This ground-breaking report puts the health and social care sector at the centre of importance to achieve sustainable economic growth. Commissioned by New Directions, the definitive analysis covers Sefton MBC, Liverpool and Greater Manchester City Regions and the North West regional economy. It demonstrates the economic importance of the health and social care economy; sets out the terrain on which the integration of health and social care must take place including privatisation, inequalities, austerity, demographic change and quality jobs; and makes local and national 40 recommendations.