This essay explores the role of reflection in health and social care practice, the use of practice themes for reflection, and demonstrates active, ongoing, critical reflection of learning experiences. It discusses the impact of reflection on personal and professional development, the application of reflective practice in health and social care settings, and the purpose of reflection in improving healthcare services. It also describes two models and two tools for reflection, and evaluates the effectiveness of the plan in supporting the development of reflective practice skills. The essay further explains how the practice themes can be used to underpin reflection in learning and practice, and illustrates the links between the practice themes and other performance indicators. Finally, it evaluates the author's own holistic professional learning and development through practice, and analyzes their performance and learning using the framework of practice themes and other quality performance measures.