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Every clinician strives for the best outcomes for their patients but local infrastructures do not always enable us to deliver this every time. We believe that all of the skills and individual roles required for the effective delivery of more integrated perioperative care already exist within the NHS. Our challenge now is to organise these individuals and skills into sustainable perioperative medicine teams. To see what good perioperative care can look like, please watch our animated film and follow our patient ‘Doug’ along his surgical pathway. Please use this resource to start conversations locally on the future delivery of perioperative medicine in your Trust and share local reactions and views with us. Join the conversation on what perioperative medicine should look like and how we can get there using the comments section below. Or contact us on [email protected] or via www.rcoa.ac.uk/perioperativemedicine. © The Royal College of Anaesthetists