Report that forms part of a wider programme of work being carried out by The King’s Fund on health and wellbeing boards. The programme has supported several local authorities and their health partners to develop their shadow boards. As part of the programme, in late 2011, a survey of 50 local authority areas was conducted, covering all regions of England to find out how they and their health partners are implementing the new boards. Telephone interviews were conducted in September and October 2011 with lead officers identified by local authorities themselves. This report sets out the findings from that survey and presents case studies based on the experience of two early implementers, Lambeth and Surrey – each facing very different circumstances.