This research explores the extent to which HWBs have, or have not, enhanced democratic accountability through the use of strategic planning and performance information. The UK Health and Social Care Act (2012) required the creation of Health and Wellbeing Boards (HWBs) to provide strategic leadership for health outcomes for localities across England. It was suggested that HWBs would enhance democratic accountability and provide a forum for key leaders to come together from across the health and social care systems.