This presentation explores the vital role of leadership and engagement in improving the effectiveness of the National Health Service (NHS) in England. It examines the benefits of employee engagement, the importance of leadership skills in healthcare settings, and the impact of leadership development on organizational performance. The presentation also discusses approaches to leadership, matching leadership skills to health reform, and the qualities needed for engaging across different systems within the NHS. It concludes by emphasizing the need for strong leadership and engagement to ensure the continued success of the NHS in providing high-quality healthcare services to the British population.