Tackling Health Inequalities: 10 Years On reviews the UK’s progress on addressing the social determinants of health over the past 10 years. Is the UK a less unequal society now? Well, the answer is mixed, nicely summed up as “much achieved, more to do”. The good news is that there has been significant improvements in health of the population, including the worse-off. The less-good news is that health inequalities between different groups and areas and the whole population remain stubbornly persistent, and the differences between groups is not very dramatic (as measured by life expectancy and infant mortality). So, what’s next? The need for a sustainable, systematic approach with a rigorous focus on reducing health inequalities across all areas of government is a key way forward. After all, no-one said this was going to be easy – or fast. The last 10 years has seen the development of evidence-based, practical and effective policy design and delivery systems. These are the building blocks for further progress and a sure, but steady, narrowing of the gap.