This study explores how workplace health and wellbeing is being delivered in small and medium-sized businesses, and where the gaps still exist. It shows that while many employers recognise the importance of supporting staff wellbeing, provision is often informal, inconsistent, and shaped by limited time and resources. Smaller organisations in particular tend to rely on reactive approaches rather than structured, preventative strategies. The research also highlights the influence of leadership, workplace culture, and external support in shaping what is offered. Overall, it reinforces that good intentions alone aren’t enough, wellbeing needs clearer planning, ownership, and practical support to be effective.