Widening North/South divide in healthcare highlighted by new report

Experts say more powers should be given to North East to provide tailored healthcare to residents

Professor Clare Bambra from Durham University
Professor Clare Bambra from Durham University

A damning report today reveals the “totally unacceptable” inequalities driving a widening health divide between the North East and the South.

Experts are warning the current approach to tackling the gap is failing, and the situation is only likely to get worse.

According to the report, a baby girl born in Coxhoe, County Durham, can expect to live for 15 fewer years in good health than a baby girl born in Richmond, London.

Public health experts have now highlighted how devolved powers from central government to the North East could play a vital role in helping close this gulf.

Due North: the report of the Inquiry on Health Equity for the North, is the outcome of an independent inquiry, commissioned by Public Health England.

Professor Clare Bambra from Durham University’s Department of Geography and an Inquiry panel member, said: “The differences in people’s health in the north compared to other parts of the UK are totally unacceptable. Without a radical change to the current approach to health inequality, we are likely to see things getting worse.”

In the North East, 18% of residents are classed as living in poverty, compared to 12% in the South East. During the past 20 years the region has consistently had lower employment rates than the South for both men and women. These factors, among others, have had a subsequent knock-on effect on general health.

In more recent years, massive efforts and tens of millions of pounds have been spent across the North East on schemes aimed at improving wellbeing. Newcastle and Sunderland are just some of areas that have implemented ways of reducing inequality by campaigning for the payment of a Living Wage.

But the report sets out a number of recommendations including the use of devolved powers to ensure decisions about health issues in the North East are made in the North East. It states: “Devolution is central for addressing health inequalities with the rest of England. Devolution means regions in the North retaining more power and resources to collectively develop solutions that build on the assets and resilience of the North.”

Ms Bambra said: “Central government takes a ‘one size fits all’ approach to health spending. Devolution would allow us to address the problems we have here. In recent years we have lost our regional agencies in the North East so there is less focus on us.”

The report also recommended “collecting better data on children in the early years” so they can be tracked over time, monitoring inequalities in development. In Sunderland over the last two years, figures showed 10% of reception-age children are obese, with local variations of 13 to 17% in some areas. By Year 6, the figure is 21% average, with some areas spiking at 26 to 34%.

Just days ago, plans to build a McDonald’s near a Newcastle school were rejected by councillors. Hundreds of people objected over fears the restaurant would promote unhealthy eating to children from nearby Kenton School.

Ms Bambra said: “Lots of children’s life chances are determined before they are even born. We need to improve peoples’ access to affordable, healthy food.”

Wearside MP Bridget Phillipson
Wearside MP Bridget Phillipson
 

Bridget Phillipson, MP for Houghton and Sunderland South, said: “This report highlights the need for Government to take action on poverty and the underlying causes of health inequalities.

“Many people in our region also still suffer ill health as a result of our industrial past. Ministers should prioritise those parts of our country with greatest need, not shift resources into more affluent areas.”

However, Coun Lee Martin, leader of Wearside’s Conservatives, said: “If Tony Blair and Gordon Brown had done exactly what the coalition are doing on jobs, welfare reform, and education then the gap would have closed in the last 20 years. If anything we need to go further in tackling poverty and poverty of aspiration. Some of the North East’s councils adopting the Living Wage would be a start. I’m all for more powers being devolved but let’s have them devolved to people the public can elect directly rather than faceless council leaders.”

Prof Eugene Milne, director of public health, Newcastle City Council
Prof Eugene Milne, director of public health, Newcastle City Council
 

Prof Eugene Milne, director of Public Health at Newcastle City Council, said efforts were underway on Tyneside to address some of the most prolific health concerns. He added: “We know that we have an extensive public health programme which aims to improve the general health of the local population – as a result we have made progress in key areas over recent years.

“However, this report correctly points to a continuing divide across the country, and between the rich and the poor in our society. We welcome that debate.

“Even with the rate of progress that we have, we know that it would take many decades to close the gap between the north and the south. Larger scale action is needed if the problem is to be addressed.”

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