Local · Portsmouth

Getting seen: GPs, dentists and preventable death

Portsmouth has run a fifth below England on GP staffing for years, fewer than three in ten adults have seen an NHS dentist, and under-75 deaths from preventable causes are 27% above the England rate — worse in every period on record.

Public attention
High

GP and dentist access is among the most consistently raised issues by residents nationally and locally, and appears in the council's own Big Portsmouth Survey.

Measured scale
Very high

Affects the whole population. Preventable mortality is 27% above England and has been significantly worse in every measured period. Healthy life expectancy for men is 3.4 years below England and has fallen about four years since 2018–20.

Direction of travel
Improving

Narrowly, and from a low base. GP staffing has recovered from its September 2023 low of 32.7 per 100,000 to 36.4, and preventable mortality fell in the most recent period from 206.7 to 192.1. Both remain well below and above England respectively.

Getting a GP

A fifth fewer GPs than England, throughout

Portsmouth has run 20–25% below England on fully-qualified GP staffing for the whole published period. The gap was widest in September 2023 — 32.7 GPs per 100,000 patients against 43.5 nationally — and has recovered only partially since.

Fully-qualified GP FTE per 100,000 registered patients. NHS England publishes GP workforce by sub-ICB, not by local authority. Portsmouth's sub-ICB (10R) is coterminous with the city — all 125 of its LSOAs are in Portsmouth — so this is a genuine Portsmouth figure, but it counts registered patients rather than residents.

NHS dentistry

Fewer than three in ten adults have seen an NHS dentist

Fewer than three in ten Portsmouth adults have seen an NHS dentist in the past two years — 28.4% against 39.8% across England. For children the gap is wider still: 43.6% against 56.9%. Portsmouth dental contracts also delivered only around 55–66% of their contracted activity in 2024/25, against 84% nationally.

28.4%
Portsmouth adults
39.8%
England adults
43.6%
Portsmouth children
56.9%
England children

Adults seen in previous 24 months; children in previous 12 months. Percentages are on a patient-location basis (patient postcode). NHS BSA re-bases the population denominators between releases, so these figures are internally consistent but not comparable with percentages quoted from an older release.

Preventable deaths

27% above England — and worse in every period on record

Portsmouth has been significantly worse than England on under-75 deaths from causes considered preventable in every single period on record. The most recent figure — 192.1 per 100,000 against 151.2 — is 27% above the England rate.

Under-75 mortality from causes considered preventable, directly age-standardised. Portsmouth is statistically significantly worse than England in every period shown.

Living well, not just longer

The healthy-years gap is far bigger than the lifespan gap

A boy born in Portsmouth can expect to live 78.1 years against 79.5 across England. But healthy life expectancy — years lived in good health — is 57.5 against 60.9, and Portsmouth male healthy life expectancy has fallen by around four years since 2018–20.

Life expectancy, men78.1 vs 79.5 England (-1.4)
Life expectancy, women82.6 vs 83.3 England (-0.7)
Healthy life expectancy, men57.5 vs 60.9 England (-3.4)
Healthy life expectancy, women58.6 vs 61.3 England (-2.7)

2022-24. Teal bar is Portsmouth, grey is England. Healthy life expectancy at local authority level carries very wide confidence intervals, and most Portsmouth-vs-England differences on that measure are not statistically significant. The fall over time is the more robust signal than any single year's gap.

Adults

Adult obesity, significantly worse for two years

Adult obesity in Portsmouth reached 32.3% in 2024/25 against 26.6% nationally — significantly worse than England for two consecutive years. Year 6 child obesity has been significantly worse than England every year since 2020/21.

Children

Year 6 obesity, worse every year since 2020/21

By Year 6, roughly one child in four in Portsmouth is obese.

The adult figures come from Sport England's Active Lives survey with a Portsmouth sample of only around 320–390 respondents, so confidence intervals are wide. Smoking prevalence is not shown as a Portsmouth-vs-England difference for the same reason — the interval spans roughly ±3 points, so Portsmouth never registers as significantly different either way.

What is deliberately not shown here

A&E performance and elective waiting lists for Portsmouth Hospitals University NHS Trust are deliberately not shown here. The trust serves a catchment of 675,000+ across Portsmouth, Havant, Fareham, Gosport and beyond — roughly three times the city's population — so its activity is not a measure of Portsmouth residents' demand or experience, and no resident-level equivalent is published. Presenting it on a Portsmouth page, even caveated, invites exactly the misreading this site exists to prevent.

Who can change this

NHS Hampshire and Isle of Wight Integrated Care Board

Next decision

The 2025/26 NHS dental statistics and the next GP workforce release

What you can do

Complaints go to the provider first, then the Parliamentary and Health Service Ombudsman; funding and workforce are MP matters

36.4
GPs per 100,000 patients
June 2026
England 45.7
28.4%
Adults seen by an NHS dentist
to March 2025
England 39.8%
192.1
Preventable deaths per 100,000
2022–24
England 151.2 — 27% higher
57.5 years
Healthy life expectancy, men
2022–24
England 60.9
Signal — why this is here

Consistently among the most raised issues by residents, and the subject of the council's own current survey work on local priorities.

Public and political discussion indicates what people are raising. It is not evidence that a claim is true.

Evidence — what has happened

Verified facts

Fully-qualified GP FTE per 100,000 registered patients in Portsmouth fell from 40.5 in September 2019 to 32.7 in September 2023, recovering to 36.4 by June 2026 — against an England figure of 45.7. NHS dentistry access is 28.4% of adults seen in 24 months against 39.8% nationally, and 43.6% of children against 56.9%. Under-75 preventable mortality was 192.1 per 100,000 in 2022–24 against 151.2 in England. Adult obesity reached 32.3% against 26.6%.
Has it worked?

Partially. GP numbers and preventable mortality both moved the right way in the most recent period, and dental contract delivery is improving. None has closed the gap to England.
Full detail — why it matters, who else is involved, what is being done
Why it matters. Access to primary care determines whether conditions are caught early or become emergencies. Preventable mortality is, by definition, deaths that need not have happened. And the healthy-life-expectancy gap is far larger than the lifespan gap — Portsmouth residents do not just die a little earlier, they spend markedly more of their lives in poor health.
Why it happens. The published data establishes the gaps but not their causes. Deprivation, the age and structure of the local population, workforce recruitment and NHS contract delivery are all plausible contributors; none is quantified in these sources, and no decomposition is attempted here.
Where. Not published below local authority level. Portsmouth's NHS sub-ICB is coterminous with the city, which is why GP figures are genuinely local — but no ward or constituency breakdown exists.
What is being done. GP staffing has partially recovered since 2023. Dental contract delivery in Portsmouth rose from around 55–66% of contracted activity in 2024/25 towards 71–75% in 2025/26, though still below England's 89%. No Portsmouth-specific published evaluation of either recovery exists. Cost: Not separately published for Portsmouth.
Everyone involved.
  • NHS Hampshire and Isle of Wight ICBCommissions primary care, community and dental services — the main local lever
  • Individual GP practices and dental contractorsIndependent contractors, not NHS-managed staff
  • Department of Health and Social CareNational workforce planning, the GP and dental contracts, and funding
  • Portsmouth City CouncilPublic health functions — prevention, smoking, obesity, healthy weight
What is still not known.
  • No sub-city breakdown of any health measure is published.
  • The GP Patient Survey no longer publishes results at Portsmouth's sub-ICB level — 2025 and 2026 exist only at ICB, PCN and practice level.
  • Adult obesity and smoking come from a Portsmouth sample of only ~320–390 respondents, so confidence intervals are wide and smoking never registers as significantly different from England either way.
  • Portsmouth has not returned a value on the 5-year-old dental decay survey since 2014/15.
  • No published decomposition of what drives the preventable mortality gap.
Sources & methodology (3) · last verified 2026-08-26

What could be done, and what it would cost

Full action plan →

UK Stat Pack's own analysis — not Portsmouth City Council or government policy. Each item states what is officially happening, if anything.

A formally designated QA Hospital–University of Portsmouth health innovation zone

Not proposed officially
Estimated cost
A dedicated cluster facility is typically a mid-single-digit-million capital cost; treat as an order of magnitude pending an actual costed proposal.
Funding route
Innovate UK; NHS innovation funding; University of Portsmouth commercial development budget; Solent Freeport innovation incentives.
Timescale
Medium-term (3–7 yrs)
Why it might work, and the trade-offs

The underlying research relationship already works (KTPs, real spin-outs) — the gap is specifically the follow-on commercial space that lets a growing company stay in Portsmouth rather than relocate to Southampton Science Park or London.

Trade-offs. Portsmouth competes directly with Southampton Science Park and London for exactly this kind of scale-up tenant — space alone does not guarantee retention without a genuinely competitive offer.

How we would know it worked. Number of health-tech spin-outs remaining and scaling within Portsmouth (not just formed here); Follow-on commercial space actually delivered