Positive risk-taking and risk decision-making are challenges that can be achieved with greater confidence if the right conditions are in place. For practitioners within health and social care services, and others beyond these services, a number of factors can influence your degree of confidence in your decision-making. Being genuinely person-centred, as we are always dealing with an individual with their unique combination of strengths alongside the problems and the risks. Good team-working, and support and supervision, can greatly influence the quality of decisions influenced through the culture of the team or service. The issue of 'culture' should also extend to the wider organisation, through the understanding of positive risk-taking and processes of decision-making, and supporting people's decisions irrespective of outcome if they have followed reasonable guidelines of good practice. Accessing appropriate tools to guide and influence decision-making, as well as prioritising the time needed for some of those more complex and challenging decisions.