City Research Online

Abstract

We use partial life expectancy to show the existence in the UK of an asymmetric relationship between life span and health span in five-year age brackets over the life course. Using comparable data from other advanced economies, we investigate why years of improvement in life expectancy after 2010 have come to a halt, and what would have happened if austerity and the COVID pandemic had not occurred. We find that the UK does worse than other countries except for the US. We show that deprivation is a major source of disparities between health and life span and is a key contributing factor. A one-year decrease in life expectancy leads to a 2.5-year reduction in health expectancy, resulting in a 21-year disparity between health and life span in the most deprived area. The resultant gap places a considerable burden on public finances and slows economic growth. Impacts include lower economic activity rates, higher healthcare costs, greater immigration, and upward financial pressures on the state pension. The unresolved policy issue is how to slow the current trend, given the rapidly ageing UK population.

Publication Type:	Article
Additional Information:	© 2025 by the author. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Publisher Keywords:	partial life expectancy; health expectancy; population ageing; economic impact; COVID
Subjects:	H Social Sciences > H Social Sciences (General) R Medicine > RA Public aspects of medicine
Departments:	Bayes Business School Bayes Business School > Faculty of Actuarial Science & Insurance
SWORD Depositor:	Symplectic Administrator

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