How could I fault Aditya Chakrabortty’s account of the failure to prioritise the nation’s health as he cites me as its inspiration (This is a life and death story for the UK – so why is it being brushed under the carpet?, 6 March). However, it is important to emphasise that the government is well aware of the gross health inequities that scar our nation and limit lives as well as economic prosperity, but chooses not to prioritise them. The ministerial response last month to the House of Lords report on ageing contains this shocking statistic: a girl born in Barnsley can expect an average of 53 years of good health, whereas one born in Wokingham can look forward to 71 healthy years – an extra 18 years.
Throughout the country deprivation accelerates ageing, which for many means an unnecessary premature exit from the labour market and premature need for social care. But the main focus of health policy is the manifesto commitment to reduce NHS waiting times, a target that has very little impact on health inequity. Instead, a radical programme is required to prevent the largely social and commercial determinants of ill-health, such as poverty, poor diets, lack of exercise, and air pollution.
