Many services across the UK are delivering excellent leg ulcer and lower limb management. That might well be you and if so, we want to thank you and remind you to be proud! Lower limb and leg ulcer management is rising up the national agenda, but very slowly. Variation in access, care and outcomes for our fellow humans varies greatly across the UK and even within NHS trusts. It remains a lottery. We know this to be true (Hopkins, 2020). You will hear it from patients and you hear it from colleagues. The official term is ‘unwarranted variation in care’ and it is not acceptable, care must be individual to the patient, but factors such as access and quality of care should be equal.