Thursday 13 June 2013

Is premature death a postcode lottery?

A new interactive map, Longer Lives, produced by Public Health England (PHE) demonstrates the variation in premature death across England through a colour code technique. The map which ranks 150 authorities by their premature death rates – that is before the ages of 75 – also allows users to view these areas by five of the most common causes of premature (and preventable) deaths.

These include cancer, heart disease, stroke, lung disease and liver disease. The map further enables users to view the areas which are the most socio-economically deprived.

Interestingly, the map clearly identifies the North of England as having large proportions of premature mortality, where deprivation is more prevalent, compared with the South of England where good health is more evident particularly in affluent areas. However, a few exceptions to this do exist in the South especially in London boroughs, Southwark, Tower Hamlets, Newham, where health is regarded as extremely poor and deprivation seemingly high. 

To view the coloured coded map and see how your area rates click here.

Why such a divide between North and South

The reasons as to why such a variation exists could be due to rates of poverty, obesity levels, alcohol consumption and smoking. Historical factors such as decline of the manufacturing industry in the North, may have increased unemployment and hence poverty in the regions. Other factors may include the social and cultural environment as well as access to education, housing and transport.

Nonetheless, what the map does highlight are areas in which local authorities need to pay particular attention to improve health and tackle health inequalities – it is unacceptable in our modern day society for such a disparity of mortality to exist depending on location.

The RSPH has been working with Well London to provide health improvement training and education to people from the most hard to reach and deprived areas of London, more information can be found here.


Regardless of where we live, all of us can take simple steps to improve our health and even positively influence the people around us to make real and lasting lifestyle changes. Our most popular qualification Understanding Health Improvement Level 2 Award, and Understanding Behaviour Change Level 2 Award provide practical knowledge of the benefits of good health and wellbeing. They examine how we can reduce health inequalities  through basic understanding of the concept of health, building confidence in talking about health and encouraging people in the community to seek health services available to them. For more information please contact Gina Mohajer gmohajer@rsph.org.uk. 

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