OPT IN is a charity, founded in 2000, which aims to share the knowledge and skills of NHS staff (principally those of the Leeds Teaching Hospitals NHS Trust) with partner hospitals in low income countries. It seeks to deliver training that will result in sustained development in the health care services within these countries. The OPT IN mission is simple; to share the knowledge and skills of our health care staff with partner hospitals in a number of developing countries. The aim is to deliver training which will result in sustained improvements in the health services in the partner country so improving the health of its population. The agenda for this training is based on local needs and is defined by our partners.