 children they look after should have the same high aspirations and ensure the children receive the care and support they need in order to thrive. 3. Local authorities have a duty under the Children Act 1989 to safeguard and promote the welfare of the children they look after, wherever they are placed. Directors of Children’s Services, Directors of Public Health and Lead Members for Children’s Services have a responsibility to ensure there are systems in place so that this duty is properly discharged. 4. This must be done in accordance with the relevant Regulations.6 These Regulations set out the requirements governing the development and review of a looked-after child’s care plan. That plan includes their health plan. 5. The NHS has a major role in ensuring the timely and effective delivery of health services to looked-after children. The Mandate to NHS England, Statutory Guidance on Joint Strategic Needs Assessments and Joint Health and Wellbeing Strategies and The NHS Constitution for England make clear the responsibilities of CCGs and NHS England to looked-after children (and, by extension, to care leavers). In fulfilling those responsibilities the NHS contributes to meeting the health needs of looked-after children in three ways: commissioning effective services, 6 The Care Planning, Placement and Case Review (England) Regulations 2010. 10 delivering through provider organisations, and through individual practitioners providing coordinated care for each child. 6. Under the Children Act 1989, CCGs and NHS England have a duty to comply with requests from a local authority to help them provide support and services to looked-after children. 7. Local authorities, CCGs and NHS England can only carry out their responsibilities to promote the health and welfare of looked-a