Greater Manchester and Liverpool were among the first areas of England to undergo urban devolution. Under the leadership of metro-mayors Andy Burnham and Steve Rotheram, they were in the forefront of attempts to ‘level up’ the north and to address the problem of regional inequalities. This book looks at how the metro-mayors evolved their office, examining the fields of economic development, transport, skills, health, housing and spatial reform and the environment. In the case of Greater Manchester, it also explores health and the reform of public services. Addressing the crucial issues of power, resources, partnerships, central-local relations and local democracy, the book concludes with an assessment of the future prospects for a deeper and more fundamental change in the character of the English state.