ICHC is also active in local government. It is currently the major party in the Progressive Alliance coalition which is currently in control of Wyre Forest District Council after getting 8 seats in the 2019 election. Before the
2004 local elections it held 16 seats on
Wyre Forest District Council, making it the largest party, but in those elections it lost half of these seats to the Conservative Party. The 2005
local elections to
Worcestershire County Council, held on the same day as the general election, also saw Health Concern perform poorly, losing five of its six seats. However, in the
2006 local elections for the district council, it held its own, making one net gain to take its representation from eight to nine. In the
2007 local elections its representation again increased, from nine to 10 members. The party then gradually lost seats on Wyre Forest District Council, with just 7 seats after the 2014 elections. The party previously stood candidates for
Shropshire Council, and had won seats, however it did not stand any candidates in the
2021 election. Six former party members stood in the
2023 Wyre Forest District Council election, of which two were elected, Peter Young and Nicola Martin ==Organisation==