The government’s manifesto contained ambitious pledges on the economy and health. However, to achieve these aims we need a coordinated approach to health and the economy, nationally and locally.

The economic gains from reducing place-based health inequality could be significant, and doing so is crucial for our national economy, local prosperity, and our recovery from Covid-19.

Local government has a pivotal role in achieving these gains. This report outlines policy to make health improvement a joint enterprise between local and national government, and recommends three ‘paradigm shifts’ for a new approach to health and prosperity.