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The Francis report highlighted the importance of strong leadership from health professionals but it is unclear how prepared those who are newly qualified feel to take on a leadership role. We aimed to assess the confidence of newly qualified health professionals working in the West Midlands in the different competencies of the NHS Leadership Framework. Most respondents felt confident in their abilities to demonstrate personal qualities and work with others, but less so at managing or improving services or setting direction.

The Better Training Better Care programme incorporates recommendations from Sir John Temple's report Time for Training and John Collins' review Foundation for Excellence to improve multiprofessional training and working. This article describes some of the programme pilots under way in the UK and looks at how they can be disseminated through the rest of the health service to improve patient care throughout.