specialism in precision medicine and digital health innovation. The
area has a unique cultural, sporting and tourism offering that makes
it an ideal location to live, study, work and invest.
The Combined Authority itself generally maps onto the older
Metropolitan County of Merseyside. This consisted of Knowsley,
Liverpool, Sefton, St. Helens and Wirral. Halton is also a Liverpool
City Region Combined Authority member, though historically being
The Combined Authority is a product of two main devolution deals.
The first, signed on 17 November 2015, focused on powers in respect
of transport, skills and business support. This was followed by a
second deal, announced on 16 March 2016, which devolved further
powers and responsibilities to the Combined Authority, in particular
new powers over transport, a 100 per cent business rate retention
pilot and additional agreements in respect of greater cooperation
between the Combined Authority and government. This deal also set
out a plan for integration of health and social care into the Combined