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BackgroundThe COVID-19 pandemic has posed the greatest operational challenge to the English National Health Service since its inception. Elective surgical services have struggled due to the need to protect both staff and patients from viral exposure, and perioperative COVID-19 infection has been associated with significant excess mortality.InterventionsIn this brief report, we describe how through necessity, it has provided an opportunity to redesign services for the benefit of both patientsdoi:10.1136/leader-2020-000397 pmid:37200165 fatcat:xrbkuygmuzgy5gholahzkbx54a