All well-known quality management (QM) models in health care also address issues of the quality of leadership, even if they do so with varying intensity. Skills in managing organisations are a basically important quality in a top manager, but skills in leading people have been revealed as being most relevant. All the manuals of the most common quality management systems specify 'To-Do' lists and tasks for the top management--EFQM and KTQ/proCum Cert have definitively linked them with quality management. Quality needs to be assessed by the degree to which management goals are achieved. However, there is no easy approach to measure leadership abilities and explain it to the public. Since this is a real challenge and very difficult to achieve it is not a central focus of the various QM manuals.