Developing People Improving Care Framework aims to create five conditions to enable people to continuously improve care. One is to equip leaders to develop high quality local health and care systems in partnership, collaborating with partners across organisational, professional and geographical boundaries to build relationships and achieve shared system goals. The Regional Talent Board in the Midlands and East is an excellent example of this coming to fruition. Martin Hancock, national head of talent management at the NHS Leadership Academy, explores why.