"It is of paramount importance to support the development of relevant and high-quality skills and competences further to strengthen key competences in VET concerning health care. European healthcare systems show significant gaps in healthcare provision (Council of Europe, 2016). At the same time, our health care system is under considerable budgetary and societal strain (European Commission, 2017). To improve our provision of care, we need to devise a more efficient and sustainable healthcare system. Then it is essential to be able to implement change and monitoring the outcomes. At the same time, numerous studies show that implementing the proposed changes in a healthcare setting remains fragmented, inconsistent, and inefficient. Hence, there is a substantial need for the development of high-quality work-based VET in the healthcare sector that facilitates the process of implementing change in an efficient and structured way and being cost-efficient. The need for ongoing training and development of health care professionals is highlighted in the Directive 2013/55/EU ""Member States shall ensure, by encouraging continuous professional development, that health professionals are able to update their knowledge… to maintain safe and effective practice"". A key priority is the need to train healthcare professionals to implement change and monitor the effect at the clinical levels. The healthcare partners from Slovenia, Greece, Estonia, Latvia, and Romania report that they do not have the resources or training to address these issues adequately and are therefore neglected. The objectives of this project were to develop, test, implement and disseminate the developed training material for healthcare managers and healthcare professionals and students. A further objective was to produce a functional training programme reflective of the sociocultural diversity across Europe. The project succeeded to make the training material accessible to a broad range of stakeholders via multi-mode delivery accessible as an open resource. The consortium consisted of public health experts in change and implementation methodology (SE) and pedagogical experts in vocational training (NO) with an NGO (NL) that incorporated the patient perspective. The hospitals (LT, EL, RO, SI, EE) generated a needs analysis of each partners' healthcare setting to achieve the best way to implement the project. The methodological approach and activities generated the following results: 1. A functional and evaluated training material that is based upon research evidence and the needs analysis. 2. The training has quickly impacted work-based CVET that enhances service provision by addressing the need to create tools for implementing and evaluating change in a structured way. 3. The pilot data of the training course showed a significant increase in learning between pre and post in 121 healthcare professionals. 4. Health care organisations have now access to continuing education and training (CVET) that will update their health professionals' knowledge in this area to maintain safe and effective practice 5. As prioritised by the European Commission, it is paramount to create a more sustainable health care system that can address that everyone has access to affordable, preventive and curative health care of good quality. This developed training course provides the tools to implement and monitor these changes for all patient groups, including those at risk for social exclusion and poverty. 6. The developed training curriculum is economically viable to implement and can reach a large group of members of health staff or NGO's. This is due to the methodological design of concrete and focused 1-day training courses that emphasise addressing knowledge and skill deficits in this area. The long-term benefits are that staff/students in the health care sector and NGOs have access via the partners a training program that will directly enhance their skillset and facilitate better health care provision for their intended target groups and in the same way make the health care system more efficient. Better implementation strategies that can ensure that improvement in health care provision will be more successful. This results in that patients will receive improved timely access to affordable, preventive and curative health care of good quality. Individuals that also belong to socially disadvantaged groups benefits since the training will address the circumstances that need to be considered when implementing change to avoid unintentional marginalisation. The project has resulted in raising a European awareness of these aspects, which adheres to the established priorities of the European Commission (European Commission Communication ""European Disability Strategy 2010-2020: A Renewed Commitment to a Barrier-Free Europe"", November 2010; European Commission Communication ""The European Platform against Poverty and Social Exclusion"", December 2010)."