This document summarizes a presentation on local leadership to reduce health inequalities. It discusses using multiple lenses to understand complex issues like COVID-19 and inequalities, including layers of determinants, systems thinking, and a syndemics approach. It advocates exiting the pandemic phase by managing COVID-19 as part of ongoing health protection with a focus on recovering services to address inequalities impacts. Building back fairer requires reducing inequalities across the system by embracing evidence, population health management, and prevention from school to employment through multiple actors working together.