Issue details

Health Improvement Services - Consultation Outcome

At the meeting of Full Council on 14 February 2019, a proposal to remodel health improvement services (drug/alcohol, tobacco and healthy weight services) was approved, subject to a full public consultation, and with the final decision to be made by Cabinet based on the responses. The proposal was to:


  • Healthy weight services – cease the current Active Lives Healthy Weight (ALHW) contracts on 31 March 2020, reduce the value of the associated budget by £1.5m and to pursue a different offer which maximises the use of open spaces and digital opportunities.
  • Substance misuse rehabilitation – remodel services and reduce the value of the associated budget by £675,000.
  • Stop smoking services – remodel services.


Overall, the consultation responses highlight the important role played by health improvement services in achieving key public health outcomes across the county. In spite of the fact that the public health grant is reducing year on year, most of the respondents did not agree with the reduction in budgets for these services.


Details of individual service consultations are attached in Appendices A - H.


The nature of the services make it difficult to accurately identify the full implications for service users. However, discussions with various stakeholders have also highlighted some opportunities to mitigate some of these impacts by investing the remaining public health resources in partnership with the NHS, district councils and educational institutions.


In particular, implementation of the NHS long term plan ( and the development of neighbourhood-based primary care networks provides an important opportunity to co-design the future place based public health services and enable the achievement of county council's vision to support long and healthy lives in Lancashire.


This is deemed to be a Key Decision and the provisions of Standing Order C19 have been complied with.


Decision type: Key

Reason Key: Significant effect in 2 or more electoral divisions;

Decision status: Recommendations Approved

Divisions affected: (All Divisions);

Notice of proposed decision first published: 15/05/2019

Anticipated restriction: Part I  -

Decision due: 13 Jun 2019 by Cabinet

Lead member: Cabinet Member for Health and Wellbeing

Lead director: Executive Director of Adult Services and Health & Wellbeing

Contact: Clare Platt Email:


Agenda items