Hi James. We are backing the public health white paper as an opportunity to fill in creatively at local level. See our take on it here http://www.publicinvolvement.org.uk/2010/12/healthy-lives-healthy-people-nudge-or-fudge One of the opportunities we could take right now is about adult obesity services. In my view this could be a joint specification and tender issued by the Council and NHS on an any willing provider basis. It would give the new Health and Wellbeing Board something very important to do at an early stage. Locally there is already a good service running with a social enterprise for children’s weight issues (commissioned jointly between health and the Council) and we should be at least as bold with adult weight services.