'It is not a quick fix' structural and contextual issues that affect implementation of integrated health and well-being services: a qualitative study from North East England.

•Single-issue lifestyle services have made little impact on health inequalities.•Evidence is limited on the practicalities of implementing integrated health and well-being services.•Adverse structural and contextual factors risk destabilising these fledgling services.•Progress has been undermined by ongoing austerity and cuts to public health budgets.•Commissioners require robust, timely evidence of impact that takes into account the needs of the target communities.