2013 to protect and improve health and wellbeing and reduce health inequalities. Its formation came as a ...

in 2017 found that 41% of the 15.3 million English adults aged 40 to 60 do not walk for as much as 10 minutes continuously each month at a brisk pace. A quarter of the English population was found to be “inactive” – doing less than 30 minutes of activity per week. The heaviest-drinking 20% of the population drink almost two thirds of all alcohol consumed.

References

{{reflist

Life expectancy

Risk factors

See also

References