Health, wealth and party in inter-war London

<jats:title>ABSTRACT</jats:title><jats:p>This article examines public health spending, health outcomes and political complexion in London's 28 Metropolitan Borough Councils (MBCs) in the inter-war period. It describes the place of the MBCs in the governance of the capital and demonstrates the variety of experience across the different boroughs in terms of wealth, politics and mortality. Searching for potential causes of differences in outcomes, it discovers some positive statistical relationships between the extent of Labour party presence on the councils, local spending and health outcomes. Our tentative conclusion is that local democratic processes could lead to distinctive and beneficial public health policies, albeit within the context of other local and structural determining factors.</jats:p>