Welcome to this special issue of Wounds UK, which coincides with this years EWMA conference. The focus of the conference is Change, Opportunities And Challenges Wound Management In Changing Healthcare Systems, a hot topic in the UK and extremely relevant to the ongoing changes in our healthcare system. Even the UK media seem set on reporting about missed targets for Emergency Departments, people having to wait weeks to have an appointment with their General Practitioners, long waiting lists for elective operations, and a disconnect between health and social care. I am sure that these concerns are not limited to the UK and it will be interesting to hear how international colleagues are managing these challenges.