Innovating for Impact: How Service Transformation Improves Health The Director of Public Health Annual Report 2025 Welcome to our 2025 Annual Report Chapter 1 Foreword Chapter 2 Introduction and transformation of services Chapter 3 Data and Intelligence Chapter 4 Mersey Care 0-19 Service Chapter 5 Liv Life Healthy Weight Service Chapter 6 Stop Smoking Service Chapter 7 River Drug and Alcohol Support Service Chapter 8 Axess Sexual Health Service Chapter 9 Infection Prevention and Control Service Chapter 10 Public Health Spending Chapter 11 Next steps Chapter 12 Acknowledgements