Rethinking and reframing obesity

from mid-career level onwards could be eligible, and receive appropriate recognition for delivering in these capacities. By gaining experience in both front-line and cross-system positions, professionals with both patient and managerial experience could be developed with a broader appreciation of the health service architecture. The design, costs, and feasibility of such a programme would need to be developed and evaluated. There is a need for greater plurality in NHS leadership, to ensure it is better aligned with the provision of integrated care, underpinned by improved quality and fi nancial stewardship. The models in the Five Year Forward View present an excellent opportunity for training such leaders. 1 Development of a new cadre of leaders will require recognition and unifi ed support at local and national levels. Design and implementation of such programmes could well determine the success of health systems in the UK and elsewhere.