This chapter is about some of the issues that you might face in taking on a leadership role and ways in which you might prepare yourself. For those with leadership experience, we also discuss continuing development as a leader. The chapter begins by looking at how a person becomes a leader and what the role entails. We then explore the competence and skills that a leader needs in a health and social care setting. We also consider how you might react when you become a leader, how you might prepare and how you can take care of yourself as a leader.