Life expectancy in England is related to income (and in London,
it can be mapped by a resident's nearest tube station1). The
arrival of a new government offers the opportunity to review the impact of
earlier policies designed to reduce health inequality. A new report from the
King's Fund2 has updated Michael Marmot's 2010 publication,
Fair Society, Healthy Lives, and using a wider range of
determinants of lifestyle and health, has found that income-related
inequalities in life expectancy have improved since that report. Department
of Health policies in the 2000s appear to have contributed to this, although
reductions in child and pensioner poverty and improvements in employment and
social housing have also impacted positively. Nevertheless, unemployment,
housing deprivation, and binge drinking remain key factors in lowering life
expectancy. The King's Fund report argues that a more nuanced and integrated
policy response for the NHS and other public services will be required by
the new government to continue to reduce inequality, but recognises that
implementation in an era of austerity poses challenges, particularly for the
most vulnerable.