diff --git a/IMPLEMENTATION_PLAN.md b/IMPLEMENTATION_PLAN.md
index 507b1aa..b0d1684 100644
--- a/IMPLEMENTATION_PLAN.md
+++ b/IMPLEMENTATION_PLAN.md
@@ -469,16 +469,16 @@ Additionally: KPI row removed, fraction KPIs moved to header, global filter sub-
 - **Checkpoint**: Design mockups/specifications ready for all 5 areas above
 
 ### 10.2 State management + sidebar restructure
-- [ ] Add `active_view` to `app-state`: `"patient-pathways"` (default) or `"trust-comparison"`
-- [ ] Add `selected_comparison_directorate` to `app-state`: `null` (landing page) or directorate name
-- [ ] Update `dash_app/components/sidebar.py`:
+- [x] Add `active_view` to `app-state`: `"patient-pathways"` (default) or `"trust-comparison"`
+- [x] Add `selected_comparison_directorate` to `app-state`: `null` (landing page) or directorate name
+- [x] Update `dash_app/components/sidebar.py`:
   - Rename "Pathway Overview" → "Patient Pathways"
   - Add "Trust Comparison" nav item below it
   - Active state tracks `active_view`
-- [ ] Add callback: sidebar clicks → update `active_view` in app-state
-- [ ] Main content area switches between Patient Pathways view and Trust Comparison view based on `active_view`
-- [ ] Date filter + chart type toggle remain in global sub-header (visible in both views)
-- **Checkpoint**: Sidebar switches between two views, active state highlights correctly, app starts without errors
+- [x] Add callback: sidebar clicks → update `active_view` in app-state
+- [x] Main content area switches between Patient Pathways view and Trust Comparison view based on `active_view`
+- [x] Date filter + chart type toggle remain in global sub-header (visible in both views)
+- **Checkpoint**: Sidebar switches between two views, active state highlights correctly, app starts without errors ✓
 
 ### 10.3 Header redesign — remove KPI row, add fraction KPIs
 - [ ] Remove `dash_app/components/kpi_row.py` (or gut it)
diff --git a/dash_app/app.py b/dash_app/app.py
index e2947a2..6864824 100644
--- a/dash_app/app.py
+++ b/dash_app/app.py
@@ -26,6 +26,8 @@ app.layout = dmc.MantineProvider(
             "selected_drugs": [],
             "selected_directorates": [],
             "selected_trusts": [],
+            "active_view": "patient-pathways",
+            "selected_comparison_directorate": None,
         }),
         dcc.Store(id="chart-data", storage_type="memory"),
         dcc.Store(id="reference-data", storage_type="session"),
@@ -39,9 +41,55 @@ app.layout = dmc.MantineProvider(
         html.Main(
             className="main",
             children=[
-                make_kpi_row(),
-                make_filter_bar(),
-                make_chart_card(),
+                # View container — switched by active_view in app-state
+                html.Div(
+                    id="view-container",
+                    children=[
+                        # Patient Pathways view (default, visible)
+                        html.Div(
+                            id="patient-pathways-view",
+                            children=[
+                                make_kpi_row(),
+                                make_filter_bar(),
+                                make_chart_card(),
+                            ],
+                        ),
+                        # Trust Comparison view (hidden initially)
+                        html.Div(
+                            id="trust-comparison-view",
+                            style={"display": "none"},
+                            children=[
+                                html.Div(
+                                    className="tc-landing",
+                                    id="trust-comparison-landing",
+                                    children=[
+                                        html.Div(
+                                            className="tc-landing__header",
+                                            children=[
+                                                html.H2(
+                                                    "Trust Comparison",
+                                                    className="tc-landing__title",
+                                                ),
+                                                html.P(
+                                                    "Select a directorate to compare drug usage across trusts.",
+                                                    className="tc-landing__desc",
+                                                    id="tc-landing-desc",
+                                                ),
+                                            ],
+                                        ),
+                                        html.Div(
+                                            className="tc-landing__grid",
+                                            id="tc-landing-grid",
+                                            children=[
+                                                # Populated by callback in later task
+                                            ],
+                                        ),
+                                    ],
+                                ),
+                            ],
+                        ),
+                    ],
+                ),
                 make_footer(),
             ],
         ),
diff --git a/dash_app/callbacks/__init__.py b/dash_app/callbacks/__init__.py
index 25e4d32..f53c441 100644
--- a/dash_app/callbacks/__init__.py
+++ b/dash_app/callbacks/__init__.py
@@ -7,8 +7,10 @@ def register_callbacks(app):
     from dash_app.callbacks.chart import register_chart_callbacks
     from dash_app.callbacks.kpi import register_kpi_callbacks
     from dash_app.callbacks.modals import register_modal_callbacks
+    from dash_app.callbacks.navigation import register_navigation_callbacks
 
     register_filter_callbacks(app)
     register_chart_callbacks(app)
     register_kpi_callbacks(app)
     register_modal_callbacks(app)
+    register_navigation_callbacks(app)
diff --git a/dash_app/callbacks/filters.py b/dash_app/callbacks/filters.py
index 8352212..bb26649 100644
--- a/dash_app/callbacks/filters.py
+++ b/dash_app/callbacks/filters.py
@@ -73,13 +73,15 @@ def register_filter_callbacks(app):
         Input("filter-last-seen", "value"),
         Input("all-drugs-chips", "value"),
         Input("trust-chips", "value"),
+        Input("nav-patient-pathways", "n_clicks"),
+        Input("nav-trust-comparison", "n_clicks"),
         State("app-state", "data"),
     )
     def update_app_state(
         _dir_clicks, _ind_clicks, initiated, last_seen, selected_drugs,
-        selected_trusts, current_state
+        selected_trusts, _nav_pp_clicks, _nav_tc_clicks, current_state
     ):
-        """Update app-state when chart type toggle, date filters, drug chips, or trust chips change."""
+        """Update app-state when chart type toggle, date filters, drug/trust chips, or sidebar nav change."""
         if not current_state:
             current_state = {
                 "chart_type": "directory",
@@ -89,6 +91,8 @@ def register_filter_callbacks(app):
                 "selected_drugs": [],
                 "selected_directorates": [],
                 "selected_trusts": [],
+                "active_view": "patient-pathways",
+                "selected_comparison_directorate": None,
             }
 
         triggered_id = ctx.triggered_id
@@ -100,6 +104,13 @@ def register_filter_callbacks(app):
         elif triggered_id == "chart-type-indication":
             chart_type = "indication"
 
+        # Determine active view from sidebar nav
+        active_view = current_state.get("active_view", "patient-pathways")
+        if triggered_id == "nav-patient-pathways":
+            active_view = "patient-pathways"
+        elif triggered_id == "nav-trust-comparison":
+            active_view = "trust-comparison"
+
         # Compute date_filter_id from dropdown values
         date_filter_id = f"{initiated}_{last_seen}"
 
@@ -112,12 +123,13 @@ def register_filter_callbacks(app):
             "date_filter_id": date_filter_id,
             "selected_drugs": selected_drugs or [],
             "selected_trusts": selected_trusts or [],
+            "active_view": active_view,
         }
 
         # Toggle pill CSS classes
         base = "toggle-pill"
-        active = f"{base} toggle-pill--active"
-        dir_class = active if chart_type == "directory" else base
-        ind_class = active if chart_type == "indication" else base
+        active_cls = f"{base} toggle-pill--active"
+        dir_class = active_cls if chart_type == "directory" else base
+        ind_class = active_cls if chart_type == "indication" else base
 
         return updated_state, dir_class, ind_class
diff --git a/dash_app/callbacks/navigation.py b/dash_app/callbacks/navigation.py
new file mode 100644
index 0000000..2bfe3ae
--- /dev/null
+++ b/dash_app/callbacks/navigation.py
@@ -0,0 +1,29 @@
+"""Callbacks for view switching between Patient Pathways and Trust Comparison."""
+from dash import Input, Output
+
+
+def register_navigation_callbacks(app):
+    """Register view switching callbacks."""
+
+    @app.callback(
+        Output("patient-pathways-view", "style"),
+        Output("trust-comparison-view", "style"),
+        Output("nav-patient-pathways", "className"),
+        Output("nav-trust-comparison", "className"),
+        Input("app-state", "data"),
+    )
+    def switch_view(app_state):
+        """Show/hide views and update sidebar active state based on active_view."""
+        if not app_state:
+            return {}, {"display": "none"}, "sidebar__item sidebar__item--active", "sidebar__item"
+
+        view = app_state.get("active_view", "patient-pathways")
+        show = {}
+        hide = {"display": "none"}
+        active_cls = "sidebar__item sidebar__item--active"
+        inactive_cls = "sidebar__item"
+
+        if view == "patient-pathways":
+            return show, hide, active_cls, inactive_cls
+        else:
+            return hide, show, inactive_cls, active_cls
diff --git a/dash_app/components/sidebar.py b/dash_app/components/sidebar.py
index 777a43a..6197848 100644
--- a/dash_app/components/sidebar.py
+++ b/dash_app/components/sidebar.py
@@ -19,6 +19,7 @@ def _svg_icon(svg_body):
 # SVG icon bodies (Feather-style)
 _ICONS = {
     "pathway": '<rect x="3" y="3" width="7" height="7"/><rect x="14" y="3" width="7" height="7"/><rect x="14" y="14" width="7" height="7"/><rect x="3" y="14" width="7" height="7"/>',
+    "compare": '<line x1="18" y1="20" x2="18" y2="10"/><line x1="12" y1="20" x2="12" y2="4"/><line x1="6" y1="20" x2="6" y2="14"/>',
 }
 
 
@@ -28,15 +29,20 @@ def make_sidebar():
         className="sidebar",
         **{"aria-label": "Main navigation"},
         children=[
-            # Overview section
             html.Div(
                 className="sidebar__section",
                 children=[
-                    html.Div("Overview", className="sidebar__label"),
-                    _sidebar_item("Pathway Overview", "pathway", active=True),
+                    html.Div("Analysis", className="sidebar__label"),
+                    _sidebar_item(
+                        "Patient Pathways", "pathway",
+                        active=True, item_id="nav-patient-pathways",
+                    ),
+                    _sidebar_item(
+                        "Trust Comparison", "compare",
+                        active=False, item_id="nav-trust-comparison",
+                    ),
                 ],
             ),
-            # Footer
             html.Div(
                 className="sidebar__footer",
                 children=[