As many social inequalities widen, this is a crucial survey of local authorities' evolving role in health, social care, and wellbeing. The book reviews structural changes in provision and procurement, and explores social determinants of health including intergenerational needs and housing. The book begins with an overview of the relationship between health and housing, regional disparities and responses across England, Wales, and Scotland in the provision of health and social care, and local authority commissioning. It considers how the Municipal Corporations Act (1835) led to the establishment of elected town councils. In the mid- to late 20th century, municipalisation gave way to centralised government, which subverted the autonomy of local authorities. Currently, social care is provided and funded by local authorities and private funders. The main objective of social care is to help people to live well and happily, and live as long as they can. This person-centred approach is in contrast to the systems that have been developed to support the health care needs of people. In 2020, poverty still remains a key driver of poor health and wellbeing. With detailed assessments of regional disparities and case studies of effective strategies and interventions from local authorities, the book addresses complex issues (Wicked Issues), considers where responsibility for wellbeing lies and points the way to future policy-making. The Centre for Partnering (CfP), a network of universities working with the private and third sectors, is a key outcome of this innovative review.