In order to predict new roles and associated skills for those responsible for promoting health and wellbeing in the future, we need to think about the context of tomorrow and the issues that contemporary practitioners will be focusing on. In general, health-promoting leaders will need to develop new skills, ensuring closer links to those who hold the purse strings, in order to help empower others engendering a widespread systemic effect to improve communities' health and wellbeing. Health and wellbeing leaders of the future will operate across multiple systems characterised by the generation and collection of real-time data. They will need the skills to analyse and understand business, disease, patient safety and outcome data that indicate where organisations are not fulfilling their functions. Common skills sets will develop, encouraging cross-sector and new ways of working, moving traditional role definitions towards common skills sets for health and wellbeing in whatever role and organisation the employee is currently engaged.