The programme is aimed at mid to senior level leaders – clinical and non-clinical – working across health care in England. It aims to equip participants with the skills, knowledge and confidence to challenge the status quo and bring about real and lasting change to improve services for patients in the NHS and wider health and social care. Each participant undertakes 24 months of study on the programme, comprised of a mix of residential academic and developmental workshops, personal study supported by on-line tuition, action learning sets, and work-based assignments. A final dissertation draws together the results and learning from a major work-based project focused on improving health care for patients.