
An analysis of publicly available defibrillators by the Heart Restart campaign has identified substantial gaps in emergency defibrillator access across England and Wales. The research reveals that 35 million people—more than half the population—do not live within the recommended three- to five-minute brisk walk of a defibrillator. Of this group, approximately half live more than a 1km round trip from a continuously accessible device.
The clinical significance of these access gaps is substantial. The UK experiences more than 40,000 out-of-hospital cardiac arrests annually, yet fewer than one in 10 people survive. Early cardiopulmonary resuscitation and defibrillation can more than double survival chances, and patients who do not receive treatment within 10 minutes face a high likelihood of death. The analysis found that with the exception of the City of London, every local authority has residents living at least 10 minutes away from their nearest 24/7 defibrillator. In 264 of 318 local authority areas studied, more than half of residents fell outside the recommended access distance.
Disparity patterns emerge across different regions. In Harlow, over 70% of residents are at least 10 minutes from a publicly accessible 24/7 defibrillator, while Birmingham has nearly half a million people living more than 500 metres away. Conversely, all City of London residents and 77% of Hartlepool residents fall within the recommended three- to five-minute range. The British Heart Foundation has launched a campaign offering 400 new community defibrillators to address shortages, targeting areas identified as having the largest access gaps, including Barking and Dagenham, Liverpool, Southampton, Nottingham, Wrexham, Newport, and parts of Scotland and Northern Ireland.
Health officials have highlighted the urgency of closing these gaps. Survival rates decline by up to 10% for every minute without treatment. Supporters of improved access, including politicians and healthcare organizations, have called for action to ensure equitable defibrillator distribution and have proposed removing VAT on defibrillators and related supplies to reduce installation costs.
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