 authorities to undertake health assessments and help them ensure support and services to looked-after children are provided without undue delay. • Local authorities, CCGs, NHS England and Public Health England must cooperate to commission health services for all children in their area. • The health needs of looked-after children should be taken into account in developing the local Joint Strategic Needs Assessment (JSNA) and the Joint Health and Wellbeing Strategy (JHWS). • Every local authority should have agreed local mechanisms with CCGs to ensure that they comply with NHS England’s guidance on establishing the responsible commissioner in relation to secondary health care when making placement decisions for looked-after children and to resolve any funding issues that arise.3 • If a looked-after child or child leaving care moves out of the CCG area, arrangements should be made through discussion between the “originating CCG”, those currently providing the child’s healthcare and the new providers to ensure continuity of healthcare. CCGs should ensure that any changes in healthcare providers do not disrupt the objective of providing high quality, timely care for the child. • Local authorities, CCGs and NHS England should ensure that plans are in place to enable children leaving care to continue to obtain the healthcare they need. • Looked-after children should be able to participate in decisions about their health care. Arrangements should be in place to promote a culture: • where looked-after children are listened to • that takes account of their views according to their age and understanding, in identifying and meeting their physical, emotional and mental health needs4 • that helps others, including carers and schools, to understand the importance of listening to and 