Unfortunately, your browser is too old to work on this website. Please upgrade your browser
Skip to main content
Indicator

Relationship between income and healthy life expectancy by local authority

Published 1 July 2024
Last updated 2 September 2025
Time to read clock icon About 2 mins
Abstract graphic of bubble chart

Key points

  • Local authority areas with higher incomes tend to have higher healthy life expectancies.
  • Local authority areas in the south of England tend to be areas with higher average incomes and higher healthy life expectancies.
  • Local authority areas in the north of England are more likely to have lower incomes and lower life expectancies.

Money and resources can influence health in a number of ways, particularly for people living in poverty and deprivation. Financial strain is a source of stress and reduces income available for products and services that promote good health, or increases health-harming coping behaviours

This chart shows the relationship between healthy life expectancy and equivalised income after housing costs, by local authority in England, highlighting whether a local authority is in the north, the Midlands or the south.

  • Local authority areas with higher incomes tend to have higher male and female healthy life expectancy. The association holds when other measures of household income are used (such as income before housing costs).
  • Areas in southern England generally have higher average incomes and higher average healthy life expectancies.
  • Areas with lower incomes and lower healthy life expectancy are more likely to be in the north of England. 

  • Local authority income was estimated using the income estimates for small areas and weighted by small area population numbers.
  • Small areas are Middle layer Super Output Areas (MSOAs), based on the 2011 Census. MSOAs are geographical areas that comprise 2,000–6,000 households (5,000–15,000 people).
  • ‘North’ comprises all areas in the north of England, that is, North East, North West and Yorkshire and the Humber. ‘Midlands’ refers to East and West Midlands. ‘South’ encompasses all areas in the south of England, ie South East, South West, London and the East of England.
  • Healthy life expectancy is defined as the number of years an individual is expected to live in good health, based here on period life expectancy and a self-rated measure of good health. Period life expectancy is calculated using current mortality rates.
  • Income is defined as monthly net equivalised household income after housing costs. Equivalisation is a method that adjusts income to account for differences in household size and composition.

Source: Office for Health Improvement & Disparities, Public Health Profiles, 2021–23; Office for National Statistics, Income estimates for small areas, England and Wales, 2019/20; Office for National Statistics, Middle layer Super Output Area population estimates, 2020

Evidence Hub topics

Building blocks graphical icon

Health inequalities

Trends | Geography | Deprivation | Ethnicity | Disability
alt=""

Risk factors

Alcohol use | Drug use | Obesity | Smoking
Black cogs icon on a yellow background

Money

Income | Debt | Poverty
White lanyard icon on a dark blue background

Work

Unemployment | Quality | Security
Black house and key icon on an orange background

Housing

Quality | Affordability | Homelessness | Multiple problems
White bus and cyclist icon on a dark green background

Transport

Trends | Active travel | Social exclusion
White location pin icon on a purple background

Relationships

Personal relationships | Community cohesion
Black house and tree icon on a green background

Surroundings

Pollution | Green space | Safety | Outlets
Black open book icon on a blue background

Education

Attainment | Attendance | Schools

Related content