This paper sets out the experience, learning and practice of eight areas (six local authority services and two NHS services) that are designing services to support their populations to change unhealthy behaviours. The learning is based on the service provider’s local context: services
from three large rural counties; services in highly urbanised areas; hospital-based services; and a rural service run by a local authority in partnership with a hospital. The paper describes the journey that each area has undertaken, their similarities and differences, how the services have developed, the care pathways they offer, and the barriers they have faced and overcome.​​​​​​​