The Strategy Unit led the evaluation of the Dudley Vanguard programme. This is the final system-wide report from that work. It draws on in-depth interviews with over 20 strategic level stakeholders from the Dudley system. The report looks at both the large-scale procurement process and the development of new services within the Vanguard programme. It provides an update on progress, but it also draws out lessons for both practice and policy.

Readers wanting more information on the work we and our partners ICF and Health Services Management Centre did for Dudley should see the microsite we set up to house reports and disseminate lessons: https://www.strategyunitwm.nhs.uk/dudley-mcp