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I think there needs to be both national development programmes and support at individual organisational level. Most of the organisations I have worked for have recognised the importance of developing future leaders (often through individual managers' support rather than organisational approach). However, in all of these organisations there have been limited or no opportunities to progress within the organisation. Thankfully, managers have been happy to support me and others to develop, whilst recognising that the likely outcome is that we will leave as a result to further our careers elsewhere in the NHS.