ISBN: 978–0–9564870–0–1

Fair Society Healthy Lives: the Marmot Review

Author(s):*Listed Alphabetically
Allen J, Boyce T, Goldblatt P, Marmot M, McNeish D

Year of Publication:

The Marmot Review

Publication Type:


In November 2008, Professor Sir Michael Marmot was asked by the then Secretary of State for Health to chair an independent review to propose the most effective evidence-based strategies for reducing health inequalities in England from 2010. This is the report which resulted from that endeavor, and it concludes that reducing health inequalities would require action on the following six policy objectives:

1. Give every child the best start in life
2. Enable all children, young people and adults to maximise their capabilities and have control over their lives
3. Create fair employment and good work for all
4. Ensure healthy standard of living for all
5. Create and develop healthy and sustainable places and communities
6. Strengthen the role and impact of ill-health prevention.

The report reviews literature that demonstrates health inequalities result from social inequalities, and concludes that action on health inequalities requires strategies spanning all the social determinants of health, as focusing solely on the most disadvantaged will not reduce health inequalities sufficiently.

Reducing health inequalities will have economic benefits in reducing productivity losses, reduced tax revenue, higher welfare payments and increased treatment costs that normally result from illnesses associated with health inequalities. Economic benefits aside, the fair distribution of health, well-being and sustainability are important and interwoven social goals, so tackling social inequalities in health and addressing climate change must go together.

The report states that delivering these policy objectives and addressing inequalities in health would require action by central and local government, the NHS, the third and private sectors and community groups, cautioning that national policies will not work without effective local delivery systems focused on health equity in all policies. Effective local delivery requires effective participatory decision-making at local level, and this can only happen by empowering individuals and local communities.

Evidence Type: Policy Document

Research Purpose: Discussion / Debate

Context: Community

Art Forms: Multi-Arts

Access Type: Free Download

APA Citation:

Marmot, M., Allen, J., Goldblatt , P., Boyce, T., McNeish, D., et al. (2010). Fair Society, Healthy Lives – The Marmot Review: Strategic review of health inequalities in England post-2010. UK: The Marmot Review.