The Local Government Association (LGA) provides tailored support to leadership for health and care through the Partners in Care and Health Programme (ADASS & LGA), which is funded by the Department of Health and Social Care (DHSC) and provided free of charge to councils. Herefordshire Health and Wellbeing Board invited the LGA in to review ways of working at the board through conducting one-to-one interviews with system leaders and a board workshop in February 2026. This report captures a high-level summary from this work.