Research watch: exclusion and health inequality in England and what can be done to reverse it – discussing the Marmot review 10 years on

This paper aims to summarise key messages from a major evidence review of health inequality in England since 2010 – “the Marmot Review 10 Years on”.

Alongside “the Marmot Review 10 Years on”, which came out in February 2020, the author accessed the original Marmot review published in 2010, a 2020 article by Marmot, and Marmot’s online talk to the Royal Society of Physicians Edinburgh on 2nd of July 2020. The author drew out key messages from these sources.

Although many local authorities have taken up the 2010 Marmot review recommendations, they have been working against budget cuts under the system known as austerity. This has reduced funding to already deprived areas and probably explains worsened health inequality in England compared to other European countries. There are examples of successful local partnerships that have improved lives, but they rely on temporary charity funding. Health services can work for change locally, but central government policies must help. This has become even more urgent since the pandemic.

The original Marmot review and “the Marmot Review 10 Years on” are major evidence-based examinations of what causes and maintains health inequality, both physical and mental, and how this situation might be improved. It is impossible to study them and still believe that health is just about lifestyle choices. People need real options to choose from, and this is only possible if they live in places designed for human thriving from childhood to old age. As a nation, England can move towards this goal rather than further away from it. These reports show the way.