ABSTRACT
In this chapter, the author offers a set of ideas to illuminate this new notion of leadership. Shared leadership' is a useful idea when considering learning and change throughout a whole system. It is a form of advanced team-working where the team as a whole has a leadership role, and also individual team members have personal leadership roles for different constituencies. This broader understanding of leadership is needed at all levels of society for integrated primary health care to become a reality. Leaders are skilled at creating places where people of different backgrounds learn from and with each other. Leadership for health care must similarly make it easy for people throughout the whole system to 'see' each other, rehearse co-ordinated activity and pause to reflect and learn. Leaders reduce uncertainty in seemingly chaotic situations by clarifying what is known and what is not.
