Table 3

Summary of lessons learnt aligned to levels of Kirkpatrick model

	VALSC is strengthening connections within and between transformational change teams	VALSC is empowering workforce across the system with transformation and change skills which are being applied to health and care challenges	VALSC is helping teams to engage with their stakeholders better
Reaction	Increased team bonding and space to reflect. Independent and constructive challenge.
Learning	Greater clarity of shared goals. Sharing with and learning from peers.	Appreciation of how to effect change in complex contexts. Equipped with an approach and a set of tools.
Behaviour		Increased confidence about transformational change.
Results		Teams creating permission to innovate.	Improved communication with stakeholders. Gained strategic/management buy-in.