This independent evaluation of the programme ‘Support to Healthcare Workers Salaries in Sierra Leone’ was commissioned by DFID Sierra Leone to evaluate the impact of its support to the healthcare worker salary programme. The inception phase comprised the review of programme documents which identified a critical issue regarding the lack of information on whether fee charging is continuing at health facilities. It was subsequently agreed that a number of patient exit surveys would be included in the data collection process at facility level. Data collection comprised a series of interviews with DFID SL and their technical advisors, government of Sierra Leone officers and other partner stakeholders in addition to a series of field visits. Seven districts in 3 regions participated in the evaluation and 34 district stakeholder interviews were undertaken. A total of 21 health facilities were visited where interviews focused on the collection of data on user fees, service utilisation, as well as payroll and HR data. In addition 218 exit interviews were undertaken by monitors from the Health for All Coalition (HFAC) who accompanied the evaluation team during the field visits. The team attended the Payroll Steering Committee meeting in addition to presenting their preliminary findings at a stakeholders de-brief meeting that concluded the mission.