Children in the UK could grow up to be one of the unhealthiest generations in decades unless urgent action is taken, according to a major new report from the Royal College of Paediatrics and Child Health (RCPCH)
The report, State of Child Health 2026, found that progress has either stalled or worsened across almost every major measure of children’s health over the past decade. Experts say the biggest challenges include falling vaccination rates, rising mental health problems, asthma and widening health inequalities affecting families in the most deprived communities
The findings are likely to resonate with many parents, with separate YouGov polling included in the report revealing that only 12% of parents believe children’s health has improved over the past 10 years
What the report found
The RCPCH assessed 12 internationally recognised indicators of children’s health and wellbeing, including:
- Infant mortality
- Vaccination rates
- Childhood obesity
- Oral health
- Mental health
- Asthma
According to the report, outcomes have either remained unchanged or worsened across almost every area since its previous review
- Only 84% of UK children receive both doses of the MMR vaccine by the age of five, below the World Health Organization’s 95% target.
- The UK has the lowest MMR uptake of any G7 country.
- The UK continues to have one of the highest asthma-related mortality rates in Europe.
- Infant mortality rates haven’t improved since 2023, and remain higher than in many comparable European countries.
Health inequalities remain a major concern
The report highlights significant differences in children’s health depending on where they live and their family’s circumstances
It found that rates of infant mortality and childhood obesity are more than twice as high in the most deprived areas compared with the least deprived. Children from ethnic minority communities are also disproportionately affected by poorer health outcomes
Dr Helen Stewart, RCPCH Officer for Health Improvement, said the findings should be a wake-up call for policymakers
“In early 2024, the UK government promised to create the healthiest and happiest generation of children ever in Britain. It is a noble goal that governments of all colours across our nations should hold as a priority. This report is a stark reminder to policymakers that, to achieve that goal, there is a huge amount of work to do. Since the last iteration of State of Child Health (published in 2020), very little has improved and, on some indicators, the situation has deteriorated,” she writes
What needs to happen to improve children’s health?
Alongside the findings, the college has published a series of recommendations aimed at improving children’s health across England
It is calling on the government to prioritise three key areas:
- Improve the collection and sharing of child health data, including creating a single national measure of children’s health and wellbeing.
- Introduce clear national targets to improve child health outcomes and reduce inequalities across all 12 indicators.
- Increase investment in children’s health services, including a long-term workforce strategy and a dedicated Children’s Health Investment Standard.
Professor Steve Turner, President of the RCPCH, said:
Collectively, we must do better, and we must do it sooner. Improving child health requires sustained focus, long-term investment, and a commitment to tackling the root causes of inequality. Getting it right first time matters, not only for children today, but for the health and prosperity of our society in the years to come.
What the government has said
Responding to the report, a government spokesperson said it recognised that too many children continue to experience poor health outcomes, particularly those growing up in deprived communities
The spokesperson said: “Following a decade of neglect, too many children, particularly those growing up in the most deprived communities, continue to experience poorer health outcomes than they should. That’s why this government is taking decisive action to lift children out of poverty, tackle health inequalities and raise the healthiest generation of children ever
“As well as ending the two-child limit, we’re expanding mental health support in schools and colleges, opening family hubs and local health centres, and protecting children through tougher rules on smoking, vapes and junk food ads
“We’re also giving primary pupils a healthier start to the day with free breakfast clubs and providing free school meals to every single child from a household in receipt of universal credit.”
Why it matters for families
While many children across the UK are healthy and thriving, the report suggests that progress is slowing at a population level, particularly for families facing disadvantage
The RCPCH says improving children’s health requires long-term investment rather than short-term solutions, warning that without action today’s children could face poorer health throughout adulthood
For parents, the findings reinforce the importance of keeping up with routine childhood vaccinations, attending health appointments when concerns arise and making use of local support services where available, while highlighting the wider role that public health policies and investment play in shaping children’s wellbeing
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