The NHS is an evolving landscape. While the level of clinical knowledge conferred to medical students remains constant, their competence in other skills, such as leadership, needs to be enhanced in order for them to successfully work within the health-care system. The importance of leadership is considered at the start and end of a medical degree - when applying to medical school with various examples of leading a team, and upon balancing scenarios of leadership when sitting the situational judgement test in final year. In the interim, however, more teaching needs to be delivered to ensure that medical students are prepared for leading the NHS. Through enabling students to engage, identify and align with being a leader, they become increasingly aware of their future role and will improve service delivery.