County Councillor Graham Gooch, Cabinet Member for Adult Services, approved recommendations on 8 November 2022. Decisions included submitting the Fair Cost of Care to DHSC, drafting a Workforce Strategy, appointing a Deputy Executive Director, managing demand through flexible use of a peripatetic team and OT agency, preparing for CQC inspections, identifying portfolio savings, rolling out the "Living Better Lives in Lancashire" programme, and rolling out the Positive Ageing & Mental Health Wellbeing Trailblazer.

County Councillor Michael Green, Cabinet Member for Health & Wellbeing, approved recommendations on 8 November 2022. Decisions included the establishment of NHS Lancashire and South Cumbria Integrated Care Board and the local Integrated Care Partnership, with Councillor Green chairing the latter for the first year. The Health and Wellbeing Board refreshed its vision and purpose, and set initial priorities of achieving best start in life, healthier hearts, and happier minds.