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The provision of appropriate sex education for teachers has been identified as a key factor in improving the quality of sex and relationship education (SRE). This paper focuses on evaluating a sexual health training programme designed to prepare school teams to deliver high quality SRE. The evaluation followed up three schools prospectively and 11 schools retrospectively. Multiple methods were used to gather and triangulate qualitative and quantitative data from teachers, senior management, pupils and trainers. The training programme was found to have made positive contributions to SRE programme and policy development through building schools’ capacity to be responsive to young people’s needs, team building, personal and professional development, and greater collaboration in school between health and education services, parents and pupils. In the light of the findings, recommendations are made to guide future training.