Beyond the NHS: Addressing the root causes of poor health

This final report in the Centre for Progressive Policy’s (CPP) year long inquiry into the future of health and social care in England argues a radical change of direction is required and focuses on how to develop and deliver a social model of health.

From poor-quality housing to knife crime, from skills’ deprivation to in-work poverty and homelessness, CPP argues that the greatest socioeconomic challenges of our time are also our greatest health challenges.

New analysis from the Centre of Progressive Policy (CPP) shows 80 million life years are lost due to inequalities in education, income, employment, crime and housing in England:

  • 30 million years are lost due to education
  • 18 million years are lost due to income
  • 15 million years are lost due to employment
  • 8 million years are lost due to crime
  • 8 million years are lost due to housing
  • Circa. 80 million lost in total due to socioeconomic inequality

CPP’s analysis shows how socioeconomic inequality in local areas reduces life expectancy and time spent in good health. For example, people living in Hull will live circa. 4.2 years less due to employment (1.1 years), income (0.6 years), education (1.7 years), crime (0.4 years) and housing (0.2 years).

This report is framed within the context of rising health demand, a stretched NHS and a social care system at the point of collapse. It sets out a powerful case for change, exploring why there is a burning platform to address social determinants, taking stock of worrying trends in health outcomes, including a stalling of life-expectancy improvements and widening of place-based inequalities.

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