Abstract BackgroundThe Royal Wolverhampton NHS Trust is taking on responsibility for the health of the population it serves, as an anchor provider institution in a developing Integrated Care system. The Trust provides hospital, community and primary care services, following the vertical integration of GP practices serving ~60,000 population into the Trust.In a joint venture with City of Wolverhampton Council, a Prevention and Population Health unit has been established, with staff working across both organisations and taking a system-wide perspective on the challenges that face the Trust and the Council.Notably, the unit has been working to support the local Integrated Care partnership forum with a population health management approach to frailty and end of life care, which place a huge burden on health and social care services. This has included working with a patient-level linked dataset for the ~60,000 population which includes primary care, community services and hospital data to provide strategic intelligence that will inform system redesign and redistribution of resources.Factors for successThe formation of a bridging unit has been key in developing relationships between these key organisations, and in helping each to see the other's perspective. The unit is led by a medical Consultant in Public Health, who reports to both the Director of Public Health at the Council, and the Director of Integration at the Trust.The Consultant lead acts as interpreter between clinical leaders and population health intelligence specialists, which has increased the use of population intelligence in decision making. External funding details