Ten municipalities in the Helsinki Region North (a.k.a. Central Uusimaa Region) have organised their regional co-operation in key development themes through the KUUMA co-operation concept. MDI and Laurea University of Applied Sciences conducted an evaluation for the council period of 2013–2016. Laurea collected the underlying data. During the summer 2016, MDI facilitated discussions with key stakeholders, as well as collecting relevant background material. The interpretations were made in the autumn 2016. MDI’s main task was to define the vision for potential development paths for future development.