For the period of the COVID pandemic and into a COVID response period the Cheshire and Merseyside region needs to be optimally placed to predict, identify and ring-fence any localised epidemics or hot spots and then mobilise quickly. This response is led through the Out of Hospital Cell (chaired by Joe Rafferty) and the Acute Response Cell (chaired by Ann Marr) working to the North West Regional Director of NHSE/I. The immediate need is that our resilience efforts urgently need a consistently fed, presented and integrated intelligence to guide control measures and to inform a smart release from lockdown. This system will support the test, track, trace and contain processes. The system needs to be ready in a matter of weeks not months. The one year programme will be reviewed during the first nine months.