Today’s public and private care sectors are confronted by many challenges. Demand is up, as are costs and the urgency of keeping care affordable. Clients and society are ever more demanding and more new providers are entering the market. Meanwhile, technological change is accelerating as social and professional perceptions of health are changing fundamentally. In addition, the Covid-19 pandemic still has major consequences and its effects will be felt for a long time to come. These are some of the trends and developments which illustrate that growing complexity demands innovative, true leadership.