Abstract: This paper outlines efforts throughout 2011 by the Victorian Department of Health’s North and West Metropolitan Region to implement a Regional Health and Wellbeing Implementation Strategy. The Strategy provides regional expression to the Victorian Public Health and Wellbeing Plan 2011-2015 (Department of Health, 2011a), and the many opportunities identified within it. The core function of the Strategy is to establish a regional planning approach that will assist local and regional decision makers to integrate their efforts to address the social and environmental determinants of health. The Strategy aims to improve population health outcomes across the region by strengthening the engagement of all sectors whose work impacts on the socio-economic, spatial and environmental determinants of health. A key vehicle by which to implement the Strategy is through the Regional Management Forum (RMF), a governance body comprising CEOs of all 14 local Councils across the NWMR and Regional Directors of State Government departments. This project aims to help strengthen the capacity of the RMF to lead this intersectoral activity by developing achievable strategies for leading and stimulating integrated and coordinated investment through shared decision-making and collaborative action for local governments.