A new report from the Royal Society for Public Health (RSPH) reveals that the majority of the UK’s high streets are failing to provide environments that support public health and well-being. The study found that 87% of people believe their local high street lacks at least one essential amenity for healthy living — such as green spaces, healthy food shops, or safe pedestrian zones.
The findings, published in the “Streets Ahead” report, suggest that high streets are missing a critical opportunity to improve national health outcomes by not catering to the basic needs of their communities.
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High Streets Lack Healthy Amenities
Not Enough Healthy Food Options
According to the report, 53% of respondents, representing around 36 million people, said there are not enough shops selling healthy food on their local high street. This deficit contributes to unhealthy eating habits and rising rates of obesity and related illnesses.
Limited Green and Social Spaces
Respondents also reported a lack of green areas for rest or exercise, few social spaces like cafes or pubs, and insufficient pedestrian or cycling infrastructure. These elements are vital for fostering community interaction and encouraging physical activity.
Call for Government and Business Action
Reforming Tax and Development Policies
To combat the decline in healthy urban spaces, the RSPH is urging the government to revise the tax system to make online retailers contribute more, redirecting funds to support local high streets. They also recommend that businesses and landlords be required to work with local authorities on “healthy high street” plans as a prerequisite for development approvals.
Encouraging Healthier Environments
The RSPH believes high streets “hold the key” to reversing the UK’s public health crisis, stressing that a more health-focused design could promote better lifestyle choices across all age groups.
RSPH CEO: Time to Reclaim High Streets for Health
William Roberts, Chief Executive of the RSPH, criticized the decades-long neglect of high street infrastructure and its impact on community well-being.
“We have become far too used to seeing boarded-up shops and high streets lined with businesses that perpetuate ill health. We want every person in the UK to feel proud of their local area — and confident that it supports their health.”
Closing Thoughts
As the UK grapples with rising health issues, the revitalization of its high streets could serve as a powerful public health intervention. By redesigning these spaces to include more nutritious food options, green areas, and social hubs, the government and local businesses can play a pivotal role in improving the health of millions. Without significant policy and infrastructure changes, however, UK high streets risk remaining underutilized assets in the fight for a healthier nation.
This article is originally published on business