2 Who should take action?


The guideline is for: commissioners, managers and other professionals with public health as part of their remit working within the NHS, local authorities and the wider public, private, voluntary and community sectors. It is also aimed at the suppliers and providers of vitamin D supplements.

In addition, it may be of interest to people at risk of vitamin D deficiency, their families and carers and other members of the public.

Who should do what at a glance

Who should take action?


Clinical commissioning groups

8, 9

Commissioners and senior managers in local authorities and the NHS

4, 5, 6, 8, 9, 11

Council leaders and elected members


Department of Health

1, 2, 11

Developers of standardised medical notes


Directors of public health


Health and social care practitioners

7, 8, 10

Health and wellbeing boards


Health Education England


Primary care practitioners


Public health teams

4, 10

Public Heath England

2, 3, 9, 11

Supplement manufacturers


Voluntary and community organisations

4, 10

Who should take action in detail

Recommendation 1

Department of Health; supplement manufacturers

Recommendation 2

Public Health England, the Department of Health

Recommendation 3

Public Heath England

Recommendation 4

Council leaders; elected members; directors of public health; public health teams; commissioners and senior managers in local authorities and NHS trusts; and voluntary and community organisations

Recommendation 5

Local authorities

Recommendation 6

Local authorities

Recommendation 7

Health professionals

Recommendation 8

Developers of standardised medical notes; developers of personal child health records; health professionals; local authorities; primary care; clinical commissioning groups

Recommendation 9

Public Health England; Health Education England; clinical commissioning groups; health and wellbeing boards; local authorities

Recommendation 10

Local public health teams; voluntary and community groups; health, social care and other practitioners working with specific population groups. This includes: dietitians, district nurses, GPs, health visitors, midwives, nursing assistants, pharmacists, physiotherapists, practice nurses, registered nutritionists and social workers. It also includes people working in nursing or care homes, nurseries, schools, children's centres, and secure settings such as prisons

Recommendation 11

Department of Health; Public Health England; local authority commissioners

  • National Institute for Health and Care Excellence (NICE)