Clinical leadership is key to serving the needs of local populations and making true integrated care a reality - but how can health and care systems support clinicians into these vital leadership roles? In our latest podcast, Dr Amanda Doyle, GP and leader of the Lancashire and South Cumbria Integrated Care System (ICS), is joined by Professor Des Breen, medical director for South Yorkshire and Bassetlaw ICS and Andrea Mann, one of a small group of nurses appointed as a Primary Care Network Clinical Director, to discuss how their systems are approaching the task. With a wealth of clinical leadership experience between them the discussion sheds light on proven ways to develop and support a pipeline of clinical leaders.