The partnership between Ipswich Hospital Trust and Beira Central Hospital has existed for many years in various forms, most recently funded through the Tropical Health Education Trust. Since 2011, teams of health professionals in the two hospitals have worked on innovative projects to improve medication safety and equipment maintenance within Beira, including during partnership visits like this one. The programme lead, pharmacist Sarah Cavanagh, recognised that the medication safety strand in particular relied on very complex changes in health professional practice. Being the most energetic and welcoming person we know, Sarah embraced The Change Exchange’s offer to attach two health psychologists to the partnership during 2016. Our role was to strengthen the partnership’s existing work and implementation in practice through applying insights from behavioural science.