Scottish Health Equity Research Unit
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scothealtheq.bsky.social
Scottish Health Equity Research Unit
@scothealtheq.bsky.social
A collaboration between the Fraser of Allander Institute and the Centre for Health Policy at Strathclyde. Funded by @healthfoundation.bsky.social. https://scothealthequity.org/
(5/5) These inequalities are preventable. Tackling low incomes, poor housing, job insecurity, education gaps and limited community resources is essential. Scotland’s challenge is ensuring that longer, healthier lives are not a privilege but a reality for all.
December 10, 2025 at 2:51 PM
(4/5) Life expectancy rises as deprivation falls and is highest in rural areas and lowest in urban areas, with nearly a 3-year difference for men. Place and socioeconomic conditions clearly remain key determinants of health in Scotland.
December 10, 2025 at 2:51 PM

(3/5) The deprivation gap remains stark: women in the most deprived areas live 10.5 fewer years than those in the least, and for men the gap is 13.2. These differences reflect long-standing socioeconomic conditions including income, housing, education and work.
December 10, 2025 at 2:51 PM
(2/5) Scotland still has the lowest life expectancy in the UK, around two years lower than England and over a year lower than Wales. Compared with Western Europe, Scotland continues to lag. These are structural differences, not inevitable ones.
December 10, 2025 at 2:51 PM
Recorded at the Fraser of Allander 50th Anniversary Conference, the Technology Innovation Centre, September 19th 2025.

www.youtube.com/watch?v=a45p...
2025 Inequality Landscape Report Launch
Recorded at the Fraser of Allander 50th Anniversary Conference, the Technology Innovation Centre, September 19th 2025. Featuring: Emma Congreve (SHERU Co-Lead and Deputy Director of the Fraser of…
www.youtube.com
November 6, 2025 at 8:01 AM
Focusing on average outcomes paints a picture of men in Scotland doing relatively well but this obscures a subset of young adult men facing multiple socio-economic challenges who are at high risk of early, preventable deaths.

www.youtube.com/watch?v=a45p...
2025 Inequality Landscape Report Launch
Recorded at the Fraser of Allander 50th Anniversary Conference, the Technology Innovation Centre, September 19th 2025. Featuring: Emma Congreve (SHERU Co-Lead and Deputy Director of the Fraser of…
www.youtube.com
November 6, 2025 at 8:01 AM
5. The refresh of the national performance framework gives a chance to revisit and agree outcomes to work towards, but also drive a better collaborative approach to delivery.
September 19, 2025 at 1:00 PM
4. There was recognition that the shift to prevention challenges us to rethink our approaches, and to find ways to bring the public with us. The journey to prevention is hard - there is no “template to make the shift”, but there is a clear need to do so.
September 19, 2025 at 1:00 PM
3. There was also discussion on the wider work in SHERU, utilising action learning set methodologies within local authorities and the importance of space for cross collaborative working.
September 19, 2025 at 1:00 PM
2. The panel noted the importance of learning from examples, as emphasised by SHERU on other models demonstrated in Ireland and Iceland.
September 19, 2025 at 1:00 PM
1. Questions to the panel included how best to respond to policy blind spots, managing the shift to prevention and a challange on bringing wider public engagement to difficult decision-making choices.
September 19, 2025 at 1:00 PM
(3/3) He highlighted core statistics and evidence of “wasted opportunities” as illustrated in the SHERU research published today and focused on the need to be thinking about good governance, national outcomes, and spending plans.
September 19, 2025 at 11:15 AM
(2/3) Whilst highlighting the challenging times for us in Scotland we need to do more to recognise and realise the ambitions from the Christie Commission, published 14 years ago(!), around prevention.
September 19, 2025 at 11:15 AM
You can find out more by accessing the full report here: scothealthequity.org/2025-inequal...
September 19, 2025 at 10:10 AM
7/7 The report concludes that Scotland has the ambition and expertise to reduce preventable deaths — but doing so will need stronger leadership, better data, and more joined-up government decisions.
September 19, 2025 at 10:10 AM
6/7 Drawing on approaches from Ireland and Iceland, the report calls for person-centred use of data and long-term, coordinated programmes that intervene well before young adults reach crisis point.
September 19, 2025 at 10:10 AM
5/7 As identified in the first part of the report - this sits against modest progress in child poverty reduction and income gains. But structural inequalities in housing, education and work continue to shape poor health outcomes across Scotland.
September 19, 2025 at 10:10 AM
4/7 We identify this group as a policy “blind spot.” Many face insecure work, low qualifications, poor mental health, homelessness, and justice system contact — yet often receive little support until crisis point.
September 19, 2025 at 10:10 AM