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Original analysis

The mental health map of England.

We analysed 15,308 rows of public health data covering 184 English areas. The gap between places is much wider than the England averages suggest. Find your area below and see the published context for the population your people live among.

Published 23 July 2026 · Data: OHID Fingertips extract, ONS4 personal wellbeing measures, 2022/23. Every figure on this page is reproduced from the source data; the full method is at the bottom.

The headline

In the same year, the share of adults reporting high anxiety ranged from 10.4% in Enfield to 33.8% in Southampton. That is a 3.2 times gap between English local authority areas, on the same published measure, in the same year. These are figures for the adult population of each area, not for the workforce of any employer in it, and never for an individual. Read that range as evidence that context varies by place rather than as a league table: ONS asks that local authority estimates are not ranked against each other, because the samples are small and the confidence intervals wide. Measured against England instead, 5 of the 150 areas are significantly worse, 7 significantly better and 138 statistically similar. Among adults in work across England the figure is 21.7%, against the 23.3% population headline.

3.2x
High anxiety gap
10.4% to 33.8% of adults across 150 areas, 2022/23
6.4x
Low life satisfaction gap
1.9% to 12.5% of adults across areas, 2022/23
4.9x
Low happiness gap
3.5% to 17.1% of adults across areas, 2022/23
23.3%
England, high anxiety
Up from 19.4% in 2015/16. Trend chart below.

Source: Office for Health Improvement and Disparities (OHID) Fingertips, indicators 22301 to 22304 (ONS4 personal wellbeing, from the ONS Annual Population Survey), 2022/23, upper tier local authorities. Analysis: Alltoogether.

The interactive map

Find your area

Tap the map or search for your local authority. Percentages are the share of adults giving that answer about yesterday, as published by OHID Fingertips for 2022/23.

Grey: no published figure for this area at this level.

Prefer to check by postcode? Use the one-second postcode checker.

Tap an area or search

The readout shows how the adult population of an area answered the four ONS wellbeing questions in 2022/23, next to the England average.

These are population figures for the people who live in an area, not scores for any employer's workforce. They describe the context around your people, which is exactly why they matter to a benefits strategy.

England is more anxious than a decade ago

Share of adults reporting high anxiety, England, 2011/12 to 2022/23.

Source: OHID Fingertips indicator 22304 (ONS4 anxiety), England series. The 2022/23 figure is 23.3%, against a mid-2010s low of 19.3% (2014/15) and a pandemic-period peak of 24.1% (2020/21).

The ten highest and lowest areas

Share of adults reporting high anxiety, 2022/23. Pink: highest. Black: lowest.

Source: OHID Fingertips indicator 22304, upper tier local authorities, 2022/23. Estimates carry confidence intervals; see the method note.

What this means for employers

Same package, very different local context

Employers with comparable benefits may operate in areas with very different population wellbeing contexts. In some areas around one adult in ten reported high anxiety in 2022/23; in others it was closer to one in three. A uniform offer may be experienced differently across those local contexts, though that is something each employer would need to test with its own workforce evidence rather than infer from area figures.

Benefits provision is commonly chosen by sector, headcount and budget, and measured by usage where it is measured at all. Published area data is one more input worth looking at: understand the local context around your people, then decide what provision and signposting to test against your own evidence.

That is the order we work in. Measure first, then match the support to what the measurement shows.

The Strategy Audit is a free four-minute self-check of whether your wellbeing strategy is genuinely running, and it is available now. The IWE is our free, anonymous, non-clinical team check-in; self-serve signup is now open, with no call and no card. Using either is never conditional on placing insurance with us.

Methodology and sources

How this was built

The dataset
Alltoogether maintains an extract of public health indicators from the OHID Fingertips API (Office for Health Improvement and Disparities, Department of Health and Social Care): 15,308 data points across 184 English areas and 11 indicators, spanning 2001 to 2023/24. This page uses the four ONS4 subjective wellbeing indicators from that extract, at upper tier local authority level, for 2022/23, the latest year in the extract. 150 of 152 upper tier areas have published figures; the City of London and the Isles of Scilly do not, and are shown grey. The geography is the OHID upper tier local authority area type in force from April 2021 to March 2023, which is the vintage of this extract. Fingertips has since retired that area type and publishes on the Counties and Unitary Authorities geography introduced in April 2023. Re-running the same indicator on the current geography returns 149 areas with published figures, 82 of them above the England value, rather than 150 and 83; the highest and lowest areas, the range and the ratio between them are unchanged.
The measures
The ONS4 are four questions the Office for National Statistics asks adults in the Annual Population Survey, each answered 0 to 10 about yesterday. Fingertips publishes the share of adults at the poor end of each: high anxiety (score 6 to 10, indicator 22304), low life satisfaction (0 to 4, indicator 22301), low worthwhile score (0 to 4, indicator 22302) and low happiness (0 to 4, indicator 22303). These are self-reported wellbeing measures, not clinical assessments or diagnoses, and we present them exactly as the public sources name them.
The headline numbers
Reproduced directly from the extract before publication: high anxiety 2022/23 ranges from 10.4% (Enfield) to 33.8% (Southampton) across the 150 areas with data, a 3.25 times ratio. That ratio is set by the two extreme areas: between the 5th and 95th percentile areas the spread is about 1.5 times. Low life satisfaction ranges 1.9% to 12.5%; low happiness 3.5% to 17.1%; low worthwhile 1.6% to 9.8%. The England values for 2022/23 are 23.3% (high anxiety), 5.6% (low life satisfaction), 8.9% (low happiness) and 4.4% (low worthwhile). The England anxiety trend series runs from 21.7% in 2011/12 to 23.3% in 2022/23, with a mid-2010s low of 19.3% in 2014/15 and a peak of 24.1% in 2020/21. Eighty-three of the 150 areas with published 2022/23 figures sit above the England anxiety value, though as the uncertainty note below sets out, most of those areas are not significantly different from England.
Uncertainty
Local authority estimates come from survey samples and carry 95% confidence intervals, which Fingertips publishes and we hold in the extract. Those intervals are wide and they overlap heavily. The median area interval spans 11.3 percentage points; 138 of the 150 areas have an interval that contains the England value of 23.3%; and the widest single interval (Milton Keynes, 31.3% with an interval of 19.0 to 43.6, a span of 24.6 points) is wider than the 23.4-point gap between the highest and lowest central estimates. We show the published central estimates, display each area's anxiety interval in the readout, and have not treated differences between individual areas as statistically significant. Read this page as a picture of how the published estimates vary across England, not as evidence that any two named areas genuinely differ.
Boundaries
Map boundaries are Local Authority Districts (May 2022) from the ONS Open Geography Portal, via the ONS visual team's published topojson files, with two tier districts merged into their counties to match the upper tier geography of the data. Contains OS data © Crown copyright and database right 2022.
Correction (23 July 2026)
The England comparator values and the England trend series on this page were corrected on the day of publication after re-verification against the live Fingertips API. A fault in our data extract had stored the wrong population slice for England-level rows only; every local authority and regional figure was re-verified against the live source and was unaffected.
Licence and attribution
Fingertips and ONS data are © Crown copyright, used under the Open Government Licence v3.0. Analysis and presentation: Alltoogether, July 2026. If you spot an error, tell us and we will correct the page: alltoogether.com/contact.
What this page does not claim
Area figures describe the resident adult population of a place, not the workforce of any employer in that place, and never an individual. Nothing here is a clinical measure. Our own products are non-clinical measurement and signposting tools; they do not diagnose or treat anything.
Common questions

Questions this data answers

Which area of England has the highest anxiety?

Southampton, where 33.8% of adults reported high anxiety in 2022/23, the highest of the 150 upper tier local authorities with published figures. Croydon (32.2%) and Milton Keynes (31.3%) are next. The lowest published figures are Enfield (10.4%) and Newham (10.4%). Source: OHID Fingertips indicator 22304, 2022/23.

Which region of England is the most anxious?

The North West, where 24.6% of adults reported high anxiety in 2022/23, against 23.3% for England as a whole. Yorkshire and The Humber (24.2%) and the South East (24.0%) follow. The East Midlands has the lowest regional rate at 21.5%. Source: OHID Fingertips indicator 22304, regional values, 2022/23.

Does where you live affect mental health?

The published rates vary far more by place than most people expect: a 3.2 times gap in high anxiety between English areas in the same year, and a six-fold gap in low life satisfaction. Those ranges should not be read as a league table: ONS asks that local authority estimates are not ranked against each other, because the samples are small and the confidence intervals wide. Measured against England, 5 of the 150 areas are significantly worse on anxiety, 7 significantly better and 138 statistically similar. These are population figures describing the people who live in each area, shaped by many local factors; they do not predict any individual's mental health, and this page makes no clinical claims. What they do show is that the context around a workforce differs sharply from place to place.

What are the ONS4 wellbeing measures?

Four questions the Office for National Statistics asks adults in the Annual Population Survey, each scored 0 to 10 about yesterday: life satisfaction, feeling that what you do is worthwhile, happiness, and anxiety. This page shows the share of adults at the poor end of each scale, as published by OHID Fingertips. They are self-reported wellbeing measures, not clinical assessments or diagnoses.

Where does this data come from?

The OHID Fingertips public health database (Office for Health Improvement and Disparities), indicators 22301 to 22304, which republish the ONS Annual Population Survey personal wellbeing estimates. Alltoogether maintains a 15,308-row extract covering 184 English areas and analysed it for this page. Crown copyright, Open Government Licence v3.0. The full method is in the section above.

The full table: all 150 areas, 2022/23

Share of adults (%) reporting each, 2022/23. Source: OHID Fingertips indicators 22304 (high anxiety), 22301 (low life satisfaction), 22303 (low happiness), 22302 (low worthwhile). England: high anxiety 23.3%, low life satisfaction 5.6%, low happiness 8.9%, low worthwhile 4.4%. A dash means no published figure.

AreaHigh anxietyLow life satisfactionLow happinessLow worthwhile
Barking and Dagenham23.23.46.22.7
Barnet25.212.29.19.8
Barnsley22.36.811.36.4
Bath and North East Somerset25.97.113.36.0
Bedford26.44.88.97.4
Bexley21.33.67.63.8
Birmingham22.35.48.54.3
Blackburn with Darwen23.57.08.54.9
Blackpool29.16.411.36.4
Bolton25.46.06.72.9
Bournemouth, Christchurch and Poole22.13.29.23.5
Bracknell Forest25.95.17.14.0
Bradford26.110.29.86.8
Brent27.17.011.17.8
Brighton and Hove26.75.69.42.3
Bristol23.27.010.48.0
Bromley21.84.08.04.9
Buckinghamshire22.14.29.84.1
Bury25.54.97.12.7
Calderdale27.19.413.26.7
Cambridgeshire20.07.77.16.0
Camden24.45.28.0
Central Bedfordshire25.05.98.33.9
Cheshire East25.74.28.02.2
Cheshire West and Chester25.46.613.05.4
Cornwall18.14.78.94.2
County Durham22.03.59.83.3
Coventry23.05.88.83.3
Croydon32.112.415.63.4
Cumbria26.73.09.24.1
Darlington25.06.38.55.2
Derby29.37.89.85.2
Derbyshire21.15.57.64.9
Devon19.84.56.84.7
Doncaster27.47.27.52.6
Dorset21.33.85.62.5
Dudley19.95.27.63.2
Ealing28.06.410.56.5
East Riding of Yorkshire23.77.311.16.7
East Sussex24.17.512.93.5
Enfield10.46.210.92.6
Essex22.75.37.34.2
Gateshead24.96.911.13.9
Gloucestershire21.26.47.74.8
Greenwich23.83.16.52.4
Hackney21.78.014.25.8
Halton27.67.512.45.6
Hammersmith and Fulham24.23.95.12.9
Hampshire26.36.89.56.2
Haringey21.97.310.35.2
Harrow25.46.95.93.0
Hartlepool25.46.69.84.0
Havering25.55.88.63.5
Herefordshire21.76.17.76.0
Hertfordshire23.94.38.44.1
Hillingdon24.16.17.3
Hounslow24.43.46.9
Isle of Wight23.97.58.85.0
Islington28.65.19.22.6
Kensington and Chelsea20.110.210.69.2
Kent20.05.45.92.6
Kingston upon Hull, City of29.06.312.14.4
Kingston upon Thames22.62.28.33.8
Kirklees25.96.210.75.2
Knowsley28.27.710.95.2
Lambeth23.01.96.83.2
Lancashire22.16.28.33.8
Leeds20.13.89.23.7
Leicester21.08.111.66.5
Leicestershire23.66.08.83.3
Lewisham27.73.28.56.0
Lincolnshire20.56.18.83.1
Liverpool22.55.55.84.7
Luton19.99.16.83.4
Manchester24.07.29.86.2
Medway23.65.47.63.4
Merton25.05.29.84.1
Middlesbrough23.76.711.25.1
Milton Keynes31.33.35.72.7
Newcastle upon Tyne20.05.37.25.0
Newham10.44.6
Norfolk22.33.99.13.0
North East Lincolnshire20.15.96.23.1
North Lincolnshire22.94.910.14.8
North Northamptonshire17.410.310.77.5
North Somerset21.05.06.33.5
North Tyneside21.65.47.93.6
North Yorkshire23.45.07.94.9
Northumberland19.54.17.04.0
Nottingham24.86.09.33.6
Nottinghamshire20.25.98.84.2
Oldham24.89.612.46.4
Oxfordshire18.12.75.81.6
Peterborough26.68.710.25.6
Plymouth25.47.76.75.1
Portsmouth23.26.08.53.9
Reading22.45.58.45.1
Redbridge24.14.77.1
Redcar and Cleveland25.28.08.46.5
Richmond upon Thames26.73.98.83.0
Rochdale25.19.47.65.5
Rotherham24.34.510.46.3
Rutland16.03.5
Salford23.24.911.94.1
Sandwell20.95.88.26.4
Sefton24.37.710.35.0
Sheffield20.86.97.96.5
Shropshire18.83.67.52.4
Slough20.06.710.94.9
Solihull21.64.36.54.3
Somerset19.95.19.25.0
South Gloucestershire22.42.99.73.8
South Tyneside26.67.010.98.8
Southampton33.86.613.14.2
Southend-on-Sea22.94.810.22.5
Southwark27.88.810.89.0
St. Helens28.38.813.76.5
Staffordshire25.63.59.14.8
Stockport28.53.99.93.4
Stockton-on-Tees23.99.212.65.7
Stoke-on-Trent25.68.011.26.9
Suffolk20.84.45.23.5
Sunderland25.86.69.85.4
Surrey27.33.68.03.6
Sutton25.13.46.23.2
Swindon22.05.58.43.5
Tameside22.76.310.05.2
Telford and Wrekin19.55.96.83.3
Thurrock22.53.47.44.1
Torbay27.46.611.33.1
Tower Hamlets22.45.510.76.9
Trafford25.95.37.94.9
Wakefield30.38.512.17.8
Walsall26.16.910.74.7
Waltham Forest26.09.117.14.8
Wandsworth20.83.85.95.1
Warrington24.74.98.23.5
Warwickshire21.25.29.53.8
West Berkshire24.43.78.84.8
West Northamptonshire19.76.211.94.3
West Sussex24.54.611.34.6
Westminster27.910.211.35.3
Wigan22.14.18.44.3
Wiltshire28.64.89.33.9
Windsor and Maidenhead24.43.07.31.8
Wirral25.86.911.58.4
Wokingham18.23.08.72.4
Wolverhampton21.29.09.76.3
Worcestershire26.23.66.41.9
York26.23.76.22.7

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