District and community nurses play a pivotal role in the nation’s health. From multifaceted clinical management, prescribing and end of life care to liaison and advocacy with care providers, complex funding assessments and so much more, the district and community nursing role is complex. Yet it is a role under unprecedented pressure, even beyond the challenges brought by the COVID-19 pandemic. Julie will provide an update following a recent survey that reveals the pressures and consider the impact that these will have on the delivery of person centred wound care.