Health Inequalities: Marmot Indicators


Marmot Indicators for Local Authorities in England

Fair Society, Healthy Lives: The Marmot Review report was published in February 2010, presenting the recommendations of the Strategic Review of Health Inequalities in England post-2010. In February 2011, the first Marmot Indicators for local authorities were released, providing information to support monitoring of the overall strategic direction in reducing health inequalities. These indicators were updated in 2012.

Then launched in September 2014 by the Institute of Health Equity, the Marmot Indicators 2014 were developed in collaboration with Public Health England.

They are a new set of indicators of the social determinants of health, health outcomes and social inequality, that broadly correspond to the policy recommendations proposed in Fair Society, Healthy Lives.

These 2014 indicators can be accessed below in a spine chart format, which displays data for the following:

  • Healthy life expectancy at birth – males and females
  • Life expectancy at birth – males and females
  • Inequality in life expectancy at birth – males and females
  • People reporting low life satisfaction
  • Good level of development at age 5
  • Good level of development at age 5 with free school meal status
  • GCSE achieved (5A*-C including English & Maths)
  • GCSE achieved (5A*-C including English & Maths) with free school meal status
  • 19-24 year olds who are not in employment, education or training
  • Unemployment % (ONS model-based method)
  • Long-term claimants of Jobseeker's Allowance
  • Work-related illness
  • Households not reaching Minimum Income Standard
  • Fuel poverty for high fuel cost households
  • Percentage of people using outdoor places for exercise/health reasons

Wirrals report can be accessed here (to follow shortly due to website technical issues)

There are a number of key issues facing Wirral residents based upon the analysis in this report and in addition are likely to be felt more acutley in areas of the borough facing greatest disadvantage. To rebalance these outcomes a number of initiatives are in place and being developed to mitigate impacts and reduce future incidence and these can be viewed on Wirral Plan page of the JSNA website(

The Segment Tool 2015 - Segmenting life expectancy gaps by cause of death

The Segment Tool has been developed by the Public Health England (PHE) Knowledge and Intelligence Teams (London and East Midlands) and provides information on the causes of death that are driving inequalities in life expectancy at local area level. Targeting the causes of death which contribute most to the life expectancy gap should have the biggest impact on reducing inequalities.

The tool uses data for 2010-12 and allows users to view the breakdown of the life expectancy gap both within local authority areas, and between a local authority and England as a whole.

As with the previous version, the tool examines life expectancy gaps between each local authority as a whole and England as a whole, and between the most and least deprived quintile within each local authority. The updated tool also includes new charts showing life years gained or lost for selected causes of death.

View Wirrals sement tool report here (to follow shortly due to website technical issues) or go to the London Knowledge and Intelligence Team (PHE) website for more details here