Day 690 of the Labour government26 May 202618.23 GMT
0 British deaths since you opened this page0 in the policy gap
The Tribune

Preventative health

Issue three of three. UK Parliament + devolved responsibility.

UK Parliament + devolvedAspects of this issue are devolved to the Scottish Parliament, Senedd Cymru, and Northern Ireland Assembly. UK Parliament retains reserved powers.

James Murray, Secretary of State for Health and Social Care · day 9 in post (succeeded Wes Streeting, resigned 14 May 2026)

Issue three — the figure

53,913

preventable and treatable deaths in 2026 so far · estimated £19bn annual cost to NHS and economy.

live · ONS Avoidable Mortality 2024 · updated just now

The gap, in plain language

If the UK matched Finland's rate of 101 per 100k working-age, an estimated 45,300 of these deaths would not happen each year. Match Japan's 78, and ~65,700 would not happen.

How the UK compares

Avoidable deaths per 100k working-age

Lower is better. Source: OECD Health Statistics 2024.

OECD high-income
Japan78
Switzerland84
Australia92
Finland101
Netherlands105
United Kingdom152
United States194

Methodology

Age-standardised avoidable mortality rate per 100,000 population aged under 75. Combines preventable and treatable causes. Source: OECD Health Statistics 2024.

↓ hover for methodology

What has been solved elsewhere

Finland — the North Karelia Project

case study

The North Karelia Project (1972 onwards) demonstrated that population-wide prevention works. Cardiovascular mortality reduced over 80% since 1970s; overall avoidable mortality halved.

Policy pillars

  • · Population-wide screening for risk factors (cholesterol, blood pressure)
  • · National salt-reduction policy with mandatory food labelling
  • · Comprehensive smoking cessation infrastructure
  • · Strong primary care with named GP per patient
  • · Annual health checks free at point of use

Outcomes

280 → 101

avoidable mortality per 100k fell from ~280 in 1980 to 101 today.

Cardiovascular deaths

−80%

since the project began.

What the UK would need to do

Restore public health budgets to 2015 levels (~£1.5bn annual increase). Establish a statutory national prevention strategy with ring-fenced funding. Roll out population-wide screening for cardiovascular and metabolic risk. Estimated cost over a parliament: £8–12 billion. Estimated cumulative British lives saved over 25 years: ~330,000.

↓ hover for the full case

Labour's prior statements

What Labour promised — 8 commitments

Tier 1 · governing party
  • From sickness to prevention — one of three big shifts in our 10-year plan for the NHS.

    — Labour Manifesto 2024

    IN PROGRESS

    10-year plan published July 2025; prevention shift not yet operationalised.

  • We will ban junk food advertising targeted at children.

    — Labour Manifesto 2024

    PARTIALLY DELIVERED

    Came into force 5 January 2026, with brand advertising exemption loophole.

  • Ban the sale of high-caffeine energy drinks to under-16s.

    — Labour Manifesto 2024

    IN PROGRESS

  • Recruit 1,000 more GPs.

    — Labour Manifesto 2024

    DELIVERED

    NHS England Sept 2025: 1,897 WTE added since July 2024. Headline pledge met; methodology disputed.

  • Dentistry Rescue Plan — 700,000 more urgent dental appointments and reform to the dental contract.

    — Labour Manifesto 2024

    IN PROGRESS

  • Halve the gap in healthy life expectancy between the areas of highest and lowest deprivation.

    — Labour Manifesto 2024

    NOT DELIVERED

    No measurable progress on gap closure to date.

  • Opt-out smoking cessation interventions integrated into routine NHS care.

    — Labour Manifesto 2024

    IN PROGRESS

  • Tobacco and Vapes Bill — create the first smoke-free generation.

    — Labour Manifesto 2024

    DELIVERED

    Royal Assent 29 April 2026. Cross-party origin (Sunak 2023).

Notable absences

  • · No commitment to ring-fenced prevention budget within NHS spending.
  • · No specific commitment on alcohol harm — a major preventable mortality cause.
  • · No statutory targets for reducing avoidable mortality rates.
  • · No commitment on tackling obesity in adults (only children).

The standing record for this issue

Days in office

688

since 5 July 2024.

Days since this minister appointed

9

James Murray succeeded Wes Streeting on 14 May 2026.

Promise-to-delivery

2 / 8

of 8 tracked commitments delivered. 1 partial, 4 in progress, 1 not delivered.

Your move — write to your MP

1,247 letters sent this week · 23 MPs have responded

Write to your MP.

A letter to your MP on any of the three counts, pre-filled with the evidence above. Anonymous by default — your name is never published.

Letter preview · updates as you choose an issue

Dear your MP,

I am writing about the 52,876 preventable British deaths so far in 2026 — and the 135,000 that will happen by year end. The UK rate is 50% above Finland's.

Labour's 2024 manifesto pledged a shift "from sickness to prevention" as one of three big shifts in the NHS 10-year plan. 688 days in, that shift has not been operationalised. There is no ring-fenced prevention budget. No statutory targets for reducing avoidable mortality.

I am asking you to press the new Health Secretary, James Murray, to publish a national prevention strategy with ring-fenced funding within 100 days.

Yours sincerely,
[your name]

Drafting your statement

Dear your MP, I am writing about the 52,876 preventable British deaths so far in 2026 — and the 135,000 that will happen by year end. The UK rate is 50% above Finland's. Labour's 2024 manifesto pledged a shift "from sickness to prevention" as one of three big shifts in the NHS 10-year plan. 688 days in, that shift has not been operationalised. There is no ring-fenced prevention budget. No statutory targets for reducing avoidable mortality. I am asking you to press the new Health Secretary, James Murray, to publish a national prevention strategy with ring-fenced funding within 100 days. Yours sincerely, [your name]

Routing to

Your MP for —

Preventative health · The Tribune