District councils have statutory powers over service areas including planning, housing, benefits, and leisure and green spaces, which affect many of the most significant determinants of health. This makes them indispensable partners in integrated care systems (ICSs), which have a responsibility to improve the health and wellbeing of the populations they serve. Drawing on interviews with district council leaders and officers and integrated care board employees in four case study sites, this report examines how to make the most of the potential contribution of district councils to health. In the report the authors: (1) identify five principles that underpin successful involvement of district councils in ICSs (2) outline the actions that enable integration between ICSs and district councils (3) offer recommendations to ICB leaders and district council leaders to put the principles and enablers into practice. The report concludes by underlining the unique resources of district councils and the role they can play in addressing the wider determinants of health through partnership working in ICSs.
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