New ONS data reveals that extreme heat has killed tens of thousands of English residents since 1988, and the gap with cold-weather deaths is closing fast.
On a July shift in an English emergency department this summer, nurses were collapsing from the heat before they could reach their patients. That detail — reported by the nursing union amid warnings of "inhumane and impossible" conditions — captures what a sweeping new dataset from the Office for National Statistics now confirms in cold figures: between 1988 and 2025, more than 40,000 people in England died on the hottest days above and beyond what normal temperatures would predict. The numbers do not yet include the summer of 2025 itself, which is already on course to set a grim new record. The scale of this year's crisis is striking on its own terms.
The UK Health Security Agency reported that an estimated 2,877 people died during heatwaves in May and June alone — nearly double the toll for the entire previous summer. London, which recorded the highest heat-attributable death count of any English region, saw its ambulance service handle 25,000 more calls this summer than last, a volume that exceeded even the peak of the Covid-19 pandemic. Across almost all English regions and Wales, the risk of dying rose by 50% once temperatures passed 24°C. For most of the period studied, cold days were far deadlier than hot ones: the ONS counted 139,000 deaths associated with England's coldest days between 1988 and 2025, against the 40,000 linked to heat.
Yet that historical imbalance is shifting. James Tucker of the ONS noted that the gap between heat- and cold-related deaths has narrowed measurably in recent years as warming accelerates. Dr Clair Barnes, a statistician at Imperial College London who studies climate change and extreme weather, put the trajectory plainly: heat deaths may soon overtake those on the coldest days.