I was shocked and saddened to hear the health foundation findings on health inequalities. The UK has the second steepest decline after the USA. Notably, sicker younger people, complex and more co morbiditoez, including: cycles of chronic disease, kidney disease, anxiety and depression, poverty related, COPD, diabetis, "isolationalism", with social prescribing increasing. Socio economic divides between north and south, rising debt, use of food banks, all reflect changes since 2010, The Mark Review (2010) highlighted the need to gove every child equal opportunities, but we have had years of austerity. The NHS has rising pressures put on it, hence it is failing. Sad news. Covid did exacerbate this divide, which has widened...but even within the UK, England is in a sorry state. Policies need to keep up, and try to reverse these latest findings.