Spiritual care delivery has proven beneficial to patients, families and front-line healthcare providers, especially in times of COVID-19. As the negative stressors continue to rise, the need for a compassionate and caring presence becomes all the more apparent. However, there is a lack of Chaplaincy representation at the highest organizational levels, which entails many risks. This is a global issue – in fact, in all sorts of institutions. For example, if we would do a search on ‘Chief Spiritual Officer’ via LinkedIn, not a lot of results would show up. ‘Chief Spiritual Officers: advocating for spiritual care leadership’ was the central theme of the digital round table / panel discussion on 25th February 2021. In other words, caring for the human spirit with integrity, grace and safety. We examined how best to define the Chief Spiritual Officer, the qualifications for assuming a spiritual leadership role and how this impacts advocating for spiritual care delivery in hospice and in other organizational structures. With different panel members and Dina-Perla Portnaar.