This report examines the leadership of Louise Houson, a prominent figure in the NHS, analyzing her roles and responsibilities in managing a hospital in England. It explores various leadership theories, including transformational, transactional, action-based, and situational leadership, and how Houson applies them in her practice. The report also delves into the arguments surrounding system leadership and chaos theory, comparing and contrasting Houson's role as a leader and manager. Through a detailed analysis of her leadership style and its impact on the NHS, this report provides valuable insights into effective leadership in the healthcare sector.