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Greater Manchester is home to a population of 2.7 million people. In 2016, it became the first English region to be handed control of »6bn health and social care funding from central government (Manchester City Council, 2016). The initiative faces some big challenges, including differences in how long people live. In 1851, life expectancy in England and Wales was estimated to be only 41 years and just 30 years in Manchester (Szreter and Mooney, 1998). Today life expectancy is estimated to be 81.5 years in the UK (79.5 years for men and 83.2 years for women) (ONS, 2016). However, the gap between economically deprived and prosperous areas is increasing (Hacking et al., 2011). The city of Manchester is in the top 10 areas in the UK with the lowest life expectancy, with people having an estimated lifespan of 74.8 years. Manchester has the lowest life expectancy of any local authority area in England and Wales for women. As shown in Figure 1 we linked Office for National Statistics (ONS) ward level estimates of life expectancy and information on socio-economic deprivation to the tram stops on the Greater Manchester tram network. Opened in the 1990s the tram network now includes 100 kilometres of track, 93 stops and 33.4 million journeys in 2015.

The devolution of health funding in Greater Manchester in the UK: A travel map of life expectancy