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Tackling Health Inequalities: The Spearhead Group of Local Authorities and Primary Care Trusts


Department of Health

Subject Keywords: Inequalities in life expectancy
Topic: Chronic Conditions
Coronary Heart Disease (CHD)
Health Inequalities
Chronic Conditions
Health Inequalities
Type: Report
Region: United Kingdom

The Public Health White Paper Choosing Health – making healthier choices easier sets out the importance of ensuring that as the country strives to improve its health a priority must be given to tackling health inequalities so that all groups in society benefit from improvements in public health.
The Government has set a Public Service Agreement target to address geographical inequalities in life expectancy, cancer, heart disease, stroke and related diseases. The targets aim to see faster progress compared to the average in the “fifth of areas with the worst health and deprivation indicators”. Achievement of the targets will be assessed on the outcomes for this Group in 2010. The Local Authorities and Primary Care Trusts which are in these areas, the so-called Spearhead Group, has now been published.
The Spearhead Group is made up of 70 Local authorities and 88 Primary Care Trusts, based upon the Local Authority areas that are in the bottom fifth nationally for 3 or more of the following 5 indicators:
• Male life expectancy at birth
• Female life expectancy at birth
• Cancer mortality rate in under 75s
• Cardio Vascular Disease mortality rate in under 75s
• Index of Multiple Deprivation 2004 (Local Authority Summary), average score



Rights: © Crown Copyright
Suggested citation:

Department of Health. (2004) Tackling Health Inequalities: The Spearhead Group of Local Authorities and Primary Care Trusts [Online]. Available from: [Accessed: 23rd September 2019].


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