The Strategy Unit is a strategic partner to the Black Country and West Birmingham Sustainability and Transformation Partnership. Our innovative work has built on the local appetite for focusing on transformations that can make a real different to local populations. As well as our national work for NHS England on integrating mental and physical health, initiated by the Black Country and West Birmingham STP, we are also helping to shape work with the West Midlands Combined Authority on the wider determinants of health. A key foundation for this is the economic analysis undertaken with our partners at ICF International to understand the current and potential impact of NHS spending on the wider Black Country economy.