diff --git a/build.gradle.kts b/build.gradle.kts
index 783b5fb..39367d2 100644
--- a/build.gradle.kts
+++ b/build.gradle.kts
@@ -1,6 +1,9 @@
 plugins {
   id("uk.gov.justice.hmpps.gradle-spring-boot") version "6.1.0"
   kotlin("plugin.spring") version "2.0.21"
+  kotlin("plugin.jpa") version "2.0.21"
+  jacoco
+  idea
 }
 
 configurations {
@@ -8,11 +11,24 @@ configurations {
 }
 
 dependencies {
+
+  // Spring Boot
   implementation("uk.gov.justice.service.hmpps:hmpps-kotlin-spring-boot-starter:1.1.0")
   implementation("org.springframework.boot:spring-boot-starter-webflux")
+  implementation("org.springframework.boot:spring-boot-starter-data-jpa")
+
+  // OpenAPI
   implementation("org.springdoc:springdoc-openapi-starter-webmvc-ui:2.7.0")
 
+  // Database
+  runtimeOnly("com.zaxxer:HikariCP")
+  runtimeOnly("org.flywaydb:flyway-database-postgresql")
+  runtimeOnly("org.postgresql:postgresql")
+
+  // Test
   testImplementation("uk.gov.justice.service.hmpps:hmpps-kotlin-spring-boot-starter-test:1.1.0")
+  testImplementation("org.testcontainers:junit-jupiter:1.20.3")
+  testImplementation("org.testcontainers:postgresql:1.20.3")
   testImplementation("org.wiremock:wiremock-standalone:3.9.2")
   testImplementation("io.swagger.parser.v3:swagger-parser:2.1.24") {
     exclude(group = "io.swagger.core.v3")
@@ -28,3 +44,15 @@ tasks {
     compilerOptions.jvmTarget = org.jetbrains.kotlin.gradle.dsl.JvmTarget.JVM_21
   }
 }
+
+// Jacoco code coverage
+tasks.named("test") {
+  finalizedBy("jacocoTestReport")
+}
+
+tasks.named<JacocoReport>("jacocoTestReport") {
+  reports {
+    html.required.set(true)
+    xml.required.set(true)
+  }
+}
diff --git a/docker-compose.yml b/docker-compose.yml
index 6430c5b..c67a763 100644
--- a/docker-compose.yml
+++ b/docker-compose.yml
@@ -13,8 +13,6 @@ services:
     environment:
       - SERVER_PORT=8080
       - HMPPS_AUTH_URL=http://hmpps-auth:8080/auth
-      # TODO: Remove this URL and replace with outgoing service URLs
-      - EXAMPLE_URL=http://hmpps-health-and-medication-api:8080
       - SPRING_PROFILES_ACTIVE=dev
 
   hmpps-auth:
@@ -31,5 +29,18 @@ services:
       - SPRING_PROFILES_ACTIVE=dev
       - APPLICATION_AUTHENTICATION_UI_ALLOWLIST=0.0.0.0/0
 
+  health-and-medication-data-db:
+    image: postgres
+    networks:
+      - hmpps
+    container_name: health-and-medication-data-db
+    restart: unless-stopped
+    ports:
+      - "9432:5432"
+    environment:
+      - POSTGRES_PASSWORD=health-and-medication-data
+      - POSTGRES_USER=health-and-medication-data
+      - POSTGRES_DB=health-and-medication-data
+      - TZ="Europe/London"
 networks:
   hmpps:
diff --git a/src/main/resources/application.yml b/src/main/resources/application.yml
index d888240..fe96863 100644
--- a/src/main/resources/application.yml
+++ b/src/main/resources/application.yml
@@ -27,10 +27,17 @@ spring:
     hibernate:
       ddl-auto: none
 
+  flyway:
+    enabled: true
+    url: ${spring.datasource.url}
+    user: ${database.username}
+    password: ${database.password}
+    locations: classpath:/db/migration/common
+
   datasource:
-    url: 'jdbc:postgresql://${DATABASE_ENDPOINT}/${DATABASE_NAME}?sslmode=verify-full'
-    username: ${DATABASE_USERNAME}
-    password: ${DATABASE_PASSWORD}
+    url: 'jdbc:postgresql://${database.endpoint}/${database.name}?sslmode=verify-full'
+    username: ${database.username}
+    password: ${database.password}
     hikari:
       pool-name: HEALTH-AND-MEDICATION-DB-CP
       maximum-pool-size: 10
diff --git a/src/main/resources/db/migration/common/placeholder b/src/main/resources/db/migration/common/placeholder
new file mode 100644
index 0000000..e69de29
diff --git a/src/test/kotlin/uk/gov/justice/digital/hmpps/healthandmedicationapi/config/FixedClock.kt b/src/test/kotlin/uk/gov/justice/digital/hmpps/healthandmedicationapi/config/FixedClock.kt
new file mode 100644
index 0000000..e779203
--- /dev/null
+++ b/src/test/kotlin/uk/gov/justice/digital/hmpps/healthandmedicationapi/config/FixedClock.kt
@@ -0,0 +1,17 @@
+package uk.gov.justice.digital.hmpps.healthandmedicationapi.config
+
+import java.time.Clock
+import java.time.Instant
+import java.time.ZoneId
+import java.time.temporal.TemporalAmount
+
+class FixedClock(var instant: Instant, private var zone: ZoneId) : Clock() {
+
+  fun elapse(amountToAdd: TemporalAmount) {
+    instant += amountToAdd
+  }
+
+  override fun instant(): Instant = this.instant
+  override fun withZone(zone: ZoneId): Clock = this.apply { this.zone = zone }
+  override fun getZone(): ZoneId = this.zone
+}
diff --git a/src/test/kotlin/uk/gov/justice/digital/hmpps/healthandmedicationapi/integration/IntegrationTestBase.kt b/src/test/kotlin/uk/gov/justice/digital/hmpps/healthandmedicationapi/integration/IntegrationTestBase.kt
index b231409..8bfb36a 100644
--- a/src/test/kotlin/uk/gov/justice/digital/hmpps/healthandmedicationapi/integration/IntegrationTestBase.kt
+++ b/src/test/kotlin/uk/gov/justice/digital/hmpps/healthandmedicationapi/integration/IntegrationTestBase.kt
@@ -5,7 +5,6 @@ import org.springframework.beans.factory.annotation.Autowired
 import org.springframework.boot.test.context.SpringBootTest
 import org.springframework.boot.test.context.SpringBootTest.WebEnvironment.RANDOM_PORT
 import org.springframework.http.HttpHeaders
-import org.springframework.test.context.ActiveProfiles
 import org.springframework.test.web.reactive.server.WebTestClient
 import uk.gov.justice.digital.hmpps.healthandmedicationapi.integration.wiremock.HmppsAuthApiExtension
 import uk.gov.justice.digital.hmpps.healthandmedicationapi.integration.wiremock.HmppsAuthApiExtension.Companion.hmppsAuth
@@ -13,8 +12,7 @@ import uk.gov.justice.hmpps.test.kotlin.auth.JwtAuthorisationHelper
 
 @ExtendWith(HmppsAuthApiExtension::class)
 @SpringBootTest(webEnvironment = RANDOM_PORT)
-@ActiveProfiles("test")
-abstract class IntegrationTestBase {
+abstract class IntegrationTestBase : TestBase() {
 
   @Autowired
   protected lateinit var webTestClient: WebTestClient
diff --git a/src/test/kotlin/uk/gov/justice/digital/hmpps/healthandmedicationapi/integration/TestBase.kt b/src/test/kotlin/uk/gov/justice/digital/hmpps/healthandmedicationapi/integration/TestBase.kt
new file mode 100644
index 0000000..9a70a9d
--- /dev/null
+++ b/src/test/kotlin/uk/gov/justice/digital/hmpps/healthandmedicationapi/integration/TestBase.kt
@@ -0,0 +1,33 @@
+package uk.gov.justice.digital.hmpps.healthandmedicationapi.integration
+
+import org.springframework.test.context.ActiveProfiles
+import org.springframework.test.context.DynamicPropertyRegistry
+import org.springframework.test.context.DynamicPropertySource
+import uk.gov.justice.digital.hmpps.healthandmedicationapi.config.FixedClock
+import uk.gov.justice.digital.hmpps.healthandmedicationapi.integration.testcontainers.PostgresContainer
+import java.time.Instant
+import java.time.ZoneId
+
+@ActiveProfiles("test")
+abstract class TestBase {
+
+  companion object {
+    val clock: FixedClock = FixedClock(
+      Instant.parse("2024-06-14T09:10:11.123+01:00"),
+      ZoneId.of("Europe/London"),
+    )
+
+    private val pgContainer = PostgresContainer.instance
+
+    @JvmStatic
+    @DynamicPropertySource
+    fun properties(registry: DynamicPropertyRegistry) {
+      pgContainer?.run {
+        registry.add("spring.datasource.url", pgContainer::getJdbcUrl)
+        registry.add("spring.flyway.url", pgContainer::getJdbcUrl)
+        registry.add("spring.flyway.user", pgContainer::getUsername)
+        registry.add("spring.flyway.password", pgContainer::getPassword)
+      }
+    }
+  }
+}
diff --git a/src/test/kotlin/uk/gov/justice/digital/hmpps/healthandmedicationapi/integration/testcontainers/PostgresContainer.kt b/src/test/kotlin/uk/gov/justice/digital/hmpps/healthandmedicationapi/integration/testcontainers/PostgresContainer.kt
new file mode 100644
index 0000000..2dc9b84
--- /dev/null
+++ b/src/test/kotlin/uk/gov/justice/digital/hmpps/healthandmedicationapi/integration/testcontainers/PostgresContainer.kt
@@ -0,0 +1,40 @@
+package uk.gov.justice.digital.hmpps.healthandmedicationapi.integration.testcontainers
+
+import org.slf4j.LoggerFactory
+import org.testcontainers.containers.PostgreSQLContainer
+import org.testcontainers.containers.wait.strategy.Wait
+import java.io.IOException
+import java.net.ServerSocket
+
+object PostgresContainer {
+  val instance: PostgreSQLContainer<Nothing>? by lazy { startPostgresqlContainer() }
+
+  private fun startPostgresqlContainer(): PostgreSQLContainer<Nothing>? {
+    if (isPostgresRunning()) {
+      log.warn("Using existing Postgres database")
+      return null
+    }
+    log.info("Creating a Postgres database")
+    return PostgreSQLContainer<Nothing>("postgres").apply {
+      withEnv("HOSTNAME_EXTERNAL", "localhost")
+      withEnv("PORT_EXTERNAL", "5432")
+      withDatabaseName("health-and-medication-data")
+      withUsername("health-and-medication-data")
+      withPassword("health-and-medication-data")
+      setWaitStrategy(Wait.forListeningPort())
+      withReuse(true)
+
+      start()
+    }
+  }
+
+  private fun isPostgresRunning(): Boolean =
+    try {
+      val serverSocket = ServerSocket(5432)
+      serverSocket.localPort == 0
+    } catch (e: IOException) {
+      true
+    }
+
+  private val log = LoggerFactory.getLogger(this::class.java)
+}