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 behaviours. They have all embarked on this in the
context of a deep understanding of the co-occurrence of multiple unhealthy risk factors in their populations, which has informed their decisions and services. We set out the learning based on the service provider’s local context – that is: 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.