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The Health Foundation invests more than £7 million in developing leaders in the British health services. In February 2005 it invited external scrutiny of its approach to evaluation. This led to a radical development of its approach to leadership and to a broadening of the range of its evaluation methods and tools. The result of this work is that the Health Foundation is better able to measure the return on its investment in leadership and understand more about the ways in which improvements in leadership can lead to improvements in healthcare services.

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