Housing associations in England manage over 2.5 million homes and between 2011-2015 built over 170,000 new affordable homes. They built around 46,000 affordable homes in 2014/15, representing 37% of all homes built that year. Recent cuts and reforms pose challenges to the housing sector, including a 1% annual rent reduction until 2021 estimated to cost £1.6 billion. The report recommends tackling poverty, promoting healthy childhood development, increasing public influence over resources, and strengthening the health sector's role in promoting equity to improve health in northern England.