Transformational Change through System Leadership (TCSL)

This programme supports senior cross-system leadership teams who are responsible for delivering major change programmes.


This fully funded programme provides access to expert, professional support delivered through a series of workshops for those leading transformational changes. It is targeted at teams of senior leaders who are working on a transformational change as part of an sustainability and transformation partnership (STP) or integrated care system (ICS) work programme. During the workshops, the teams are supported to put theory into practice as they work on their own system-wide, transformational change and interact with peers from across the country who are leading changes in their own systems.

Based upon the proven concepts, tools and techniques used when working within complex healthcare environments, TCSL covers a broad range of topics. The workshops integrate a wide range of perspectives and theories — from complexity and system theories to the psychology of change — and participants have time to use various tools to shape their programme and build their change leadership capability.

Previous participants share the challenges they faced and what improvements they plan to make since taking part in our TCSL programme.

About the programme

Delivered over four months, the full TCSL programme consists of six interactive workshop days, spread over three two-day workshops.

Throughout the programme, teams of senior leaders build their knowledge and skills and progress their change programme through intensive collaborative working. The programme combines exploration of a wide range of content areas with plenary, team and peer discussion. Teams spend time directly applying the programme content to their change area and planning how to progress the work between workshops.

This is a fully-funded programme. Participants are required to fund their own travel and accommodation costs.

The programme has supported over 100 healthcare teams and hundreds of individuals to develop and apply new skills. Previous cohorts targeted at specific groups have included support for integrated care pioneer sites, vanguard systems and a themed cohort for urgent and emergency care.

Some of the positive feedback that previous participants have given on the programme includes:

‘From my perspective, everything you presented challenged me and challenged our thinking. That’s exactly what I was looking for.’

‘The programme gave us time to explore the transformation project with colleagues in a focused way  getting to know each other and building trust. We came away with a range of techniques and methods to support our transformation.’

‘Our work needed to be much more targeted at the human aspects of partnership and winning hearts and minds. That was a major revelation we had during the programme.

Back to top

Who should apply?

The full six-day programme supports teams from multiple organisations who collectively represent the senior leadership group guiding a specific change area or priority in their healthcare system. We generally find that teams consist of 6-8 people and team members tend to be working at director level. Teams are expected to include:

  • most members at director level or equivalent
  • multi-agency representation based upon the change area being worked upon
  • clinical and non-clinical members
  • a minimum of four team members identified at the point of application

Teams are also expected to meet and work on their change area outside of the workshops and so should not be formed solely for the purposes of the TCSL programme.

Teams need to ensure they have a sufficiently broad representation of system stakeholders and appropriate authority levels to work effectively on their chosen change area. A high proportion of workshop activities will be focused upon applying the concepts, tools and techniques to the team’s change area.

As an NHS-funded programme the focus of the change area being worked upon must be significantly healthcare related. However, team membership is not limited to healthcare organisations.

Upcoming programme dates and how to apply

Cohort one Cohort two
Workshop A 18-19 June 2019 26-27 June 2019
Workshop B 09-10 July 2019 18-19 September 2019
Workshop C 10-11 September 2019 20-21 November 2019
Location Holiday Inn Regents Park, Carburton Street,
London, WIW 5EE
Park Inn Radisson, North Street, York, YO1 6JF


  • apply for cohort one
  • apply for cohort two

The closing date for applications is 8 April. Successful teams will be notified by 18 April.

Key information: please read before applying

This application should be completed by one nominated lead for your team. They will be the nominated ‘lead applicant’ for contact purposes only. They are not required to be the lead for the team’s change project or take on any additional responsibilities during the programme.

Your application must include details of all team members. We have found the programme works best with 6-­8 team members (including the nominated lead). If you feel that a different sized team is more appropriate, please contact us to discuss.

To get the most out of the programme it is important that all team members are able to attend all workshop dates.

Terms and conditions

ACT Academy programmes are fully funded by us. To make best use of resources we ask participants to commit to attend all workshop dates. If you know prior to the programme that you cannot make a workshop date please let us know so we can discuss whether it is appropriate for you to participate in the programme.

If during the programme you are unexpectedly unable to attend a workshop, please email with at least five working days’ notice. We reserve the right to charge your employing organisation for the costs associated with your allocated place if we do not receive notification in this period.

Back to top

Contact us

If you would like to discuss your application, find out more about the TCSL programmes available and to register your interest in being informed about future programmes, please email us on