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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.

Health Trend: Improving Attention: High

Key figures

36.4

GPs per 100,000 patients

June 2026

England 45.7

30.2%

Adults seen by an NHS dentist

to March 2026

England 40.0%

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

Who decides

NHS Hampshire and Isle of Wight ICB

Commissions primary care, community and dental services — the main local lever

Individual GP practices and dental contractors

Independent contractors, not NHS-managed staff

Department of Health and Social Care

National workforce planning, the GP and dental contracts, and funding

Portsmouth City Council

Public health functions — prevention, smoking, obesity, healthy weight

What you can do

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

Find who to contact

What's happened, and what next

What happened

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 30.2% of adults seen in 24 months to March 2026 against 40.0% nationally, and 50.2% of children (seen in 12 months) against 60.0%. 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%.

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.

What's 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.

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.

What happens next

NHS Dental Statistics for 2025/26 were due at the end of August 2026 and will refresh the dentistry figures with deprivation breakdowns. The next GP workforce and OHID mortality releases follow.

Cost

Not separately published for Portsmouth.

What isn't published

Gaps are shown, not guessed. Each is something an official body could publish.

Not published: No sub-city breakdown of any health measure is published.
Not 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.
Not published: 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.
Not published: Portsmouth has not returned a value on the 5-year-old dental decay survey since 2014/15.
Not published: No published decomposition of what drives the preventable mortality gap.