The Greater Manchester case study tells a compelling story about the collaboration around data sharing across a health system and utilisation of business intelligence technologies. Multiple health care providers work as a collective urgent care system, sharing system pressures using business intelligence and predictive analytics. The reporting is not only near live but also supports a view of department pressures above and beyond how many people are waiting for treatment. Predictive metrics enable proactive utilisation of directing ambulance flows to support each other as a system.