Before 2017, first-year health sciences at Wintec (Waikato Institute of Technology) in Hamilton, New Zealand, was taught traditionally with a weekly lecture, followed by a lab class and homework. That changed in 2017 when the teaching team transformed the mode of delivery to include blended learning and a flipped-classroom approach. This talk will focus on the impact of these changes in five cohorts of semester two nursing students. In particular the modes of delivery before and after these changes, the choices students made in response to these changes, and a summary of student feedback trends that reveal how this change positively impacted the academic achievement results.