Welcome to October's issue of the Bulletin. As I write this piece, we may be struggling to see the light at the end of the tunnel for UK healthcare; an unprecedented state of industrial action by doctors at all stages of their careers, the recent release of an open report on sexual misconduct in healthcare and, as clinicians, the challenges of ensuring high quality care for patients can be a daily struggle. The height of the pandemic may be behind us, but the disparities it has revealed will have to be addressed for years to come.