UK Chronic Disease Trends: Longer Lives, Sicker Years

Modern blue-glass hospital towers in east London
File photo: the Royal London Hospital, Whitechapel. Photo: Reading Tom via Wikimedia Commons, CC BY 2.0.
Longer lives, sicker yearsUpdated 4 October 2026

Trend summary

  • People in the UK are dying at lower rates than ever recorded, but they are spending more of their lives in poor health.
  • The age-standardised death rate in England and Wales fell to about 913 per 100,000 in 2025, the lowest since the series began in 1994.
  • Dementia and Alzheimer’s disease remained the leading cause of death, with 72,272 deaths (12.7%). It first took the top spot in 2015.
  • Healthy life expectancy fell to 60.7 years for men and 60.9 for women in 2022-24, the lowest on record, as obesity and diabetes keep rising.
72,272dementia deaths, England and Wales, 2025: No. 1 cause
60.7 / 60.9UK healthy life expectancy, men / women, 2022-24
30%of adults in England living with obesity, 2024
4.6mpeople in the UK with diagnosed diabetes

What the numbers show

ONS death registrations for 2025 show 570,988 deaths in England and Wales, 0.4% more than in 2024, but a lower age-standardised rate than ever. UK life expectancy at birth was 79.1 years for men and 83.0 for women in 2022-24. Healthy life expectancy, the years lived in good health, fell to its lowest level since the series began in 2011-13.

By disease, UK cancer death rates fell to about 250 per 100,000, the lowest on record, while heart and circulatory diseases caused 169,205 deaths in 2024 (BHF). In England, 30% of adults had obesity in 2024, double the 1993 rate, and 4.6 million people in the UK have diagnosed diabetes.

What is driving it

Heart disease is the main reason life expectancy gains slowed after 2011: better blood pressure and cholesterol treatment has not offset the effects of obesity, poor diet and inactivity, according to a peer-reviewed Global Burden of Disease analysis in The Lancet Public Health (UEA summary). Cancer death rates keep falling thanks to less smoking, national screening, HPV vaccination and better treatment. And as fewer people die young of heart disease, more live long enough to die with dementia.

Recent cases

  • 4 February 2026: the government publishes a National Cancer Plan for England, aiming for three in four people diagnosed to survive five years or more by 2035 (GOV.UK).
  • 3 July 2025: the 10 Year Health Plan for England promises a shift from treating sickness to preventing it (GOV.UK).
  • 19 May 2025: the British Heart Foundation warns of the worst start to a decade for heart health in 50 years, with working-age cardiovascular deaths up 18% between 2019 and 2023 (BHF).

Press releases and official reports, 2023–2026

Five key releases a year for the last four years, newest first. Most come from UK government departments, regulators, accident investigators and national statistics; a few news reports are included where they are the clearest public record of an event. Releases from 2007–2022 are in the expandable list after 2023.

2026

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View 20 years of major UK chronic disease press releases (2007–2026)80 more from 2007–2022, five a year, newest first

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Photo list

A person checking their blood pressure with a home monitor on the arm
File photo: checking blood pressure at home. Photo: Beendy234 via Wikimedia Commons, CC0.
The riverside buildings of St Thomas' Hospital in London
File photo: St Thomas’ Hospital, London. Photo: Soham Banerjee via Wikimedia Commons, CC BY 2.0.

How this page is built. Figures come from the official statistical releases linked above; where agencies publish provisional numbers we say so, because they are revised. UK statistics are often published separately for England, Wales, Scotland and Northern Ireland, so we say which area each figure covers. Photos are public-domain, Creative Commons or Open Government Licence images credited in each caption; file photos are illustrative and are not from the events described unless the caption says so. This page tracks trends and is not personal safety, medical, legal or financial advice.