In the lead up to local elections, the government has published its prospectus for the Shared Prosperity Fund. A central pillar of the agenda set out in its Levelling Up White Paper, the fund aims to help level up people’s “pride in the places they love”, including boosting the local economy, creating a stronger social fabric, and improving life chances. The disparities between places that the levelling up agenda targets are stark. Not least in health and wellbeing in later life.
In low-income areas, for example, the onset of poor health – or the end of healthy life expectancy – starts on average 17 years earlier than for those in higher income neighbourhoods. That’s at an age of just 53, compared to aged 70 in higher income areas. For those in more deprived areas this means managing with poor health over a decade before state pension age.
This gap impacts on people’s life chances in terms of ability to gain and retain employment, lifelong learning, participation in the community and the economy, and on social connections. We also know these inequalities aren’t just about wealth or area; they intersect with gender, ethnicity and other types of discrimination and disadvantage, and are often cumulative.
The Levelling Up White Paper has made closing the gap in healthy life expectancy one of its twelve missions, which while welcome, still has some way to go in demonstrating how this will be achieved. Luckily, we don’t need to reinvent the wheel. The World Health Organisation’s (WHO) Age-Friendly Cities and Communities framework is already well established in the UK with over 50 areas already signed up.