An NHS campaign aims to get patients to look for alternatives to long-term painkiller use.
"There is a very clear North/South divide" she says.
"But the other thing is how they access their healthcare, so maybe healthcare demand is high but healthcare provision is not sufficient to care for those patients." But Dr Siara Malik, who is helping run the Sunderland campaign, says they're working hard to reduce long-term use.
NHS England and NHS Improvement are considering the recommendations from the review, including the recommendation for a helpline.
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