Like many countries dealing with rising health care costs, aging populations and public calls for reform, the U.K. is making substantial changes to its National Health Service (NHS). To prepare NHS staff in leadership roles to navigate this reform, GHLI and the South Essex Partnership Foundation Trust created the Health and Social Care Leadership Development Program. Using expert speakers, case studies and site visits, the program focuses participant involvement on management and leadership topics. Participants apply concepts and tools of strategic problem solving to address high-level challenges in health and social care in the U.K. The program venue spans both the U.K. and the U.S. in order to provide comparative analyses and perspectives that help generate creative solutions to health care problems common to both countries.